and Review Material
Which assessment would provide additional information related to the client's anxiety
presenting problems?
-Hamilton Anxiety Rating Scale (HAM-A)
-The client's substance use
-World Health Organization Disability Schedule 2.0
-Florida Obsessive-Compulsive Inventory (FOCI) Severity Scale - ANS✔✔ Correct answer:
Hamilton Anxiety Rating Scale (HAM-A)
Explanation: Given the client's diagnosis and presenting symptoms, this would be appropriate.
What technique would best help the client remember the event of her friend getting shot?
Cognitive-Behavioral Therapy
Dream analysis
Hypnosis
EMDR - ANS✔✔ Correct answer: Hypnosis (NOT EMDR)
Explanation: Hypnosis will allow the client to recover her lost memory of her friend's shooting.
Given the client's passive thoughts of death but denial of suicidal ideation, how might you
proceed to help the client with the ongoing effects of her trauma?
-Work with the client on reframing and coping skills
,-Immediately create a safety plan
-Contact necessary authorities to request a wellness check on the client after the session
-Shift the focus away from the trauma to the client's presenting symptoms - ANS✔✔ Correct
answer: Work with the client on reframing and coping skills
Explanation: The client feels overwhelmed by the challenge that the recent trauma has made to
her current worldview. Consolidation of the meaning of the trauma and reworking her schemas
about the world are essential for this client. Additional recommendations include giving the
client a list of contacts she can utilize if she feels in crisis in the future and continually
monitoring the client's passive thoughts of death during sessions.
What was the best practice that you used to facilitate progress in this session?
-Worked collaboratively with the client to develop coping skills and increase self-care practices.
-Offered relaxation techniques to reduce physical symptoms of distress.
-Discussed potential treatment options such as cognitive behavioral therapy.
-Acknowledged her vulnerable feelings. - ANS✔✔ Correct answer: Worked collaboratively with
the client to develop coping skills and increase self-care practices.
Explanation: This was the best practice used in this session to facilitate progress as it allowed
the client to take more ownership over her recovery journey through increased self-awareness
and understanding of which strategies can help her manage her feelings more effectively.
What is the most effective way for the client to manage her increased levels of fear and
distress?
-Self-reflection and practicing relaxation techniques when feeling overwhelmed by thoughts.
-Finding meaning and value in life.
-Utilizing calming techniques.
,-Seeking support from family members and friends. - ANS✔✔ Correct answer: Self-reflection
and practicing relaxation techniques when feeling overwhelmed by thoughts.
Explanation: Self-reflection helps the client gain perspective on the situation and provides a safe
space to pause and consider her thoughts before reacting emotionally. Relaxation techniques
help to reduce anxiety and can provide a calming effect.
What is the best way to address the client's self-reported fear and negative statements about
Irish Americans?
-Allow the client to continue expressing derogatory slurs, as this has not been identified as an
issue in the treatment plan
-Address the client's prejudice and challenge her new assumptions about this population
-Terminate the client due to her prejudiced tendencies and your inability to control her constant
use of derogatory slurs
-Use therapeutic silence to allow the client to recognize your unacceptance of her derogatory
slurs - ANS✔✔ Correct answer: Address the client's prejudice and challenge her new
assumptions about this population
Explanation: You need to address these issues directly and challenge the client's worldviews in
relation to her anxieties and fears.
What indicator provides the most comprehensive measure of the client's acute stress dx
therapeutic progress up to this point?
-Regaining meaning and purpose in life
-Improved relationships with family and friends
-Reduced frequency of nightmares
-Utilizing calming techniques more effectively - ANS✔✔ Correct answer: Regaining meaning and
purpose in life
, Explanation: By regaining a sense of purpose and direction, the client is able to move forward in
her therapeutic journey even when faced with difficult emotions or memories associated with
the traumatic event. This indicates that the client is making progress in terms of understanding
and managing her symptoms, as well as developing coping strategies to help her manage
distress.
What would provide the most relevant information pertaining to the client's presenting problem
(unspecified anxiety and alcohol use dxs)?
House Tree Person - HTP
Beck Anxiety Inventory - BAI
Brief Psychiatric Rating Scale - BPRS
Denver II - ANS✔✔ Correct answer: Beck Anxiety Inventory - BAI
Explanation: The Beck Anxiety Inventory both relates to the presenting problem and is useful
with measuring the client's anxiety. The BAI is appropriate for ages 17-80 years. This tool is also
helpful in distinguishing between anxiety and depression.
Tidbit: If the question for this case asked you to identify more than one tool, the Alcohol Use
Disorders Identification Test (AUDIT) would be relevant. The AUDIT helps screen for problematic
alcohol use.
What question would best help you to evaluate the client's current level of functioning?
-"Can you describe the quality of your marital relationship?"
-"Do you spend excessive time on social media?"
-"Do you volunteer in the community?"