Exam 22: Making the Referral and Assembling the Record

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List 5 words that could be construed as judgmental in documenting a contact with a client

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1. Aggressive
2. Uncooperative
3. Dismissive
4. Unprofessional
5. Incompetent

Name the 3 types of contact a case manager might have with a client.

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A case manager may have various types of contact with a client to provide support, resources, and coordination of services. Three common types of contact a case manager might have with a client include:

1. **In-Person Contact:** This is face-to-face interaction, which is often considered the most personal and effective form of communication. In-person contact allows the case manager to observe non-verbal cues, build a stronger rapport, and directly assist with tasks such as filling out paperwork, navigating services, or conducting assessments. It can occur in various settings, such as a case manager's office, the client's home, hospitals, or during community visits.

2. **Telephonic Contact:** Case managers often communicate with clients over the phone. This type of contact is useful for regular check-ins, updates, and coordination of services when in-person meetings are not possible or necessary. Telephonic contact is convenient for both the case manager and the client, saving time and resources, and can be particularly useful for clients with mobility issues or those living in remote areas.

3. **Electronic Contact:** With the advancement of technology, case managers increasingly use electronic means to communicate with clients. This can include email, text messaging, video calls, or the use of specialized case management software platforms. Electronic contact provides a written record of communication and can be a quick way to share information, resources, or to set up appointments. It is also beneficial for clients who are comfortable with technology and prefer this mode of communication.

Each type of contact has its own advantages and can be used in different situations depending on the needs of the client, the nature of the services being provided, and the resources available to the case manager and the client. Effective case management often involves a combination of these contact methods to ensure comprehensive and responsive support for the client.

Which of the following is an appropriate way to describe a client?

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What are 2 governmental requirements when documenting a contact with a client?​

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When writing notes,it is considered essential to include evidence of _____________ between you and the referral agency/service provider:

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Mannerisms,dress,attitudes,or expressions-all impressions of a client during a contact-reflect:​

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A verbatim interaction between the case manager and the client and/or service-provider should be in which of the following formats:​

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Writing and maintaining notes that are accurate,comprehensive,and up-to-date is a(n)___________ obligation.

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Phil is not meeting the stated goals of his program.He is simply not achieving the levels of progress set forth in his treatment plan.The correct procedure as pertains to the treatment plan is:​

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Write a contact note for the following: Maria came to see you today after a night of drinking with her friends.This is the third time this has happened in 6 months.You discuss your concern with her.Maria refuted the idea that she has a drinking problem and became hostile and loud.She left the appointment very angry and you are frustrated by her behavior.No follow up was scheduled.

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Name 4 significant disabilities that need to documented.

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Correct the following case note: 07/15/15: Phil called the office today to complain about his services.Reports that he has had little contact with his housing manager and his psychiatrist.Appears very agitated and angry.Will call both to clarify what the issue is and see what they have to say about what has happened.

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Provide 4 examples of a client's behavior that should be documented if it is significant.

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What is the minimal requirement for a counselor as regards the monitoring of service delivery to his or her client?​

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The case manager,Enrique,meets with the rabbi of his client,Josh.This is known as which type of meeting?​

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Which of the following is considered an appropriate note following a contact?​

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The use of black ink when filling out case notes and other forms is:​

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