CANS EXAM WITH
200+QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES 2024
●
● Question: A 15-year-old client reports feeling sad almost every day and has stopped
participating in activities they used to enjoy. How would you rate this domain?
○ A. 0 - No evidence
○ B. 1 - Watchful waiting/prevention
○ C. 2 - Action needed
○ D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: The client's report of feeling sad every day and withdrawal from
previously enjoyable activities indicates a moderate level of depression that
requires interventio
● Question: A 10-year-old child is frequently disruptive in class, which affects their
academic progress. The teacher reports daily incidents of non-compliance and
interrupting lessons. How would you rate this domain?
○ A. 0 - No evidence
○ B. 1 - Watchful waiting/prevention
○ C. 2 - Action needed
○ D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: Daily disruptive behavior that impacts academic progress suggests
that an intervention is required to address the behavior and prevent further
impact on learning.
● Question: A 13-year-old has a supportive family that is actively involved in treatment
and communicates effectively with each other. How would you rate this domain?
○ A. 0 - Centerpiece strength
, ○ B. 1 - Useful strength
○ C. 2 - Identified strength
○ D. 3 - No strength identified
● Answer: A. 0 - Centerpiece strength
○ Explanation: The active involvement of the family and good communication
indicates a strong family support system, which can be a critical resource in
treatment.
4. Risk Behaviors: Suicidality
● Question: A 16-year-old expresses passive thoughts about wishing to be dead but
denies having any specific plan or intent to harm themselves. How would you rate this
domain?
○ A. 0 - No evidence
○ B. 1 - Watchful waiting/prevention
○ C. 2 - Action needed
○ D. 3 - Immediate/intensive action needed
● Answer: B. 1 - Watchful waiting/prevention
○ Explanation: Passive suicidal thoughts without a plan or intent require
monitoring and preventive measures but do not indicate an immediate risk that
needs crisis intervention.
5. Caregiver Needs and Strengths: Supervision
● Question: The caregiver of an 8-year-old has difficulty providing consistent supervision
and has reported feeling overwhelmed. How would you rate this domain?
○ A. 0 - No evidence
○ B. 1 - Watchful waiting/prevention
○ C. 2 - Action needed
○ D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: Difficulty in providing consistent supervision suggests that
supportive services or intervention may be necessary to ensure the safety and
well-being of the child.
6. Question: A 12-year-old is struggling with peer relationships, reporting
that they have no friends at school and often feel left out. How would you
rate this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: Difficulty with peer relationships and feelings of isolation indicate a
need for intervention to help the child develop social skills and build connections.
,7. Question: A child has occasional outbursts when frustrated but is
generally able to calm down without any harm to self or others. How would
you rate this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: B. 1 - Watchful waiting/prevention
○ Explanation: Occasional outbursts without harm indicate a need for monitoring.
Preventive strategies may help manage frustration before it escalates.
8. Question: A 14-year-old has been skipping school and is now
significantly behind academically. The parents are struggling to get them to
attend. How would you rate this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: D. 3 - Immediate/intensive action needed
○ Explanation: Chronic absenteeism that impacts academic performance and
parental difficulty managing the issue requires immediate intervention to prevent
further negative consequences.
9. Question: A 9-year-old has a strong interest in drawing and shows
considerable talent. The child's parents support this interest by providing
art supplies and encouraging creativity. How would you rate this domain?
● A. 0 - Centerpiece strength
● B. 1 - Useful strength
● C. 2 - Identified strength
● D. 3 - No strength identified
● Answer: A. 0 - Centerpiece strength
○ Explanation: The strong interest and support for artistic activities indicate a
centerpiece strength that can be used to build confidence and engagement.
10. Question: A caregiver has a supportive extended family network that is
actively involved in helping with child care. How would you rate this
domain?
● A. 0 - Centerpiece strength
● B. 1 - Useful strength
● C. 2 - Identified strength
● D. 3 - No strength identified
● Answer: A. 0 - Centerpiece strength
○ Explanation: A supportive extended family network is a significant strength that
can positively impact the caregiver's ability to provide care.
, 11. Question: A 17-year-old has been diagnosed with anxiety and often
experiences panic attacks, particularly in crowded places. They are
currently in therapy but still experience significant distress. How would you
rate this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: The presence of panic attacks indicates a need for continued
intervention, despite therapy, to address the anxiety and reduce its impact on
daily life.
12. Question: A child has difficulty expressing emotions verbally but uses
art and play effectively to communicate feelings. How would you rate this
domain?
● A. 0 - Centerpiece strength
● B. 1 - Useful strength
● C. 2 - Identified strength
● D. 3 - No strength identified
● Answer: B. 1 - Useful strength
○ Explanation: The ability to use art and play to communicate is a useful strength
that can be leveraged in treatment, although it is not as robust as a centerpiece
strength.
13. Question: A 16-year-old has been involved in physical altercations at
school multiple times, resulting in disciplinary action. How would you rate
this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: D. 3 - Immediate/intensive action needed
○ Explanation: Repeated involvement in physical altercations that lead to
disciplinary action indicates a significant risk that requires immediate and
intensive intervention.
14. Question: A child frequently experiences nightmares, making it difficult
for them to sleep through the night. The parents report that the child wakes
up at least three times a week feeling scared. How would you rate this
domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
200+QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES 2024
●
● Question: A 15-year-old client reports feeling sad almost every day and has stopped
participating in activities they used to enjoy. How would you rate this domain?
○ A. 0 - No evidence
○ B. 1 - Watchful waiting/prevention
○ C. 2 - Action needed
○ D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: The client's report of feeling sad every day and withdrawal from
previously enjoyable activities indicates a moderate level of depression that
requires interventio
● Question: A 10-year-old child is frequently disruptive in class, which affects their
academic progress. The teacher reports daily incidents of non-compliance and
interrupting lessons. How would you rate this domain?
○ A. 0 - No evidence
○ B. 1 - Watchful waiting/prevention
○ C. 2 - Action needed
○ D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: Daily disruptive behavior that impacts academic progress suggests
that an intervention is required to address the behavior and prevent further
impact on learning.
● Question: A 13-year-old has a supportive family that is actively involved in treatment
and communicates effectively with each other. How would you rate this domain?
○ A. 0 - Centerpiece strength
, ○ B. 1 - Useful strength
○ C. 2 - Identified strength
○ D. 3 - No strength identified
● Answer: A. 0 - Centerpiece strength
○ Explanation: The active involvement of the family and good communication
indicates a strong family support system, which can be a critical resource in
treatment.
4. Risk Behaviors: Suicidality
● Question: A 16-year-old expresses passive thoughts about wishing to be dead but
denies having any specific plan or intent to harm themselves. How would you rate this
domain?
○ A. 0 - No evidence
○ B. 1 - Watchful waiting/prevention
○ C. 2 - Action needed
○ D. 3 - Immediate/intensive action needed
● Answer: B. 1 - Watchful waiting/prevention
○ Explanation: Passive suicidal thoughts without a plan or intent require
monitoring and preventive measures but do not indicate an immediate risk that
needs crisis intervention.
5. Caregiver Needs and Strengths: Supervision
● Question: The caregiver of an 8-year-old has difficulty providing consistent supervision
and has reported feeling overwhelmed. How would you rate this domain?
○ A. 0 - No evidence
○ B. 1 - Watchful waiting/prevention
○ C. 2 - Action needed
○ D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: Difficulty in providing consistent supervision suggests that
supportive services or intervention may be necessary to ensure the safety and
well-being of the child.
6. Question: A 12-year-old is struggling with peer relationships, reporting
that they have no friends at school and often feel left out. How would you
rate this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: Difficulty with peer relationships and feelings of isolation indicate a
need for intervention to help the child develop social skills and build connections.
,7. Question: A child has occasional outbursts when frustrated but is
generally able to calm down without any harm to self or others. How would
you rate this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: B. 1 - Watchful waiting/prevention
○ Explanation: Occasional outbursts without harm indicate a need for monitoring.
Preventive strategies may help manage frustration before it escalates.
8. Question: A 14-year-old has been skipping school and is now
significantly behind academically. The parents are struggling to get them to
attend. How would you rate this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: D. 3 - Immediate/intensive action needed
○ Explanation: Chronic absenteeism that impacts academic performance and
parental difficulty managing the issue requires immediate intervention to prevent
further negative consequences.
9. Question: A 9-year-old has a strong interest in drawing and shows
considerable talent. The child's parents support this interest by providing
art supplies and encouraging creativity. How would you rate this domain?
● A. 0 - Centerpiece strength
● B. 1 - Useful strength
● C. 2 - Identified strength
● D. 3 - No strength identified
● Answer: A. 0 - Centerpiece strength
○ Explanation: The strong interest and support for artistic activities indicate a
centerpiece strength that can be used to build confidence and engagement.
10. Question: A caregiver has a supportive extended family network that is
actively involved in helping with child care. How would you rate this
domain?
● A. 0 - Centerpiece strength
● B. 1 - Useful strength
● C. 2 - Identified strength
● D. 3 - No strength identified
● Answer: A. 0 - Centerpiece strength
○ Explanation: A supportive extended family network is a significant strength that
can positively impact the caregiver's ability to provide care.
, 11. Question: A 17-year-old has been diagnosed with anxiety and often
experiences panic attacks, particularly in crowded places. They are
currently in therapy but still experience significant distress. How would you
rate this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: C. 2 - Action needed
○ Explanation: The presence of panic attacks indicates a need for continued
intervention, despite therapy, to address the anxiety and reduce its impact on
daily life.
12. Question: A child has difficulty expressing emotions verbally but uses
art and play effectively to communicate feelings. How would you rate this
domain?
● A. 0 - Centerpiece strength
● B. 1 - Useful strength
● C. 2 - Identified strength
● D. 3 - No strength identified
● Answer: B. 1 - Useful strength
○ Explanation: The ability to use art and play to communicate is a useful strength
that can be leveraged in treatment, although it is not as robust as a centerpiece
strength.
13. Question: A 16-year-old has been involved in physical altercations at
school multiple times, resulting in disciplinary action. How would you rate
this domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
● D. 3 - Immediate/intensive action needed
● Answer: D. 3 - Immediate/intensive action needed
○ Explanation: Repeated involvement in physical altercations that lead to
disciplinary action indicates a significant risk that requires immediate and
intensive intervention.
14. Question: A child frequently experiences nightmares, making it difficult
for them to sleep through the night. The parents report that the child wakes
up at least three times a week feeling scared. How would you rate this
domain?
● A. 0 - No evidence
● B. 1 - Watchful waiting/prevention
● C. 2 - Action needed
