Unit quiz: Treatments, other people, and the whole case

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5 questions · 80% to pass · no timer. This quiz checks the lessons in this unit. These authored questions assess recognition and application of the taught distinctions, not professional qualification. You may review the lessons and retry. Repeat attempts reuse the question bank; a remembered answer is not proof of transfer to a new situation.

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Question 1

A fictional patient has taken a medication for two weeks and reports that one symptom has improved but another has not changed. A colleague proposes stopping it and switching. What is the most defensible next step?Review against the timescale documented for each target symptom, record benefit and burden including any side effect expected to persist, check adherence as the person reports it, and decide continuation at that review.Switch immediately, since partial improvement at two weeks indicates that the medication is not the right choice for this person.

Question 2

A fictional report states that a therapy produced g = 0.95 for depression and concludes that it is more effective than a therapy reported at g = 0.63. What is the flaw in the comparison?The flaw is that effect sizes cannot be pooled, because psychological therapies are not comparable to one another in principle.The two figures may have been measured against different comparators, since a waiting list control produced g = 0.95 while care as usual produced g = 0.63 for the same body of treatment trials.

Question 3

A fictional carer, who is the only person supporting a service user, reports that the person has been eating very little and has twice said there is no point going on. The person has not consented to any information being shared with the carer. What should happen?Receive and record the information, take it seriously as a reason to assess the person, and give no clinical details back while seeking consent for any future sharing and offering carer support.Tell the carer what the service plans to do, because the information the carer provided justifies reciprocal disclosure.

Question 4

A fictional family explains a young person's distress as a spiritual attack and asks the service to respect this. What is the appropriate use of cultural formulation material here?Record the spiritual explanation in the formulation and defer further assessment, because evaluating a culturally based account would impose an inappropriate external standard.Elicit and record the person's and family's own account, including the spiritual explanation, while continuing the ordinary risk and differential assessment, since the instrument is not a basis for diagnosis on its own.

Question 5

A fictional service user has been referred to four agencies and has appointments with each. The team considers the care integrated. What is still missing?A single accountable person and a plan naming roles and responsibilities, 24-hour contact information, a crisis plan with triggers and strategies, and a review interval.A fifth referral to a specialist team, since integration improves as more relevant disciplines contribute to the person's care.

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