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Peer Certification 108 Study Set Review
Questions
Choose the example of an open-ended question. A.Do you feel that disclosing can benefit others? B. What are some of the benefits of disclosing? C.Would you ever employ any of the strategies they used? D.Did you like the way the organization presented the tool of disclosing? - ✔ ✔ B. What are some of the benefits of disclosing? Compassion fatigue (also called vicarious trauma) is... A.Taking on the extreme stress or trauma of those we serve. B.Having compassion for those who are fatigued C.Experiencing extra fatigue D.Being overly compassionate for those being served - ✔ ✔ A.Taking on the extreme stress or trauma of those we serve. Confidentiality - ✔ ✔ Respect the rights, dignity, privacy, and confidentiality of persons engaging in services at all times., Cultural humility involves... A.Knowing everything there is to know about people from a particular ethnic or racial group. B. Entering a relationship with another person with the intention of honoring their beliefs, customs, and values. C. Avoiding discussions of culture as it may offend someone. D.Identifying someone's implicit biases. - ✔ ✔ B. Entering a relationship with another person with the intention of honoring their beliefs, customs, and values.
A consumer expressed feeling overwhelmed with the requirements of their probation officer and service providers. How can a Peer Support Specialist assist the consumer with navigating the expectations?
A.Help the consumer arrange a meeting with both parties to discuss their viewpoint. B.Develop a plan with the consumer on how they could manage multiple tasks. C.Encourage the consumer to use a calendar to manage their appointments. D.Offer to set up a meeting to speak with the providers on behalf of the consumer. - ✔ ✔ A.Help the consumer arrange a meeting with both parties to discuss their viewpoint. A consumer expresses they want to give the Peer Support Specialist a gift to show their appreciation for the help they have received. How would the Peer Support Specialist respond? A.Thank the consumer for their thoughtfulness before declining the gift. B.Accept the gift C.Tell the consumer that is unnecessary since they are just doing their job. D.Ask the consumer to instead consider donating to a relevant charity. - ✔ ✔ A.Thank the consumer for their thoughtfulness before declining the gift. A consumer has been spending the last few weeks joking around and not taking group seriously. How would the Peer Support Specialist support the consumer? A.Request the consumer attend a different group. B.Tell the consumer this is not a laughing matter. C. Continue to stay focused on the person's recovery goals. D.Encourage the consumer to look into why they are disrupting the group. - ✔ ✔ C. Continue to stay focused on the person's recovery goals. A consumer is frustrated because several different service providers are not communicating well when it comes to their care. How can the Peer Support Specialist support this consumer? A. Communicate with each of the service providers on behalf of the consumer and take notes B.Write a formal complaint to management on behalf of the consumer C.Advise the consumer to change their therapist and psychiatrist. D.Encourage the consumer to request a team meeting so all staff can connect. - ✔ ✔ D.Encourage the consumer to request a team meeting so all staff can connect. A consumer mentions a topic that is unfamiliar to the Peer Support Specialist. The Peer Support Specialist asks their team members for clarity on the topic, but the team members are also unfamiliar with the topic. What is the next action the Peer Support Specialist would take?
A consumer with a mood disorder tells the Peer Support Specialist they are starting to experience symptoms of an oncoming manic episode. What action would the Peer Support Specialist take to support the consumer? A.Call the consumer's family for additional support. B.Share what medications worked for the Peer Support Specialist. C.Ask the consumer to think about what may be causing them to feel that way. D.Advise consumer to speak to their doctor. - ✔ ✔ D.Advise consumer to speak to their doctor. A consumer would like to support a neighborhood rally but has anxiety about attending. They believe their anxiety would not be an issue if they are accompanied by their Peer Support Specialist. What action would the Peer Support Specialist take? A.Speak to their supervisor about the situation B.Inform the consumer it would be a conflict of interest to go with them. C.Suggest that the consumer avoid anxiety-producing situations. D.Participate in the activity as requested by the consumer, if it is part of Peer Specialist's job. - ✔ ✔ D.Participate in the activity as requested by the consumer, if it is part of Peer Specialist's job. A Peer Support Specialist can fight the stigma around suicide by... A.Making flippant remarks like, "If I'm late to the wedding, I'm so dead." B.Avoiding the phrase "commit suicide," which makes it sound like committing a crime. C.Making jokes about suicide. - ✔ ✔ B.Avoiding the phrase "commit suicide," which makes it sound like committing a crime. A Peer Support Specialist is meeting with a consumer's care team to discuss the consumer's failure to follow-through on their treatment goals. What action would the Peer Support Specialist take to support the consumer? A.Take detailed notes to relay the comments to the consumer during the next peer support session. B.Attend the meeting without contributing to the conversation since there is no peer support update. C. Ask each member of the care team what they have been doing to help the consumer achieve their goals D.Provide the care team with an update on what steps the consumer has taken since the last team meeting. - ✔ ✔ D. Provide the care team with an update on what steps the consumer has taken since the last team meeting.
A Peer Support Specialist is supporting a person who recently got in an argument. The person described how hard it is to communicate angry feeling. In the past he had lost jobs because of his anger, and once even punched a wall. The Peer Support Specialist said that he had struggled with anger as well, and praised the person for handling the argument calmly. What kind of approach did the Peer Support Specialist use? A. The Peer Support Specialist used the Elicit-Provide-Elicit tool of Motivational Interviewing B.The Peer Support Specialist listened, disclosed their experience and pointed out the person's recovery. C. The Peer Support Specialist created a recovery plan. D.The Peer Support Specialist recognized that the person's anger was out of control. - ✔ ✔ B.The Peer Support Specialist listened, disclosed their experience and pointed out the person's recovery. A Peer Support Specialist is supporting someone who confides that they are sick and tired of going in and out of the hospital. The Peer Support Specialist can... A.Make sure they are taking their medication B.Encourage acceptance so the person's expectations don't get too high C. Explore options with the person, including discussing possible barriers to their goal of staying out of the hospital D. Tell the person what to do. - ✔ ✔ C. Explore options with the person, including discussing possible barriers to their goal of staying out of the hospital A Peer Support Specialist is supporting someone who says that they have been to rehab three times already, and it hasn't worked, and they are fed up. The Peer Support Specialist can... A.Refer them to their therapist B. Disclose the ups and downs of their own recovery journey, and emphasize that there are many ways to recover. C.Explain that rehab is the only way to achieve sobriety. - ✔ ✔ B. Disclose the ups and downs of their own recovery journey, and emphasize that there are many ways to recover. A Peer Support Specialist is working with a consumer with severe mental health issues who has been in inpatient treatment for several months. Prior to a treatment team meeting, the consumer says to the Peer Support Specialist, "I don't know why I'm even going. They are just going to keep me here anyway." Which action would the Peer Support Specialist take to encourage self-advocacy? A. Model an effective action by sharing a time when the Peer Support Specialist assertively communicated their own needs and desires.
A.Refer them to mental health treatment B.Tell them that they shouldn't feel that way as many people enjoy their company C.Involve them in personally meaningful activities where they feel like they matter D.Invite them to the Peer Support Specialist's church - ✔ ✔ C.Involve them in personally meaningful activities where they feel like they matter A person receiving support tells a Peer Support Specialist they are feeling discouraged due to a recent relapse. The Peer Support Specialist can inspire hope by... A. Disclosing their own experience with setbacks in their recovery B.Advising the person to call their sponsor the next time they are in "relapse mode" C.Directing the person to do a moral inventory D.Letting them know they wouldn't have relapsed if they had more will power - ✔ ✔ A. Disclosing their own experience with setbacks in their recovery A person receiving support tells a Peer Support Specialist they just attended their first support group for sobriety. The Peer Support Specialist can respond by... A.Stating that they cannot relate because they have never experienced addiction B.Telling their whole recovery journey, including the darkest moments C.Acknowledging that they know what it is like to find a group of people who understand D. Offering to sponsor the person - ✔ ✔ C. Acknowledging that they know what it is like to find a group of people who understand A psychiatric or mental health advance directive (PAD) is a legal tool that... A.negates the individual's rights to tend to practical life matters, such as child care and contacting an employer. B.withdraws the individual's rights to choose their care in advance of a crisis C.few in the mental health profession take seriously. D.allows a person with mental health condition to state their preferences for treatment in advance of a crisis. - ✔ ✔ D.allows a person with mental health condition to state their preferences for treatment in advance of a crisis. A trauma survivor experienced so much anger and fear that he wondered if his life was worth living. A Peer Support Specialist responded by...
A.Avoiding the topic so as to discourage possible suicidal thoughts. B.Stating that trauma is a very common experience. C.Listening, helping him exploring his options, and following his organization's protocols for supporting people in crisis. D.Call 911 as the person is suicidal. - ✔ ✔ C.Listening, helping him exploring his options, and following his organization's protocols for supporting people in crisis. A trauma-informed environment is... A.An environment in which every participant must take medication B.A quiet environment in which people are welcome if they can follow the rules and avoid pushing others away C. A welcoming non-judgmental environment where people can consider new coping strategies D.A spiritual setting where incense and candles are burned - ✔ ✔ C. A welcoming non-judgmental environment where people can consider new coping strategies Activation" of whole health goals means... A.A person creates and follows through on a plan to develop new healthy habits to achieve goals related to their well-being B.Creating a schedule for yoga and meditation C.Writing down health goals D.Actively listening to someone talk about their health - ✔ ✔ A.A person creates and follows through on a plan to develop new healthy habits to achieve goals related to their well-being After talking to someone about suicide, a Peer Support Specialist should... A.Take care of themselves by debriefing with their supervisor, reaching out for support, and doing whatever activities they find nurturing, such as connecting with supportive friends, attending a meeting, exercise or meditation.. B.Brush it off as all in a day's work. C.Tell everyone at work what happened. Feedback - ✔ ✔ A.Take care of themselves by debriefing with their supervisor, reaching out for support, and doing whatever activities they find nurturing, such as connecting with supportive friends, attending a meeting, exercise or meditation.
C.When employees leave for another job D.When people prefer not to work with a certain supervisor - ✔ ✔ A.When stresses at work becoming overwhelming Define trauma. A.Psychic injury caused by the wrong kind of mental health treatment B.The response when people have a sense of control C.The response people have to healing environments D.Extreme stress brought on by shocking or unexpected circumstances or events that overwhelm a person's ability to cope - ✔ ✔ D.Extreme stress brought on by shocking or unexpected circumstances or events that overwhelm a person's ability to cope Dual relationships (also known as "multiple relationships"), refer to a situation in which multiple roles exist between a Peer Support Specialist and someone they serve. For example, when a person being served is also a friend or family member, it is considered a dual relationship and there is a potential for harm to the person being served. Is it a dual relationship when a Peer Support Specialist? A.Accompanies someone to a 12-step meeting B.Calls someone to express condolences after a death in the family C.Is providing peer support to someone that they used to be romantically involved with - ✔ ✔ C.Is providing peer support to someone that they used to be romantically involved with Elicit-Provide-Elicit. - ✔ ✔ Elicit—Ask permission to give information, or ask which information the person is asking for.· "Would it be alright if I tell you about a few self-help support groups that have worked for other people?'· "Would you like to know about....?"· "What would you like to know about....?"
- Provide information· Focus on what the person most wants or needs to know· Present information clearly and in manageable amounts· Emphasize it's their choice. Avoid the words "must" "can't" or "have to"· Disclose in ways that demonstrate options
- Elicit - Check back in to see how they understand or respond to the information.· "So what do you make of that?"· "Have I been clear so far?"· "Does that makes sense to you?"· Could also be a reflection, such as "You look puzzled." Every night as the peer center closes, there is tension and arguments as people pack up their things. How can the Peer Support Specialist prepare for this recurring situation? A.Post a large sign stating the center's hours of operation
B.Ignore the situation and close late every night. C.Make sure everyone knows the center's schedule; announce closing time 45 minutes previous; offer to help people with their things; let everyone know they are welcome back the next day. D.Single out the people who are dragging their feet and give them a warning. - ✔ ✔ C.Make sure everyone knows the center's schedule; announce closing time 45 minutes previous; offer to help people with their things; let everyone know they are welcome back the next day. HIPAA stands for... A.Health Insurance Planning Activity Act B.Health Information Perspective Protection Act C.Healthy Integrated Preferences and Assessment Act D.US Health Insurance Portability and Accountability Act - ✔ ✔ D.US Health Insurance Portability and Accountability Act How should the Family Peer Support Specialist connect parents to other parents with similar concerns? A.Invite them to attend another family's team meeting B.Suggest they attend a PTA meeting C.Give the parents a list of names and phone numbers of other parents at the agency D.Invite the parent to an educational event or support group so they can meet other parents - ✔ ✔ D.Invite the parent to an educational event or support group so they can meet other parents How would a Family Peer Support Specialist begin to assist a family in identifying informal supports to plan for wellness? A.Help the family identify existing services B.Ask the family who they talk to when they need help C. Offer the family a local resource directory D.Tell the family who they need to talk with - ✔ ✔ B.Ask the family who they talk to when they need help Identify the questions which are examples of the Motivational Interviewing tool "Elicit" (of "Elicit- Provide-Elicit") A."Why is this so hard for you?"
A. People discover and write down their goals and dreams. B. A person's recovery plan must be aligned with the Peer Support Specialist's beliefs, opinions and preferences. C. Developing a written plan is unnecessary. D. The focus is on the clinical treatment plan. - ✔ ✔ A. People discover and write down their goals and dreams. In the process of conducting outreach activities in a specific community, the Family Peer Support Specialist learns that there are many families that could benefit from services, but who are not accessing them due to cultural and spiritual beliefs. Which of the following is one way a Family Peer Support Specialist can work to better support families? A.Brainstorm with staff about how to get families to come to the agency for help to serve as an indicator of a family's readiness for assistance B.Convene a work group of professionals to address how to change the community's cultural or spiritual practices that are preventing families from seeking assistance C.Educate families about their implicit bias D.Increase cultural competence by participating in neighborhood activities (health fairs, celebrations, etc), getting to know families, and networking with community leaders - ✔ ✔ D.Increase cultural competence by participating in neighborhood activities (health fairs, celebrations, etc), getting to know families, and networking with community leaders It would be unethical for a Peer Support Specialist to... A.Greet someone to whom they are providing services in a friendly manner. B.Support people who decline treatment. C.Give their work cell phone number to someone to whom they are providing support. D.Become romantically involved with someone to whom they are providing support. - ✔ ✔ D.Become romantically involved with someone to whom they are providing support. Many peer interventions, such as the 12-step group Alcoholics Anonymous, were successful because... A.they forced incorrigible drinkers to stop drinking B.they provided an affordable alternative to lengthy hospital stays C.they were designed by experts using scientific research
D.people with the same concerns gave one another peer support - ✔ ✔ D.people with the same concerns gave one another peer support Person-driven - ✔ ✔ Focus on self-determination, as defined by the person engaging in services, and support the person's participation in their own recovery, Professional development is... A.An opportunity for experienced peers to train others. B.An ongoing process to update skills and knowledge. C.Usually required as part of supervision. D.Highly recommended for all new peers. - ✔ ✔ B.An ongoing process to update skills and knowledge. Protected health information (PHI), which is covered by HIPAA, includes... A.Any information about health status, provision of health care, or payment for health care that can be linked to a specific individual B.A comprehensive wellness plan, including health goals C.Any health-related browsing history or cookies in a person's web browser D.Any information about an individual's possessions - ✔ ✔ A.Any information about health status, provision of health care, or payment for health care that can be linked to a specific individual Someone tells a Peer Support Specialist that they have a lot of situational stress that is not a result of their diagnosis. What action would the Peer Support Specialist take in supporting the consumer? A. Advise the consumer of stronger anxiety medication options to try. B. Tell the consumer that it is natural to feel that way from time to time and it is best to put their focus elsewhere. C.Collaborate with the consumer to develop a wellness plan to address their concerns. D.Tell the consumer the only solution is to advocate for legislative change. - ✔ ✔ C.Collaborate with the consumer to develop a wellness plan to address their concerns. Structural racism... A.Impacts health and recovery outcomes for people of color B. Is another term for "red-lining" in the housing market
D.A Psychiatric Advance Directive is intended to focus on someone's preferences in a psychiatric setting, whereas a Wellness Action Recovery Plan can address anything that's important to the person who creates it - ✔ ✔ D.A Psychiatric Advance Directive is intended to focus on someone's preferences in a psychiatric setting, whereas a Wellness Action Recovery Plan can address anything that's important to the person who creates it The Motivational Interviewing OARS tools help build trust, as well as encourage change. The OARS acronym stands for: A.Observations, Acceptance, Relating, Support B.Openness, Activation, Relapse-Prevention, Success C. Open-ended questions, Affirmations, Reflections/ Reflective listening, Summaries D. Open-mindedness, Awareness, Rebuilding, Serenity - ✔ ✔ C. Open-ended questions, Affirmations, Reflections/ Reflective listening, Summaries The Olmstead decision stated that people with disabilities... AShould live in the most affordable environments available. B.Should have choices when it comes to food, housing, and modes of transportation. C.Have a right to receive state-funded supports in the community, rather than in facilities. D.Should be placed in restrictive environments if they need extra supports. - ✔ ✔ C. Have a right to receive state-funded supports in the community, rather than in facilities. The Wellness Recovery Action Plan (WRAP®) includes: - ✔ ✔ 1. A list of things to do every day to stay as well as possible
- Upsetting events, early warning signs and signs that things have gotten much worse
- Wellness tools and action plans for responding to the signs that things are getting worse
- A crisis plan (which could include an psychiatric advanced directive, see below)
- A post-crisis plan Trauma-informed peer approaches - ✔ ✔ 1. Work at healing our own trauma so that we can support others.2. Assume that everyone has experienced trauma on some level. Use a trauma-informed approach with everyone.3. Educate all staff and people being served about trauma4. Ask "What happened to you?" rather than "What's wrong with you?"5. Seek to understand the meaning people make of their experiences6. Create a welcoming non-judgmental environment where people can consider new coping strategies7. Give people choices, safety, a voice and eliminate coercion8. Honor people's culture, background and individual needs9. Avoid doing harm (retraumatizing people)10. Find
ways to include people in community even when their behavior pushes others away11. Create predictability and consistency. People may interpret changes, even small ones, as a threat to their survival.12. Some people might not be ready to talk about their traumatizing experiences. People will talk about it when they are ready and feel safe.13. Be transparent--Let people know the limits of your role.14. Don't assume the people you work with know what peer support is: teach them, & they can offer each other peer support. Trauma, health disparities and social inequity tend to... A.Have little impact on behavioral health conditions. B.Make behavioral health conditions worse C.Be unrelated to social determinants of health D.Make behavioral health conditions improve - ✔ ✔ B.Make behavioral health conditions worse Two people at the drop-in center are in a heated argument over which radio station to listen to. They are beginning to threaten each other. How can the Peer Support Specialist de-escalate the situation? A.Separate them, support each person and involve them in the solution B.Call the police C.Tell them to take turns choosing the radio station D.Tell them to stop being so childish, it's only a radio station - ✔ ✔ A.Separate them, support each person and involve them in the solution What are some examples of skills which Peer Support Specialists need? A.Prescribing, analyzing B.Cognitive behavioral therapy, Gestalt therapy and meditation C.Drug testing, monitoring D.Goal-setting, listening, enhancing natural supports - ✔ ✔ D.Goal-setting, listening, enhancing natural supports What are some guiding principles of recovery as defined by SAMHSA? A.Recovery results from the treatment plan created and implemented by the treatment team B. Recovery stabilizes people through medication and cognitive-behavioral therapy C. Recovery emerges from hope, is person-driven, and occurs via many pathways
C. A mental health consumer who has been in therapy for a minimum of 1,550 hours with a history of continuous med compliance and no hospitalizations OR a recovering substance abuser with a minimum of 1,550 hours of continuous abstinence and regular meeting attendance with no relapses D. A worker who supports someone by providing medications, therapeutic care, or other treatment as necessary. - ✔ ✔ A. A person who has personally experienced and is in recovery from mental health or substance use issues, or who is the family member or parent of someone with mental health or substance use issues, and has formal training to support others in recovery. What best describes a person with co-occurring disorders? A.A person living with two physical illnesses B.A person who sees more than one health care provider C.A person living with both mental health and substance use issues D.A person who takes more than one type of medication - ✔ ✔ C.A person living with both mental health and substance use issues What does "harm reduction" do? - ✔ ✔ Reduces negative consequences associated with drug use rather than ignore or condemn· Affirms people who use drugs as the main agents in reducing the harm of their drug use· Establishes quality of individual and community life and well-being — not necessarily cessation of all drug use — as the criteria for successful interventions and policies· Recognizes that the realities of poverty, class, racism, social isolation, past trauma, sex-based discrimination, and other social inequalities affect both people's vulnerability to and capacity for effectively dealing with drug- related harm· Examples of harm reduction include needle exchange, reducing use, sobering centers, medication-assisted recovery and more. What does it mean to "person-centered?" A.requiring that a person stop drinking B. the person decides for themselves how important it is to change a behavior C.the program is focused on the person being supported D.focusing on self-care and what is best for me - ✔ ✔ C. the program is focused on the person being supported What does the Center for Medicare and Medicaid Services require for Peer Support Specialists to be able to bill Medi-Cal? A.Training/certification, ongoing continuing education, coordination within plan of care and supervision by mental health professional
B.Documentation proving their lived experience with mental health and/or substance abuse issues i.e. letter from a psychiatrist, graduation certificate from a drug treatment center, letter from a 12-Step sponsor, etc. C.Three letters of reference and proof of high school graduation D.Mastery of the latest therapeutic approaches - ✔ ✔ A.Training/certification, ongoing continuing education, coordination within plan of care and supervision by mental health professional What is a strategy for validating the experiences of parents? A.Give helpful advice as the parents share their experience B.Urge parents to seek mental health treatment C.When the parents share their experience, change the subject to something more important D.Actively listen as the parents share their experience - ✔ ✔ D.Actively listen as the parents share their experience What is helpful at the Action stage? A.Explain why they don't need to take action. B.Help them carry out their plan, provide praise and reinforcement, and continue to be a source of moral support. C. Tell them you can't believe they are finally taking action. D.Advise the participant of the likelihood of setbacks in the future - ✔ ✔ B.Help them carry out their plan, provide praise and reinforcement, and continue to be a source of moral support. What is helpful at the Pre-contemplation stage? A.Express caring, concern and desire for the person to have their best life B.Help the person carry out their plan. C.Create a relapse plan D. Set goals - ✔ ✔ A.Express caring, concern and desire for the person to have their best life What is recovery, according to the Substance Abuse Mental Health Services Administration (SAMHSA)? A. A return to a normal state of health, mind, or strength B.A series of growth changes which lead to remission of mental health symptoms and abstinence from substance use
