Nokea
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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he theorist who believes that human behavior is influenced by rewards is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: C
Rationale: B.F. Skinner's operant conditioning explains behavior through rewards and punishments.
What type of antidepressant medication is not frequently used due to its lethality in overdose?
- A. Tricyclic antidepressants (TCAs)
- B. Selective serotonin reuptake inhibitors (SSRIs)
- C. GI upset
- D. Divalproex (Depakote)
Correct Answer: A
Rationale: The correct answer is A: Tricyclic antidepressants (TCAs). TCAs are not frequently used due to their high lethality in overdose. They have a narrow therapeutic index, leading to severe toxicity even at slightly higher doses. In overdose, TCAs can cause life-threatening cardiovascular and central nervous system effects. SSRIs (B) are safer in overdose compared to TCAs. GI upset (C) is a common side effect of many medications, not specifically antidepressants. Divalproex (D) is not an antidepressant medication, but rather a mood stabilizer primarily used in bipolar disorder.
The psychological test measure emotional health is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: B
Rationale: The MMPI evaluates emotional health and psychological well-being.
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.