Deck 23: Documentation and Recording
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ملء الشاشة (f)
Deck 23: Documentation and Recording
1
A verbatim interaction between the case manager and the client and/or service-provider should be in which of the following formats:
A) In italics
B) Enclosed in quotation marks
C) Enclosed in asterisks
D) Enclosed brackets
A) In italics
B) Enclosed in quotation marks
C) Enclosed in asterisks
D) Enclosed brackets
B
2
Mannerisms,dress,attitudes,or expressions-all impressions of a client during a contact-reflect:
A) The level of motivation
B) The level of compliance with the program
C) The client's state of mind
D) The ability of the client to conform to expectations
A) The level of motivation
B) The level of compliance with the program
C) The client's state of mind
D) The ability of the client to conform to expectations
C
3
Name the 3 types of contact a case manager might have with a client.
Answers will vary
4
Provide 4 examples of a client's behavior that should be documented if it is significant.
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5
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
A) Has a handicap
B) Has a disability
C) Has a birth defect
D) Suffers from partial paralysis
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6
Writing and maintaining notes that are accurate,comprehensive,and up-to-date is a(n)___________ obligation.
A) Legal
B) Professional
C) Moral
D) Ethical
A) Legal
B) Professional
C) Moral
D) Ethical
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7
The case manager,Enrique,meets with the rabbi of his client,Josh.This is known as which type of meeting?
A) Collaborative
B) Consensual
C) Collateral
D) Assessment
A) Collaborative
B) Consensual
C) Collateral
D) Assessment
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8
Which of the following is considered an appropriate note following a contact?
A) Stanley exhibited a highly repressed demeanor.Additionally,he appears to be exhibiting both transference and projection of anger.He appears to be decompensating.
B) Stanley appears to be fitting in well with the disabled people with whom he is working.He expressed a high degree of satisfaction and pride.
C) Stanley seemed discouraged,stating to me,I feel like less of a person than the other workers.His level of self-esteem appears to be low.
D) Stanley appears to be goal oriented.He is dressing professionally and adapting well to a work environment.He now stands straighter and makes frequent eye contact.
A) Stanley exhibited a highly repressed demeanor.Additionally,he appears to be exhibiting both transference and projection of anger.He appears to be decompensating.
B) Stanley appears to be fitting in well with the disabled people with whom he is working.He expressed a high degree of satisfaction and pride.
C) Stanley seemed discouraged,stating to me,I feel like less of a person than the other workers.His level of self-esteem appears to be low.
D) Stanley appears to be goal oriented.He is dressing professionally and adapting well to a work environment.He now stands straighter and makes frequent eye contact.
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9
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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10
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:
A) Appending
B) Supplementing
C) Correcting
D) Revising
A) Appending
B) Supplementing
C) Correcting
D) Revising
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11
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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12
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
A) Agreement
B) Consensus
C) Cooperation
D) Unanimity
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13
The use of black ink when filling out case notes and other forms is:
A) Practical
B) Mandated by the APA,ACA,and a host of other professional organizations
C) Required by state and federal law
D) Required by federal law
A) Practical
B) Mandated by the APA,ACA,and a host of other professional organizations
C) Required by state and federal law
D) Required by federal law
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14
Name 4 significant disabilities that need to documented.
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15
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
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
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16
What are 2 governmental requirements when documenting a contact with a client?
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17
List 5 words that could be construed as judgmental in documenting a contact with a client
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