BHCM II Certification Exam: Comprehensive Study Guide with Answers, Exams of Nursing

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Individuals with psychiatric disabilities are as complex and diverse a group as the population in general and all of them will have difficulty performing in every life domain. false What are the different life domains? Activities of daily living; performance of social roles, performance of cultural roles; and performance of occupational roles Why is it important to know the different life domains? These are the areas that your consumers will need assistance with to have a better quality of life income/housing), live in the community and have meaningful relationships. What are examples of a serious mental illness? schizophrenia, bipolar disorder, major depression, & some anxiety disorders When does the onset of many serious mental illnesses begin? late adolescence or early adulthood Schizophrenia is considered a ______disorder with a constellation of signs and symptoms that may cause an individual to have a decline in interpersonal relationships, work, education or self-care. thought What are positive symptoms of schizophrenia? delusions, hallucinations, and disorganized speech What are negative symptoms of schizophrenia? inability to initiate & persist in goal directed activities, flat affect, lack of pleasure & interest, and social isolation Obsessive compulsive disorder is classified as.... an anxiety disorder The associated features of Bipolar Disorder include Diminished need for sleep, inflated self esteem, and increased state of excitement Anxiety disorders are accompanied by symptoms of tension which can have___________or ____________ manifestations. psychological or physiological Self-stigma is when the individual with mental illness internalizes the prejudice and suffers diminished self-esteem and self-efficacy which undermines the person's sense of personal empowerment. true A strategy to reduce public stigma is education The negative impacts of stigma may include Difficulty accessing safe and affordable housing, diminished belief in one's ability, and involvement in the criminal justice system The three characteristics of public and self-stigma are... stereotype, prejudice, and discrimination

Numerous longitudinal research studies have demonstrated recovery rates as high as _____ among people with serious mental illness. 68% In the 1970s, _____ of people in recovery programs were co-occurring. 50 - 75% To be in recovery, you have to be symptom free. false The 10 fundamental components of recovery include... holistic, self-directed, and non-linear According to Resilience and Recovery, Focal Point, Summer2005, which of the following make it more likely that a young person will be able to "bounce back" from adversity... hope, opportunities, and connectedness Which of the following is not an example of People First Language He is brain damaged Community integration and "normalization" would promote a(n)__________ niche. Enabling Assisting an individual with getting a ride to and/or from work by a co-worker would be an example of a formal resource. false What are examples of individual strengths? aspirations, competencies, and confidence Deficit oriented systems may cause individuals to internalize negative images and only identify themselves only by their illness. true A result of individuals that have had service providers do everything for them or the belief that they can't do anything correctly is often referred to as__________. learned helplessness The consumer being the director of the helping process can lead to____________. empowerment A weekend bowling league would be an example of a formal resource. false The goal on the individuals treatment should be individualized and relevant to their aspirations. true Passive acceptance occurs when... a consumer accepts their faults but doesn't work towards recovery; mentalism The strengths model can enhance the sense of power felt by the case manager and the client by... Reducing conflict and creating a partnership, seeing possibilities in the community, and increasing outcomes and a sense of satisfaction What term refers to freedom of choice and allowing individuals to make decisions that affect their lives; service providers act in a way that respects and promotes a client's right to make their own choices? autonomy

What term refers to refraining from engaging in any behavior that would cause harm; above all, "do no harm"? non-maleficence What term refers to assisting others; service providers doing good, and being beneficial to clients? beneficence Term where a provider may have had contact with a client in a social context as well as in a professional role? Dual relationships Term referring to fairness in dealing with all persons served; service providers ensure equal treatment and resources for all. Justice Term referring to faithfulness and the duty to keep promises; service providers make an arrangement with clients and establish trust by living up to an agreement. fidelity Term referring to (truthfulness) without trust, the service provider will not be able to establish a working relationship with the client. veracity You notice that a co-worker seems to favor some individuals over others and is not consistent in his actions. By doing this, he maybe violating all of the following ethical principles except... autonomy Refraining from engaging in any behavior that would cause harm is which of the following basic ethical principles? Non-Maleficence Competence includes knowing when a client needs to be referred to another professional. true Are there any circumstances where a client's confidentiality may be broken? yes A service provider's duty related to cases where the consumer is dangerous to others and has identified targeted individual(s) is referred to as: duty to warn HIPPA was established to protect individuals from losing health coverage when changing employees: true The American Disability Act (ADA) is divided into five (5) titles. Which of the following are included? Employment, telecommunications, and public accommodations A new case manager Behavioral Health Case Manager (BHCM) ,with no behavioral health experience, is conducting an individual educational (rehabilitation) session. During the session, the client reports that they have plans to kill themselves tonight. The BHCM proceeds to try to assess the client and provide crisis intervention. Did the CM do the right thing?

No. The BHCM did not have the expertise to address the situation. As soon as the client verbalized plans to harm themselves, the BHCM should have consulted a licensed therapist. A BHCM is having challenges with a client they are working with. They are extremely stressed out.They go out to dinner with a friend and talk about the client's issues and their frustrations. Did the CM do the right thing? No. Client information must be kept confidential. When having challenges with a client's treatment, you should consult your supervisor. A BHCM is working with a client and during the course objectives the client tells them about the church they attend. They invite the BHCM to attend church. The BHCM has been looking for a new church to attend, and thinks the church sounds really great, but politely declines the client's invitation.Did the BHCM do the right thing? Yes. By declining the invitation, the BHCM helped to preserve the professional relationship and avoided an overlapping relationship. Relationships where a service provider has contact with the client, but no significant authority or emotional relationship: overlapping relationship What are Saakvitne and Pearlman's (1996) ABC's of support and self-care strategies? Awareness, balance, and connection Research from the past few decades indicates that turnover rates per year in mental health agencies are as high as... 25 - 50% Studies show that those employed in private practice are more dissatisfied and prone to occupational stress and burnout than those in public settings. false What are the Four A's of consumer advocacy? adequacy, availability, accessibility, and accommodation Graduated disengagement is part of the collaborative process between the case manager and the client and involves discussing when the client will not need the assistance of the case manager and other staff. true The engagement relationship should be a partnership that consists of... reciprocation, trust, and empowerment The personal/recovery plan is developed based on the consumer's goals and the primary source of information and guidance should come from the..... strengths assessment The goal of resource acquisition is to acquire environmental resources to keep the consumer segregated in their community. false The main concern with client and the goals on their personal plan is modifying their behavior & compliance. false Which of the following are core principles of psychiatric rehabilitation? People have the capacity to learn & grow and people are to be treated with dignity and respect

Although non verbal messages may be difficult to interpret, they are still an important part of communication. true Competent practitioners should have a basic knowledge of evidence based practices and the policies and laws that impact a consumers benefits so they assist the consumer with making___________. informed choices Active listening is a way to establish trust. Which of the following are techniques of active listening? reflection, reframing, clarification, and paraphrasing Evidenced-based medicine and shared decision making acknowledges that the consumer is the expert regarding their own experiences, values and preferences for treatments, risks and outcomes. true Available psychiatric rehabilitation service approaches should address every domain of the individuals life. Which of the following would be considered a psychiatric rehabilitation service approach? housing, illness management, and employment A consumer is looking for a job. He is concerned about losing his disability income and wants help in understanding his options. A practitioner can help by doing which of the following? Make an appointment with the local vocational rehabilitation office, attend the appointment with them so you can learn about employment options A consumer recently left their job as a recovery support specialist. After working for 3 or 4 years, they left because they did not feel respected and did not see any opportunities for advancement. You will do all of the following except... refer them to a partial care program so they can work in the kitchen unit A consumer lives with their parents and a supervised apartment becomes available. They ask the practitioner to find out if they can move into that apartment. The practitioner proceeds by... Identifying all housing options that may meet their needs Which of the following is not an example of an informal support? therapy groups Advocates for community integration have cited several reasons for people with psychiatric disabilities to become engaged in civic life. Which of the following is a reason to engage in civic life? self-efficacy, social integration, and personal interests What is the purpose of the functional assessment in rehabilitation services? to identify skill learning needs What is the most important reason to get input from the person with whom you are working as you begin the process of goal setting? To recognize that the person is their own expert in what works and what is needed Choose the best reason to modify a person's rehabilitation plan. Recovery is an ongoing process. The person is constantly developing new strengths/skills and reducing deficits. Plans need to be modified to accommodate these changes

A female consumer is upset about her roommate always borrowing her clothes without asking. She is pacing and shouting. How should you react? Assess the situation by talking to her to help de-escalate the crisis The following are steps in establishing goals. First- determine the individuals hopes and dreams; second- agree on the first step to take towards reaching the goal;third- identify barriers and address these first; fourth- set time lines for accomplishing steps toward the goal. Which steps does the practitioner use in setting goals with the individual? first, second, and fourth Your organization wants to improve its services to be more culturally sensitive. Which of the following should be included? individuals and family members, staff members, and community leaders A veteran who has been homeless on and off for 5 years has been working a 12-step program and has not had a drink in 4 months. His psychiatric symptoms are under control and he is working busing tables.He wants to enter a supported housing program that will not accept him because he has not been sober for 6 months. What should you do? Together, meet with the program director and to discuss the consumer's recovery program. Try to convince them that the consumer has demonstrated a stage in their recovery that is consistent with what they want and that the strict rule is not valid in this situation You're working with a woman who just arrived from Nigeria and has struggled with symptoms of the "evil eye" all her life. She is in crisis right now. How would you help her? Help her identify what has worked in the past to relieve the uncomfortable feelings and support her to use those tools Running Deer dreams of weaving rugs like his ancestors' tradition. How can he accomplish his goal? While participating in a design class at the local college, he can visit relatives to learn about traditional weaving styles Which of the following are key elements to facilitation that a practitioner should keep in mind? be prepared & organized and give & receive feedback What are the phases of the ADDIE model? analyze, design, development, implement, and evaluate Which is the primary service function of rehabilitation services? skill practice and curriculum-based education Directly facilitating discussion regarding feelings is an allowed activity in the provision of rehabilitation services? false The "A" in ADDIE stands for... analyze Learning objectives are created during of the ADDIE phases of development? design A rehabilitation specialist can do a clinical assessment. false