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Human Services Case Management Chapter Exam Questions - 396 Verified Questions

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Human Services Case Management

Chapter Exam Questions

Course Introduction

Human Services Case Management introduces students to the essential principles, skills, and practices involved in effectively assessing, planning, coordinating, and monitoring services for diverse client populations. The course covers strategies for identifying client needs, developing individualized service plans, navigating social service systems, and fostering collaborative relationships with clients, families, and interdisciplinary teams. Emphasis is placed on ethical considerations, documentation standards, cultural competence, and advocacy, equipping students with the tools necessary to support clients in achieving their goals and accessing vital community resources.

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Fundamentals of Case Management Practice Skills for the Human Services 5th Edition by Nancy

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Chapter 1: Case Management: Definition and Responsibilities

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Q1) The responsibility of the case manager includes:

A) Diagnosing the patient

B) Finding payment sources for the patient's care

C) Creating a treatment plan for the patient's diagnosis type

D) Assessing the individual's total situation and addressing the needs and problems found in that assessment

Answer: D

Q2) A plan that is formulated after the assessment phase is a/n?

Answer: <i>Individualized plan </i>

Q3) Once the client has been linked to the services he or she needs,the case worker must:

A) Continue monitoring the client's progress and advocating for his or her needs

B) File a report and close the client's case

C) Allow the client's other social service workers' requirements to take precedence

D) Avoid contacting the client's other service professionals to coordinate care, in the interest of protecting the client's privacy

Answer: A

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Chapter 2: Ethics and Other Professional Responsibilities for Human Service Workers

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Q1) Name one of the situations where it legally fine to break confidentiality.

Answer: One of the situations where it is legally permissible to break confidentiality is when there is a duty to warn or protect third parties who may be at risk of harm. This is often referred to as the "duty to warn" principle, which was established in the landmark case of Tarasoff v. Regents of the University of California (1976). In this case, mental health professionals have a legal obligation to breach confidentiality if a client poses a serious and imminent threat to the life or safety of another person. The professional must take reasonable steps to warn the potential victim and to notify law enforcement if necessary. This principle has been adopted in various forms across many jurisdictions, reflecting the ethical and legal balance between maintaining client confidentiality and protecting individuals from harm.

Q2) Ethical practices in the social services are in place because:

A) They prevent a civil suit being brought against the human service worker

B) They prevent the social human worker from being fired

C) They prevent the exploitation of the individuals seeking human services

D) Most professions monitor the behavior of their members

Answer: C

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Chapter 3: Applying the Ecological Model: A Theoretical

Foundation for Human Services

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Q1) Aspects of the social context that a person grew up in and is now functioning in (macro level context)include:

A) Religious group

B) Social class

C) Prejudice and discrimination

D) Family values

Answer: C

Q2) The service plan the human services worker designs for the client should be two-pronged and should include___________ interventions.

A) Life transitions and cognition

B) Substance abuse and job training

C) Workplace and community

D) Personal and environmental

Answer: D

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Chapter 4: Cultural Competence

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Q1) When we project our own assumptions about persons from a different culture,we:

A) Are creating the opportunity for clearer communication with them

B) Improve our understanding of their culture

C) Are including them into our group

D) Are attempting to reduce our own anxiety or uncertainty about them

Q2) Because of internalized verbal and nonverbal scripts within a culture that may be different from your own,you should:

A) Memorize the other culture's scripts to help the client adapt to his or her new environment

B) Check your perceptions with the person in a nonjudgmental way

C) Never confront the person about his or her behavior because that individual may take offence

D) Understand that some cultural perspectives are superior to others

Q3) Seeking exceptions to cultural stereotypes helps us to:

A) Understand the individual's culture better

B) Better place the individual in the context of his or her culture

C) Reduce our own anxiety or uncertainty about the individual

D) Gain a more accurate understanding of the individuals we are serving

Q4) Briefly define ethnocentrism.

Q5) Name 4 countries that tend to be individualistic

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Chapter 5: Attitudes and Boundaries

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Q1) In order to develop our sense of empathy,we need to:

A) Learn to listen with the third ear

B) Learn to sympathize with the client

C) Learn to use the phrases and speech patterns of the client's culture or subculture

D) Realize that the client does not need to be talked down to, that he or she can understand the advicewe give

Q2) The client may remind the case manager of someone from the past that causes the case manager to identify with the client.This is an example of:

A) False attributions

B) Positive transference

C) Negative transference

D) Countertransference

Q3) Briefly define transference.

Q4) Name 2 ways in which case managers discourage clients.

Q5) Briefly define countertransference.

Q6) Name 2 false attributes.

Q7) What are the 3 basic helping attitudes?

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Chapter 6: Clarifying Who Owns the Problem

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Sample Questions

Q1) The person who owns the problem is:

A) The client

B) The case manager

C) The person whose needs are not being met

D) Meddling and pushy

Q2) Knowing who owns the problem is important because:

A) It allows us to understand who is ultimately responsible for resolving the problem

B) It makes us seem uncaring

C) It abandons the client with the problem

D) It allows us to take charge of the client's care

Q3) How should a case manager resolve an issue if they own the problem?

Q4) When a client comes to you with a problem,______.

A) You must solve it for them

B) Listen, and then advise the best solutions for the client

C) Listen, provide resources and help the client arrive at a solution

D) The client must demonstrate that he or she can solve it

Q5) The person who owns the problem is the person whose (fill in the blank).

Q6) Briefly describe why it is not uncaring to allow a client to own the problem.

Q7) Name the 4 reasons why it is important to know who owns the problem.

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Chapter 7: Identifying Good Responses and Poor

Responses

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Sample Questions

Q1) Describe and give 2 examples of how a case manager can invite collaboration.

Q2) Good responses in a therapeutic setting tend to:

A) Require practice to make them automatic

B) Promote withdrawal and defensiveness

C) Promote withdrawal and defensiveness.

D) Make clear the superiority of the worker

Q3) What is the purpose of a closed question?

Q4) Poor responses in a therapeutic setting tend to:

A) Set up barriers to real understanding and dialogue

B) Promote dialogue and collaboration

C) Involve the client in arriving at a solution

D) Give the impression that the client is on an equal footing with the worke

Q5) "Sounds like you really feel ...?" is an example of a(n):

A) Response to feelings

B) I-message

C) Open question

D) Closed question

Q6) Describe and give 1 example of an open question.

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Q7) Provide an example of praising a client.

Q8) Name the 4 roadblocks to communication.

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Chapter 8: Listening and Responding

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Q1) When everyone is calmed down a bit,you take notice of the daughter trying to talk to her parents,who are busy with each other. <u>Write a statement or question that might help the parents take notice of their daughter.</u>

Q2) The girl finally agrees to speak to her parents and she comes down stairs with you. She looks to you to begin the conversation. <u>Write an open ended question to assist the family in discussing the problem.</u>

Q3) The parents acknowledge that they feel a little guilty that they did not see this relationship evolve until it was too late. Now they blame themselves as well. <u>Use an "I" message to express your concern for the family.</u>

Q4) When the young man answers your questions,he leaves the house. The family is very quiet until the father announces he will call the police because this is against the law. The dtr.breaks down in sobs; the mother is trying to restore some order to this emotionally charged situation. <u>Write one (1)closed ended question you might ask to help the family formulate a plan</u>

Q5) List 4 other words for that might describe anger.

Q6) What are 4 other words to describe overwhelmed?

Q7) List the 2 positive reasons for reflective listening.

Q8) Name the 2 aspects of reflective listening.

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Chapter 9: Asking Questions

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Q1) In formulating an open-ended question,it helps to:

A) Include an expression such as " a little bit more about " or " the larger picture " to soften the question

B) Avoid beginning the sentence with an expression such as "Can you ?" or "Could you ?"

C) Include one of the words "how," "why," "what," "when" and "where"

D) Avoid directives such as "summarize " or "describe ."

Q2) A main goal of the clinician's questions during the interview is to:

A) Arrive at a solution in the most efficient way

B) Direct the client toward your predetermined solution

C) Listen to the client's concerns and sort out the best way to approach a solution

D) Compile information for assessment and referral purposes

Q3) Sometimes the worker needs to ask the client closed questions in order to:

A) Find a solution to the client's problem

B) Encourage the client to talk about the situation freely

C) Better understand which aspects of the situation are important to the client

D) Compile information for assessment and referral purposes

Q4) What are the 3 instances when it is necessary to ask questions?.

Q5) When asking a client multiple questions,what might the client begin to feel?

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Chapter 10: Bringing up Difficult Issues

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Sample Questions

Q1) Asking the client permission to share your ideas with him or her allows the clinician to:

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

Q2) A confrontation usually takes the form of a(n):

A) Accusation

B) I-message

C) You-message

D) Advice

Q3) The clinician would like to make the I-message less threatening to the client and accomplishes this by:

A) Judging the client's motives

B) Appeasing the client

C) Collaborating with the client

D) Providing the client with a solution

Q4) What part of the following statement is the case manager's opinion: <i>"I will honor your request but I feel you are avoiding a real source of help."</i>

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Chapter 11: Addressing and Disarming Anger

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Q1) Focusing on a solution in order to disarm anger is best described as being:

A) Conciliatory

B) Reciprocal

C) Collaborative

D) Negotiated

Q2) A recommended tool for disarming anger associated with discharged agency clients is:

A) A follow-up phone call

B) A follow-up questionnaire

C) An open-door policy

D) Better communication from the outset

Q3) The number one mistake case managers often make when clients are angry with them?

Q4) In David Burns' Feeling Good,which of the following is not one of the recommended four steps in disarming anger?

A) Being appreciative

B) Finding common ground

C) Cutting off the counselee and redirecting him or her to a more relevant or relaxed topic

D) Asking for more information

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Chapter 12: Collaborating With People for Change

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Q1) Taking the client's side in reflective listening can be particularly effective when the client is expressing:

A) Anger

B) Being stuck in a quagmire

C) Reluctance

D) Rebelliousness

Q2) Miller and Rollnick suggest that an effective precursor to the ability to "summarize" is a counselor's ability to engage in:

A) Collaboration

B) Reflective listening

C) Open-ended questioning

D) The fostering of self-determination

Q3) Reflective listening is best used:

A) After each individual probing question

B) At the end of a series of probing questions

C) When the client cues that he or she has something constructive to add

D) Only when you sense it is vital for the client to "re-hear" what he or she has said

Q4) In ch 12,the author states who is responsible for change?

Q5) Name 3 things a cased manager can do/be in order to encourage clients.

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Chapter 13: Case Management Principles: Optional Review

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Sample Questions

Q1) On a verification form,what date should a case manager put on the date line?

Q2) A client intake is taking place.The individual has recently completed high school and is scheduled to begin studies at Wake Forest University in two short months.The line on the form pertaining to "school" should read:

A) Wake Forest University

B) Sunderland High School

C) "Vacation/Break"

D) N/A

Q3) As pertains to the Verification of Appointment Form,the signature of the person conducting the intake must appear in proper alignment.The landmarks of the signature placement are:

A) "Respectfully" and "Intake conducted by"

B) "Sincerely" and "Case Manager"

C) "Disposition" and "Date"

D) "Date," "Name," and "I swear these facts to be correct and accurate to the best of my knowledge"

Q4) Name 2 of the 4 guidelines for filling out forms.

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Chapter 14: Documenting Initial Inquiries

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Sample Questions

Q1) During the first interview,it is important for you to:

A) Formulate a good assessment

B) Convince a client he needs your help

C) Downplay a client's resistance to coming to your agency

D) Diagnose the client

Q2) If the client is a returnee to your agency,checking past records can compromise objectivity; therefore,it is discouraged.This is:

A) Always true

B) Seldom true

C) Conditionally true

D) Never true

Q3) The treatment plan developed in the first session between client and counselor can be described best as:

A) Speculative

B) Rough draft

C) Tentative

D) Temporary

Q4) The general purpose of an initial interview is to .

Q5) What is your understanding of<i> "door knob syndrome"?</i>

Q6) Name 2 tasks that need to be completed at the initial interview.

Page 17

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Chapter 15: The First Interview

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Q1) A comprehensive medical assessment requires all but which of the following?

A) Allergies

B) Childhood illnesses

C) Surgeries

D) Fears and phobias associated with medical care

Q2) Name 2 things a case manager might note under <i>impressions.</i>

Q3) Social histories:

A) Are uniform from agency to agency

B) Vary widely from profession to profession in terms of format

C) Can be almost indiscernible from place to place

D) Generally contain the same information though wording and format can differ markedly

Q4) Brief intakes are:

A) Mostly for therapy of short duration

B) A result of external pressures placed upon counseling professionals

C) For clients whose problems are generally clearly defined

D) Considered more effective as they take the focus off of unimportant issues

Q5) What is a valid concern when using electronic or mobile devices in taking social histories? What are ways to remedy that?

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Q6) What are the 3 things that should be included on a brief social history?

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Chapter 16: Social Histories and Assessment Forms

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Q1) One of the key changes in the third edition of the DSM was that:

A) Unconscious motives were finally addressed

B) Unconscious motives were finally put on equal par with tangible symptomology

C) Unconscious motives were removed from reference

D) Statistical measures were introduced to accurately assess unconscious motives

Q2) Although helpful to those in various health-care settings,a primary danger of formal diagnosis and the DSM in general is:

A) Overuse

B) Blame

C) Labeling

D) Misuse by those without adequate knowledge and training

Q3) Using the DSM-IV-TR,each individual received a diagnosis along with five separate:

A) Symptoms

B) Dimensions

C) Axes

D) Lists

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Chapter 17: Using the Dsm

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Q1) Your subject,Steven,is having tangible difficulty participating in the interview.He frequently gets up from the couch and plays with his hands the duration of the interview.Steven's behavior might be described as:

A) Combative

B) Awkward

C) Hyperactive

D) Listless

Q2) Name 3 attitudes a case manager might note on the MSE?

Q3) Describe what tardive dyskinesia is

Q4) What are 3 things that a case manager should observe as part of the Mental Status Exam?

Q5) You suspect that Steven is experiencing anterograde amnesia.This is based on the fact that Steven:

A) Cannot recall what he had for breakfast half an hour ago

B) On repeated attempts, cannot learn how to put together a puzzle consisting of four pieces

C) Cannot tell you his name, date of birth, or address

D) Experiences lapses in memory lasting several minutes

Q6) Severe akathisia also is what?

Page 20

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Chapter 18: The Mental Status Examination

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Q1) The client "speaking" on a general release form is exemplified by the phrase:

A) "I hereby authorize"

B) "Being of sound mind, I consent to "

C) "I 'Fill in name' empower "

D) "On this day 'Fill in date,' I 'Fill in name' hereby authorize "

Q2) When requesting information/records pertaining to a client,it is sensible and prudent to ask for:

A) The information in its entirety

B) Duplicates

C) A summary

D) The last 3-5 years only

Q3) It is advised that you have the client sign the appropriate release forms:

A) Prior to your first meeting

B) During the assessment

C) After rapport has been established

D) Never; it is not appropriate to exchange information

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Chapter 19: Receiving and Releasing Information

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Q1) What are 3 areas that a case manager might look to find strengths?

Q2) When assessing for strengths in all clients,particularly children,it is highly useful to present them with:

A) Choice

B) Prompts

C) Open-ended questions

D) Verbal and nonverbal cues

Q3) Name 3 common barriers that can prevent a case manager from fully understanding a client.

Q4) Intellectual Disability is most likely to affect which part of the service plan?

A) Follow through

B) Conception

C) Signing

D) Planning

Q5) The DSM diagnostic section of the treatment plan is meant to be filled in:

A) During initial intake

B) By the case manager after all relevant information has been compiled

C) After the planning meeting and with the input of other relevant individuals

D) By a supervisor only

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Chapter 20: Developing a Service Plan at the Case Management Unit

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Q1) Planning conferences are ____________ formal meetings attended by a team of relevant professionals.

A) Always

B) Sometimes

C) Almost never

D) Rarely

Q2) Using blank Treatment/Goal Plan,prepare a plan for the following person: Joe is a 48 year old married father of 4.He recently lost his job of 15 years.His wife works and the children are doing well in school.He is mildly depressed.Joe has a number of contacts in the community and regularly volunteers at the food bank.He has deep concerns about being able to support his family though his wife's salary will cover some of the bills.Joe tells you that his father was unemployed and he grew up in poverty.Joe would like to find work ASAP and is willing to work at anything.However,he has a college degree that makes him over qualified for most jobs.

Q3) Name the 3 things recommended to bring to a planning meeting.

Q4) What are the 3 goals for a planning meeting?

Q5) Name 2 elements of a case managers presentation at a planning meeting.

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Chapter 21: Preparing for a Service Planning Conference or Disposition Planning Meeting

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Q1) In general,which of the following is not a typical procedural manner of making an initial referral?

A) Fax

B) E-mail

C) Phone

D) Old-fashioned mail in an envelope

Q2) A client becomes a formal participant in your caseload following:

A) The initial assessment

B) The establishment of a plan

C) A verification letter

D) A referral

Q3) A referral for notification form typically contains:

A) A multi-axial diagnosis

B) A diagnosis with a code

C) The anticipated cost of service

D) A detailed description of the client's symptoms

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Chapter 22: Making the Referral and Assembling the Record

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Q1) When writing notes,it is considered essential to include evidence of _____________ between you and the referral agency/service provider:

A) Agreement

B) Consensus

C) Cooperation

D) Unanimity

Q2) Which of the following is an appropriate way to describe a client?

A) Has a handicap

B) Has a disability

C) Has a birth defect

D) Suffers from partial paralysis

Q3) What is the minimal requirement for a counselor as regards the monitoring of service delivery to his or her client?

A) A face-to-face meeting takes place at least once per month

B) A phone meeting takes place at least twice per month

C) Efforts are made to monitor the services

D) At least one meeting is held during provision of services

Q4) Provide 4 examples of a client's behavior that should be documented if it is significant.

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Chapter 23: Documentation and Recording

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Q1) When assessing a client's ability to adapt to a sheltered-living apartment,you find that the client is not on track to achieve goals despite revisions in the service plan.As a professional,you would be remiss if you did not consider:

A) The endless chances you have already given and the fact that your patience is running thin

B) The fact that other, perhaps more suitable candidates might be waiting for a vacancy

C) The repercussions you will bear if this does not succeed

D) The fact that you might be "spinning wheels" and wasting time and money

Q2) A client phones you.He states that he is undergoing a crisis.

A) Assess whether or not it is truly a crisis before responding fully

B) Assess whether it is a case of overdependence

C) Respond immediately

D) Respond immediately but only with open-ended questions

Q3) Describe how a case manager can monitor a client outside of the office environment.Be sure include the advantages of doing so.

Q4) Briefly describe the financial purpose of monitoring services and following a client.

Q5) List and describe the 4 steps involved in responding to a crisis.

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Page 26

Chapter 24: Monitoring the Services or Treatment

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Q1) Which of the following is a goal,not an objective?

A) "Damon will work an eight-hour shift."

B) "Damon will appear in uniform by 8 a.m. sharp."

C) "Damon will refrain from arguing with coworkers and his site supervisor."

D) "Damon will complete his work-adjustment training program as mandated by grades of 90% or higher in:"

Q2) Helen is in work-adjustment training following a traumatic brain-injury (TBI).Her goal is to become employable.Which of the following is a treatment intervention?

A) Explaining to Helen the importance of proper attire

B) Discussing the importance of making a professional impression.

C) Taking Helen to The Gap and monitoring her while she picks out several new work outfits.

D) Developing a system by which Helen's attire will be deemed acceptable or unacceptable

Q3) Which of the following is not accurate regarding the program goal?

A) The goal is written in positive language.

B) A goal can be singular or multiscoped.

C) A goal statement is one sentence in length.

D) The client is the only focus of the goal.

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Page 27

Chapter 25: Developing Goals and Objectives at the Provider Agency

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Q1) List 2 reasons why a case manager might close a case.

Q2) Sam sought services from the Passages Agency for his daughter,Phillipa,who was depressed over the suicide of her boyfriend of 2 years.Phillipa was referred by the hospital were Sam took her 2 days after the boyfriend's suicide.She remained in the hospital for 3 days and was discharged to an Intensive Outpatient program.Phillipa refused to attend after 2 days.She was successfully treated with medication prescribed by a psychiatrist outside the agency,individual therapy at 2 times per week and family therapy 2 times per month (provided by therapists at Passages).The family was seen for a total of 6 months.Phillipa demonstrated successful completion of treatment by a significant improvement of her symptoms evidenced by increase in socializing,got a job with a referral from Passages and has considered dating again.Phillipa reports that she will seek services again if she experiences any reoccurrence of her symptoms.All the service providers and her parents agreed she had recovered from her initial complaint of depression resulting from her boyfriend's suicide.

Q3) Name 3 feelings a client might have when the case is being terminated.

Q4) What are the 2 things a client should receive from a case manager when a case has been successfully terminated?

Q5) List 4 things that need to be included in the discharge summary.

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