Medical and Psychosocial Aspects of Chronic Illness and Disability
CRC · 28 questions
- A client with a newly acquired spinal cord injury withdraws socially and expresses distress about body image and changed identity. What psychosocial aspect should the CRC primarily address?
- A family's cultural belief that disability is divine punishment leads them to avoid rehab appointments and hide the client's condition. How should the CRC respond?
- A client with a new spinal cord injury cycles through grief, anger, bargaining, and hope across weeks, then reorders those feelings when a job offer appears. How should the rehabilitation counselor treat classic stage models of psychosocial adjustment?
- A case note for a physician states a client has 'hemiplagia' after a stroke when strength is reduced but not absent on one side. Which correction best reflects accurate medical terminology?
- A hospital discharge summary lists longstanding hypertension separately from a new pressure injury that developed during the acute stay. For rehab planning, how should the counselor distinguish these labels?
- An MRI report notes a lumbar disc bulge. The client asks the counselor whether that finding alone means they cannot return to warehouse work. What is the counselor's best framing?
- Six months after a traumatic brain injury, a client's surgical scar has healed, but residual attention and memory deficits persist. What should drive job matching most?
- A client with relapsing-remitting multiple sclerosis has intermittent exacerbations that temporarily reduce stamina. How should vocational planning account for the medical course?
- Two clients need workplace communication access: one is Deaf and uses American Sign Language as a primary language; the other is hard of hearing and relies on amplified speech and captions. What accommodation distinction should the counselor emphasize?
- A job coach intensity plan treats a client with a specific learning disability the same as a client with an intellectual disability who needs ongoing instructional support for novel multi-step tasks. What is the counselor's best correction?
- A client starts a new neuropathic pain medication and becomes too sedated to perform safely on early morning shifts. What should the rehabilitation counselor do first regarding medication implications?
- A client takes prescribed benzodiazepines and is applying for a safety-sensitive forklift role. How should the counselor apply medication-implication judgment?
- Before job interviews, a client abruptly stops a prescribed psychotropic medication to 'feel normal,' then reports rising anxiety and sleep loss. What counseling focus best addresses the medication implication?
- A client who uses a wheelchair cannot transfer onto an exam table because the specialist clinic has no lift and the room is too narrow for the chair. What barrier type is primarily illustrated?
- A hiring manager tells a qualified applicant who uses a cane, 'We'll hire you out of kindness.' What should the counselor identify and address?
- Mandatory safety training is delivered only as an uncaptioned video. A hard-of-hearing employee cannot access the content. What barrier is this?
- Coworkers accuse a client with well-documented chronic pain of 'faking it' because the disability is not visible. What psychosocial issue should the counselor prioritize?
- A client with diabetes needs brief glucose checks and a private place to treat hypoglycemia during shifts. What workplace implication should guide counseling?
- After a burn injury, a client with visible scarring develops intense social anxiety about public-facing cashier work. What should the counselor target?
- A client with epilepsy is exploring commercial driving and heavy-machinery operator jobs. What medical-implication counseling is most appropriate?
- In a small town, a client with HIV hesitates to disclose at work because of feared gossip and job loss. What psychosocial/cultural focus fits best?
- A client takes prescribed opioids for chronic pain and faces an employer drug policy that may treat any opioid positive as disqualifying. How should the counselor navigate this medication implication?
- Architectural barriers prevent a wheelchair user from serving on a jury, and the client later reports lowered confidence about succeeding at work. What link should the counselor recognize?
- While educating a client about a degenerative neuromuscular condition, a counselor says the 'prognosis' is the name of the disease itself. What correction is accurate?
- A client recovering from cancer reports chemotherapy-related brain fog that disrupts memory for multi-step work tasks. What is the counselor's best application of medical aspects?
- A supervisor assumes a wheelchair user cannot supervise a team and blocks a promotion. What should the counselor primarily address?
- After long-term disability leave, a client says, 'I'm not a worker anymore—I don't know who I am.' What psychosocial counseling target is most indicated?
- A county VR counselor notices several clients abandon prescribed mobility aids within months. Which explanation best accounts for abandonment when the device itself works?