COMPREHENSIVE EXAM (QUESTIONS AND ANSWERS) 2023 Understanding on the components of biopsychosocial and spiritual assessments - CORRECT ANSWER --the biological section assesses a client's medical history, developmental history, current medications, substance abuse history, and family history of medical il lnesses. -the psychological section assesses a client's present psychiatric illness or symptoms, history of the current psychiatric illness or symptoms, past or current psychosocial stressors, and mental status - the social section focuses on client syst ems and unique client context, and may identify strengths and/or resources available for treatment planning -spiritual beliefs Genogram - CORRECT ANSWER -diagrams of family relationships beyond a family tree allowing a social worker and client to visualize hereditary patterns and psychological factors Ecomap - CORRECT ANSWER -graphical representation that shows all of the systems at play in an individual's life. Assessment of Person in Environment - CORRECT ANSWER -including: social support, coping skills, defense mechanisms, spiritual well -being and role performance Z- Codes - CORRECT ANSWER -Codes used to describe circumstances or conditions that could influence patient ca re. Cannot be billed by insurance. Common Z -codes include relational problems, abuse and neglect, educational and occupational problems, housing and economic problems, other problems related to the social environment, problems related to crime or interactions with the legal system, other health service encounters for counseling and medical advice other conditions that may be a focus of clinical attention - CORRECT ANSWER -V-
codes and Z -codes, invlolved in assessment of person -in-environment substance use disorders - CORRECT ANSWER -* A problematic pattern of specific substance use leading t o clinically significant impairment or distress, as manifested by 2+ of the following within a 12 month period:*substance taken in larger amounts than was intended*unsuccessful effort to control use*takes a lot of time from life*results in failure to fulfi ll obligations*continued use despite problems *important activities given up or reduced*recurrent use in situations in which it is physically hazardous* use continued despite knowledge of having physical or psychological problems *tolerance*withdrawalSpeci fy:-early remission: more than 3 months, less than 12 -
sustained remission: 12 months or longer -in a controlled environment -mild: 2 -3 symptoms -moderate:4 -5 symptoms -severe: 6+ symptoms - includes: alcohol, cannabis, phencyclidine, hallucinogens, inhalants , opioids, sedative/hypnotic/anxiolytic traumatic stress and complex trauma trauma (including panic D/o and panic reactions) - CORRECT ANSWER -Applied Relaxation Techniques CBT Mindfulness exercises Support/validation Movement/exercise In Vivo exposure (ov er time) . Assessment of strengths -based perspective - CORRECT ANSWER -Focus on individual and family strengths, their successes, hopes, needs, resources, personal qualities, virtues, capacities, and gifts. * Acknowledge the pains and traumas, and help clients express and grieve them, always with an eye on resilience and adaptability. * Focus on what clients know and what they've learned from struggles. * Normalize and externalize people's problems into possi bilities. standardized assessment tools - CORRECT ANSWER -A way for you to screen for symptoms of a disorder to determine whether or not someone needs additional testing, usually done by medical professionals not trained in mental health or SWers Assessme nt of family dynamics and their impact on assessment and diagnosis - CORRECT ANSWER --understand role family members play in whole system, how it may impact diagnosis Assessment of co -morbidities - CORRECT ANSWER -¡Physical health ¡Medical health ¡Disabilit y status ¡Other mental health disorders How do biopsychosocial spiritual assessments inform diagnosis? - CORRECT ANSWER - What is the role of the biopsychosocial/spiritual assessment in diagnostic assessment? - CORRECT ANSWER -. It consists of a variety of activities and processes used to gather information about a client's current circumstances, needs, risk and protective factors, and the environmental context within which these elements exist. These elements are organized into a written document, which is used to determine treatment goals and objectives. FAREAFI - CORRECT ANSWER -F: Feelings of the client be acknowledged first above all. Begin building rapport. A: Assess R: Refer E: Educate A: Advocate F: Facilitate I: Intervene Intellectual Disabilities - CORRECT ANSWER -Onset during development with deficits in intellectual, social, and practical areas of functioning; deficits manifest in reasoning, problem solving, and abstract thinking as confirmed by various standardized tests of intelligence. Addition ally, adaptive functioning deficits manifested in failure to live independently and to be socially responsible. Deficits limit functioning in home, school, and community. -mild, moderate, severe, or profound Neurodevelopmental/Social Communication Disorde rs - CORRECT ANSWER --
Intellectual Disabilities, Communication Disorders, Autism Spectrum, Attention Deficit/Hyperactivity Disorder (ADHD), Specific Learning Disorder, Motor Disorder, Other Neurodevelopmental Disorders - Deficits in using verbal and nonverbal communication for social purposes, in a manner that is appropriate for the social context Autism Spectrum Disorders - CORRECT ANSWER --Persistent deficits in social communication and social interaction across multip le contexts: -Restrictived, repetitive patterns of behavior, interests, or activities -symptoms must be present in early developmental period ADHD, - CORRECT ANSWER -Must have symptoms prior to age 12 Must have symptoms in 2 or more settings Differenti als: Anxiety Specify whether: Combined Inattentive hyperactive/impulsive Schizophrenia and other psychotic disorders - CORRECT ANSWER -Schizotypal Personality Disorder, Delusional Disorder, Brief Psychotic Disorder, Schizophreniform, Schizophrenia, Schizo affective, Substance/Medication -Induced Psychotic Disorder, Psychotic Disorder Due to Another Medical Condition, Catatonia Bipolar & related disorders - CORRECT ANSWER -Bipolar I - (has a MANIC episode)Mania lasts at least 7 days or more * You can still ha ve a depressive episode with Bipolar I. What makes Bipolar I different is that you HAVE to have a manic episode. Hypomanic episodes can still occur... Bipolar II Disorder - (has HYPOmanic and DEPRESSIVE episode)Hypomania last 4 days to 7 days Cyclothymia Depressive disorders (assessment of suicidality) - CORRECT ANSWER --Persistent Depressive Disorder - 2 years -Disruptive Mood Dysregulation Disorder -Must meet criteria for at least 12 months, with 3 or more episodes every week of the year in more than one s etting -Major Depressive Disorder Premenstrual Dysphoric Disorder Assess for plan, access, and intention panic disorder - CORRECT ANSWER -Recurrent unexpected panic attacks (a panic attack is an abrupt surge of intense fear or intense discomfort that rea ches a peak within minutes) At least one of the attacks has been followed by 1 month or more of one or both of the following - Persistent concern or worry about additional panic attacks or their consequences - Significant maladaptive change in behavior rel ated to the attacks agoraphobia - CORRECT ANSWER -Marked fear or anxiety about 2+ of the following 5 situations: - Using public transportation - Being in open spaces - Being in enclosed places - Standing in line or being in a crowd - Being outside of the home alone specific phobia - CORRECT ANSWER -a disorder that involves an irrational fear of a particular object or situation that markedly interferes with an individual's ability to function F40.218 Animals F40.228 Natural environment F40.248 Situational F40.298 Other F40.23x Blood -injection -injury [F40.230 Fear of Blood] [F40.231 Fear of injections and transfusions] [F40.232 Fear of other medical care] [F40.233 Fear of injury] F40.248 Situation al F40.298 Other social anxiety - CORRECT ANSWER -Marked fear or anxiety about 1+ social situations in which the individual is exposed to possible scrutiny by others (in children must occur in peer settings) • Individual fears that they will act in a way o r show anxiety symptoms that will be negatively evaluated
