Chapter 15: Discharge Summary and Continuing Care

Test Bank

Multiple Choice

1. Research with physicians and airline pilots indicates that the best outcomes are gained when a case manager follows clients for ______ after treatment.

A. 12 weeks

B. 5 years

C. 90 days

D. 1 year

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Knowledge

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Easy

2. Most programs suggest clients continue to work the 12 steps after discharge, and ______.

A. most clients go to 90 meetings in 90 days

B. most clients get a sponsor immediately

C. most clients go to meetings regularly

D. some clients go to a couple of meetings then drop out

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Knowledge

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Easy

3. Per a longitudinal study of recovery airline pilots, the relapse rate falls to nearly zero after ______.

A. treatment

B. they commit to 12 steps

C. 5 years

D. 90 days

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Knowledge

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Easy

4. Post discharge, it is best if the client agrees to ______.

A. daily drug screens for the first 6 months

B. submitting a weekly 12-step log of all the meetings attended

C. gain a sponsor or advocate and have daily contact with them for the initial 90 days

D. a few simple painful consequences if recommendations are not followed or using begins again

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Knowledge

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Easy

5. Discharge planning begins at ______.

A. intake

B. admission

C. the first staffing

D. treatment plan review

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Knowledge

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Easy

6. The author references discharge criterion developed by the ______.

A. American Medical Association

B. American Psychiatric Association

C. American Society of Addiction Medicine

D. National Institute of Drug Abuse

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Comprehension

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Medium

7. Which of the following is a criterion for discharge from outpatient treatment?

A. intoxicated or in withdrawal

B. There is a complicating medical condition requiring treatment in another setting.

C. Medical issues have stabilized and can no longer be addressed in an outpatient setting.

D. The client denies the severity of their addiction.

Learning Objective: 15-2: Describe the outpatient discharge criteria.

Cognitive Domain: Comprehension

Answer Location: Outpatient Discharge Criteria

Difficulty Level: Medium

8. Which of the following is a criterion for discharge from inpatient treatment?

A. The patient meets criterion for a more intense level of treatment.

B. An emotional/behavioral problem exists that needs treatment in another setting.

C. The client does not meet any of the Level III continuing care dimensions.

D. The client is not in the required “stage of change.”

Learning Objective: 15-3: Identify when an inpatient is ready for discharge.

Cognitive Domain: Comprehension

Answer Location: Inpatient Discharge Criteria

Difficulty Level: Medium

9. The discharge summary must be entered into the client record ______.

A. at discharge

B. within 72 hr of discharge

C. upon the closure staffing

D. within 15 days of the physical discharge

Learning Objective: 15-4: Develop a discharge summary.

Cognitive Domain: Comprehension

Answer Location: How to Develop a Discharge Summary

Difficulty Level: Medium

10. The discharge summary must summarize which of the following?

A. initial assessment of the current condition and insignificant findings that still remain for the client to work on

B. recommendations for treatment on the primary diagnosis only

C. discharge orders for the primary and the secondary diagnosis

D. discharge orders for the primary, secondary, and the tertiary diagnosis

Learning Objective: 15-4: Develop a discharge summary.

Cognitive Domain: Comprehension

Answer Location: How to Develop a Discharge Summary

Difficulty Level: Medium

11. You should try to find ______ following treatment.

A. a group

B. aftercare

C. a halfway house

D. the least restrictive environment

Learning Objective: 15-4: Develop a discharge summary.

Cognitive Domain: Comprehension

Answer Location: How to Develop a Discharge Summary

Difficulty Level: Medium

12. If the client is still shaky and has complicating medical and/or emotional disorders, they would benefit from ______.

A. aftercare group

B. halfway house

C. inpatient treatment

D. continuing care

Learning Objective: 15-4: Develop a discharge summary.

Cognitive Domain: Comprehension

Answer Location: How to Develop a Discharge Summary

Difficulty Level: Medium

13. If a client may not be able to stay sober/clean between appointments and need additional support, they would benefit from ______.

A. aftercare group

B. halfway house

C. inpatient treatment

D. continuing care

Learning Objective: 15-4: Develop a discharge summary.

Cognitive Domain: Comprehension

Answer Location: How to Develop a Discharge Summary

Difficulty Level: Medium

14. Which clients should have some type of continuing care program?

A. only those with substantial triggers and cues for relapse

B. only those with unsupportive families

C. only those with supportive families and 12-step sponsors

D. any client who comes through treatment

Learning Objective: 15-4: Develop a discharge summary.

Cognitive Domain: Comprehension

Answer Location: How to Develop a Discharge Summary

Difficulty Level: Medium

15. Upon departure from treatment, clients will have ______ and need reinforcement and support.

A. urges

B. fears

C. mixed feelings

D. overconfidence

Learning Objective: 15-6: Understand the importance of saying goodbye.

Cognitive Domain: Knowledge

Answer Location: Saying Good-Bye

Difficulty Level: Easy

True/False

1. Most treatment agencies offer continuing care.

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Knowledge

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Easy

2. The more that people help and the fewer clients isolate, the more likely they will stay in recovery.

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Comprehension

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Medium

3. Clients should agree to painful consequences if not following their continuing care plan.

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Comprehension

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Medium

4. Clients are ready for discharge if they do not meet the criterion for substance dependence disorders.

Learning Objective: 15-2: Describe the outpatient discharge criteria.

Cognitive Domain: Comprehension

Answer Location: Outpatient Discharge Criteria

Difficulty Level: Medium

5. If clients depart “against medical advice,” a discharge summary is still required.

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Comprehension

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Medium

Short Answer

1. The book refers to the need for a 12-step sponsor, mentor, or coach. What is the role of this individual?

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Comprehension

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Medium

2. What are some different types of services that may be recommended post treatment? What is the purpose of each?

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Application

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Hard

3. The continuing care contract should be leveraged with some agreed upon “painful” consequences. What are some examples of a painful consequence? What is their purpose?

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Comprehension

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Medium

4. When should discharge planning begin? Why?

Learning Objective: 15-1: List the agreements in the discharge summary that are negotiated between the client and the continuing care manager.

Cognitive Domain: Analysis

Answer Location: Discharge Summary and Continuing Care

Difficulty Level: Medium

5. After the discharge summary is complete, who else should you write to or contact? Why?

Learning Objective: 15-5: Summarize the discharge summary.

Cognitive Domain: Comprehension

Answer Location: The Discharge Summary

Difficulty Level: Medium