Practicum Midterm Fall 2013 Flashcards
In the medical model of documentation, the means by which a therapist documents therapy is
Atheoretical
A current requirement my most third-party payers to cover mental health services is documenting
medical necessity
When audited by any third party payer, client files that are found not to be compliant with documentation standards
May be subject to repaying funds to the third party payer
A statement from someone who views psychotherapy as an art
expressing latent emotions
which of the next treatment strategies would most likely be incorporated by someone from a scientific perspective o psychological treatment
A-B-C MODEL
According to this text, the most current documentation is
Atheoretical
Process variable research…what does it do
It integrates the similarities between psychological therapies
When third-party payment is involved, clinical skills are necessary for
therapeutic progress
When third-party payment is involved, documentation skills are necessary for
continuation of services
Stringent documentation requirements are considered important at this time because they help control
- mental health costs
- demonstrate the need for services
- provide specific diagnostic information
The statements that best descries the concept of medical necessity?
Without mental health services, the client will remain dysfunctional.
What is the primary purpose of the O-F-A-I-D procedure?
to obtain objective information about client behaviors.
An example of a possible ethical problem du to not providing the best documentation?
Not ready to go back to work
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?
He should call his supervisor to sit in for a new sessions.
An example of a dual relationship that is most acceptable
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.
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?
Provide detail account of his training, supervision and experience
The biopsychosocial assessment focuses on
background information
Signs are observed by the ——————-
Symptoms are endorsed by the ————-
observed by the clinician
endorsed by the client
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
ALL THE ABOVE
How are client strengths and weaknesses typically incorporated into a treatment plan?
The are incorporated into the treatment strategies
Something that is not part of the biosocial assessment?
Clinical observations
Written psychological reports should be….
written at a level concordant with the reader’s level of understanding.
A statement that best represents medical necessity and mental health services?
Without therapy, the client is likely to remain functionally impaired.
The MENTAL STATUS EXAM is intended to provide
a current picture of he client’s current mental state
A statement that best represents a description of a client’s affect is
client that states that she is depressed, anxious, and irritable.
In a mental status exam, the client’s STREAM OF CONSCIOUSNESS is evaluated by his or her
speech
A client presents with slurred speech…This provides evidence of……(consider the mental health exam)
need more information.
Which of these interview questions best represents potential problems due to the Barnum effect?
client states, “I feel much better this week.”
which of these statements best represents the assessment from a DAP progress note?
significant improvements in ability to resolve stressors at home
which of these statements best represents the plan for a DAP progress note?
the homework assignment for next week is to……
what is wrong with the next progress note statement that is placed in the data section? “The client has improved significantly in assertiveness skills.”
it is not data
how might well written progress notes help protect a therapist from ethical/legal/financial problems?
(ALL THE ABOVE)
- 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
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?
diagnostic summary.
How can a client who severely needs additional mental health services be turned down by a case manager for me third party payer?
- Lack of specific documentation
- Lack of demonstration medical necessity of
services - Lack of evidence of functional impairments
When applying for approval for additional client services, why should both progress and setbacks be documented?
they show both what has been accomplished and what needs to be accomplished in treatment.
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?
a client with a GAF of 88 is not likely to have significant impairments.
Which of the next statements represents the best discharge goal?
return to work full time
What you suggested by this statement: “Effective clinical skills are necessary but not sufficient when working with third party payers”?
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.
Which of the following best represents a treatment plan objective?
: Return to work at least 30 hours per week.
Which of the following best represents a treatment plan goal?
Return to work full time.
Which of the following provides the best example of a measurable behavioral objective?
Spend at least three hours per week outdoors.
What is wrong with this treatment plan objective? Increase euthymic mood. Answer c: both of these.
- It is too vague
- It is difficult to measure
The treatment plan is designed primarily to be based on…..
Specific client needs
Treatment plan revisions typically are written and…..
the progress notes, and Incorporated into the revised treatment plan.
Which of these interview questions best represents potential problems due to the Barnum effect?
do you get upset when you don’t get your way?
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
rule-in/rule-out.
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?
onset, frequency, antecedents, intensity, and duration.
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.”
the essential symptoms criteria are not met.
Which of the following best represents and associated symptom?
low motivation
What is meant by this statement? “The diagnoses has been ruled out.”
there is not enough evidence to give the diagnoses.
