Which of the following combinations of clinical presentations ...

[altibaby]

Which of the following combinations of clinical presentations constitutes the most compelling indication that a client may have been abused?
 
  1. Poor eye contact, depressed mood, unwillingness to give history data
  2. Multiple bruises and scars, low self-esteem
  3. Acting-out behaviors, disobedience, trouble with the law
  4. Sores around the mouth, brittle hair

Question 2

Which of the following would be considered a disadvantage of Assertive Community Treatment (ACT) programs?
 
  1. They are expensive, sophisticated programs.
  2. They include small interdisciplinary teams of staff members.
  3. They control access to resources such as housing and money.
  4. They reduce stress and burnout of individual case managers.

[nickk12214]

Answer to Question 1

2
Rationale: Physical abuse is the non-accidental use of physical force that results in bodily injury, pain, or impairment. Multiple bruises, scars at various levels of healing, and low self-esteem are signs that the client may have been subjected to physical abuse and humiliation. Acting-out behaviors are more consistent with antisocial personality disorder. Poor eye contact and other withdrawn behaviors are more consistent with a diagnosis of depression. Sores around the mouth may indicate an eating disorder.

Answer to Question 2

3
Rationale: ACT programs become actively and directly involved in many areas of the client's life and may control access to resources such as housing and money in return for adherence to medication and treatment programs through outpatient commitment. This paternalistic coercion into treatment interferes with the client's personal autonomy. ACT programs are expensive, sophisticated programs, making them difficult for some clients to afford; however, they are believed to be cost-effective because they offset still more expensive hospital episodes. Reduction of stress and burnout of individual case managers is achieved through the small interdisciplinary team management of cases and are advantages of ACT programs.

[altibaby]

Thank you

[nickk12214]

Happy to help you