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Flashcards in TOP 5O TOPICS Deck (72)
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1
Q

First thing to do in question about child physical abuse

A

Filing CPS report

2
Q

What to look as signs of sexual abuse

A

Marked change in child’s behavior (e.g. bed wetting, sexualized behavior)

3
Q

When an adult client shows dissociated state (zoning out), what does it indicate?

A

childhood sexual abuse

4
Q

Choose “provide psychoeducation” answer when a child is showing ?

A

developmentally appropriate/matched behavior (e.g. 5 year old interested in masterbation)

5
Q

5 types of elderly abuse

A
  1. Physical restraining/abuse
  2. Financial abuse
  3. Social isolation
  4. Neglect
  5. Abandonment
6
Q

With a client who is in DV but is ambivalent about leaving the perpetrator, what do I do?

A

Help creating SAFETY PLAN

7
Q

When do I take aggressive intervention (e.g.51/50) for client with suicidal comments?

A

When he/she has PLAN and MEANS

8
Q

When a client makes VAGUE comments regarding dangers to others or self, what do I do?

A

Ask them to clarify what he/she meant

9
Q

The goal of crisis intervention (brief intervention)

A

To restore client to previous functioning level

10
Q

Autism Spectrum Disorder 2 distinctive characteristics

A
  1. Persistent deficit in social interaction

2. Stereotyped, repetitive behavior

11
Q

When child is acting up at school and no diagnoses, ? is indicated to differentiate two DXs.

A

psychological testing

ADHD / Learning Disability

12
Q

Separation Anxiety happens around separating from ?

A

primary caregivers

13
Q

Adjustment Disorder is a shift in behavior due to a recent stressor. How long of period do you give the child to adjust before pathologizing it?

A

6 weeks

14
Q

Persistent depressive disorder criteria duration

A

2 years for adults; 1 year for children

15
Q

Schizophrenoform criteria duration

A

Over one month through 6 month

16
Q

Brief Psychosis criteria duration

A

1 month or shorter

17
Q

Schizophrenia criteria duration

A

Over 6 months

18
Q

What is a typical side effect of long-term use of anit-psychotic meds?

A

Tardive Dyskinesia

19
Q

What do I always need to rule out when dealing with mood disorders?

A

Suicidal ideation

20
Q

Stages of Grief

A
Denial
Anger
Bargaining
Depression
Acceptance
21
Q

When dealing with grief, what intervention is important?

A

Referring to a grief group

22
Q

Dx for when a psychological stressor converts to health/physical related problem.

A

Conversion Disorder

23
Q

When dealing with Eating Disorder, we always must involve?

A

medical professionals

24
Q

When dealing with sexual dysfunction, always rule out?

A

medical conditions

25
Q

What is “Sensate Focus” ?

A

To explore each other’s body without sex to facilitate open communication

26
Q

Best practice for Borderline PD

A

DBT - mindfulness

27
Q

Acute Stress Disorder - DX duration

A

4 weeks or less from trauma

28
Q

PTSD DX duration

A

After 4 weeks from trauma

29
Q

PTSD symptoms

A

Startle response
Disconnected / numbness
Nightmares
Guilt / shame

30
Q

What mental health issues can Hypothyroidism look like

A

depression

31
Q

What mental health issues can hyperthyroidism look like

A

anxiety, jittery

32
Q

When a parent comes to counseling because she/he is upset with a normal teenage behavior, what do I do?

A

Provide psychosocial education

33
Q

oppositional defiant disorder has problems with?

A

authority (teachers, coaches, etc)

34
Q

Conduct Disorder violates?

A

laws, other people’s rights

35
Q

When treating couples, what type of intervention needs be provided?

A

To treat relationship, not an individual.

36
Q

In questions regarding treating family, what could enmeshed relationship / rigid relationship suggest?

A

enmeshed - sexual abuse/incest

rigid - substance use

37
Q

In treating family, what do I need to deal first, and then secondly?

A
  1. risk factors (DV, abuse, substance use)

2. family as a whole, not individual

38
Q

In elderly related questions, what do I need to look out for in answers?

A

self-determination (except when client is deemed incompetent)

39
Q

What intervention is a key interventions for elderly?

A

Life Review - emotional closure is important

40
Q

What is the difference between Delirium and Dementia

A

Delirium has rapid onset, induced by medical condition/medications

41
Q

What kind of exam do I use to track elderly’s functioning level?

A

Mini mental exam

42
Q

In questions asking which intervention to provide, what do I do first and then secondly?

A
  1. eliminate what I know is wrong

2. Put the rest in order and pick the first one to do

43
Q

In initial phase interventions, where do I start first?

A

Start where client is (e.g. family wants daughter to break up with boyfriend, but daughter is ambivalent)

44
Q

If client wants to achieve many goals, what do I do?

A

prioritize what they want

45
Q

If client has a BIG goal, what do I do?

A

break down to steps

46
Q

When client says “I’m sure you can help me” in the initial session, what do I do?

A

Find out client’s expectations of treatment

47
Q

In middle phase of interventions, if therapist notices there is a change in dynamics between client and therapist, what does she do?

A

Bring it up during (e.g. I notice you are not doing homework)

48
Q

3 reasons for terminating treatment

A
  1. client met goals
  2. client is symptoms free
  3. completed pre-determined number of sessions
49
Q

If I noticed negative changes in client, but the question doesn’t say if she/he stopped taking meds, what do I do first?

A
  1. find out if he/she is compliant with medication

THEN, refer to psychiatrist

50
Q

In structural family therapy, what do I look for?

A

hierarchy, family structure, family dynamics

51
Q

What do I do in task centered therapy?

A

provide practical help; create task centered goals

52
Q

Which therapy theory is defense mechanism based in?

A

psychodynamics therapy

53
Q

Defense Mechanism - when you are angry with someone, you overcompensate and act very nice toward the person.

A

Reaction Formation

54
Q

Defense Mechanism - channeling unacceptable feeling/wish to acceptable one (e.g. instead of punching someone, go to kickboxing class)

A

sublimation

55
Q

Defense Mechanism - going back to a previous stage of development (e.g. bed wetting)

A

Regression

56
Q

When I shouldn’t release information of minor client to their parents?

A

When sharing information would put the client into danger or is detrimental to therapeutic relationship.

57
Q

When established client became unable to pay fee, what do I do?

A

lower the fee temporarily to get through crisis

58
Q

If I lower client’s co-pay, whom do I need to inform?

A

Client’s insurance company

59
Q

When I find out an existing client and I have dual relationship, what do I do?

A

Discuss the impact and let client decide if she wants to continue with therapy.

60
Q

When I have a problematic countertransference, what do I do?

A

Seek consultation

61
Q

When client is paid by insurance, what do I need to tell as a part of confidentiality?

A

the limitations of confidentiality

62
Q

When court orders records to be released, what do I do?

A

I must release. if it’s detrimental to client, I have to advocate to limit the scope. Court still can say no.

63
Q

When lawyer requests records to be released, what do I do?

A

Let client know and decide.

If a client is deceased/can’t be located, assert privilege on behalf of the client.

64
Q

Group treatment stages: In Forming stage, how members behave?

A

At best behavior

65
Q

Group treatment stages: In Storming stage, what’s happening in the group?

A

Conflicts arising among members

66
Q

Group treatment stages: In Norming stage, what’s happening in the group?

A

Members are accepting / tolerating others more.

67
Q

If I think there is a social injustice happening in the agency where I work, what do I do?

A

Collect data to support my gut feeling

68
Q

As an administrator, what do I do if staff have low morale?

A

Recognize and value staff

69
Q

In case management roles, SW’s job is all about?

A

coordinating services. don’t jump into referring.

70
Q

The first thing to do if I want to do research?

A

Obtain informed consent from subjects

71
Q

If a client says she doesn’t want to talk to you because you are white, what should you do?

A

Explore the reason why she doesn’t want to talk to you as a white therapist.

72
Q

As a supervisor, if your supervisee is experiencing burn out or vicarious trauma, what should you do?

A

provide psychoeducation