Comprehensive Exam Questions With
Correct Detailed Answers.
Understanding on the components of biopsychosocial and spiritual assessments -
ANSWER- -the biological section assesses a client's medical history, developmental
history, current medications, substance abuse history, and family history of medical
illnesses.
-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 systems and unique client context, and may
identify strengths and/or resources available for treatment planning
-spiritual beliefs
Genogram - ANSWER- diagrams of family relationships beyond a family tree allowing a
social worker and client to visualize hereditary patterns and psychological factors
Ecomap - ANSWER- graphical representation that shows all of the systems at play in
an individual's life.
Assessment of Person in Environment - ANSWER- including: social support, coping
skills, defense mechanisms, spiritual well-being and role performance
Z- Codes - ANSWER- Codes used to describe circumstances or conditions that could
influence patient care. 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 - ANSWER- V-codes and Z-
codes, invlolved in assessment of person-in-environment
substance use disorders - ANSWER- * A problematic pattern of specific substance use
leading to 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 fulfill 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*withdrawalSpecify:-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) -
ANSWER- Applied Relaxation Techniques
CBT
Mindfulness exercises
Support/validation
Movement/exercise
In Vivo exposure (over time)
. Assessment of strengths-based perspective - 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 possibilities.
standardized assessment tools - 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
Assessment of family dynamics and their impact on assessment and diagnosis -
ANSWER- -understand role family members play in whole system, how it may impact
diagnosis
Assessment of co-morbidities - ANSWER- ¡Physical health
¡Medical health
¡Disability status
¡Other mental health disorders
How do biopsychosocial spiritual assessments inform diagnosis? - ANSWER-
What is the role of the biopsychosocial/spiritual assessment in diagnostic assessment?
- 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 - 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 - 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. Additionally, 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 Disorders - 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 - ANSWER- -Persistent deficits in social communication
and social interaction across multiple contexts:
-Restrictived, repetitive patterns of behavior, interests, or activities
-symptoms must be present in early developmental period
ADHD, - ANSWER- Must have symptoms prior to age 12
Must have symptoms in 2 or more settings
Differentials: Anxiety
Specify whether: Combined Inattentive hyperactive/impulsive
Schizophrenia and other psychotic disorders - ANSWER- Schizotypal Personality
Disorder, Delusional Disorder, Brief Psychotic Disorder, Schizophreniform,
Schizophrenia, Schizoaffective, Substance/Medication-Induced Psychotic Disorder,
Psychotic Disorder Due to Another Medical Condition, Catatonia
Bipolar & related disorders - ANSWER- Bipolar I- (has a MANIC episode)Mania lasts at
least 7 days or more
* You can still have 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
Correct Detailed Answers.
Understanding on the components of biopsychosocial and spiritual assessments -
ANSWER- -the biological section assesses a client's medical history, developmental
history, current medications, substance abuse history, and family history of medical
illnesses.
-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 systems and unique client context, and may
identify strengths and/or resources available for treatment planning
-spiritual beliefs
Genogram - ANSWER- diagrams of family relationships beyond a family tree allowing a
social worker and client to visualize hereditary patterns and psychological factors
Ecomap - ANSWER- graphical representation that shows all of the systems at play in
an individual's life.
Assessment of Person in Environment - ANSWER- including: social support, coping
skills, defense mechanisms, spiritual well-being and role performance
Z- Codes - ANSWER- Codes used to describe circumstances or conditions that could
influence patient care. 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 - ANSWER- V-codes and Z-
codes, invlolved in assessment of person-in-environment
substance use disorders - ANSWER- * A problematic pattern of specific substance use
leading to 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 fulfill 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*withdrawalSpecify:-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) -
ANSWER- Applied Relaxation Techniques
CBT
Mindfulness exercises
Support/validation
Movement/exercise
In Vivo exposure (over time)
. Assessment of strengths-based perspective - 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 possibilities.
standardized assessment tools - 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
Assessment of family dynamics and their impact on assessment and diagnosis -
ANSWER- -understand role family members play in whole system, how it may impact
diagnosis
Assessment of co-morbidities - ANSWER- ¡Physical health
¡Medical health
¡Disability status
¡Other mental health disorders
How do biopsychosocial spiritual assessments inform diagnosis? - ANSWER-
What is the role of the biopsychosocial/spiritual assessment in diagnostic assessment?
- 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 - 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 - 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. Additionally, 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 Disorders - 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 - ANSWER- -Persistent deficits in social communication
and social interaction across multiple contexts:
-Restrictived, repetitive patterns of behavior, interests, or activities
-symptoms must be present in early developmental period
ADHD, - ANSWER- Must have symptoms prior to age 12
Must have symptoms in 2 or more settings
Differentials: Anxiety
Specify whether: Combined Inattentive hyperactive/impulsive
Schizophrenia and other psychotic disorders - ANSWER- Schizotypal Personality
Disorder, Delusional Disorder, Brief Psychotic Disorder, Schizophreniform,
Schizophrenia, Schizoaffective, Substance/Medication-Induced Psychotic Disorder,
Psychotic Disorder Due to Another Medical Condition, Catatonia
Bipolar & related disorders - ANSWER- Bipolar I- (has a MANIC episode)Mania lasts at
least 7 days or more
* You can still have 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
