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Quantum Units Education®

Effective Treatment for People in Homelessness Rehabilitation (Updated)

Vignette 1 - Juan

1. Building relationships with people who are homeless proceeds at their pace.

A. True

B. False

2. Which of the following is a helpful technique for counselors to use?

A. Nonclinical conversation is an important outreach tool.

B. Social conversation is an icebreaker and helps identify a person’s interests and needs.

C. Having clients imagine themselves in a desired situation can help identify what matters to them and the barriers to their goals.

D. All of the above.

3. All of the following apply to the Housing First model, except for:

A. The goals of Housing First are to end homelessness and promote client choice, recovery, and community integration.

B. Clients have their own lease or sublease and only risk eviction from their apartment for nonpayment of rent, creating unacceptable disturbances to neighbors, or other violations of a standard lease.

C. Refusal to engage in treatment precipitates a loss of housing.

D. Relapses to substance abuse or mental health crises are addressed by providing intensive treatment or facilitating admission to detoxification or the hospital to address the clinical crisis.

4. Although there are risks with using the technique “over-reflecting,” - such as provoking defensive anger - if presented with a nonconfrontational and supportive tone, even the most sensitive people will not respond negatively.

A. True

B. False

5. Housing First models generally require potential clients to spend a certain amount of time in a shelter prior to entering housing.

A. True

B. False

6. When summarizing, the counselors should:

A. Use the words and phrases the client has used, if possible.

B. Be as accurate as possible in restating what the client seems to be trying to say, trying to not exaggerate or minimize what the client has said.

C. Use phrases such as “What I am understanding is . . .” or “It seems that you’re saying . . .” and check with the client to see if your understanding is correct.

D. All of the above.

Vignette 2 - Francis

7. To engage people who are living on the street, outreach workers should do all of the following, except:

A. Observe from a distance to get a sense of what the person may need and how he or she is doing.

B. Approach respectfully. Ask to join the person at his/her bench, campsite, or other personal area.

C. Offer items that are solely for comfort.

D. Offer safety-related items that he or she appears to need.

8. All of the following apply to cognitive impairment, except for:

A. Cognitive impairment has a broad range of severity, from mild forgetfulness to full disorientation as to time, place, and person.

B. Cognitive impairment is always chronic.

C. Because thinking can become disordered or inefficient, cognitive difficulties can impair judgment by compromising a person’s ability to evaluate the risks and benefits of any choice.

D. The causes of cognitive impairment may result from a head injury, malnutrition, alcoholism, or acute physical illness.

9. Federally Qualified Health Centers are directed by a community-based board of directors and provide comprehensive primary health care regardless of a person’s ability to pay.

A. True

B. False

Vignette 3 - Roxanne

10. Which of the following is an appropriate way to intervene with a client who is being disruptive in a public place?

A. Speak calmly and firmly, and give simple instructions.

B. Have the client remain seated in the public place.

C. Agree to requests, even if unrealistic, to help calm the client.

D. All of the above are appropriate ways to intervene with a client who is being disruptive in a public place.

11. Which of the following is a strategy a counselor could use to identify the most pressing issues and help the client stay focused on those issues?

A. Assessing and prioritizing problems to address.

B. Considering which problems, if effectively addressed, will ease the pressure of or resolve other problems.

C. Deciding how complex problems can be broken down into several less complicated problems that can be addressed.

D. All of the above.

12. In order to keep a client with many demands or problems focused, counselors should do each of the following, except for:

A. Limit session length at the outset.

B. Be firm and rigid.

C. Create a list of the client’s priorities to help maintain focus on treatment goals.

D. Set goals that are realistic and can be accomplished in a timely manner.

13. One key strategy of trauma-informed care is:

A. Empowerment

B. Empathy

C. Understanding

D. Cooperation

14. All of the following apply to contingency management, except for:

A. Contingency management is often used in concert with cognitive-behavioral therapy.

B. Contingency management is generally implemented with just one client at a time.

C. Contingency management reinforces positive behaviors toward treatment goals by rewarding the client with vouchers for items that most people would like.

D. Rewards need to be tied to specific, identifiable, clearly measurable goals.

15. Some clients may not need written cues, but when _____ is an issue for clients, it is a good idea to put agreements in writing.

A. Structure

B. Ability to remember details

C. Either or both (A) and (B)

D. None of the above

Vignette 4 - Troy

16. A key treatment effort in early recovery is to help clients:

A. Increase self-esteem.

B. Improve self-confidence.

C. Learn to evaluate the impact of their actions before they act.

D. All of the above.

17. Taking time to gather more information and develop rapport with the client before working on the problems the client and counselor have identified decreases client resistance to change.

A. True

B. False

18. When working with a client who is overwhelmed, the counselor should do all of the following, except:

A. Make the sessions longer so that the client has time to sort through their thoughts.

B. Don’t overload the client with information or tasks.

C. Speak in simple, short sentences.

D. Offer to take a break or offer water to help the client be able to continue and feel understood.

19. Eligibility for participation in Section 8 housing is determined by the household’s gross income, which generally may not exceed 30% of the median income of the county in which the family resides.

A. True

B. False

20. Involvement in drug-related or violent criminal activity is grounds for loss of Section 8 housing.

A. True

B. False

21. If a client has cognitive problems and is late or misses an appointment, the counselor should do all of the following, except:

A. Ask him or her to explain the tardiness.

B. Schedule another appointment.

C. Take the client into their office to negotiate.

D. Offer an appointment card to be kept in a wallet, or suggest putting it on the refrigerator.

22. In situations when a counselor must rapidly change gears and abridge the content of the session, it is necessary to select simple priorities that can be accomplished in the time allowed.

A. True

B. False

23. The counselor should promise outcomes, even if they are out of their control, if it helps the client get the services they need.

A. True

B. False

24. When giving a client assignments, it is useful to:

A. Make sure the tasks are attainable in the time period of the assignment and, to the extent possible, can be repeated several times during the assignment period.

B. Try not to overload the client with too much to do, so the task does not seem overwhelming.

C. Make tasks behaviorally specific and measurable, a “to-do” rather than a “not-to-do” list.

D. All of the above.

25. Brief strategic family therapy considers adolescent symptomatology to be rooted in all of the following, except for:

A. Traumatic events during early childhood

B. Maladaptive family interactions

C. Inappropriate family alliances

D. Overly rigid or permeable family boundaries

Vignette 5 - Rene

26. When introducing role-playing for the first time, the counselor should expect that the client may feel silly or uncomfortable, and should reinforce communication of this discomfort and provide an explanation for the purpose of the role-play.

A. True

B. False

27. Long, repetitive role-plays work best.

A. True

B. False

Vignette 6 - Mikki

28. Which of the following is an effect of homelessness on children?

A. The effects of homelessness influence physical growth, emotional and behavioral development, academic performance, and interpersonal and social skills development.

B. Homelessness for children occurs most often in the context of other dynamics such as the potential for violence, poverty, living with recurring crises, inadequate nutrition, and family breakup.

C. Children in families that are homeless are at particular risk for trauma and developmental and behavioral disorders.

D. All of the above.

29. Transitional supportive housing is likely to be an appropriate choice for individuals who face long-term rehabilitation from homelessness and have co-occurring behavioral health or physical disabilities.

A. True

B. False

Vignette 7 - Sammy

30. All of the following are principles of ACT, except for:

A. The ACT team is not the primary provider of services.

B. Services are highly individualized.

C. ACT teams act assertively to encourage clients to participate in recovery.

D. Services are provided over a long term.

31. The counselor needs to know how housing is approved or pre approved for supportive housing programs.

A. True

B. False

32. Most programs do not have Housing Quality Standards criteria that must be met.

A. True

B. False

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