Final

Question 1

10 reasons to consider initiating an exchange of views with client

Answer 1

1. Discrepancies 2. Person says one thing but does another 3. Different perspective than the client 4. Client says one thing but body language is different 5. Client says they support certain values but act differently 6. Client has unrealistic expectations of you 7. Unrealistic expectations for themselves 8. Asks for assistance but actions say otherwise 9. Contradictory 10. Destructive behavior

Question 2

4 components of an “I message”

Answer 2

1. Observations about the situation in a non blaming factual statement 2. Tangible outcome you believe you see as a result of the client’s consequences 3. Your suggestions 4. Invitation to collaborate

Question 3

11 (+asking permission) rules for offering your point of view

Answer 3

1. Empathy 2. Timing 3. Be matter of fact 4. Be tentative 5. Focus on tangible behavior/communication 6. Full responsibility for your observations 7. Refrain from accusing 8. Refrain from anger 9. Refrain from judgement 10. Refrain from producing a solution 11. Always collaborate

Question 4

5 ineffective uses of “I messages”

Answer 4

I feel you are avoiding help, I am uncomfortable you don’t share with your family, I’m not clear why you are not sharing, It seems to be this will be rough, I feel this will work

Question 5

5 reasons a case might be terminated

Answer 5

1. Case manager and client agree to move on 2. Client/CM dies or moves away 3. No funding 4. Client refuses services 5. Client can’t be found

Question 6

2 things that should happen at termination of services for each client

Answer 6

1. Opportunity to meet to discuss termination 2. Follow up letter outlining the final interview with an invitation to come back

Question 7

possible client feelings about termination of services

Answer 7

best relationship he/she has ever had
-be on own
-milestone in life
-revert to old behavior
-reluctance to end
-resentment
-“shoved out the door”
-need support and empathy

Question 8

final interview

Answer 8

-summarize the work that’s been done
-ask client about how things have gone
-provide information client might need
-welcome the client to come/call back
-emphasize gains and accomplishments
-identify continued challenges
-plans to tackle future challenges
-referrals in place
-evaluation
-outcomes
-process
-satisfaction
-client
-you
-between you and client
-between you and your supervisor
-agency
-client’s environment
-community

Question 9

11 things a discharge summary should include

Answer 9

1. Name, DOB, Admission date, discharge date 2. Diagnosis 3. Medication 4. Reason for discharge 5. Goals and Objectives 6. Major presenting problem 7. Extent client participated in goals and objectives 8. Progress made 9. Identified problems that weren’t addressed 10. Client at intake and termination 11.Attempt to locate if client disappeared

Question 10

ethical responsibility/NASW Code of Ethics

Answer 10

Take time and effort to understand other cultures

Question 11

difference – a path to learning or an obstacle to communication

Answer 11

can be overcome with communication and can be a building block to learning about the client

Question 12

culture

Answer 12

Societal culture what society is the client from

Question 13

subculture

Answer 13

Follows the societal cultures mainly but have other views as well

Question 14

race/ethnicity

Answer 14

Race is more physical traits ethnicity lines with culture

Question 15

“we/them attitude”, in-group, out-group

Answer 15

Understanding how people can be part of a group but are different they are not all the same

Question 16

categories/stereotypes/attributes

Answer 16

Defining a person based on who they are or what they do

Question 17

scripts

Answer 17

Scripted messages in your head hi how are you? I’m fine thanks

Question 18

perceptions

Answer 18

views on people without knowing them
1. Describe the person’s behavior
2.Tell person how you interpreted their behavior
3. Ask if perceptions are accurate

Question 19

individualistic/collectivistic culture

Answer 19

Individualistic is person based thinking and views, cultural is a more societal view and thinking of yourself is second

Question 20

obstacles to understanding

Answer 20

stereotypes
-ethnocentrism
-prejudice
-conflict

Question 21

competence/consciousness

Answer 21

Listen to the people’s experiences and be competent you know nothing compared to them, be conscious with your words and thinking as to not offend the client