HUSR 310 Case Management Exam 4 Questions and Answers Graded A+
What is Laura's Law - Answers A California state law that allows court-ordered assisted outpatient
treatment or forced anti-psychotics for a client with serious mental illness and a recent history of
psychiatric hospitalizations, jailing, or acts, threats or attempts of serious violent behavior towards self
or others.
What are the two oppositions to Laura's Law? - Answers 1. Negative effects of treatment: Tardive
dyskinesia, neuroleptic malignant syndrome, excessive weight gain, diabetes, addiction, increased risk of
suicide, etc.
2. Double standard of force treatment: "Forced treatment has a long abusive history. Reform laws in
1970s and 1980s took away the right from confining people against their will. Up to now this required a
judge's signature. Now the patient's voice has been silenced." John M Grohol, Psy.D.
What six items are covered in the informed consent? - Answers 1. Fees: amount, no shows, etc.
2. Confidentiality and exceptions
3. Length/purpose of session
4. Your credentials
5. Agency rules
6. Legal concerns
What are the nine exceptions to confidentiality? - Answers 1. Child/elder/dependent adult abuse
2. Duty to warn
3. Signed release of confidentiality
4. Client sues
5. Health insurance wanting a diagnosis
6. Supervision
7. FBI Patriot Act
8. HIPAA
9. Client is suicidal
What is covered in each title of HIPAA? - Answers Title 1:
Protecting health insurance coverage for people who lose/change jobs
, Title II:
Standardized forms
Unique ID numbers for each client
Security measure to protect confidentiality and data
According to the California case: Ewing v. Goldstein, what people may communicate to you a serious
threat from your client of physical violence against a reasonable victim? - Answers Family members can
communicate a serious threat by your client.
In California, what is the "duty to warn" now known as? - Answers Tarasoff/Ewing
When an individual is placed under a 5150 they are hospitalized for how many hours? - Answers 72
hours
When filing a child abuse report, within how many hours should the child abuse registry receive your
written report? - Answers 36 hours
When filing an elder abuse report, within how many hours should the registry receive your written
report? - Answers Two working days
What is an "Advance Directive"? - Answers Refers to oral/written instructions pertaining to client's
future medical care in the event they will become unable to speak for themselves.
What is a "Living Will"? - Answers Defines type of medical treatment someone wants at the end of their
life, and what medical intervention client doesn't want used.
What is a "Medical Power of Attorney"? - Answers A document that names the person who can make
decisions about medical care if someone is unable to do so.
What is the Ecological Model? - Answers A mode used to help case managers better understand how
their client affects their environment, and how the environment affects the client. (Generalist approach-
percieving the client on multilevels)
What are the 3 levels of the Ecological Model, and what does each level focus on? - Answers 1.Micro
Level: Client's personality, moods, physical health, early childhood experiences, motivation, etc.
2. Meso Level: Client's family, friends, school, work religious group, etc.
3. Macro Level: Larger society: government, economy, political system, social stratification, prejudice,
etc.
What does patience mean? - Answers Having the fortitude to allow for the client's development and
growth according to the client's needs and abilities.
What is Laura's Law - Answers A California state law that allows court-ordered assisted outpatient
treatment or forced anti-psychotics for a client with serious mental illness and a recent history of
psychiatric hospitalizations, jailing, or acts, threats or attempts of serious violent behavior towards self
or others.
What are the two oppositions to Laura's Law? - Answers 1. Negative effects of treatment: Tardive
dyskinesia, neuroleptic malignant syndrome, excessive weight gain, diabetes, addiction, increased risk of
suicide, etc.
2. Double standard of force treatment: "Forced treatment has a long abusive history. Reform laws in
1970s and 1980s took away the right from confining people against their will. Up to now this required a
judge's signature. Now the patient's voice has been silenced." John M Grohol, Psy.D.
What six items are covered in the informed consent? - Answers 1. Fees: amount, no shows, etc.
2. Confidentiality and exceptions
3. Length/purpose of session
4. Your credentials
5. Agency rules
6. Legal concerns
What are the nine exceptions to confidentiality? - Answers 1. Child/elder/dependent adult abuse
2. Duty to warn
3. Signed release of confidentiality
4. Client sues
5. Health insurance wanting a diagnosis
6. Supervision
7. FBI Patriot Act
8. HIPAA
9. Client is suicidal
What is covered in each title of HIPAA? - Answers Title 1:
Protecting health insurance coverage for people who lose/change jobs
, Title II:
Standardized forms
Unique ID numbers for each client
Security measure to protect confidentiality and data
According to the California case: Ewing v. Goldstein, what people may communicate to you a serious
threat from your client of physical violence against a reasonable victim? - Answers Family members can
communicate a serious threat by your client.
In California, what is the "duty to warn" now known as? - Answers Tarasoff/Ewing
When an individual is placed under a 5150 they are hospitalized for how many hours? - Answers 72
hours
When filing a child abuse report, within how many hours should the child abuse registry receive your
written report? - Answers 36 hours
When filing an elder abuse report, within how many hours should the registry receive your written
report? - Answers Two working days
What is an "Advance Directive"? - Answers Refers to oral/written instructions pertaining to client's
future medical care in the event they will become unable to speak for themselves.
What is a "Living Will"? - Answers Defines type of medical treatment someone wants at the end of their
life, and what medical intervention client doesn't want used.
What is a "Medical Power of Attorney"? - Answers A document that names the person who can make
decisions about medical care if someone is unable to do so.
What is the Ecological Model? - Answers A mode used to help case managers better understand how
their client affects their environment, and how the environment affects the client. (Generalist approach-
percieving the client on multilevels)
What are the 3 levels of the Ecological Model, and what does each level focus on? - Answers 1.Micro
Level: Client's personality, moods, physical health, early childhood experiences, motivation, etc.
2. Meso Level: Client's family, friends, school, work religious group, etc.
3. Macro Level: Larger society: government, economy, political system, social stratification, prejudice,
etc.
What does patience mean? - Answers Having the fortitude to allow for the client's development and
growth according to the client's needs and abilities.
