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100

A client asked to watch tv outside of choice block. How will you respond?

Offer different options 


100

A client has remained in their room the entirety of the shift and refuses to talk to staff. How would you respond?

Try to use rapport 

Provide space

Increase supervision if needed 

100
A client wants to make a phone call after 7pm (cut off time). How would you respond?

Remind client of phone time cut off 

Hold boundary

100

Client A and Client B are roommates. Client A finds a vape in Client B's pillow case. Client A takes vape to you, a staff member. How would you respond?

Thank the client for bringing the vape to the attention of the staff. 

Inform RS about the finding and submit an incident report. 

Remain aware of Client B's behavior. 

100

Client B is very demanding. He asks for the tv remote when it is time for group. How would you respond? 

Hold boundaries

Remind clients about tv policy 


200

A client wants to work out instead of art group. How will you respond?

Encourage client to attend art group for a bit. If unable to, supervise client in gym. 
200

A client is upset another peet ate the last uncrustable. How would you respond?

Offer other alternatives

Offer to put on grocery list 


200

A client is escalated and continues to scream at staff to stop following them as they begin attempting to leave facility/property. How would you respond?

Remind client that you want to make sure they remain safe

Remind client that this is part of your job to keep them safe 

"I hear you, and I will try to maintain my distance, but I do want to make sure you remain safe." 

200

Multiple clients are being rowdy in the group room. You are in the med room completing medication pass while your coworker is on the floor. During the next clients med pass, more rowdiness erupts. Your coworker has already redirected the clients to lower the volume and settle a bit multiple times, but the clients have not taken direction from them. How should you respond? 

provide support

re-iterate the same points

united front 

switch stations if necessary

200

Client A has removed their seatbelt as the car is moving. How would you respond?

Safely stop the car 

Remind client of the rules and safety procedures that should be followed

Wait for seatbelt to be worn. 

Contact RS and PT if an ongoing issue. 

300

A client is asking for 30 more minutes of baskeball time before heading to academics. How would you respond?

Direct question to Education Coordinator. Negotiate time with client if needed 

300

A client finished a phone call with their parents and they are now upset. How would you respond?

Offer a safe space to speak about their feelings 

Validate their emotions 

Provide resolutions on how to move forward (encourage client to bring up to CM/PT, encourage client to journal, encourage client to utilize their coping skills) 

300

During a client's virtual faimily visitation, a CC staff checks on client and notices both parent and client are speaking to each other negatively. How would you respond? 

Check in with client

Encourage client to advocate for themselves to end the call 

End call if progress is not made. Inform RS of situation.

300

A client shares they found a sharp on an outing but refuse to describe it or provide any extra information regarding their intentions. How should you respond?

Remain calm 

Assess clients demeanor and inform RS and PT. 

Provide the client support. Keep the conversation open if possible. 

300

Client A, B and C have shared they have an issue with Client D. The three clients claim Client D follows them around everywhere they go. Clients shared they have told Client D to give them space, but Client D continues to follow. How would you respond? 

Inform RS & clinical 

Attempt to discuss boundaries

Attempt to redirect client D to help with some activities

remind the three clients that they don't need to be friends with everyone in treatment, but promote civility between personalities that clash and encourage clients to be nice to each other. 

400

A client asks to take a shower 10 minutes before Equine therapy departure. How would you respond?

Inform client about possiblity of getting dirty

Inform client this is not an appropriate time due to time crunch and offer to remind client upon return to house. 

400

Client A is being bullied by Client B and Client C. Client B and C continuously make negative comments about Client A's appearance. How would you respond?

Remind clients to be respectful towards one another 

Ask clients how they would feel if someone made a negative comment about their appearance. 

Please include instances of bullying in the passdown. 

400

A client is yelling at peers because they were not allowed to go on a therapeutic drive at the moment that they asked. How would you respond?


Validate feelings 

inform of restrictions with explanation if possible (no van, single staffed, etc) 

Remind client of available resources 

400

A client does not like the food that was provided for dinner. The client has become triggered isolates in their room. How would you respond?

Provide safe space to process or express

Provide alternatives

Validate feelings, encourage to journal to provide insight to clinical team. 

400

Client A is openly trans. They identify as a transgender person and will state so if asked. This has caused tension in the mileu as our other clients have not been respectful of their appearance or pronouns. How would you respond? 

Hold the boundaries of Client A with other peers

Redirect clients from calling Client A out of name or their pronouns 

Inform RS & Clinical team, especially when bullying is apparent and consistent. 

500

A client wants something from their check-out contraband bin. How would you respond?

ask what they need

redirect if needed, offer and remind at later time when appropriate 


500

Staff notices a client with a history of an eating disorder has recently stopped eating breakfast. How would you respond? 

Take note in passdown 

Inform CM and RS about new behavior 

Ask client if they need help making any food

500
Client A gets caught hitting the vape outside and staff member sees through the window. Staff approaches client about the vape. Client A states it is not their vape, but it is Client B's vape. How would you respond? 

Ask for the vape. 

Remind the client about the rules, progress or program

Inform RS immediately and submit an incident report. 

500

Client A begins cussing out Client B for sitting on her bed. How would you respond?

provide separation 

allow for a moment of understanding 

provide alternate perspective for the aggressor 

encourage healthy communication 


500
The mileu has been informed a new client will be intaking over the weekend. Clients continuously ask about the details of incoming client. How would you repsond? 
HIPAA

Do not provide any information about the incoming client to the current clients

Encourage the clients to welcome the new clients & ask them how they would've liked to be greated when they arrived. 

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