CANS Study Guide Questions and Answers with complete solution

CANS Study Guide Family Strengths: Carmen's parental rights have been terminated; she has no other known family members. - 3 Interpersonal Skills: 4-year-old Mindy is very shy. It takes a lot of prompting for her to play with others. When prompted, she will attempt to play with the other children. - 2 Optimism: 17-year-old Dante plans to go to medical school. He knows if he studies hard in his classes he can do it. - 0 Educational Setting: 15-year-old Trumaine has recently returned home from a residential placement. No school has been identified for him at this time. - 3 Vocational: Jamie is really good at fixing things. He does not want to fix things for a living, however, he wants to be a writer. - 1 Talents/Interests: Sarah won the most valuable player award of her swim team and is team captain. - 0 Spiritual/Religious: 17-year-old Tracy sings in the church choir and participates in many youth activities. She states that her beliefs give her comfort and that she prays when distressed. - 0 Community Involvement: This past year, Jill became involved in community center activities including joining a soccer team. - 1 Natural Supports: Natalie has neighbors who have helped her get a summer job for a few years. - 1 Relationship Permanence: 12-year-old Natasha is living in her third foster home. Her permanency plan calls for her to live with her mother; her mother participates fully in supervised visitation. - 2 Child/Youth Involvement with Care: 9-year-old Ben is not knowledgeable of his needs. - 3 Coping and Survival Skills: Don manages adversity quite well, but does not seem to have much fun. - 1 Resiliency: Jen's caregiver has become interested in yoga and is starting to meditate when she is anxious or distressed. - 1 Family Functioning: The family is managing well. - 0 Living Situation: Nancy has the occasional fight at home with her parents; her parents are concerned about her behavior at home. - 1 School/Day Care: A 13-year-old girl's school behavior has resulted in her being sent to see the school principal - 2 Social Functioning: Terrance is socially withdrawn and isolated; he has minimal social interactions - 3 Recreation/Play in Young Children: 5-year-old Patrick tends to cling to adults while other children play. When he does play, it is unimaginative. - 3 Communication: Donnelle has selective mutism and refuses to speak. He also refuses to point to aid in communication. - 3 Physical Health: Cailin has asthma. She is able to take part in gym class if she has her puffer. - 1 Sleep: Reggie is a 16-year-old who stays out late on school nights and then sleeps during class. He often does not get a full night of sleep during the week. - 2 Elimination: Monica doesn't like going to the bathroom in public places. She will hold it in if she has to. Her mother reported to the doctor that Monica complains of frequent stomachaches. - 2 Personal Hygiene/ Self-Care: Bronwyn forgets to brush her teeth, but no one notices. - 1 Gender Identity: James reports feeling like he should have been born a girl instead of a boy. When he told his father, his father threatened to throw him out of the house if James brought it up again. James is so stressed about this that he has been losing sleep. - 3 Sexual Development: Marquis is a 17-year-old boy. He has had three sexual partners in his life, ages 20, 22, and 28. - 2 Judgment/Decision Making: 16-year-old Tony enjoys getting drunk and taking his parents' vehicle out for joy rides. - 3 Legal: 14-year-old Don has been arrested in the past for theft, but not in the last year. - 1 Independent Living Skills: Darnell is a 16-year-old boy who will not bathe if his parents do not tell him to. His parents are worried that when he moves out one day that he will never bathe. They believe that some outside supports will be able to address the issue. - 2 Job Functioning: Tommy was recently fired from his fast food job for missing work and being rude to the manager. - 3 Developmental/Intellectual Disability: A child's intellectual functioning is so poor that it prevents valid testing. - 3 Self-Injurious Behaviour: 8-year-old Ryan has been banging his head repeatedly against the floor. His skull has begun to change shape because of this behavior and he has started to have painful headaches. - 3 Suicide Risk: 15-year-old Amanda was released from the hospital today after a 5 day stay resulting from her attempt to slit her wrists. She currently reports no active suicidal ideation. - 2 Reckless Behavior (Other Self Harm): A 16-year-old boy has received 3 speeding tickets since getting his license six months ago. - 2 Danger to Others: Bryan has been in several fights recently. In one fight last week, he broke the nose of another youth. - 2 Sexual Aggression: Darrell has never been sexually aggressive. - 0 Runaway: Carmen was arrested for violating her probation by running away from a court-ordered treatment program 2 days ago. - 3 Delinquent Behavior: Sean has been staying out past his parents' curfew. He lives in a town with no legal curfew, but his parents are upset. - 0 Fire Setting: 17-year-old Doris was caught carrying matches. She said she likes to listen to music by candle light which was confirmed by her parents. - 0 Intentional Misbehavior: 16-year-old Lauren is always threatening to commit suicide so that she can be hospitalized and see her favorite therapist who works there. The therapist at the hospital knows that Lauren is not serious and Lauren is at risk of being banned from that hospital. - 3 Bullying: Darnell is a member of a gang and has been involved in intimidating other youth using violence. - 3 Medication Compliance: Brittany sometimes forgets to take her seizure medication, but remembers as soon as she sees the reminder she put on the fridge. - 1 Psychosis (Thought Disorder): A 18 year-old boy tells you that he is hearing voices telling him to get a knife and stab his mother. - 3 Depression: Trish is a 17-year-old girl who sometimes gets blue and a bit down on herself. She generally is able to 'snap herself out' of her funks, but sometimes needs support. - 1 Anxiety: Martha has social anxiety that interferes with her making friends at school. - 2 Mania: Vicki has a history of manic behavior when she was younger but has since controlled it with medication. - 1 Impulsivity/Hyperactivity: Edith sometimes behaves in a way that appears to be rash. - 1 Attention/Concentration: Denis is a 14-year-old with attention problems that interfere with his school work. - 2 Oppositional Behavior: A 12-year-old boy talks back to his teachers and a few letters have been sent home about this problem. - 1 Conduct: A 15-year-old has been arrested for vandalism and theft after stealing from a neighbor. - 2 Anger Control: A 12-year-old boy destroys property and physically harms others when he becomes angry. - 3 Substance Use: A young man is prostituting himself to pay for his growing drug habit. - 3 Eating Disturbance: Quenzell refuses all food. He becomes aggressive when efforts are made to encourage him to eat. His weight has dropped so low that he has to be hospitalized. - 3 Attachment Difficulties: A 9-year-old girl cries when her mother drops her off at school, but once her mother has left, she is fine for the rest of the school day. - 1 Supervision: Melissa's foster parents are able to adequately watch her. - 0 Involvement with Care: Ben's foster parents assertively involve themselves in all of his IEP meetings. They routinely contact teachers to ensure that they are following his IEP. - 0 Knowledge of Child's Needs: Maria's parents are pretty good at understanding Maria's needs. Recently, Maria has been irritable and "sleepy." This has not raised concern in the parents as of yet. - 1 Organization Skills: A child misses appointments frequently as the child's parents are unable to get him to the clinic. - 2 Social Resources: Foster Parents have a strong support network of family and friends that help out. - 0 Residential Stability: Parents recently relocated twice due to job changes. - 2 Physical Health: A foster mother's chronic illness has recently become life threatening. She is unable to care for her foster child. - 3