Term
| In the Medical model of documentation the means by which a therapists documents therapy |
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Definition
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Term
| A current requirement by most third party payers to cover mental health services is documenting |
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Definition
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Term
| When audited by a third party payer, client files that are found not to be compliant with documentation standards |
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Definition
| may be subject to repaying the funds to the third party |
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Term
| Typically, the evidence a third party case manager uses to determine that the treatment plan has been followed is found |
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Definition
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Term
| Which of the following best represents a statement from someone who views psychotherapy as an art? "Today we worked on.." |
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Definition
| expressing latent emotions |
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Term
| Which of the next treatment strategies would most likely be incorporated by someone from a psychological perspective of psychological treatment? |
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Definition
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Term
| According to this text, the most current documentation |
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Definition
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Term
| Process variable research |
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Definition
| integrates the similarities between psychological therapies |
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Term
| when third party payment is involved, clincal skills are necessary for____ while documentation skills are necessary for _____ |
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Definition
| Therapeutic progress; continuation of services |
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Term
| Stringent documentation requirements are considered important at this time because they help |
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Definition
| control mental health costs, demonstrate the need for services, and provide specific diagnostic information |
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Term
| which of the next statements best describes the concept of medical necessity? |
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Definition
| Without mental health services, the client will remain dysfunctional |
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Term
| What is the primary purpose of the O-F-A-I-D procedure? |
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Definition
| to obtain objective information about client behaviors. |
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Term
| Which of the following best represents a functional impairment? |
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Definition
| The client is in danger of losing another job due to excessive absences due to depression |
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Term
| the potential consequences of lack of documentation in cases such a suicide or homocide could lead to |
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Definition
| loss of licensure, significant legal and ethical consequences, and financial consequences. |
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Term
| Which of the next statements best represents a possible ethical problem due to not providing the best documentation? "She should remain on a medical leave becasue she is... |
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Definition
| not ready to go back to work" |
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Term
| What is the most ethical thing to do in this situation? John is an experienced therapist. When he was in high school he was assaulted by a person from Beronia. Today he conducted a counseling intake from sone from Beronia and took an immediate dislike to the client. He should |
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Definition
| Call his supervisor to sit in for a few sessions |
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Term
| which of these dual relationships is the most acceptable ethically? |
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Definition
| Your neighbor is suicidal and is sent to the hospital where you work. You are the only therapist on duty at the time. You counsel the person one time and make a referral. |
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Term
| Jerry's competency in providing hypnotherapy was questioned by client who had filed a complaint to the board of psychology. What should Jerry present to the baord in his defense? |
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Definition
| Provide a detailed account of this training, supervision, and experience. |
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Term
| The biopsychosocial assessment focuses on |
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Definition
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Term
| signs are____; symptoms are____ |
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Definition
| observed by the clinician; endorsed by the client |
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Term
| Which of the next statements best incorporates portions of the O-F-A-I-D procedure? |
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Definition
| The client has been depressed since his divorce, the client is depressed almost all of the time, and the client is severely depressed. |
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Term
| How are client's strengths and weakness typically incorporated into a treatment plan? |
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Definition
| They are incorporated into the treatment strategies. |
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Term
| Which of the following is not part of the biopsychosocial assessment? |
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Definition
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Term
| Written psychological reports should |
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Definition
| be written at a level concordant with the readers' level of understanding |
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Term
| Which of the next statements best represents medical necessity in mental health services? |
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Definition
| Without therapy, the client is likely to remain functionally impaired. |
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Term
| The mental status exam is intended to provide a(n) |
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Definition
| current picture of the client's current mental state |
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Term
| Which of the next statements best represents a description of a client's affect? |
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Definition
| Client states that she is depressed, anxious and irritable. |
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Term
| In a mental status exam, the client's stream of consciousness is evaluated by his or her |
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Definition
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Term
| THe client's mental status is evaluated |
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Definition
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Term
| A client presents with slurred speech. This provides evidence of |
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Definition
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Term
| Which of these interview questions best represents potential problems due to the Barnum effect? |
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Definition
| Do you get upset when you don't get your way? |
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Term
| The diagnostic interview incorporates a procedure in which the client is asked whether he or she is experiencing various symptoms. Deciding on the subsequent questions is determined by the answers to the earlier questions. This process is called |
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Definition
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Term
| Which of these descriptors of behaviors is suggested in the text as helpful in determing a specific diagnosis and a level of functional impairment? |
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Definition
| onset, frequency, antecedents, intensity, and duration |
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Term
| What is clearly wrong with the next statement? "Pat endorses symptoms of social withdrawal, low motivation, low self-esteem, sleeping problems, and irritablity; therefore she meets the criteria for dysthmic disorder." |
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Definition
| The essential symptoms criteria are not met. |
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Term
| Which of the following best represents and associated symptom? |
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Definition
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Term
| What is meant by this statement? " The diagnosis has been ruled out." |
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Definition
| There is not enough evidence to give the diagnosis. |
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Term
| Which of the following best represents a treatment plan objective? |
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Definition
| Return to work at least 30 hours per week. |
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Term
| Which of the following best represents a treatment plan goal? |
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Definition
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Term
| Which of the follwing provides the best example of a measureable behavioral objective? |
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Definition
| Spend at least three hours per week outdoors |
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Term
| What is wrong with this treatment plan objective? Objective: Increase euthymic mood. |
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Definition
| It is too vague; Too difficult to measure |
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Term
| The treatment plan is designed to be primarily based on |
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Definition
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Term
| Treatment plan revisions are typically written in |
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Definition
| the progress notes, then incorporated into the revised treatment plan. |
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Term
| Which of the statements best represents the data from a DAP progress note? |
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Definition
| Client states, "I feel much better this week." |
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Term
| Which of the statements best represents the assessment from a DAP progress note? |
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Definition
| Significant improvements in ability to resolve stressors at home. |
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Term
| What is wrong with the next progress note statement that is placed in the data section? "The client has improved significantly in assertiveness skills." |
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Definition
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Term
| How might well-written progress notes help protect a therapist from ethical/legal/financial problems? |
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Definition
| The document that sppropriate therapeutic and procedural steps were taken prior to a client attempting suicide; They demenstrate that the treatment was medically necessary; They provide evidence that the treatment provided was concordant with acceptable procedures in the field. |
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Term
| A mental health therapist receives a request for midical information for "the entire record." According to HIPAA regulations, what information CANNOT be sent in this situation? |
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Definition
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Term
| How can a client who severaly needs additional mental health services be turned down by a case manager from a third party payer? |
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Definition
| Lack of specific documentation; lack of dementration medical necessity of services; lack of evidence of functional impairment. |
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Term
| When applying for approval for additional client services, why should both progress and setbacks be documented? |
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Definition
| They show both what has been accomplished and what needs to be accomplished in treatment. |
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Term
| Why might a client with a diagnosis of Major Depressive Disorder and a GAF of 88 be denied additional services? |
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Definition
| A client with a GAF of 88 is not likely to have significant impairments. |
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Term
| Which of the next statements represents the best discharge goals? |
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Definition
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Term
| What is suggested by this statement: "Effective clinical skills are necessary but not sufficent when working with third-party payers"? |
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Definition
| Although a therapist may possess excellent clinical skills, clients may not receive an adequate number of services if teh therapist has not learned appropriate documentation skills. |
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