Week 10 exam | Psychology homework help

This week, you will be assessed on the use of diagnosis, assessment, and intervention in a multiple-choice final exam. This exam is modeled in the National Clinical Mental Health Counseling Exam (NCMHCE) format that is used in many states as their licensure exam and for the Certified Clinical Mental Health Counselor (CCMHC) national certification. As opposed to other exams where you are asked to recall specific facts, this exam is based on case scenarios where you will apply your clinical problem-solving ability to assess, diagnose, and treat crisis and trauma situations. You will focus on identifying “the best answer”—as opposed to the “correct” answer. This means that each question contains more than one correct answer, but only one answer is the best. As “best answer” exams require a great deal of discernment, be sure to read each question carefully, look for the correct answers, and then discern the “best” answer. Taking a comprehensive exam in this format will pay off in the end when you sit for the NCMHCE in the future. I need this completed by 11/02/18 at 7pm. . 

QUESTION 1

1. Case #1 – Jenna

Jenna is a six-year-old Caucasian female who currently resides with her foster parents, her older biological sister, and two foster brothers. Jenna and her siblings were taken from her biological parents because of suspected sexual abuse and neglect. It is reported that Jenna lived in a home without food, water, and utilities. Jenna’s foster parents report that her biological mother “may have some disabilities and has never had the financial means to take care of her children.” Jenna’s biological brother is in a separate foster home. He is suspected of sexually abusing both Jenna and her older sister. It has been reported that he sexually abused Jenna, while her sister was helplessly told to watch. Jenna has expressed this trauma with agitated behavior. The traumatic event is re-experienced by repetitive play where she stimulates herself on furniture. Jenna avoids the stimuli associated with the trauma by avoiding conversations associated with sexual abuse. Jenna avoids activities, places, and people associated with the trauma except for her sister who was also a victim. Jenna also has a sense of a foreshortened future. She frequently brings up death with her foster parents. Jenna has persistent symptoms of increased arousal that were not present before the trauma as indicated by irritability and outbursts of anger nearly every day with her biological sister and her foster father. Jenna is also hyper vigilant and does not want her foster father around. The disturbances have lasted for over a month and have caused clinically significant social impairment to the point she is unable to attend a full day of school due to emotional breakdowns.

1) What intake information should be obtained and assessed to formulate a provisional DSM-5 diagnosis? Select AS MANY as you consider essential.

  

a.

History of learning disabilities.

 

b.

Length of time problematic behaviors have   persisted.

 

c.

Changes in sleeping patterns.

 

d.

Substance use.

 

e.

Attention problems.

 

f.

Details of sexual trauma.

 

g.

Hypervigilance or increased arousal.

2 points   

QUESTION 2

1. What assessment tools might offer meaningful information on this client? Select the ONE most appropriate option. (Refer to Case #1)

  

a.

Beck Anxiety Inventory

 

b.

Attachment Questionnaire for Children (AQC)

 

c.

Clinician Administered PTSD Scale for Children   and Adolescents (CAPS-CA)

 

d.

Child and Adolescent Needs and Strengths (CANS)

2 points   

QUESTION 3

1. Based on the available information, what would appear to be the most appropriate provisional DSM-5 diagnosis? Select the ONEmost appropriate primary diagnosis. (Refer to Case #1)

  

a.

Disruptive Mood Dysregulation Disorder (296.99)

 

b.

Postttraumatic Stress Disorder (309.81)

 

c.

Acute Stress Disorder (308.3)

 

d.

Adjustment Disorder with Mixed Disturbance of   Emotions and Conduct (309.4)

2 points   

QUESTION 4

1. Based on the provisional diagnosis, what interventions might work best as you begin to work with this client? Select AS MANY as you consider indicated. (Refer to Case #1)

  

a.

Group Therapy

 

b.

Behavioral Rehearsal

 

c.

Grounding Techniques

 

d.

Play Therapy

 

e.

Flooding Techniques

 

f.

Medical Referral for Anxiety Medication

 

g.

Assertiveness Training

2 points   

QUESTION 5

1. In developing a collaborative treatment plan with the client, identify immediate goals to be addressed. Select AS MANY as you consider correct and necessary. (Refer to Case #1)

  

a.

Reunification with Biological Family

 

b.

Addressing Sexualized Behaviors

 

c.

Increasing Emotional Regulation

 

d.

Preventing Revictimization

 

e.

Reenactment of Traumatic Events

2 points   

QUESTION 6

1. Case #2 – Morgan

Morgan is staying at a local shelter after she experienced a natural disaster that destroyed her home three days ago. She is a 25-year-old lesbian female who was living with her partner. She has a flat affect and makes no eye contact as she talks about having to vacate her home in the middle of the night as the waters were filling her condo. Her partner did not make it out and drowned in the storm. She has not made contact with any of her other relatives who she says she has been distant from for “many years.” She mentions that before the storm she was taking “some meds to help with my moods” but is not sure of the medication name. Since she arrived at the shelter, she has laid in her cot, not taken any showers, eaten very little food, and avoided any contact with shelter workers or other families. She has a significant startle response when approached and has difficulty remembering basic information. She cries herself to sleep and has moments where she screams out at night after having “nightmares about drowning.”

What intake information should be obtained and assessed to formulate a provisional DSM-5 diagnosis? Select AS MANY as you consider important.

  

a.

Substance abuse history

 

b.

Medical history

 

c.

Educational history

 

d.

Military history

 

e.

Quality of family relationships

 

f.

Psychiatric history

 

g.

Employment history

 

h.

Threat to self or others

2 points   

QUESTION 7

1. What assessment tools might offer meaningful information on this client? Select the ONE most appropriate option for your work while she is at the shelter. (Refer to Case #2)

  

a.

Beck Depression Inventory

 

b.

Inventory of Complicated Grief

 

c.

Triage Assessment Form

 

d.

The Behavioral Assessment Rating Scales

2 points   

QUESTION 8

1. Based on the available information, what is the most appropriate provisional DSM-5 diagnosis? Select the ONE most appropriate primary diagnosis. (Refer to Case #2)

  

a.

Major Depressive Disorder, Single episode, Mild   (296.21)

 

b.

Posttraumatic Stress Disorder (309.81)

 

c.

Generalized Anxiety Disorder (300.02)

 

d.

Acute Stress Disorder (308.3)

 

e.

Adjustment Disorder with Depressed Mood (309.3)

2 points   

QUESTION 9

1. Based on the intake data, identify immediate potential issues to be addressed as a crisis counselor while the client is in the shelter. Select AS MANY as are correct and necessary. (Refer to Case #2)

  

a.

Hygiene

 

b.

Impulse Control

 

c.

Family Relationships

 

d.

Housing

 

e.

Suicidality

 

f.

Medication compliance

 

g.

Employment issues

 

h.

Stress management

2 points   

QUESTION 10

1. Based on the provisional diagnosis, what theories or models will likely work best for the client? Select AS MANY as you consider correct and appropriate in working with the client while she is at the shelter. (Refer to Case #2)

  

a.

Group Therapy

 

b.

Psychological First Aid

 

c.

Existential Therapy

 

d.

Grief Therapy

 

e.

Maslow’s Hierarchy of Needs

2 points   

QUESTION 11

1. Case #3 – Bob

Bob is a 45 year old African American man. He was recently medically discharged from the US Navy due to extensive injuries he sustained during his last time in combat. He is separated from his wife and has two teenage children. He has a prescription for an opioid pain medication and discloses that he has been engaging in daily marijuana use and drinks about 5-6 beers a day “to cope.” He has an extensive history of childhood physical and emotional trauma. His mother was alcoholic and his father was physically abusive to him and his siblings. He says that he is struggling over the past few months with “what could have been” if he was not so “damaged.” He sounds very agitated, stating that the pain is unbearable and he “can’t stand it anymore.” He mentions that he might be better off dead.

Based on the available information, what would appear to be the most appropriate provisional DSM-5 diagnosis? Select the ONEmost appropriate.

  

a.

Adjustment Disorder with Mixed Disturbance of   Emotions and Conduct (309.4)

 

b.

Substance-Induced Anxiety Disorder (292.89)

 

c.

Posttraumatic Stress Disorder (309.81)

 

d.

Acute Stress Disorder (308.3)

 

e.

Generalized Anxiety Disorder (300.02)

2 points   

QUESTION 12

1. To better determine the client’s current level of functioning and behavioral problems, what additional data may be helpful? Select AS MANY as are necessary. (Refer to Case #3)

  

a.

Collateral contact with the medical provider.

 

b.

Collateral contact with his spouse and children.

 

c.

Military record review.

 

d.

Substance abuse screening.

 

e.

Legal history review.

2 points   

QUESTION 13

1. Which of the following risk factors are present in the case description? Select AS MANY as you consider indicated. (Refer to Case #3)

  

a.

History of previous attempts.

 

b.

Specific plan.

 

c.

History of drug and/or alcohol use.

 

d.

Cut off from others.

 

e.

Lack of belongingness.

 

f.

Feelings of helplessness.

 

g.

Financial loss.

 

h.

Access to firearms.

 

i.

Radical shifts in behaviors and mood.

2 points   

QUESTION 14

1. Indicate the responses that would be most appropriate for addressing potential suicidal ideation. Select AS MANY as you consider correct. (Refer to Case#3)

  

a.

You say you are suicidal, but what’s really   bothering you?

 

b.

You can tell me. I’m a professional and have been   trained to be objective about these things.

 

c.

It seems like you’ve been suffering so much that   hurting yourself seems like the only way you can make the pain go away.

 

d.

You have so much to live for, think about your   wife and children.

 

e.

Tell me more about your suicidal feelings.

 

f.

You seem to be somewhat upset.

2 points   

QUESTION 15

1. Based on the provisional diagnosis, what interventions and referrals might work best for the client? Select AS MANY as you consider indicated. (Refer to Case #3)

  

a.

Suicide Safety Plan

 

b.

Create a No Harm Contract

 

c.

Family Counseling

 

d.

Medication Review

 

e.

Cognitive Reframing

 

f.

Vocational / Job Training

Academic Brigade
Calculate your paper price
Pages (550 words)
Approximate price: -

Why Work with Us

Top Quality and Well-Researched Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional and Experienced Academic Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Prompt Delivery and 100% Money-Back-Guarantee

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

24/7 Customer Support

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.

Essays

Essay Writing Service

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.

Admissions

Admission Essays & Business Writing Help

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.

Reviews

Editing Support

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.

Reviews

Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.