Question 1

"I feel that talking about your husband's sudden death with your relatives will be very helpful" is an example of:

Accepted Answer

A)  ​The clinician offering useful advice 
B)  ​The clinician being overbearing 
C)  ​ A collaborative response 
D)  ​A reflective response 
A)  ​The clinician offering useful advice 
B)  ​The clinician being overbearing 
C)  ​ A collaborative response 
D)  ​A reflective response B

Question 2

At times,the clinician must advocate for the client by confronting others who may be interfering with the clinician's ability to interact effectively with the client.The clinician's message in this case must be:

Accepted Answer

A)  ​A request for advice or suggestion 
B)  ​Tentative 
C)  ​One in which a display of anger is justified 
D)  ​Pleasant,but firm 
A)  ​A request for advice or suggestion 
B)  ​Tentative 
C)  ​One in which a display of anger is justified 
D)  ​Pleasant,but firm D

Question 3

When should a case manager introduce difficult issues: early in the relationship with a client or later?

Accepted Answer

When a case manager should introduce difficult issues to a client depends on several factors, including the nature of the issue, the client's readiness to address it, the urgency of the situation, and the established trust between the case manager and the client. There is no one-size-fits-all answer, but here are some considerations that can guide a case manager's decision:

1. **Assess Client Readiness**: Before introducing a difficult issue, it's important to gauge the client's readiness to discuss and deal with the problem. If the client is not psychologically or emotionally prepared, it may be more appropriate to wait until they have developed the necessary coping skills and trust in the case manager.

2. **Build Trust**: Trust is a critical component of the case manager-client relationship. It may be beneficial to spend the initial phase of the relationship building trust and rapport. Once a solid foundation is established, the client may be more receptive to discussing challenging issues.

3. **Consider Urgency**: If the difficult issue is time-sensitive and delaying the conversation could have negative consequences, it may be necessary to address it early on. For example, if the issue involves immediate safety concerns or legal deadlines, it should be prioritized.

4. **Gradual Approach**: Sometimes, it's best to introduce difficult issues gradually. A case manager can start with less challenging topics and work up to more difficult conversations as the relationship strengthens and the client becomes more comfortable.

5. **Client-Centered Approach**: The case manager should always consider the client's preferences and needs. Some clients may prefer to tackle difficult issues right away, while others may need more time. It's important to involve the client in the decision-making process and respect their pace.

6. **Professional Judgment**: Case managers should use their professional judgment and experience to determine the best time to introduce difficult issues. They should consider the client's history, personality, cultural background, and other relevant factors.

7. **Support Systems**: Ensure that appropriate support systems are in place before bringing up difficult issues. This could include mental health services, community resources, or support groups that can provide additional assistance to the client.

In summary, the timing of introducing difficult issues should be carefully considered and tailored to each client's unique situation. A case manager must balance the need to address important issues with the client's readiness and the strength of the therapeutic relationship. It's often a delicate balance that requires sensitivity, patience, and good judgment.

Question 4

"The way it appears,housing certainly isn't a high priority for you! You never follow through" is an example of a(n):

Accepted Answer

A)  ​I-message 
B)  ​Prying question 
C)  ​Inappropriate confrontation 
D)  ​Appropriate confrontation 
A)  ​I-message 
B)  ​Prying question 
C)  ​Inappropriate confrontation 
D)  ​Appropriate confrontation

Question 5

The clinician would like to make the I-message less threatening to the client and accomplishes this by:

Accepted Answer

A)  ​Judging the client's motives 
B)  ​Appeasing the client 
C)  ​Collaborating with the client 
D)  ​Providing the client with a solution 
A)  ​Judging the client's motives 
B)  ​Appeasing the client 
C)  ​Collaborating with the client 
D)  ​Providing the client with a solution

Question 6

What is one of the 4 parts in constructing an "I" messages when addressing difficult issues with a client?

Accepted Answer

One of the four parts in constructing an

Question 7

Asking the client permission to share your ideas with him or her allows the clinician to:

Accepted Answer

A)  ​Make sure the client takes responsibility for actions 
B)  ​Offer advice while still remaining in charge of the client's situation 
C)  ​Offer advice while still leaving the client in charge of his situation 
D)  ​Set an example of courtesy for the client 
A)  ​Make sure the client takes responsibility for actions 
B)  ​Offer advice while still remaining in charge of the client's situation 
C)  ​Offer advice while still leaving the client in charge of his situation 
D)  ​Set an example of courtesy for the client

Question 8

A case manager should focus on tangible behavior.What does tangible mean?

Accepted Answer

In the context of the statement "A case

Question 9

Correct the following statement to reflect the steps outlined in Ch 10: "You really should think about what you are about to do.It might be dangerous."

Accepted Answer

The answer of Correct the following statement to reflect the...

Question 10

When a case manager needs to express a firmer message,there are 4 steps to the process.Describe them.

Accepted Answer

The four steps to expressing a firmer me

Question 11

What part of the following statement is the case manager's opinion: "I will honor your request but I feel you are avoiding a real source of help."

Accepted Answer

The answer of What part of the following statement is...

Question 12

In order to make an I-message effective,the clinician should:

Accepted Answer

A)  ​Suggest a solution while also asking the client for a solution 
B)  ​Avoid asking the client how he or she sees the situation 
C)  ​Be confident that he or she is privy to all the information and avoid searching for extenuating circumstances 
D)  ​Follow an observation that supports the client's point of view with "but" or "however" in order to add an opposing opinion 
A)  ​Suggest a solution while also asking the client for a solution 
B)  ​Avoid asking the client how he or she sees the situation 
C)  ​Be confident that he or she is privy to all the information and avoid searching for extenuating circumstances 
D)  ​Follow an observation that supports the client's point of view with "but" or "however" in order to add an opposing opinion

Question 13

Confrontation is sometimes necessary when:

Accepted Answer

A)  ​The client asks for assistance,but the clinician has made no headway in finding a solution 
B)  ​There is a discrepancy between what the client is saying and his or her body language 
C)  ​The client continues drinking while in therapy 
D)  ​The client experiences schizophrenic symptoms 
A)  ​The client asks for assistance,but the clinician has made no headway in finding a solution 
B)  ​There is a discrepancy between what the client is saying and his or her body language 
C)  ​The client continues drinking while in therapy 
D)  ​The client experiences schizophrenic symptoms

Question 14

Name one of the 5 reasons outlined in the book for addressing discrepancies with a client.

Accepted Answer

As the question seems to refer to a spec

Question 15

What is wrong with the following statement: "You are not listening to me.I feel that you would be better off if you went to rehab."

Accepted Answer

The answer of What is wrong with the following statement:...

Question 16

In the social services,confrontation is used:

Accepted Answer

A)  ​By the client to bring concerns out into the open when he or she is upset 
B)  ​To make sure the client takes responsibility for his or her actions 
C)  ​As a means for the clinician to express anger with the client 
D)  ​By the clinician to bring concerns out in the open to gain better understanding 
A)  ​By the client to bring concerns out into the open when he or she is upset 
B)  ​To make sure the client takes responsibility for his or her actions 
C)  ​As a means for the clinician to express anger with the client 
D)  ​By the clinician to bring concerns out in the open to gain better understanding

Question 17

The clinician uses confrontation because:

Accepted Answer

A)  ​The clinician owns the problem 
B)  ​The client owns the problem 
C)  ​Both the clinician and the client own the problem 
D)  ​It is up to the client to find a solution 
A)  ​The clinician owns the problem 
B)  ​The client owns the problem 
C)  ​Both the clinician and the client own the problem 
D)  ​It is up to the client to find a solution

Question 18

A confrontation usually takes the form of a(n):

Accepted Answer

A)  ​Accusation 
B)  ​I-message 
C)  ​You-message 
D)  ​Advice 
A)  ​Accusation 
B)  ​I-message 
C)  ​You-message 
D)  ​Advice

Exam 10: Bringing up Difficult Issues

"I feel that talking about your husband's sudden death with your relatives will be very helpful" is an example of:

At times,the clinician must advocate for the client by confronting others who may be interfering with the clinician's ability to interact effectively with the client.The clinician's message in this case must be:

When should a case manager introduce difficult issues: early in the relationship with a client or later?

"The way it appears,housing certainly isn't a high priority for you! You never follow through" is an example of a(n):

The clinician would like to make the I-message less threatening to the client and accomplishes this by:

What is one of the 4 parts in constructing an "I" messages when addressing difficult issues with a client?

Asking the client permission to share your ideas with him or her allows the clinician to:

A case manager should focus on tangible behavior.What does tangible mean?

Correct the following statement to reflect the steps outlined in Ch 10: "You really should think about what you are about to do.It might be dangerous."

When a case manager needs to express a firmer message,there are 4 steps to the process.Describe them.

What part of the following statement is the case manager's opinion: "I will honor your request but I feel you are avoiding a real source of help."

In order to make an I-message effective,the clinician should:

Confrontation is sometimes necessary when:

Name one of the 5 reasons outlined in the book for addressing discrepancies with a client.

What is wrong with the following statement: "You are not listening to me.I feel that you would be better off if you went to rehab."

In the social services,confrontation is used:

The clinician uses confrontation because:

A confrontation usually takes the form of a(n):

Case Management Definition and Responsibilities

Ethics and Other Professional Responsibilities for Human Service Workers

Applying the Ecological Model a Theoretical Foundation for Human Services

Cultural Competence

Attitudes and Boundaries

Clarifying Who Owns the Problem

Identifying Good Responses and Poor Responses

Listening and Responding

Asking Questions

Addressing and Disarming Anger

Collaborating With People for Change

Documenting Initial Inquiries

The First Interview

Social Histories and Assessment Form

Using the Dsm

The Mental Status Examination

Receiving and Releasing Information

Developing a Service Plan at the Case Management Unit

Preparing for a Service Planning Conference or Disposition Planning Meeting

Making the Referral and Assembling the Record

Documentation and Recording

Monitoring the Services or Treatment

Developing Goals and Objectives at the Provider Agency

Terminating the Case

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