The child inability to see from other's perspective is
- A. Object permanence
- B. Conservation
- C. Reversibility
- D. Egocentrism
Correct Answer: D
Rationale: Egocentrism (Piaget) is the preoperational child's inability to adopt others' viewpoints.
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Which documentation indicates that the treatment plan for a patient in an alcohol rehabilitation program was effective?
- A. Is abstinent for 10 days and states, 'I can maintain sobriety 1 day at a time.' Spoke with employer, who is willing to allow the patient to return to work in 3 weeks.
- B. Is abstinent for 15 days and states, 'My problems are under control.' Plans to seek a new job where co-workers will not know history.
- C. Attends AA daily; states many of the members are 'real' alcoholics and states, 'I may be able to help some of them find jobs at my company.'
- D. Is abstinent for 21 days and says, 'I know I can’t handle more than one or two drinks in a social setting.'
Correct Answer: A
Rationale: The correct answer is A because it demonstrates a positive change in behavior and mindset. The patient has been abstinent for 10 days, shows commitment to sobriety, and has a supportive employer. This indicates progress and readiness to reintegrate into work.
Choice B shows longer abstinence but still relies on external factors for control. Choice C focuses on helping others rather than personal progress. Choice D mentions limitations on alcohol consumption, which may not reflect true recovery.
What are three core emotional and interpersonal dimensions?
- A. Unconditional positive regard, respect and genuineness
- B. Empathy, respect and self-awareness
- C. Empathy, respect and genuineness
- D. Unconditional positive regard, empathy and self-awareness
Correct Answer: C
Rationale: Empathy, respect, and genuineness are widely recognized as key therapeutic dimensions.
A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, 'Bugs are crawling on my bed. I’ve got to get out of here.' What is the most accurate assessment of the situation? The patient:
- A. is attempting to obtain attention by manipulating staff.
- B. may have sustained a head injury before admission.
- C. has symptoms of alcohol withdrawal delirium.
- D. is having a recurrence of an acute psychosis.
Correct Answer: C
Rationale: The correct answer is C: The patient has symptoms of alcohol withdrawal delirium. The presentation of shakiness, irritability, anxiety, diaphoresis, elevated heart rate, and hallucinations ('bugs are crawling on my bed') are classic signs of alcohol withdrawal delirium. Delirium tremens, a severe form of alcohol withdrawal, typically occurs 48-72 hours after the last drink and can be life-threatening. This patient's symptoms are consistent with the timeline and manifestations of alcohol withdrawal, requiring immediate medical intervention.
Incorrect answers:
A: Manipulating staff for attention is unlikely given the severity of the symptoms and the potential life-threatening nature of alcohol withdrawal delirium.
B: Head injury would not typically present with these specific symptoms and timeline.
D: Acute psychosis would not typically manifest with these specific symptoms in the context of alcohol intoxication and withdrawal.
To support Level 1 families, a practitioner should first...
- A. Identify any mental health issues
- B. Mobilize support for the ineffective executive or parental system
- C. Develop a coalition of those in charge vs those needing control
- D. Case manage to meet basic needs for food, health, shelter, protection
Correct Answer: D
Rationale: Level 1 families often face immediate survival needs, so addressing basic requirements like food, shelter, and safety is the foundational step before other interventions can be effective.
Which of the following roles does a case manager not perform?
- A. Counselor - a client focussed enabler and educator
- B. Advisor - providing the client with advice from previous experience
- C. Coordinator - Matching a client with services, brokering
- D. Advocacy - Focus on mediating and organizing a client's service system
Correct Answer: B
Rationale: Advising from personal experience is less typical; case managers focus on systemic roles.
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