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and Answers Rated A+
CANS exam Study Guide Questions
and Answers Rated A+
Family Strengths: Carmen's parental rights have been terminated; she has no other known family members. - Ans 3 Interpersonal Skills: 4-year-old Mindy is very shy. It takes a lot of prompting for her to play with others. When prompted, she will attempt to play with the other children. - Ans 2 Optimism: 17-year-old Dante plans to go to medical school. He knows if he studies hard in his classes he can do it. - Ans 0 Educational Setting: 15-year-old Trumaine has recently returned home from a residential placement. No school has been identified for him at this time. - Ans 3 Vocational: Jamie is really good at fixing things. He does not want to fix things for a living, however, he wants to be a writer. - Ans 1 Talents/Interests: Sarah won the most valuable player award of her swim team and is team captain. - Ans 0 Spiritual/Religious: 17-year-old Tracy sings in the church choir and participates in many youth activities. She states that her beliefs give her comfort and that she prays when distressed. - Ans 0 Community Involvement: This past year, Jill became involved in community center activities including joining a soccer team. - Ans 1 Natural Supports: Natalie has neighbors who have helped her get a summer job for a few years. - Ans 1 Relationship Permanence: 12-year-old Natasha is living in her third foster home. Her permanency plan calls for her to live with her mother; her mother participates fully in supervised visitation. - Ans 2
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Child/Youth Involvement with Care: 9-year-old Ben is not knowledgeable of his needs. - Ans 3 Coping and Survival Skills: Don manages adversity quite well, but does not seem to have much fun. - Ans 1 Resiliency: Jen's caregiver has become interested in yoga and is starting to meditate when she is anxious or distressed. - Ans 1 Family Functioning: The family is managing well. - Ans 0 Living Situation: Nancy has the occasional fight at home with her parents; her parents are concerned about her behavior at home. - Ans 1 School/Day Care: A 13-year-old girl's school behavior has resulted in her being sent to see the school principal - Ans 2 Social Functioning: Terrance is socially withdrawn and isolated; he has minimal social interactions - Ans 3 Recreation/Play in Young Children: 5-year-old Patrick tends to cling to adults while other children play. When he does play, it is unimaginative. - Ans 3 Communication: Donnelle has selective mutism and refuses to speak. He also refuses to point to aid in communication. - Ans 3 Physical Health: Cailin has asthma. She is able to take part in gym class if she has her puffer. - Ans 1 Sleep: Reggie is a 16-year-old who stays out late on school nights and then sleeps during class. He often does not get a full night of sleep during the week. - Ans 2 Elimination: Monica doesn't like going to the bathroom in public places. She will hold it in if she has to. Her mother reported to the doctor that Monica complains of frequent stomachaches. - Ans 2
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Ans 2 Danger to Others: Bryan has been in several fights recently. In one fight last week, he broke the nose of another youth. - Ans 2 Sexual Aggression: Darrell has never been sexually aggressive. - Ans 0 Runaway: Carmen was arrested for violating her probation by running away from a court-ordered treatment program 2 days ago. - Ans 3 Delinquent Behavior: Sean has been staying out past his parents' curfew. He lives in a town with no legal curfew, but his parents are upset. - Ans 0 Fire Setting: 17-year-old Doris was caught carrying matches. She said she likes to listen to music by candle light which was confirmed by her parents. - Ans 0 Intentional Misbehavior: 16-year-old Lauren is always threatening to commit suicide so that she can be hospitalized and see her favorite therapist who works there. The therapist at the hospital knows that Lauren is not serious and Lauren is at risk of being banned from that hospital. - Ans 3 Bullying: Darnell is a member of a gang and has been involved in intimidating other youth using violence. - Ans 3 Medication Compliance: Brittany sometimes forgets to take her seizure medication, but remembers as soon as she sees the reminder she put on the fridge. - Ans 1 Psychosis (Thought Disorder): A 18 year-old boy tells you that he is hearing voices telling him to get a knife and stab his mother. - Ans 3 Depression: Trish is a 17-year-old girl who sometimes gets blue and a bit down on herself. She generally is able to 'snap herself out' of her funks, but sometimes needs support. - Ans 1 Anxiety: Martha has social anxiety that interferes with her making friends at school. - Ans 2
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Mania: Vicki has a history of manic behavior when she was younger but has since controlled it with medication. - Ans 1 Impulsivity/Hyperactivity: Edith sometimes behaves in a way that appears to be rash.
- Ans 1 Attention/Concentration: Denis is a 14-year-old with attention problems that interfere with his school work. - Ans 2 Oppositional Behavior: A 12-year-old boy talks back to his teachers and a few letters have been sent home about this problem. - Ans 1 Conduct: A 15-year-old has been arrested for vandalism and theft after stealing from a neighbor. - Ans 2 Anger Control: A 12-year-old boy destroys property and physically harms others when he becomes angry. - Ans 3 Substance Use: A young man is prostituting himself to pay for his growing drug habit. - Ans 3 Eating Disturbance: Quenzell refuses all food. He becomes aggressive when efforts are made to encourage him to eat. His weight has dropped so low that he has to be hospitalized. - Ans 3 Attachment Difficulties: A 9-year-old girl cries when her mother drops her off at school, but once her mother has left, she is fine for the rest of the school day. - Ans 1 Supervision: Melissa's foster parents are able to adequately watch her. - Ans 0 Involvement with Care: Ben's foster parents assertively involve themselves in all of his IEP meetings. They routinely contact teachers to ensure that they are following his IEP. - Ans 0 Knowledge of Child's Needs: Maria's parents are pretty good at understanding Maria's needs. Recently, Maria has been irritable and "sleepy." This has not raised concern in the parents as of yet. -
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Ans 3 Medical Health: 9-year-old Paula has leukemia and her doctors say that she might not live for more than one year. - Ans 3 Self-Injurious Behavior: 4-year-old Ryan has been banging his head repeatedly against the floor. His skull has begun to change shape because of this behavior and he has started to have painful headaches. - Ans 3 Aggressive Behavior: Oles is always hitting his dog; so far, his mother has been unable to get him to stop. - Ans 2 Intentional Misbehavior: When Suzy's parents have people over, Suzy will swear to get attention. - Ans 1 Sexually Reactive Behavior: Tom was abused by his foster dad and now engages in sexually inappropriate touching. - Ans 2 Bullying Others: Daryl is a 4-year-old who was recently disciplined for taking the toys of another child at day care. - Ans 2 Fire Setting: Michael is always playing with matches. - Ans 1 Flight Risk: Justin used to bolt from his mother's side in stores. He has not done this in 8 months. - Ans 1 Birth Weight: Ethel was born underweight. Her doctors fear that because of this she may suffer developmental delays. - Ans 2 Prenatal Care: Romanna's mom had only 5 doctor's visits when she was pregnant. - Ans 1 Labor and Delivery: Amber has cerebral palsy because she was deprived of oxygen when she was born. - Ans 3 Substance Exposure: Frank was born addicted to cocaine. - Ans 3
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Parent or Sibling Problems: Serge's mom is developmentally delayed. - Ans 3 Parental Availability: After Anthony was born, his mom was diagnosed with severe post-partum depression. - Ans 3 Motor: 5-year-old Tilden is unable to walk but can manage hand-related tasks. - Ans 2 Eating: Quenzell refuses all food. He becomes aggressive when efforts are made to encourage him to eat. His weight has dropped so low that he has to be hospitalized.
- Ans 3 Sensory Reactivity: Ashton is an 4-year-old with Fetal Alcohol Syndrome symptoms who is easily overwhelmed by too much sensory input and becomes unable to function. - Ans 3 Attachment Difficulties: An 4-year-old boy has lived in three foster homes in the past year. His foster parents feel like they cannot make a connection with him. The foster parents also feel that the boy cannot form attachments with anyone. - Ans 3 Emotional Control/Temperament: Terrance has persistent temper tantrums when he does not get what he wants. It is difficult to calm him down or re-direct him. - Ans 2 Failure to Thrive: Carmen was born early and was underweight for many months, but now she is in the normal range for weight. - Ans 1 Depression: Denise has shifting moods that are challenging for her foster parents at home. Most days it is hard for her to get out of bed in the morning and get ready for daycare, but other times she wakes up excited and ready to take on the day. - Ans 2 Anxiety: Martha has social anxiety that interferes with her making friends at school. - Ans 2 Atypical Behaviors: La'Quesha's mom and dad have noticed that La'Quesha will stare at lights for hours on end. They have to snap their fingers to get her to stop. - Ans 2 Impulsivity/Hyperactivity: Deonte has trouble waiting his turn; he often blurts out answers in class. During lunch time he is always getting time outs because he does not stay at his desk to eat. -
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Domestic Violence: 4-year-old Xena's parents fight all the time in front of her; sometimes, the fights get physical. Neither parent has ever needed medical attention as a result of these fights - Ans yes Parental Incarseration: Two months ago, Tina's father was arrested for breaking and entering; he was sent to prison. Tina has gone to visit him one time. - Ans yes Household Substance Exposure: A father becomes drunk and argumentative and conflict arises. No violence has occurred. - Ans yes Family History of Mental Illness: Paul's sister has been diagnosed with paranoid schizophrenia. - Ans yes Disruption of Caregiving: When 15-year-old Sara was 3 years old, she was removed from her parents' home and placed with her grandparents where she has been ever since. - Ans yes Adjustment to Trauma: A 17-year-old girl was mugged late one night. She is now afraid to walk the streets at night time. Sometimes she has nightmares about the mugging. - Ans 2 Traumatic Grief/Separation: Sammy has never experienced grief. - Ans 0 Re-Experiencing: After years of sexual abuse, Joshua has started to re-enact his sexual abuse on younger children. - Ans 3 School Behavior: An 8-year-old boy repeatedly talks out of turn in class. - Ans 1 School Achievement: A 13-year-old boy is failing all of his classes and is at risk of not being promoted to the next grade. - Ans 3 School Attendance: Over the past couple of months, Tremont has missed a day of school every month. - Ans 1 Relationship with Teachers: Brenden respects his teachers but rarely talks to them, which interferes with his learning. - Ans 2
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Hypersexuality: Danielle is in a relationship but continues to seek out multiple sexual relationships. - Ans 2 Masturbation: Sometimes Jen masturbates in her bedroom, but her family is unaware. - Ans 0 Sexually Problematic Behavior: Bertha has no sexually problematic behaviors. - Ans 0 Knowledge of Sex: Mark hangs out with older boys in the neighborhood, and thus knows more about sex than most kids his age. - Ans 1 Choice of Relations: Tammy has been prostituting herself in order to brag to her friends about how many sexual partners she has been with. - Ans 3 Pregnancy and Child Bearing: Denise is a sophomore in high school. She is 4 months pregnant with her first child. She wants to keep the baby, but is not sure where she will live after the baby is born. Her mother says she can't help Denise. - Ans 2 Autism Spectrum: There is some evidence that Tammy has an Autism Spectrum Disorder but she is still high functioning in many areas. - Ans 1 Cognitive: Patricia has an IQ of 40. - Ans 3 Agitation: 15-year-old Maria reports feeling out of control of her emotions. She experiences rapid mood shifts and has an explosive temper. In times of stress, Maria will emotionally "explode" without being able to control herself. - Ans 3 Self-Stimulation: The smell of onions repulses David, making him shout and wring his hands. - Ans 1 Motor: 5-year-old Tilden is unable to walk but can manage hand-related tasks. - Ans 2 Developmental Delay: Francine achieved all developmental milestones. - Ans 0
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Secondary Gains from Anger: Olten constantly gets angry at his mother when she does not have dinner cooked for him at 5:00. She is now afraid to be late serving dinner. - Ans 3 Violent Thinking: Sometimes when Violet is mad she imagines punching her sister in the face. - Ans 1 Aware of Violence Potential: Paul and his friends are bullies. Whenever they get caught beating someone up, Paul admits he was involved but always says someone else made him do it. - Ans 2 Response to Consequences: Whenever Judith is violent, she accepts her punishment; however, she still has trouble identifying when she will be punished. - Ans 1 Commitment to Self Control: Tyler knows he has a problem with being violent. He has not decided if he wants to fix this problem or not. - Ans 2 Engagement in Treatment: Omar and his family are skeptical about going to an anger management therapist for Omar's anger issues. In the past, treatment has not worked for Omar. - Ans 2 Relationship: Vimul raped a girl last week and she had to go to the hospital because of how severely she was hurt. - Ans 3 Physical Force/Threat: Fred held his victim down and threatened to punch her during a physical attack. - Ans 2 Planning: Billy bought some duct tape at the store with the intention of using it on a random victim. - Ans 2 Age Differential: Brenda molested a 7-year-old girl yesterday. Brenda is 11-years- old. - Ans 2 Power Differential: 17-year-old Brian is dating Kylie, who is 12-years-old and in the 8th grade. They recently started to become sexually active. - Ans 1 Type of Sex Act: Pauline forced a younger boy to give her oral sex. -
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Ans 1 Response to Accusation: Corrina admits that she molested a young cousin, and says that "she wanted it," but she still feels bad for her behavior. - Ans 1 Temporal Consistency: James was molested last month. Since that incident, James has started displaying sexually abusive behavior. - Ans 1 History of Sexually Abusive Behaviors to Others: Lina was investigated last year for an incident that involved her sexually abusing her little brother. This was the only case of such behavior. - Ans 0 Severity of Sexual Abuse as Victim: Preston's mother suspected that Preston's father was molesting him. It has never been proven. - Ans 1 Success of Prior Treatment: Grace successfully completed residential therapy and is now back home with her parents. - Ans 2 Seriousness: Don was recently arrested for possession of cocaine. - Ans 2 History: For the past 2 years, Melinda has been engaging in criminal behavior; however, she has had periods of 3 months where she did not engage in any criminal behavior. - Ans 2 Arrests: Virginia has been arrested 3 times in the past month. - Ans 3 Planning: Caleb likes to hang around kids who are in a local gang known for their criminal behavior. - Ans 1 Community Safety: Jordan drives recklessly through the streets when he is intoxicated. - Ans 3 Legal Compliance: After Jerry skipped school and vandalized a local store, the court ordered him to attend school daily and also attend a treatment program to help with his truancy. Jerry has been attending school every day, but has failed to attend the treatment program. - Ans 2
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Duration of Use: 17-year-old Melissa never drank until last weekend when she went to a party with friends. She got drunk and her parents had to take her to the hospital.
- Ans 0 Stage of Recovery: 14-year-old Darnell says that he doesn't use substances despite multiple arrests for possession and suspensions for showing up to school high. - Ans 3 Peer Influences: 21-year-old Carmella recognizes that her drug use is bad for her but she is unwilling to change because all of her friends use drugs and she doesn't want to be left out. - Ans 2 Parental/Caregiver Influences: Trevor's caregiver drinks on a daily basis. His caregiver states she cannot fall asleep unless she has had a drink or two. - Ans 3 Environmental Influences: Carla's older brother engages in criminal behavior; sometimes he is home, but not often. - Ans 1 Hygiene & Self-Care/Daily Living Skills: Bronwyn's mom forgets to brush her teeth, but no one notices. - Ans 1 Cultural Stress: A family has recently arrived from Somalia and reports some initial difficulties adjusting to the American way of life. - Ans 1 Employment: A single father recently got laid off and is now unemployed. He has had good jobs in the past and hopes that he will be able to find a new one. - Ans 2 Educational Attainment: Brad's father wants to be a mechanic, but has yet to sign up for trade classes. - Ans 2 Legal: Stacey's mom and dad were recently arrested for drug dealing. If convicted they might be sentenced for a long prison term. - Ans 3 Motivation for Care: 9-year-old Erwin needs to take medication daily, but his parents usually forget and sometimes do not refill his prescriptions for more than one month. They think his medication is unnecessary and refuse to comply. - Ans 3 Financial Resources: Quinn's parents are able to financially provide for their family. -
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Ans 0 Transportation: A Mother requires transportation to get her daughter to her doctor's appointments once a week. She does not have a car and needs someone to teach her how to take the bus to her daughter's appointments. - Ans 1 Life Threatening: 9-year-old Paul has been given less than six months to live, according to doctors. - Ans 3 Chronicity: 8-year-old Samantha has juvenile diabetes. - Ans 3 Diagnostic Complexity: Damian has been in and out of the hospital for 2 years with odd symptoms. The doctors have been unable to diagnose him as of yet. - Ans 3 Emotional Response: 5-year-old Dustin appears to have adjusted better to his diagnosis of diabetes than either of his parents. He has been a calming influence on them. - Ans 0 Impairment Functioning: Samantha's broken leg has made it impossible for her to be in this year's school play. - Ans 2 Intensity of Treatment: Lavone is bed-bound and requires a feeding tube and an IV. - Ans 3 Organizational Complexity: Oliver's medical care is provided entirely by his pediatrician. - Ans 0 Family Stress: Martha's gluten intolerance is making it difficult for her family to decide what is and is not okay for Martha to eat. - Ans 2
