Clinical Interviewing Test 1

Which of the following is true regarding clinical interviewing? A. Clinical interviewing involves an explicit agreement between parties for provision of services B. It is best to avoid being friendly towards clients, especially clients who are culturally different C. There really isn't much difference between a friendship relationship and a therapy relationship D. Clinical interviewing involves only behavior that would be considered appropriate under normal social circumstances E. None of these are true about clinical interviewing

A. Clinical interviewing involves an explicit agreement between parties for provision of services

The term invisibility syndrome refers to individuals from which minority group? A. African American B. White C. Hispanic D. American Indian E. Asian-American

A. African American

A main purpose of obtaining information during the body the interview is to: A. Assess the client's level of functioning B. Put the client at ease C. Develop a contract with the client D. Establish rapport E. All of the above

A. Assess the client's level of functioning

What are the two primary functions or goals of clinical interviewing? A. Testing and Assessment B. Assessment and Helping C. Case Formulation and Referral D. Listening and Talking E. Intervention and Disposition

A. Assessment and Helping

When your expert opinion conflicts with your client's perspective, it's good practice to: A. Defer to your client, at least initially B. Acknowledge the differences, but emphasize your expertise and authority C. Openly argue with your client D. Submit to your client for the duration of therapy E. Refer your client to another provider

A. Defer to your client, at least initially

Olin wants to offer reassurance to a client during the closing stage. Which statement is NOT recommended? A. Don't worry; I'm sure I can help you B. Many of my clients have concerns similar to yours, and they usually benefit from counseling C. It's natural for this to feel a bit uncomfortable or weird at the beginning of therapy D. Lots of people feel uncomfortable at first but it usually gets better as we get to know each other more E. These are all appropriate statements of reassurance

A. Don't worry; I'm sure I can help you

According to the authors, "having and holding a nonjudgemental attitude-toward all clients"-is: A. Impossible B. Required C. Realistic D. Only B and C E. None of the above

A. Impossible

Which of the following is true of fatalism? A. It is the belief that one cannot do much about one's fate B. It is irrelevant to counseling C. IT must be strongly challenged for counseling to be effective D. It absolves individuals of blame for traumatic circumstances that are out of their control E. All of the above are true

A. It is the belief that one cannot do much about one's fate

Which requirement should you follow when planning to record a session? A. Obtain the client's permission to do so before actually recording B. Clients must not know they are being recorded, as it will skew the interview C. Begin to record before clients arrive so that you have their permission on the recording D. Make sure you have obtained the client's permission after you have finished the recording of the session E. Recording clients is always unethical and sometimes illegal

A. Obtain the client's permission to do so before actually recording

Similar to personalismo, some African Americans refer to concepts of_______ A. Person to person connection B. Respect and reciprocity C. Learning about each other D. All of the above E. None of the above

A. Person to person connection

Who should be primarily in control of the physical surroundings during the interview? A. The interviewer with sensitivity to individual client needs B. The client should lead this C. The outside consultant D. It doesn't matter E. Usually neither interviewer nor client has nay influence over office settings

A. The interviewer with sensitivity to individual client needs

The clinical interview is considered: A. The most fundamental component of mental health training B. Exclusively an assessment interview C. An optional first-session experience D. Both a and b E. None of the above

A. The most fundamental component of mental health training

Which of the following is NOT true about Asian cultures? A. They are generally more egalitarian than other minority cultures B. Decisions that effect the family should be decided by the family rather than the individual C. Direct eye contact is sea as invasive and disrespectful D. All of the above are true E. None of the above are true

A. They are generally more egalitarian than other minority cultures

What do solution-focused therapists call clients who attend therapy only when coerced? A. Visitors to treatment B. Complainants C. Customers for change D. A pain in the backside E. Both A and D

A. Visitors to treatment

Which of the following would NOT be included in the closing stage of the intervention? A. Reassuring and supporting the client B. Applying a new intervention C. Summarizing crucial themes D. Guiding and empowering the client E. Instilling hope

B. Applying a new intervention

When unknowledgeable about relevant cultural information, therapists should: A. Feel free to ask their clients as much as they need to B. Be sensitive to the clients as much as they need to C. Never use clients as a source of information; use other sources exclusively D. Discretely contact the individual's family for answers and hope the client does not find out E. Both C and D

B. Be sensitive to the clients as much as they need to

In Asian cultures, what does filal piety refer to? A. Wealth being handed down to the first-born son B. Honoring and obeying those hierarchically above you C. Respecting the male members of the household D. A collectivist orientation E. None of the above is correct

B. Honoring and obeying those hierarchically above you

Which of the following is/are true about note taking during the clinical interview? A. Mental notes are acceptable but writing notes in the client's presence is distracting and should be avoided B. It should be done with the awareness that clients may ask to read what you've written C. It should be done discretely so clients cannot easily see what you've written D. None of the above are true E. Only A and C are true

B. It should be done with the awareness that clients may ask to read what you've written

Which of the following is/are true? A. All American Indians are highly spiritually oriented B. Many Native American cultures emphasize generosity and non-materialism C. Machismo is a central concept in American Indian culture D. A and B are true E. None of the above

B. Many Native American cultures emphasize generosity and non-materialism

When using the culturally-specific skill of dynamic sizing, a therapist is A. Comparing the differences between cultural groups B. Recognizing when group membership generalizations are appropriate and when they're not C. Knowing when to come to scientific conclusions about clients D. All of the above E. Only B and C

B. Recognizing when group membership generalizations are appropriate and when they are not

Foley and Sharif identified five important parts of a clinical interview; they include all of the following EXCEPT: A. Putting the client at ease B. Structuring and determining outcomes C. Eliciting information D. Maintaining rapport E. Bringing closure

B. Structuring and determining outcomes

Which organization has an extensive online guide to record keeping? A. The American Psychiatric Association B. The American Psychological Association C. The American Counseling Association D. The National Association of Social Workers E. None of the above

B. The American Psychological Association

Regardless of their theoretical orientation, what do almost all counselors and psychotherapists agree on? A. The need for a structured interviewing style B. The importance of developing a positive relationship with clients C. The importance of obtaining diagnostic information as soon as possible D. The need for the client to modify his or her worldview to fit the interviewer's perspective E. None of the above

B. The importance of developing a positive relationship with clients

The authors note that, "when done well, clinical assessment is or can be" A. Problematic B. Therapeutic C. Enigmatic D. Theoretical E. Pragmatic

B. Therapeutic

Which of the following is true about African American women? They believe a woman's place is in the home B. They occupy strong roles in the family C. They have little input in family decision-making D. They have a lower life-expectancy than African American males E. All of the above

B. They occupy strong roles in the familiy

Which of the following statements best describes Native Americans' beliefs about time? A. They view time in a linear fashion B. They're more oriented to the here and now than to the future C. They believe it is important to always arrive on time for appointments D. Their beliefs about time parallel those of the dominant white culture E. Both C and D

B. They're more oriented to the here and now than to the future

Which of the following IS TRUE regarding time management during a clinical interview? A. Boundaries are relatively loose and flexible according o the needs of the moment B. Time limits should be rather strictly adhered to except in emergencies C. If the client arrives early, then it's a good idea to start the session early D. It is appropriate to extend the session if you think that the client is on the verge of a breakthrough E. Time is relative

B. Time limits should be rather strictly adhered to except in emergencies

From a cognitive-behavioral perspective, collaborative goal setting is initiated when the therapist: A. Takes note of all the concerns the client mentions and then chooses one to focus on B. Works with the client to develop a problem list C. Therapist listens non-directively to the client in hopes that the client will identify the specific concerns he or she wants to work on D. Chooses a goal and then asks the client if s/he is okay with the selection E. None of the above

B. Work with the client to develop a problem list

Which of the following is a principle of multicultural competence? A. Self-awareness B. Cultural-knowledge C. Cultural specific expertise D. All of the above E. Only B and C

D. All of the above

In a clinical interview, the physical surrounding (e.g. the room): A. Is not an important factor B. Should provide privacy and freedom from distractions C. Is important and should be be underestimated D. Both A and B are true E. Both B and C are true

Both B and C are true

Which of the following statements is true regarding establishment of common goals during an interview? A. Client insight is often limited, so therapists should trust thier own insight B. Client's and interviewers usually have different and incompatible goals C. Client's perspectives should be valued because they are the experts on their issues D. If client and interviewer cannot establish common goals, the client should realign his or her goals to math those of the therapist E. Typically a consultant should be called in to help therapists & client agree on therapy goals

C. Client's perspectives should be valued because they are the experts on their issues

When scheduling the initial appointment with a client, therapists should: A. Arrange their schedule to fit that of the client B. Request that clients arrange their schedule to fit the interviewer C. Collaborative with the clients to find a suitable time D. Ask the client to drop by the office whenever the client is in the area E. Have the receptionist take care of this detail

C. Collaborative with the clients to find a suitable time

Maria is interviewing a new client who has deep religious faith. She should be sure to: A. Begin with a debate regarding her client's faith B. Ignore issues of spirituality or religion C. Disclose her own faith immediately D. Let the client know that faith is irrelevant to therapy E. None of the above

C. Disclose her own faith imeediately

What is the first skill interviewers should learn in order to conduct effective clinical interviews? A. How to focus on their own thoughts and feelings B. How to obtain diagnostic and assessment information about their clients C. How to quiet themselves and listen to clients D. How to build rapport with clients E. How to decide which shoes to wear for the first interview

C. How to quiet themselves and listen to clietns

According to Shea clinical interviews have an inherent sequence. The stages of this sequence include: A. Introduction, plot, and theme B. Theme, body, and termination C. Introduction, opening, body, closing, termination D. Opening, closing and theme E. None of the above

C. Introduction, opening, body closing, termination

Letting clients struggle with an unstructured opening may be important because: A. It allows you to evaluate their coping skills B. It allows clients to recover from a faltering start and demonstrate their ability to express themselves C. It allows you to see how much help clients need in expressing themselves D. All of the above E. None of the above-you should not let clients struggle

C. It allows you to see how much help clients need in expressing themselves

Which of the following is true about collaborative goal-setting? A. Although ideal, it doesn't occur very often because therapists and clients usually disagree on goals B. It hasn't been the subject of much empirical research C. IT's considered an evidence-based practice D. It's not conducive to effective problem-solving in therapy E. None of these

C. It's considered an evidence-based practice

1. Who originally designed a "semi-clinical" interview that included both tightly standardized questions and spontaneous questioning? A. Sigmund Freud B. Carl Rogers C. Jean Piaget D. Karen Homey E. Constance Fischer

C. Jean Piaget

Doorknob statement are usually described as: A. Statements made by clients as they enter the room B. Statements made by clients when they schedule the initial appointment C. Statements made by clients as they leave the room D. Statements made by clients that provide an insight or doorway to their unconscious conflicts E. Statements by clinicians as clients exit the room

C. Statements made by clients as they leave the room

How would Maria convey the Latino principle of personalismo during an interview? A. Express her own unique personality throughout the interview B. Using a vocal tone and gestures particular to the client's culture C. Talking in a casual and friendly way about commonalities between herself and the client D. By pointing out differences between herself and the client E. Both B and D

C. Talking in a casual and friendly way about commonalities between herself and the client

When should therapists begin using specific counseling or psychotherapy interventions? A. Once they have quieted themselves and listened to the client's communications B. Once they have developed a positive relationship with their clients C. Once they have identified their client's needs and therapy goals through diagnostic and assessment D. All of the above E. Only A and B

D. All of teh above

Confidential information may be disclosed in the following situation(s): A. You have the client's permission B. The client is suicidal and in danger of hurting himself or herself C. The client is homicidal or a threat to others D. All of the above E. None of the above. All information disclosed during an interview is confidential

D. All of the above

Multicultural humility includes which of the following? A. an other-orientation instead of a self-orientation B. Respect for others and their values/ways of being C. An attitude that includes a lack of superiority D. All of the above E. None of the above

D. All of the above

The ending or termination stage of the clinical interview includes which of the following issues? A. Being able to observe and evaluate the client's termination behavior B. Watching the clock to make sure there is enough time to terminate or schedule C. The realization that many clients find termination difficult D. All of the above E. None of the above

D. All of the above

The most important strong encouragement for working with individuals with disabilities is: A. Competence in working with people with disabilities B. Sufficient formal education and training related to persons with disabilities C. An open and accepting attitude D. All of the above E. Only A and B

D. All of the above

What are the main reasons why people seek mental health services? A. Personal Growth B. Subjective distress C. Someone is forcing the issue D. All of the above E. only A and B

D. All of the above

Which clinician behaviors are linked to the closing stage? A. Reassurance and support B. A revisiting of role induction C. Summarizing of crucial themes and issues D. All of the above E. Only A and B

D. All of the above

Which of the following are reasons a client and therapist may not agree on therapy goals? A. Poor client motivation B. Questionable therapist motives or insight C. Social-cultural differences D. All of the above E. None of the above

D. All of the above

Which of the following defines the Introduction Stage? A. It involves first contact B. It involves the first face-face meeting C. It includes initial rapport-building and putting clients at ease D. All of the above E. Only A and B

D. All of the above

Which of the following is a culture-specific skill essential for mental health professionals? A. Scientific mindedness B. Dynamic sizing C. Culture specific expertise D. All of the above E. Only A and B

D. All of the above

Which of the following is/are true about written informed consent? A. It helps educate clients about the therapy process B. It can give the client a more favorable impression of the interviewer's expertise C. It should be written in plain language, as opposed to professional jargon D. All of the above E. Only A and B are true

D. All of the above are true

Which of the following is the cross-disciplinary mantra for multicultural preparation A. Multicultural humility precedes multicultural competency B. Multicultural competency precedes multicultural humility D. Awareness-knowledge-skill advocacy E. We all share a common heritage

D. Awareness-knowledge-skill-advocacy

The authors consider it the therapist's professional responsibility to _____ client self-expression A. Limit B. Encourage C. Forbin D. Both A and B E. None of the above

D. Both A and B

Which of the following is NOT a way a therapist can show his/her sensitivity toward people with non-heterosexual orientations? A. LGBTQ-friendly pamphlets or literature in the waiting room/office B. Avoid using gender-specific words indicating the assumption of heterosexuality C. Ask general questions about romantic relationships or romance is general D. Encourage the client to come out to his/her family E. Use gentle exploration to learn more about the client's relationships and family issues

D. Encourage the client to come out to his/her family

Ricardo says that his main problem in his chemistry professor. He says that she makes his life miserable on purpose and if he could only change majors or get a different professor his life would be great. Ricardo could be described as a(n)____ client A. Self-blaming B. Resilient C. Internalizing D. Externalizing E. Verbose

D. Externalizing

Jessica is working with a young male client. She tends to wear tops that have low necklines and show cleavage. Her supervisor suggest that she avoid showing cleavage during her professional counseling sessions. How should Jessica respond? A. What Jessica wears is her own business B. Jessica should ask her young male client what he thinks C. Jessica should accuse her supervisor of sexual harassment D. Jessica should openly discuss the issue with her supervisor and consider modifying her clothing choices E. Both A and C are true

D. Jessica should openly discuss the issue with her supervisor and consider modifying her clothing choices

Maxwell likes to wear shorts when he does counseling. He has a boring conservative female supervisor who tells him to "dress it up." How should Maxwell respond? A. What Maxwell wears is his own business B. Maxwell should ask his clients what they think C. Maxwell should accuse his supervisor of sexual harassment D. Maxwell should openly discuss the issue with his supervisor and consider modifying his clothing choices E. Both A and C are true

D. Maxwell should openly discuss the issue with his supervisor and consider modifying his clothing choices

Charlar refers to: A. Respect B. Family relationships C. Closeness D. Small talk E. A personable friendly demeanor

D. Small talk

Clinical interviewing may also be known as ___ interview A. Intake B. Initial C. Psychiatric D. Diagnostic E. All of these types of Interviews

E. All

Putting the client at ease is an integral part of the therapist's job. Using small talk is one way to accomplish this. Safe and nonjudgmental subjects to talk about with adults include all of the following EXCEPT: A. Recent news events B. Sporting events C. Clothing they are wearing D. The weather E. All of the above are safe topics to broach with adults

E. All of the above are safe topics to broach with adults

During the introduction stage, clients should be informed of everything EXCEPT which of the following? A. The length of the session B. Your credentials C. The limits of confidentiality D. The purpose of the interview E. All of these are part of the introduction stage

E. All of these are part of the intruduction stage

Which of the following statements is most true about therapists' sexual attraction to clients? A. It's a sign of positive counter transference and should be explored directly with clients B. It's almost a universal phenomenon C. Saying to a client "I feel sexually attracted to you" is NOT recommended D. You should keep it to yourself and definitely not tell your supervisor E. Both B and C are true

E. Both B and C are true

You're taking notes and your client, Caitlin, asks if she can see them. What's your best option? A. Just say no B. Quickly stop taking notes and put them away C. Let her know that the notes are for your benefit and shouldn't mean anything to her D. Interpret her curiosity as paronia E. Let her see your notes

E. Let her see your notes

Which theoretical orientation views assessments and interventions as inseparable? A. Psychoanalytic B. Person-centered C. Solution-focused D. Cognitive-behavioral E. None of these

E. None of these

Ethical professional relationships include which of the following: A. Informed consent B. Compensation for services C. Minimal relationship boundaries D. All of the above E. Only A and B

E. Only A and B

Stereotyping is A. A natural, but inadvisable phenomenon B. Unavoidable C. Avoidable in all circumstances D. All of the above E. Only A and B

E. Only A and B

Miguel is working with a client who is very verbal. What might he try to control the client's verbal output? A. Use psycho-education B. Directly tell the client to be quiet C. Progressively ask more closed questions D. All of the above E. Only A and C

E. Only A and C

Which of the following might contribute to negative outcomes? A. When clinicians are overconfident B. When clinicians conduct reasonably thorough assessments C. When clinicians feel pressured to fix client's problems quickly D. All of the above E. Only A and C

E. Only A and C

Quieting yourself in an interview is important because A. It helps clients to open up and express themselves B. It allows you to focus more clearly on your own thoughts C. It allows you to listen well to the clients D. All of the above are correct E. Only A and C are correct

E. Only A and C are correct