Pertaining to the intake item of “chief complaint,” it is essential to record:
a. Why the client called but only in general terms
b. The specific catalyst for the call
c. How the client obtained the contact details for the agency (if self-referred) plus the
complaint itself
d. Why the client decided to call now
Which of the following is considered an appropriate note following a contact?
a. Stanley exhibited a highly repressed demeanor. Additionally, he appears to be
exhibiting both transference and projection of anger. He appears to be decompensating.
b. Stanley appears to be fitting in well with the disabled people with whom he is
working. He expressed a high degree of satisfaction and pride.
c. Stanley seemed discouraged, stating to me, I feel like less of a person than the other
workers. His level of self-esteem appears to be low.
d. Stanley appears to be goal oriented. He is dressing professionally and adapting well
to a work environment. He now stands straighter and makes frequent eye contact.