Problematic Client Behavior
The Family and Alcoholism-The Roles Played
Treatment Planning
Crisis Intervention
Suicide
100
This client fears self-disclosure. In general, this client does not grow and change as much as the clients who actively participate. What type of client is this?
This client is the Silent Client
100
This role provides protection that enables the alcoholic to keep drinking.
The Enabler
100
Treatment Planning should include: (A) Identifying and ranking problems needing resolution (B) Establish agreed upon immediate and long term goals (C) decide on treatment methods and the resources to be used (D) All the above
(D) All the above
100
What is the definitions of a "Crisis"
A crisis is a state of mental and emotional confusion that is caused by the perception of threat which can involve a sense of urgency and may last a few hours to a few weeks.
100
Men commit suicide more frequently than women though women attempt it more often. True or False?
True
200
This client is frequently frightened and an inhibited individual who rarely takes risks and feels badly about him/herself. Since the client wants to be accepted by the group, he/she is rarely actively disruptive, says safe and predictable things and is rarely spontaneous. What type of client is this?
This client is the Boring Client
200
This role provides self-worth to the family. An achiever and successful and appears to have it all together.
The Hero
200
What is the basis of the Treatment Plan? Where does most of the information come from to create the Treatment Plan?
The Assessment
200
What are some common reactions to crisis?
Shock Anxiety Depression Anger Intellectualization
200
Who are most at risk for suicide?
(1) Teenage boys (2) Men older than 50 years (3) Alcohol and drug dependent people (4) Older people rather than younger people (5) People who have unstable relationships
300
This client must have the majority of the counselor's attention. He/she may belittle another's problem to regain attention. He/she feels that he/she has the most difficult problem(s) of anyone in the group. What type of client is this?
This client is the Monopolizing Client
300
This role is to take the attention away from the alcoholic by accepting blame for the family's trouble.
The Scapegoat
300
What should be used to individualize the Treatment Plan based on the client's particular problems and needs?
It should identify strengths and limitations and should involve the family where appropriate.
300
What are the goals of Crisis Intervention?
(A) Stabilize the individual so no further deterioration in functioning occurs (B) Relieve the individual of as much pressure as possible (C) Convert the emergency to a solvable problem (D) Return the person to his/her pre-crisis level of functioning
300
What are some cues to a suicide potential client?
The client has decided on a method, time and place.
400
The goal of this client is to be right at any cost. He/she has often struggled with life yet has little to show for it. This client frequently appears poised and calm - does not get involved in group process until he/she can take a moral stand which attempts to prove everyone else is wrong. What type of client is this?
This client is the Self-Righteous Client
400
This role is to cause no trouble for the family and receives little positive or negative attention from the family.
The Lost Child
400
Goals should be expressed clearly and in concrete, __________, behavioral terms and should include expected dates of achievement.
Measureable
400
What are some factors that would affect a crisis outcome?
(A) Duration-The sooner the person requests help after reaching the breaking point, the better the prognosis (B) Nature of the trauma-the less severe the trauma the better the prognosis (C) Client personality-a person who is normal and healthy prior to trauma has a better prognosis (D)Support Network-The person who has good
400
What is some things not to be attempted when dealing with a potentially suicidal client?
Cheering up a client by minimizing his/her loss or pointing out what good things are left
500
This client uses anger as a way to cover up fear.
This client is the Hostile Client
500
This role develops behaviors such as clowning around or being cute, that will draw attention to him/herself.
The Mascot
500
Stan will remain alcohol and drug free with the help of an ongoing support group. Is this a long term goal or a short term goal?
Long Term Goal
500
What are some qualities of an effective crisis counselor?
(1) Empathy (2) Good questioning skills (3) Rapid assessment (4) Realistic viewpoint (5) Agency network
500
What should a counselor do if a client informs the counselor that he/she has frequent thoughts of suicide and a definite plan which he/she will carry out if the counselor tells anyone?
(1) Immediately notify his/her clinical supervisor (2) Formulate a protective Treatment Plan
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