Practicum Midterm Fall 2013

Question 1

In the medical model of documentation, the means by which a therapist documents therapy is

Answer 1

Atheoretical

Question 2

A current requirement my most third-party payers to cover mental health services is documenting

Answer 2

medical necessity

Question 3

When audited by any third party payer, client files that are found not to be compliant with documentation standards

Answer 3

May be subject to repaying funds to the third party payer

Question 4

A statement from someone who views psychotherapy as an art

Answer 4

expressing latent emotions

Question 5

which of the next treatment strategies would most likely be incorporated by someone from a scientific perspective o psychological treatment

Answer 5

A-B-C MODEL

Question 6

According to this text, the most current documentation is

Answer 6

Atheoretical

Question 7

Process variable research…what does it do

Answer 7

It integrates the similarities between psychological therapies

Question 8

When third-party payment is involved, clinical skills are necessary for

Answer 8

therapeutic progress

Question 9

When third-party payment is involved, documentation skills are necessary for

Answer 9

continuation of services

Question 10

Stringent documentation requirements are considered important at this time because they help control

Answer 10

• mental health costs
• demonstrate the need for services
• provide specific diagnostic information

Question 11

The statements that best descries the concept of medical necessity?

Answer 11

Without mental health services, the client will remain dysfunctional.

Question 12

What is the primary purpose of the O-F-A-I-D procedure?

Answer 12

to obtain objective information about client behaviors.

Question 13

An example of a possible ethical problem du to not providing the best documentation?

Answer 13

Not ready to go back to work

Question 14

What is the most ethical thing to do in this situation:
“John is an experienced therapist. When he was in high school, he was assaulted by a person from Beronia. Today he conducted a counseling intake from someone from Beronia and took an immediate dislike to the client. WHAT SOULD HE DO?

Answer 14

He should call his supervisor to sit in for a new sessions.

Question 15

An example of a dual relationship that is most acceptable

Answer 15

Your neighbor is suicidal and is sent to the hospital where you work. You are the only therapist on duty at the time. You counsel the person one time and make a referral.

Question 16

Jerry’s competency in providing hypnotherapy was questioned by the client who filed a complaint to the board of psychology. What would Jerry present to the board in his defense?

Answer 16

Provide detail account of his training, supervision and experience

Question 17

The biopsychosocial assessment focuses on

Answer 17

background information

Question 18

Signs are observed by the ——————-

Symptoms are endorsed by the ————-

Answer 18

observed by the clinician

endorsed by the client

Question 19

Which of the next statements best incorporates portions of the O-F-A-I-D procedures

• The client has been depressed since his divorce
• the client is depressed almost all the time
• the client is severely depressed

Answer 19

ALL THE ABOVE

Question 20

How are client strengths and weaknesses typically incorporated into a treatment plan?

Answer 20

The are incorporated into the treatment strategies

Question 21

Something that is not part of the biosocial assessment?

Answer 21

Clinical observations

Question 22

Written psychological reports should be….

Answer 22

written at a level concordant with the reader’s level of understanding.

Question 23

A statement that best represents medical necessity and mental health services?

Answer 23

Without therapy, the client is likely to remain functionally impaired.

Question 24

The MENTAL STATUS EXAM is intended to provide

Answer 24

a current picture of he client’s current mental state

Question 25

A statement that best represents a description of a client’s affect is

Answer 25

client that states that she is depressed, anxious, and irritable.

Question 26

In a mental status exam, the client’s STREAM OF CONSCIOUSNESS is evaluated by his or her

Answer 26

speech

Question 27

A client presents with slurred speech…This provides evidence of……(consider the mental health exam)

Answer 27

need more information.

Question 28

Which of these interview questions best represents potential problems due to the Barnum effect?

Answer 28

client states, “I feel much better this week.”

Question 29

which of these statements best represents the assessment from a DAP progress note?

Answer 29

significant improvements in ability to resolve stressors at home

Question 30

which of these statements best represents the plan for a DAP progress note?

Answer 30

the homework assignment for next week is to……

Question 31

what is wrong with the next progress note statement that is placed in the data section? “The client has improved significantly in assertiveness skills.”

Answer 31

it is not data

Question 32

how might well written progress notes help protect a therapist from ethical/legal/financial problems?

(ALL THE ABOVE)

Answer 32

• They document that appropriate therapeutic and
  procedural steps were taken prior to a client
  attempting suicide.
• They demonstrate that the treatment was
  medically necessary
• They provide evidence tat the treatment provided
  was concordant with acceptable procedures in
  the field

Question 33

a mental health therapist received a request for medical information for ”the entire record.” According to HIPAA regulations, what information CAN NOT be sent in this situation?

Answer 33

diagnostic summary.

Question 34

How can a client who severely needs additional mental health services be turned down by a case manager for me third party payer?

Answer 34

• Lack of specific documentation
• Lack of demonstration medical necessity of
  services
• Lack of evidence of functional impairments

Question 35

When applying for approval for additional client services, why should both progress and setbacks be documented?

Answer 35

they show both what has been accomplished and what needs to be accomplished in treatment.

Question 36

Why might a client with a diagnosis of major depressive disorder and a GAF (global assessment of functioning pg. 178) of 88 be denied additional services?

Answer 36

a client with a GAF of 88 is not likely to have significant impairments.

Question 37

Which of the next statements represents the best discharge goal?

Answer 37

return to work full time

Question 38

What you suggested by this statement: “Effective clinical skills are necessary but not sufficient when working with third party payers”?

Answer 38

although a therapist might possess excellent clinical skills, clients may not receive an adequate number of services if the therapist has not learned appropriate documentation skills.

Question 39

Which of the following best represents a treatment plan objective?

Answer 39

: Return to work at least 30 hours per week.

Question 40

Which of the following best represents a treatment plan goal?

Answer 40

Return to work full time.

Question 41

Which of the following provides the best example of a measurable behavioral objective?

Answer 41

Spend at least three hours per week outdoors.

Question 42

What is wrong with this treatment plan objective? Increase euthymic mood. Answer c: both of these.

Answer 42

• It is too vague

- It is difficult to measure

Question 43

The treatment plan is designed primarily to be based on…..

Answer 43

Specific client needs

Question 44

Treatment plan revisions typically are written and…..

Answer 44

the progress notes, and Incorporated into the revised treatment plan.

Question 45

Which of these interview questions best represents potential problems due to the Barnum effect?

Answer 45

do you get upset when you don’t get your way?

Question 46

The diagnostic interview incorporates a procedure in which the client is asked whether he or she is experiencing various symptoms. Deciding on the subsequent questions as determined by the answers to the earlier questions. This process is called

Answer 46

rule-in/rule-out.

Question 47

Which of these descriptors of behaviors is suggested in the tech as helpful in determining both a specific diagnosis and a level of functional impairment?

Answer 47

onset, frequency, antecedents, intensity, and duration.

Question 48

What is clearly wrong with the next statement? “Pat endorses symptoms of social withdrawal, low motivation, low self-esteem, sleeping problems, and irritability; therefore she meets criteria for dysthymic disorder.”

Answer 48

the essential symptoms criteria are not met.

Question 49

Which of the following best represents and associated symptom?

Answer 49

low motivation

Question 50

What is meant by this statement? “The diagnoses has been ruled out.”

Answer 50

there is not enough evidence to give the diagnoses.