Final COUN 5115
Approximately ____ of mental health practitioners now complete their records electronically. A : 78% B : 57% C : 23% D : 99%
78%
Which of the following statements would best describe the therapeutic relationship in collaborative therapy? A : A conversational partnership B : A directive relationship C : An empathic relationship D : A loving partnership
A : A conversational partnership
Which of the following statements most accurately reflects solution-focused therapies empirical support as an evidenced-based practice? A : Solution-based therapies have a steadily growing foundation of empirical support. B : Solution-based therapies cannot be measured because there are no predetermined goals. C : Solution-based therapies focus on the solutions, which makes it difficult for clients to remember their problems. D : Solution-based therapies have a steadily decreasing foundation of empirical support.
A : Solution-based therapies have a steadily growing foundation of empirical support.
When thinking of the client as expert in collaborative therapy, it may be helpful to think of the client as holding more expertise in the area of __________and the therapist as holding more expertise in the area of __________. A : process; content B : content; process C : stories; interventions D : interventions; stories
B : content; process
In the process of collaborative reflecting teams, the goal is to develop diverse strands of conversations so the client can choose those that resonate and those that do not. This is achieved by having the reflecting team: A : observe the client behind a one-way mirror and consult only with the therapist. B : discuss the client while offering multiple perspectives as the client listens. C : sit in the therapy room with the therapist and client throughout the session. D : offer their evaluation and diagnosis of the client while the client is listening.
B : discuss the client while offering multiple perspectives as the client listens.
A group of teenagers creates a subculture with different beauty standards, sexual norms, vocabulary, and friendship rules than are found in the adult culture. This would be known as: A : dominant discourse. B : local discourse. C : oppressive discourse. D : supportive discourse.
B : local discourse.
As the name suggests, solution-based therapists spend a minimal amount of time talking about __________ and instead focus on moving the client toward enacting solutions. A : family B : problems C : sadness D : dreams
B : problems
In dominant gendered discourses, that define how men and women should behave themselves, women are expected to: A : sacrifice more for relationships and assert more personal needs. B : sacrifice more for relationships and assert fewer personal needs. C : form a collaborative relationship. D : respect the cultural value of machismo.
B : sacrifice more for relationships and assert fewer personal needs.
Solution-based therapies are arguably the first and leading __________ therapies. A : short-term B : strength-based C : solution-oriented D : straight-laced
B : strength-based
When a collaborative therapist asks the client questions to better understand the clients perspective, or inquires whether the client believes the therapist is understanding what the client is saying, what type of stance is the therapist taking? A : An impasse stance B : A directive stance C : A curious stance D : A guiding stance
C : A curious stance
Sara is a solution-oriented therapist working with Bill and Gina (parents) and their two children, Jake (15) and Madison (9). The parents say Jake is increasingly hostile and wont listen to them. They feel like their family is falling apart. Jake refuses to participate in therapy. He says his parents are the ones with the problem and he doesnt think anything is wrong. Bill and Gina want Sara to have some individual sessions with Jake, saying they cant make a difference and that she needs to fix him. What category describes Bill and Ginas motivation for change? A : Customers B : Visionaries C : Complainants D : Visitors
C : Complainants
In solution-based therapies, what does it mean for the therapist to assume the position of a beginners mind? A : To meditate before bringing each client into session B : To start at the very beginning of a clients story C : To make no assumptions about a clients experiences D : To reflect a blank slate to the client
C : To make no assumptions about a clients experiences
Which of the following is an example of a presuppositional question? A : What are you going to do to resolve this issue? B : What do you do to contribute to the problem? C : What will you be doing differently once we resolve these issues? D : What will your life look like when you change problem?
C : What will you be doing differently once we resolve these issues?
The open dialogue approach relies primarily on ______ and ____ when working with psychosis patients. A : storytelling therapy; hero/heroine therapy B : subtle eye contact; active listening C : collaborative dialogue; reflecting practices D : remembering practices; externalizing conversations
C : collaborative dialogue; reflecting practices
Solution-based therapists believe __________ cannot be avoided in therapy; however, they are not considered curative. A : solutions B : strengths C : emotions D : problems
C : emotions
In narrative therapy, the process or intervention of separating the person from the problem is known as: A : deconstruction. B : mapping. C : externalization. D : scaffolding.
C : externalization.
In solution-based therapy, __________ is cultivated early in therapy to develop motivation and momentum. A : happiness B : helpfulness C : hope D : hallucinations
C : hope
When using scaling questions, it is up to __________ to identify realistic expectations and to develop specific homework tasks to move the client toward goals. A : the client B : the therapist C : the client and therapist D : none of these is correct
C : the client and therapist
A narrative therapist is working with a client. If the problem-saturated story does not play out in its typical way, it is noted by the therapist as: A : unique outcomes. B : sparkling events. C : unique outcomes and sparkling events. D : none of these is correct.
C : unique outcomes and sparkling events.
Steve de Shazer assessed client motivation for change using which three categories? A : Visitors, rejecters, and customers B : Travelers, complainants, and customers C : Visitors, complainants, and regulars D : Visitors, complainants, and customers
D : Visitors, complainants, and customers
Narrative therapy is based on what premise? A : We live in our dreams as if they are reality. B : We get stuck in the past. C : We project our past onto our future. D : We story and create meaning from life events.
D : We story and create meaning from life events.
Collaborative therapists invite clients to provide feedback about the therapeutic process. Which of the following does process NOT refer to? A : Who is in the therapy session B : The pacing of therapy C : The types of questions asked D : What needs to be talked about
D : What needs to be talked about
Which of the following is an example of how a solution-oriented therapist uses reflection to delimit? A : You were feeling down. B : Your partner always does things that annoy you. C : There is not anyone you are interested in right now. D : You did not feel understood by your mom yesterday.
D : You did not feel understood by your mom yesterday.
Meyer and Cottone (2013) note several ways that solution-based approaches are compatible with Native Americans. These include: A : the assumption that change is constant. B : an emphasis on honoring the clients preferred solution. C : an orientation of time to the present moment. D : all of these are correct.
D : all of these are correct.
Ericksonian therapists identify client strengths that are in the same class of solutions that relate to the presenting problem. This means the therapist is: A : carefully listening for other situations where the client is able to follow directions. B : carefully listening for other situations where the client is hopeful. C : carefully listening for other situations where the client has a sense of success. D : any of these, depending on the clients presenting problem.
D : any of these, depending on the clients presenting problem.
Which of the following is NOT recommended that the family therapist include when obtaining a description of the presenting problem? A : The reason each client states he or she is seeking therapy B : Information from the referring agent and his or her description of the problem C : A brief history of the problem and the family D : Descriptions of the failures the family has had when trying to solve the problem on their own
Descriptions of the failures the family has had when trying to solve the problem on their own
Progress notes should document the specific interventions the therapist used to help the client address the problems identified in the treatment plan. Which of the following is NOT a good example of this type of documentation? A : Used solution-focused scaling to identify steps to reduce depression over next week B : Created genogram to increase insight related to family drinking patterns C : Discussed work stress D : Used solution-focused scaling to identify steps to reduce depression over next week
Discussed work stress
Which of the following would be considered an initial phase therapeutic task? A : Monitoring the working alliance B : Establishing a therapeutic relationship C : Developing aftercare plans D : Completing treatment goals
Establishing a therapeutic relationship
The author of the text recommends client strengths and resources be assessed in which stage of therapy? A : First thing in the assessment B : Mid-way through treatment C : When therapy is about to terminate D : At no stage because client strengths and resources are not relevant to treatment
First thing in the assessment
Which of the following does NOT represent a common complementary pattern in a relationship? A : Overfunctioner/underfunctioner B : Pursuer/distancer C : Friendly parent/ permissive parent D : Emotional/logical
Friendly parent/ permissive parent
When scoring standardized evaluations with diverse clients, which of the following statements is true? A : Generally, the less diverse the clientele, the more difficult it is to accurately interpret scores. B : Generally, the more diverse the clientele, the more difficult it is to accurately interpret scores. C : Standardized evaluations cannot be used with diverse populations. D : Standardized evaluations are developed initially for use with diverse populations.
Generally, the more diverse the clientele, the more difficult it is to accurately interpret scores.
Gayle, a family therapist working with a couple in therapy, asks the couple at the beginning of each session, This week, on a scale of 0 to 10, (0 meaning no improvement and 10 meaning we did not argue once) how have things been for each of you? What is Gayle attempting to do here? A : Assess her clients problems B : Help her clients assess their own progress C : Standardize therapy D : None of these is correct
Help her clients assess their own progress
Brief measures refer to assessment instruments that require less than 10 minutes to complete. Which of the following is considered to be a brief measure? A : Session Rating Scale (SRS) B : Outcome Questionnaire C : Extensive Client Questionnaire D : None of these is correct
Outcome Questionnaire
Which of the following is NOT considered a common case management activity? A : Contacting and coordinating care with clients social workers B : Referring client for a medical assessment to rule out medical causes and/or exacerbating conditions C : Referring client for social services such as job training, welfare, housing, victim services, and legal assistance D : Planning for termination of therapy
Planning for termination of therapy
A systemic approach to assessing a clients mental status and making a diagnosis is approached using a combination of which two systemic techniques? A : Problem assessment and linear questions B : Problem assessment and multi-modal questions C : Problem assessment and circular questions D : None of these is correct
Problem assessment and circular questions
Many insurance companies have shifted toward having clients complete which of the following to assess if therapy is warranted and effective? A : Progress checklists B : Treatment plans C : Assessments D : Outcome measures
Progress checklists
SOAP notes are a second widespread format for progress notes. What does the S stand for in the acronym? A : Survey: using surveys to understand the clients presenting problem B : Summary: the therapists summary of the session C : Symptoms: determining what diagnosis the symptoms meet D : Subjective observations: the clients narrative or reported symptoms
Subjective observations: the clients narrative or reported symptoms
What detailed information are third-party payers looking for in progress notes? A : Personal content of a clients life B : Details on the therapeutic conversation C : The frequency and duration of symptoms D : None of these is correct
The frequency and duration of symptoms
Like most things in life, a clinical assessment has some potential dangers and pitfalls. Which of the following can make clinical assessment possibly dangerous? A : The therapist B : Neutrality C : Objectivity D : Subjectivity
The therapist
What is one of the most critical aspects of success related to the outcome of using an assessment instrument? A : The clients willingness to participate in therapy B : The insurance companys demand for them C : The therapists attitude about assessment D : None of these is correct
The therapists attitude about assessment
Clinical treatment plans provide a straightforward, comprehensive overview of treatment. Which of the following is NOT a part of clinical treatment plans? A : Therapeutic tasks B : Client goals C : Interventions D : Therapist perspective
Therapist perspective
As with nonstandardized evaluations, standardized measures have both advantages and disadvantages. Which of the following is NOT an advantage of standardized evaluations? A : They are considered more reliable and valid B : The therapist is better able to make cross-client comparisons C : The therapist is better able to make comparisons across time D : They are easily adapted for diverse clients
They are easily adapted for diverse clients
Which of the following is not a guideline for using standardized measures in everyday practice? A : Use instruments that take 5 minutes or less to complete B : Use instruments at regular intervals, weekly or monthly C : Use measures at the beginning and end of every session D : Use measures clients will complete at the beginning of sessions
Use measures at the beginning and end of every session
Which of the following is a change to treatment that should be considered to account for a diversity of age ranges? A : Using a more formal relational style with immigrants B : Adjusting interventions based on geographic region C : Accounting for womens source of identity D : Use of humor with teens
Use of humor with teens
Which of the following is an exception to the general principle of using minimal client information in progress notes? A : When interviewing a child B : When stabilizing a crisis situation C : When meeting a family sent by the court D : When a client has an affair
When stabilizing a crisis situation
Philosopher Michel Foucault described a central concept for narrative therapy: culturally generated stories about how life should go that are used to coordinate social behavior, such as how married people should act, what happiness looks like, and how to be successful. What did Foucault call these stories? A : Dominant discourses B : Local discourses C : Oppressive discourses D : Supportive discourses
A : Dominant discourses
What is the key to successfully assessing strengths, no matter how dire and severe a clients situation appears? A : Having an unshakable belief that all clients have significant and meaningful strengths B : Liking all clients in spite of their shortcomings C : Forgiving clients of their transgressions in order to see their good side D : Finding a clients religious or spiritual beliefs and drawing on those
A : Having an unshakable belief that all clients have significant and meaningful strengths
A narrative therapist is working with a 17-year-old client, Alexa, and her mother regarding Alexas struggles with an eating disorder. As therapy has progressed, and the therapist has worked with Alexa to separate her from her problem, the therapist might phrase a middle-phase goal in therapy in which of the following ways? A : Increase instances of defiance in response to anorexias directions to not eat. B : Increase food intake from less than one time daily to three times daily in six weeks. C : Reduce the rigid patterns that fuel the anorexic behavior. D : Reduce the negative contact between Alexa and the anorexia.
A : Increase instances of defiance in response to anorexias directions to not eat.
A client lives in daily fear of having another psychotic episode after not having one for over 10 years. She says that it is her illness that keeps her from moving forward in life. The therapist says, Thats interesting. You say you havent had an episode in 10 years, so hallucinations dont seem to be plaguing you these days. It sounds like the worry about hallucinations is the problem at this point. Do you think of this as part of the original problem, or is it a new problem that only developed after the first was resolved? What is the therapist doing with the client? A : Mutual puzzling B : Sharing inner dialogue C : Making an appropriately unusual comment D : Being public
A : Mutual puzzling
What is meant by collaborative therapy as a two-way dialogical process? A : The therapist and client co-explore and co-create new understanding related to the problem B : Therapists use scripted techniques to facilitate change C : Therapists interpret what the client is saying and reflect the interpretations back to the client D : The therapist directs the meaning-making process in therapy
A : The therapist and client co-explore and co-create new understanding related to the problem
In solution-oriented therapy, when is it best for a therapist to compliment the client? A : To acknowledge a clients progress toward their goals B : To get closer to the client C : To help the client feel good about themselves D : To acknowledge the clients personhood
A : To acknowledge a clients progress toward their goals
By using videotalk, therapists help couples separate the _______ from the ______ in order to become less defensive with one another. A : behaviors; interpretation of behaviors B : experience; facts C : stories; experience D : interpretation of behaviors; stories
A : behaviors; interpretation of behaviors
A solution-oriented therapist uses a clients description of feeling blue and having a case of the crazies. This is an example of: A : carefully attending to the clients word choice. B : allowing the client to diagnose him or her self. C : dismissing the clinical significance of symptoms. D : colluding with the client against the problem.
A : carefully attending to the clients word choice.
Solution-focused therapists often reflect global statements back to clients as partial statements, such as Your partner sometimes does things that annoy you. This is a strategy known as: A : channeling language. B : echoing your clients key words. C : the beginners mind. D : assumption of solution and possibilities.
A : channeling language.
Collaborative therapists work from a social constructionist, postmodern perspective, which maintains that our realities are constructed in __________ and through relationships. A : language B : congruence C : dreams D : collaboration
A : language
Contrary to common myths, talking about the __________ is one of the most important means of identifying solutions: what has worked and what has not? A : past B : present C : future D : unknown
A : past
Consistent with their philosophical underpinnings, narrative and collaborative therapists have conducted more _____ than _______ investigations about their approaches to therapy. A : qualitative; quantitative B : quantitative; qualitative C : process research; narrative D : clinical trials; qualitative
A : qualitative; quantitative
What are the two general categories of personal/individual strengths? A : Abilities and self-acceptance B : Abilities and personal qualities C : Personal qualities and traits D : Personal qualities and self-acceptance
Abilities and personal qualities
For each treatment task, you should also note how you will address diversity issues such as culture, race, sexual orientation, and gender orientation. Which of the following examples might be a way to address diversity in treatment tasks? A : Use of humor with teens B : Use of personalismo with Hispanic/Latino clients C : Inclusion of spirituality and religious resources D : All of these are correct
All of these are correct
When family therapists are completing a clinical assessment, they should consider risks. Which of the following are important risk management indicators? A : Suicidality B : Homicidality C : Substance abuse D : All of these are correct
All of these are correct
Which of the following would be considered common dominant discourses that inform a clients life? A : Culture, race, ethnicity, and immigration B : Gender, sexual orientation, and sexual preferences C : Stories of divorce, death, and loss of significant relationships D : All of these are correct
All of these are correct
Ultra brief instruments are those that require which of the following amounts of time? A : As little as 1 minute B : As few a 5 minutes C : As few as 8 minutes D : A little as 10 minutes
As little as 1 minute
A couple attends therapy with Julia, a solution-oriented therapist. The couple reports a very difficult relationship. They are always arguing, disagreeing, and separating. After a very intense first session, Julia says to the couple, Between now and the next time we meet, I would like you to observe so you can describe to me what happens in your relationship that you do not want to have changed by therapy. What kind of intervention is Julia using? A : The miracle question B : A formula first session task C : Scaling questions D : Compliments and encouragement
B : A formula first session task
Collaborative therapists handle professional matters such as consulting with a psychiatrist, speaking with a social worker, or filing papers with the court by discussing it first with the client. What is another way a collaborative therapist might say this? A : Being open B : Being public C : Being supportive D : Being professional
B : Being public
Solution-oriented therapists encourage clients to ask for what they want rather than what they dont want. In other words, they encourage a move from making complaints to making requests. Which of the following is an example of a request? A : You dont do anything romantic anymore. B : It would be nice if we went back to giving each other a kiss before we left the house. C : I would really enjoy adding some romance back into our relationship. D : It would be nice if you would show me that you love me.
B : It would be nice if we went back to giving each other a kiss before we left the house.
In collaborative therapy, it is said that problems dissolve. What does this mean? A : Participants in therapy find traditional solutions to their problems or issues during the course of therapy B : Participants understandings of their problems or issues evolve through the dialogue of therapy C : Participants no longer have problems or issues to discuss in therapy D : Participants do not hold on tightly to their problems or issues
B : Participants understandings of their problems or issues evolve through the dialogue of therapy
At a time when most therapies focused on the past, Milton Erickson (an inspiration in solution oriented therapy) directed his clients to focus on which time periods, often envisioning times without the problem? A : Past and present B : Present and future C : Past and future D : None of these is correct
B : Present and future
From the narrative perspective, which of the following is TRUE about the view of problems? A : Problems are integrated into the person B : Problems are separate from the person C : Problems require reframing of their context D : Problems allow the person to fully experience personal awareness
B : Problems are separate from the person
Which technique can best be used when asking a client to define their goals and rate their progress toward goals? A : The miracle question B : Scaling questions C : Coping questions D : Pre-suppositional questions
B : Scaling questions
In what way is solution-oriented hypnosis different than traditional hypnosis? A : Solution-oriented hypnosis is hierarchical B : Solution-oriented hypnosis is permissive C : Solution-oriented hypnosis reprograms the client once they are in a trance D : None of these is correct
B : Solution-oriented hypnosis is permissive
Which of the following does NOT allow the therapists to meet the problem, keeping the problem separate from the person? A : When did the problem first enter your life? B : Tell me about your impressions of your problem. C : How has your relationship with the problem evolved over time? D : Who else has been affected by the problem?
B : Tell me about your impressions of your problem.
In collaborative therapy, therapists take a not knowing stance. What does this mean? A : The therapist does not prepare for the session prior to meeting the client B : The therapist does not assume they understand the clients experience before the client tells them about it C : The therapist does not know how to make a diagnosis D : The therapist does not know what the outcome of therapy will be
B : The therapist does not assume they understand the clients experience before the client tells them about it
Which of the following statements most accurately describes collaborative therapy? A : It is based on Foucaults philosophical writings. B : The therapist facilitates a dialogical process. C : The interventions used are very structured. D : Social justice issues are regularly included in therapy conversations
B : The therapist facilitates a dialogical process.
Which of the following best describes appropriately unusual comments? A : They disorient the persons traditional form of thought. B : They clearly fit within the clients worldview while offering a new perspective. C : They point out the obvious. D : They passively disrupt a persons worldview.
B : They clearly fit within the clients worldview while offering a new perspective.
In order to help survivors of sexual abuse, solution-based counselors identify clients unique solutions using: A : miracle questions. B : constructive questions. C : scaling questions D : coping questions.
B : constructive questions.
Solution-focused therapy has been identified as a therapeutic approach that may be particularly successful with male clients due to the fact that it does not require expression of vulnerable emotions to be effective. This component of masculinity is known as: A : control B : stoicism C : self-reliance D : action-orientation
B : stoicism
In narrative therapy, letters are used for each of the following purposes EXCEPT: A : to solidify preferred narratives. B : to scrutinize the problem story. C : to emphasize client agency. D : to consolidate gains in therapy.
B : to scrutinize the problem story.
How should therapists sign their progress notes? A : Electronically B : With initials C : By hand and including credentials D : All of these are correct
By hand and including credentials
Which of the following is NOT considered to be a benefit of solution-focused therapy when working with Muslim American clients? A : Solution-focused practice places less emphasis on the clients inner world B : Muslim Americans may prefer the strength-based approach of solution-based therapies C : Solution-focused therapists typically define the focus of treatment using theoretical assumptions D : Muslim Americans are attracted to the brief and focused nature of solution-based therapy
C : Solution-focused therapists typically define the focus of treatment using theoretical assumptions
When Anderson and Goolishian radically proposed the client as the expert, what did they mean? A : The therapist has no opinion of the client B : The therapist does not have a role in the therapeutic process C : The clients thoughts, ideas, and opinions are valued D : The client knows in which direction therapy should move and dictates when
C : The clients thoughts, ideas, and opinions are valued
Which of the following is NOT included in the basic tenets of solution-focused intervention according to de Shazer? A : If it works, do more of it B : Small steps can lead to big changes C : The solution is usually related to the problem D : No problem happens all of the time; there are always exceptions
C : The solution is usually related to the problem
In the solution-based approach, how does the therapist address the pathologizing interpersonal pattern (PIP) to resolve issues among families? A : The therapist tends to assess PIPs when assessing for strengths and resources in facilitating WIPs B : Therapists would conceptualize not just the PIPs the couple presents as a problem, but also the PIPs in each family of origin C : They will have only minimal conversations about PIPs and will carefully assess it only if it seems necessary for a particular client D : None of these is correct
C : They will have only minimal conversations about PIPs and will carefully assess it only if it seems necessary for a particular client
In collaborative therapy, inner talk refers to: A : the thoughts a client is afraid to share with the therapist. B : talk among members of the inner circle of the family. C : the internal conversation each individual is having during a conversation. D : recurring self talk.
C : the internal conversation each individual is having during a conversation.
In collaborative therapy, outer talk refers to: A : negative self talk. B : positive self talk. C : the verbally spoken conversation between the participants in therapy. D : the verbal sharing of conversations in therapy with people outside of therapy.
C : the verbally spoken conversation between the participants in therapy.
In the CBFT approach, how does the therapist identify the pathologizing interpersonal pattern (PIP) to resolve issues among families? A : Therapists identify PIPs by tracking both the behaviors and the cognitions in the PIP B : They will have only minimal conversations about PIPs and will carefully assess it only if it seems necessary for a particular client C : Therapists identify PIPs by mapping the influence of the problem and using a statement position map D : Therapists would conceptualize not just the PIPs the couple presents as a problem, but also the PIPs in each family of origin
C: Therapists identify PIPs by mapping the influence of the problem and using a statement position map
Progress notes should document the duration, frequency, and severity of symptoms clients report. Which of the following is NOT a good example of this type of documentation? A : Client reports mild depressed mood most days (or five out of seven days) B : Client reports one panic attack the past week, moderate severity C : Client reports feeling better since starting therapy D : Client reports decreased conflict with parents; two arguments past week
Client reports feeling better since starting therapy
A therapist notes, Client receptive to reframe related to work issues; less receptive to reframe of pattern related to relationship. What is the therapist documenting? A : Symptoms and progress B : Interventions C : Client response D : Plan
Client response
Which of the following is NOT one of the common ingredients of progress notes appropriate for meeting HIPAA guidelines and third-party payers? A : Clients full name B : Date, time, and length of session C : Who attended the session D : Clients progress, including improvement or worsening of symptoms
Clients full name
__________and diagnosis help therapists identify potential courses of treatment; decide how best to keep clients and the public safe; and determine the need for referrals and additional services. A : Case conceptualizations B : Case reporting C : Therapeutic analysis D : Clinical assessments
Clinical assessments
A description of interpersonal issues might include which of the following mental status terms? A : Hypersomnia and disrupted sleep B : Constricted affect C : Anxiety and irritability D : Conflict and enmeshment
Conflict and enmeshment
Before making a clinical diagnosis, family therapists should consider which of the following factors that include age, ethnicity, and family dynamics? A : Global B : Divisive C : Contextual D : Mental
Contextual
In the 2010 census, more than ___ of opposite-sex households identified as multiracial or multi-ethnic. A : 15% B : 30% C : 6% D : 10%
D : 10%
Which of the following would NOT be considered collaborative in collaborative therapy? A : A monologue B : Using pejorative descriptions of clients C : Offering opinions D : All of these are correct
D : All of these are correct
Which of the following statements is TRUE about postmodern therapies? A : They integrate consideration of cultural issues at the most fundamental level of their method. B : They are often considered the quintessential approach for diverse populations. C : They are particularly suitable for clients from marginalized groups. D : All of these are correct.
D : All of these are correct.
In solution-oriented therapy, goals are stated in positive, observable, solution-based terms. Which of the following is NOT a good example of a solution-based goal? A : Increase periods of enjoyable activity, social interaction, and hope for future B : Increase frequency of couples emotionally intimate conversations C : Increase cooperation and pro-social activities D : All of these are good examples of solution-oriented goals
D : All of these are good examples of solution-oriented goals
The role of the therapist in narrative therapy is often described as which of the following? A : Director B : Coach C : Guide D : Co-author
D : Co-author
According to solution-based therapists, strengths include the resources in a persons life. Which of the following would NOT be considered a strength? A : Family support B : Positive relationships C : Religious faith D : Pathology
D : Pathology
Anderson offered several guidelines for the use of reflecting teams with clients. Which of the following is NOT one of these guidelines? A : Only use with the clients permission B : Give the client permission to listen or not to listen C : Comment on what is seen or heard, not what is observed D : Talk from an expert perspective
D : Talk from an expert perspective
Why is using solution-oriented therapy appropriate when working with diverse populations? A : The goal-setting process of solution-based therapies is a good fit for many ethnic groups because the goals are predefined by the theory. B : Focusing on emotions rather than behavior is more comfortable to many ethnic minority groups C : The focus on solving problems from the past rather than the future makes sense to many ethnic minorities D : The solution-based viewing of behaviors in context allows for a fairer understanding of problem behaviors of marginalized populations
D : The solution-based viewing of behaviors in context allows for a fairer understanding of problem behaviors of marginalized populations
Which of the following statements about a visitor in therapy is NOT true? A : Most mandated clients are visitors in therapy. B : Therapists need to find ways to connect to a visitors agenda in order to be successful in therapy. C : Visitors do not have a complaint, but others generally have a complaint against them. D : Visitors are in therapy to have their problems fixed by an expert.
D : Visitors are in therapy to have their problems fixed by an expert.
According to Siegel (2012), processing experience using the bottom three layers of the prefrontal cortex to generate new understandings, categories, and stories for what is happening is known as: A : not knowing position. B : reflection. C : top-down processing. D : bottom-up processing.
D : bottom-up processing.
Much like solution-based therapists, postmodern therapists optimistically focus on: A : problem solving. B : facilitating hope. C : family relationships. D : client strengths and abilities
D : client strengths and abilities.
The process of transformation through dialogue is inherently and inescapably __________. This means that the therapist risks being changed themselves in the context of therapy with the client. A : positive B : collaborative C : satisfying D : mutual
D : mutual
If 0 is where you were when you decided to seek help, and 10 is where you would be if the problem you came here for was resolved, where are you today? This is an example of: A : pre-suppositional questions. B : coping questions. C : the miracle question. D : scaling questions.
D : scaling questions.
Solution-based therapists have been in the vanguard of a larger movement within mental health that emphasizes identifying and utilizing client __________ to promote better clinical outcomes. A : saviors B : solutions C : sorrow D : strengths
D : strengths
If a client has difficulty making friends and close relationships but has numerous pets, the therapist will __________ the clients interest in animals to develop more human connections, perhaps by having the client take a dog for a walk in public places, join a dog agility class, or volunteer at a pet shelter. A : minimize B : maximize C : energize D : utilize
D : utilize
When assessing the parental hierarchy in parent and child relationships, what is the healthy or appropriate hierarchical structure? A : Excessive B : Insufficient C : Permissive D : Effective
Effective
When is the best and most proper time to write progress notes? A : During the session B : Immediately after the session C : 24 hours after the session D : Right before the same clients next session
Immediately after the session
Jillian reported to her therapist that she had been cutting over the last week to cope with stress related to her abusers release from prison. The therapist does a thorough assessment of the clients safety and creates a safety plan with Jillian for the next week until her next scheduled appointment. How should the therapist document the crisis issues? A : With as little information as possible to protect Jillians privacy B : In writing with clear details about the assessment process and specific actions taken to ensure the safety of Jillian C : The therapist should not document the crisis at all D : None of these is correct
In writing with clear details about the assessment process and specific actions taken to ensure the safety of Jillian
A parity diagnosis differs from a non-parity diagnosis in which way? A : It is not reimbursed by insurance. B : It is reimbursed at the same rate as a medical disorder. C : It is a parody of an existing diagnosis. D : It does not include severe disorders.
It is reimbursed at the same rate as a medical disorder.
What must the therapist do with any piece of paper that has identifying client information on it, including phone message pads or calendars? A : Save them in the client file B : Keep them out of sight C : Keep them in the locked file D : Throw them away
Keep them in the locked file
Obtaining background information about the problem is an important part of case conceptualization. Which of the following would NOT be considered background information or the necessary facts of the case? A : History of trauma and abuse B : Substance use and abuse C : Precipitating events D : Nine-generation family history
Nine-generation family history
Beth is a first-year family therapist who has just started working with clients. One of her clients is in therapy to work through his depression. The client is a 19-year-old male who has just recently moved to the United States from Puerto Rico. The client states that he still has a hard time with the English language, though he understands enough to carry on a conversation. Beth wants to get an accurate assessment of the client and his problem, but is unsure which type of assessment would be best in this case. What type of measurement should Beth use? A : Standardized: The client does not fit the cultural norm, so he must be given a paper and pencil test B : Standardized: Culture has no effect on the validity of standardized instruments C : Non-standardized: It will give a more detailed and objective assessment based on the clients cultural norms D : Non-standardized: A detailed self-report is most likely to capture the clients perspective
Non-standardized: A detailed self-report is most likely to capture the clients perspective
Therapists have two general options for measuring progress. What are they? A : General and experimental measures B : Linear and analytical measures C : Nonstandardized and standardized measures D : Formal and informal measures
Nonstandardized and
These make up the official medical file, the formal medical record shared with other medical professionals, clients (upon written request), and/or in response to subpoenas. Third-party payers generally have detailed requirements for the content of these. What are they? A : Process notes B : Progress notes C : Psychotherapy notes D : Payment notes
Progress notes
Three of these four terms refer to a similar process in relationships: tension between two people resolved by drawing in a third person or thing to stabilize the original dyad. Which of the following terms does NOT fit this description? A : Subsystem B : Triangle C : Covert coalition D : Cross-generational coalition
Subsystem
Which of the following treatment plan focuses solely on clients medical symptoms? A : Diagnosis-based treatment plans B : Symptom-based treatment plans C : Theory-based treatment plans D : Outcome-based treatment plans
Symptom-based treatment plans
If any crisis issues were identified during the clinical assessment, how should the therapist use the information when formulating goals? A : The therapist should report them to the insurance agency B : The therapist should discontinue therapy immediately C : The therapist should address the crisis issues in the initial client goals D : The therapist should keep the crisis issues to the side of the clients presenting problem
The therapist should address the crisis issues in the initial client goals
Which of the following is usually true of standardized evaluations? A : They are considered to be less reliable and valid B : They are less able to make cross-client comparisons C : It is difficult to use them to make comparisons across time D : They may require more therapist time and/or equipment and resources
They may require more therapist time and/or equipment and resources
For what purpose should a family therapist assess a clients spiritual resources? A : To enforce spirituality and religion as a part of the solution to the clients problems B : To access beliefs that may transform how the client feels, thinks, and responds to difficult situations C : To promote spiritual and religious tolerance among therapists D : All of these are correct
To access beliefs that may transform how the client feels, thinks, and responds to difficult situations
According to the author, therapeutic tasks serve what primary purpose in a treatment plan? A : To inform the client of what they need to do for therapy to be successful B : To satisfy third party payers C : To help the therapist fully conceptualize their tasks D : To guide people unfamiliar with therapy along
To help the therapist fully conceptualize their tasks
A systemic perspective of diagnosis describes: A : a persons medical history. B : a persons cognitions in a particular relationship. C : a persons somatic complaints. D : a persons behavior in a particular context.
a persons behavior in a particular context.
Perhaps one of family therapys more unique and important contributions to the field of mental health is the concept of __________, meaning delivering messages in a way the intended audience can receive it. A : learning to speak in medical language B : learning to speak the clients language C : learning to speak the formal DSM language D : all of these are correct
all of these are correct
Family therapists should be aware of other risk factors when assessing clients. These risk factors include: A : eating disorders. B : cutting or self-harm. C : criminal or legal history. D : all of these are correct.
all of these are correct.
In case conceptualization, therapists must consider broader cultural norms, including: A : school contexts. B : sexual orientation subcultures. C : religious communities. D : all of these are correct.
all of these are correct.
The anatomy of a client goal includes using action verbs such as: A : increasing effectiveness of parental hierarchy between adult female (AF) and child female (CF) to reduce frequency of CFs tantrums per week. B : reducing and interrupting pursuerdistancer pattern between adult female (AF) and adult male (AM) to reduce AFs sense of hopelessness and AMs irritability. C : increasing frequency of social interaction and reengagement in music and sports hobbies to increase periods of positive mood. D : all of these are correct.
all of these are correct.
When eliciting descriptions of the presenting concern/problem in couples or family therapy, it is important to get a description from: A : each client in the room. B : extended family. C : broader systems. D : all systems/parties involved in therapy.
all systems/parties involved in therapy.
Common resources due to diversity include: A : lack of purpose and direction. B : beliefs that provide comfort. C : difficulty finding opportunities. D : isolation and difficulty meeting others.
beliefs that provide comfort.
Considering the _________________ is/are crucial to designing a treatment plan that is likely to be effective. A : therapists ideas B : therapists fee for treatment C : clients perspective D : clients insight
clients perspective
Most commonly associated with structural family therapy, boundaries are the rules for negotiating interpersonal __________ and __________. A : closeness; intimacy B : relationships; distance C : relationships; intimacy D : closeness; distance
closeness; distance
The authors of the Family Adaptability and Cohesion Evaluation Scale propose that the balance of _____ and _____ are the two primary factors for conceptualizing relational functioning. A : disengagement; conflict B : cohesion; flexibility C : adaptability; balance D : balance; rigidity
cohesion; flexibility
The Dyadic Adjustment Scale is often used to measure progress with: A : teens. B : intergenerational family units. C : couples. D : individuals.
couples.
Developed in response to early managed care requirements, DAP notes are one of the more common formats for progress notes. DAP stands for: A : diagnosis, assessment, and plan. B : diagnosis, action, and progress. C : data, assessment, and plan. D : data, action, and progress.
data, assessment, and plan.
When creating useful therapeutic goals, it is helpful to: A : stick to the formula to make sure your new goal is not less effective than a theoretical or clinical goal. B : describe what symptoms will be addressed by changing the personal/relational dynamic. C : consult with the insurance company first so no time is wasted on goals that will not be covered. D : make sure the goal is formulaic.
describe what symptoms will be addressed by changing the personal/relational dynamic.
A mental status exam from a postmodern perspective involves honoring a clients _____________ and ____________ of the problem? A : narrative; intensity B : feelings; frequency C : cognitions; severity D : description; perception
description; perception
When a couple begins to over-value togetherness at the expense of respecting the individuality of each other, their boundaries become _________ and the relationship becomes ______________. A : diffuse; enmeshed B : disengaged; diffused C : rigid; disengaged D : none of these is correct
diffuse; enmeshed
The goal with progress notes is to maximize client privacy while simultaneously: A : acknowledging the clients medical history. B : documenting competent treatment that conforms to professional standards of care. C : writing psychotherapy notes. D : talking to third-party individuals to get a more holistic view of the client.
documenting competent treatment that conforms to professional standards of care.
When assessing certain risk factors, therapists should be aware of the types of child abuse considered reportable according to most state authorities. They include all of the following EXCEPT: A : sexual abuse. B : physical abuse. C : emotional abuse. D : neglect.
emotional abuse.
Elder adult abuse includes all of the categories for child abuse as well as: A : isolation. B : financial abuse. C : emotional abuse. D : inattention.
financial abuse.
When a therapist asks the question, How has the problem shaped each significant persons identity? they are creating a(n) _______ for each individual involved. A : identity narrative B : gender discourse C : client perspective D : attachment behavior profile
identity narrative
One of the hallmarks of family therapy is the ability to assess the familys __________ related to the presenting problem. A : structural patterns B : behavior modification C : interaction patterns D : interpersonal relationships
interaction patterns
When working with clients in therapy, once treatment has been conceptualized and therapeutic tasks and client goals have been identified, it is necessary for the therapist toidentify: A : interventions. B : future plans. C : collateral contacts. D : therapy games.
interventions.
Postmodern therapists are skeptical of diagnoses because these become __________ that clients use to inform their identity often silencing their strengths, resiliencies, and capabilities. A : diagnoses B : truths C : labels D : diagnoses and truths
labels
Formal written assessments have been standardized to help therapists obtain a more _____________ assessment of client functioning. A : subjective B : objective C : inclusive D : exclusive
objective
Therapists CANNOT rely simply on __________ descriptions of behavior in assessment. They must consider the broader culture norms, which may include more than one set of ethnic norms as well as local neighborhood cultures, school contexts, sexual orientation subcultures, religious communities, and so forth. A : objective B : absolute C : pre-defined D : all of these are correct
objective
Client will bring parents to the next session. This describes: A : client response. B : plan. C : crisis issues. D : consultation.
plan.
The collaborative language systems approach maintains that each person who is talking about the problem is part of the ________________; therefore, each persons description of a situation should be considered when conceptualizing the problem. A : somatic-generating system B : solution-generating system C : problem-generating system D : behavior-generating system
problem-generating system
A clinical assessment focuses more on the __________ and health dynamics of clients, allowing the therapist to have a better sense of how to more effectively partner with clients in therapy. A : physical B : emotional C : psychological D : external
psychological
The recovery model uses a social model of disability rather than a medical model; thus, it deemphasizes diagnostic labeling and emphasizes __________, the hallmark of family therapy approaches. A : psychotic functioning B : psychosocial functioning C : family functioning D : physical functioning
psychosocial functioning
Having a specific plan about who to call and what to do if a crisis begins to arise, as well as identifying tasks to calm oneself such as journaling and exercising, are considered to be components of: A : identity plan. B : assessment plan. C : safety plan. D : treatment plan.
safety plan.
Treatment plans give therapists a _________________that makes it easier to respond quickly and skillfully to new and unplanned issues clients may present. A : sense of mobility and identity B : sense of confidence and clarity of thought C : sense of ideology and responsibility D : sense of increased theoretical awareness and safety
sense of confidence and clarity of thought
Areas of impairment that may result from a clinical condition include: A : social relationships. B : family activities. C : emotional status. D : all of these are correct.
social relationships.
During the initial phase of therapy, client goals generally involve or focus on all of the following EXCEPT: A : stabilizing family relationships. B : stopping self-harm behaviors. C : managing abuse issues. D : addressing substance abuse issues.
stabilizing family relationships.
The DSM-5 includes ________ that can be used to determine whether symptoms are mild, moderate, or severe when making a diagnosis. A : a diagnostic symptom analysis test B : a symptom assessment chart C : symptom severity scales D : a Michigan Symptom Screening Test
symptom severity scales
There are many advantages of nonstandardized evaluations. The advantages include: A : they are as reliable or valid as standardized measures. B : they are easily adapted for diverse clients. C : they are not difficult to use with persons with severe pathology. D : they are not difficult to use with children if parents are not there.
they are easily adapted for diverse clients
In a general family therapy approach to diagnosis, each description of the problem is considered one of many possible __________ that depend on webs of relationships and social discourse; it does not stand on its own. A : facts B : truths C : diagnoses D : meanings
truths
The author of the text suggests that the first step in therapy is for the therapist to map the territory. To develop a good map, therapists need to master the art of __________, which in a talking profession like therapy refers to knowing where to focus your attention while listening.
viewing
Case conceptualization starts by identifying the most salient demographic features that relate to treatment as well as: A : who the client is. B : what the client had for dinner. C : where the client lives. D : how the client lives.
who the client is.
The type of treatment planning the vast majority of MFTs must complete in order to receive third-party payment and, arguably, to maintain standard practice of care in the 21st century is derived from: A : the treatment model. B : the theory model. C : the factious model. D : the medical model.
the medical model.
To conceptualize client strengths and resources, therapists can think of strengths at several levels, including all of the following EXCEPT: A : personal/individual. B : relational/social. C : therapeutic. D : spiritual.
therapeutic.
When working with perpetrators of domestic violence, Jenkins uses a nine-step model that requires the client to: A : take full responsibility for the violence and for ending it. B : externalize the violence and attack it. C : identify powerlessness against violence and succumb to it. D : identify the cause of the violence and reduce it.
A : take full responsibility for the violence and for ending it.
Which of the following types of questions, used in collaborative therapy, comes naturally from the dialogue of therapy rather than from professional theory? A : Conversational questions B : Unusual questions C : Contagious questions D : Conditional questions
A : Conversational questions
In the beginning of therapy, what is the key to change for clients? A : Doing one small thing differently B : Doing something different every day C : Planning for long term change D : Setting goals that instill faith
A : Doing one small thing differently
A solution-oriented therapist asks a client, Are there any times when the problem is less likely to occur or less severe? Are there places or times when the problem is not as bad? What is the therapist looking for? A : Exceptions B : Example C : Intensity D : Initiation
A : Exceptions
Because narrative therapy is a postmodern approach, it does not include a set of predefined goals that can be used with all clients. It could be said, however, that the broad goal of narrative therapy is: A : to help clients enact their preferred realities and identities. B : to help clients reduce the symptoms of their presenting problem. C : to help clients find ways to communicate congruently. D : to help clients increase their sense of agency in their lives.
A : to help clients enact their preferred realities and identities.
Whenever a potential risk is identified during an assessment or in the course of therapy such as passive suicidal ideation, history of cutting, and history of abuse which of the following should be established? A : A full report B : A safety plan C : A family contract D : A weekly log
A safety plan
A therapist says, A childs symptom of school failure forces the couple, the childs parents, to work together and distracts the couple from their distressful marital relationship. The therapist has developed what about this family? A : A systemic hypothesis B : An interaction pattern C : An intergenerational map D : A communication configuration
A systemic hypothesis
The Outcome Rating Scale measures which areas of functioning? A : Individual B : Interpersonal C : Social D : All of these are correct
All of these are correct
When successfully delivered, what does the miracle question allow clients? A : To see how their life could have been if there really were miracles B : To envision the future without the problem C : To generate resolutions for their problem D : All of these are correct
B : To envision the future without the problem
The overall goal of collaborative therapy is to increase clients sense of __________ in their lives: the sense that they are competent and able to take meaningful action. A : strength B : agency C : power D : self-esteem
B : agency
Instead of replacing the problem story with a problem-free story, narrative therapists help their clients do which of the following? A : Redefine the clients problems as opportunities. B : Help the client realize how others have wronged them. C : Find new ways to view, interact with, and respond to problems in their lives by redefining the role of problems. D : Speak their beliefs about the problem out loud, therefore realizing how absurd they are.
C : Find new ways to view, interact with, and respond to problems in their lives by redefining the role of problems.
Externalization can have which of the following beneficial effects? A : It increases unproductive conflict and blame between family members B : It highlights the times problems have had influence over the clients or family C : It invites people to unite in a struggle against the problem to reduce its negative influence D : It encourages constant, unhelpful interaction with the problem
C : It invites people to unite in a struggle against the problem to reduce its negative influence
What are solution-oriented goal descriptions? A : Problem-focused B : Ones that focus on symptom reduction C : Ones that describe what the client will be doing D : All of these are correct
C : Ones that describe what the client will be doing
When working with survivors of sexual abuse and/or trauma, solution-based therapists honor the agency of the survivors. What does this mean? A : Solution-based therapists insist the survivor share the details of their abuse B : Solution-based therapists take a more directive role in working with the survivor C : Solution-based therapists allow the client to decide whether or when to tell their abuse story D : Solution-based therapists determine the pacing of the therapy
C : Solution-based therapists allow the client to decide whether or when to tell their abuse story
Progress notes should clearly identify interventions the therapist used to help the client address the problems identified in the treatment plan. Which of the following is an example of a theory-specific intervention? A : Identified steps to reduce depression over next week B : Created genogram to increase insight related to family drinking patterns C : Practiced alternatives to conflict D : Talked about fears with client
Created genogram to increase insight related to family drinking patterns
Which of the following is about helping clients lead rich, meaningful lives rather than simply reducing symptoms related to a mental health diagnosis? A : Discovery model B : Recovery model C : Systemic model D : Humanistic model
Recovery model
Which of the following measures the client-therapist relationship? A : General Rating Scale B : Ultra Brief Rating Scale C : Outcome Rating Scale D : Session Rating Scale
Session Rating Scale
Monica is a family therapist completing an assessment with a family. She says to the family, What have you done on your own to try and solve this problem of Jesses school failure? What have you tried that was not as successful as you had hoped? What is Monica looking for? A : Solutions that did work B : Solutions that did not work C : Solutions that she can try in therapy D : Unique outcomes
Solutions that did not work
Assessing for intergenerational patterns is easiest when a therapist uses: A : a guide. B : a model. C : a survey. D : a genogram.
a genogram.
Increasing the frequency of social interaction and reengagement in music, sports, and hobbies to reduce the severity of a depressed mood is an example of: A : a therapeutic task. B : joining. C : a goal. D : an assessment.
a goal.
When a case conceptualization is complete, it is appropriate and helpful for the therapist to: A : hand the entire case conceptualization over to the client(s). B : discuss key findings with the client(s). C : shield the client(s) from the content of the case conceptualization. D : discount the clients/clients perspective(s) when conceptualizing treatment.
discuss key findings with the client(s).
Assessment of family structure often begins by identifying the client or familys stage in the: A : family circus. B : family room. C : family life cycle. D : family plan.
family life cycle.
