Deck 9: Clinical Decision Making and Treatment Planning

Question 1

Applying Osborn's salutary suggestions for stamina, a helper who is mindful to maintain healthy boundaries with clients is practicing:

A) selectivity.
B) measurement and managing one's skills, talent, resources, and strengths.
C) accountability.
D) inquisitiveness.

Answer 1

B

Question 2

Which of the following has been identified as a concern with treatment manuals?

A) Clinicians may find the approaches are too inflexible.
B) Treatment manuals may increase clinical judgment.
C) Treatment manuals rely too much on the clinician's creativity.
D) Clinicians may be overwhelmed with numerous types of treatments.

Answer 2

A

Question 3

The third stage in the helping process is:

A) assessment and goal setting.
B) strategy and selection.
C) evaluation and termination.
D) establishing rapport.

Answer 3

B

Question 4

The ability to be introspective and reflect on oneself from different dimensions is:

A) meditation.
B) self-awareness.
C) meditation.
D) mediation.

Question 5

Self-care has the dual purpose of:

A) promotion of beneficial care and preventative care.
B) promotion of beneficial care and the prevention of client symptomology.
C) prevention of ineffective client care and promotion of meditative states.
D) prevention of ineffective client care and promotion of beneficial care.

Question 6

A practitioner is interested in helping clients explore themselves, their concerns, and wishes. This stage of helping is:

A) strategy and selection.
B) establishing rapport.
C) assessment and goal setting.
D) evaluation and termination.

Question 7

All of the following are true of mindfulness EXCEPT:

A) it is a heightened state of consciousness.
B) focus is on in-the-moment perceptual experience.
C) it uses as many senses as possible.
D) it is synonymous with meditation.

Question 8

Skovholt and Trotter-Mathison (2011) described the following hazards of practicing as a helping professional EXCEPT:

A) providing constant empathy.
B) difficulty in measuring one's effectiveness.
C) lack of education.
D) one-way caring.

Question 9

In this chapter, EBP refers to:

A) everyday best practices.
B) evidence-biased programs.
C) evidence-based priorities.
D) evidence-based practice.

Question 10

A helper conducts a research project that randomly assigned participants into two groups. Group A receives the treatment while Group B is the control group. This type of study would be referred to as a(n) study.

A) effectiveness
B) efficiency
C) efficacy
D) quasi-experimental

Question 11

All of the following are components of Neff's (2003a) self-compassion EXCEPT:

A) self-kindness.
B) mindfulness.
C) maleficence.
D) common humanity.

Question 12

Self-care is an automatic self-indulgence.

Question 13

A helper finds it difficult to listen to her client who has a history of childhood abuse. She "tunes out" when he speaks about the physical abuse and is unable to offer support and understanding to her client. What most closely describes what the helper may be experiencing?

A) Empathy fatigue
B) Burnout
C) Compassion fatigue
D) Emotional labor

Question 14

Tjeltveit and Gottlieb (2010) identified the following assets that enhance therapist resilience EXCEPT:

A) DESIGNING treatment alternatives.
B) creating and making use of available OPPORTUNITIES.
C) consulting and revising core VALUES.
D) approaching EDUCATION as lifelong learning.

Question 15

Research that does not adhere to the strict "laboratory" research of randomized clinical trials comprises:

A) effectiveness studies.
B) efficiency studies.
C) efficacy studies.
D) "gold standard" studies.

Question 16

A helper no longer finds meaning or purpose in his/her work. Skovholt and Trotter-Mathison (2011) would most likely define this as the helper experiencing:

A) compassion fatigue.
B) empathy fatigue.
C) burnout.
D) emotional labor.

Question 17

A helper has confidence in his client's capacity for change. According to Osborn's salutary suggestions for stamina, the helper is practicing:

A) accountability.
B) inquisitiveness.
C) acknowledging agency in others.
D) negotiation.

Question 18

Bond, Drake, and Becker (2010) identified all of the following ideal features of mental health interventions EXCEPT:

A) be well-defined.
B) reflect helper's goals.
C) reflect client's goals.
D) have reasonable costs.

Question 19

Orally administering written materials for illiterate clients is a type of cultural adaptation.

Question 20

In DBT, the three "what" skills of mindfulness are:

A) observing, discerning, and participating.
B) owning, discerning, and awareness.
C) observing, describing, and participating.
D) owning, describing, and awareness.

Question 21

Identify the four primary stages of helping and discuss briefly the clinician's tasks within each stage.

Question 22

A DBT practitioner conveys to the client that their behavior makes sense and is understandable in the context of their lives. This process is:

A) problem solving.
B) validation.
C) contingency management.
D) distress tolerance.

Question 23

Define self-care and discuss three activities that you may undertake to promote your own self-care as a helper.

Question 24

A helper provides services "in the field" (such as home visits) rather than a clinical setting. This setting is considered:

A) in vitro.
B) in vivo.
C) ex vitro.
D) ex vivo.

Question 25

Identify four cultural adaptations and discuss ways they may be integrated into your helping practice.

Question 26

All of the following were identified as characteristics of an ACTx EXCEPT:

A) services are tailored to the individual client are unlimited.
B) services are delivered by members of a team.
C) contributes to increased psychiatric hospital stays and increased housing stability.
D) a decrease in helper burnout and an increase in job satisfaction.

Question 27

All of the following statements are true of Dialectical Behavior Therapy (DBT) EXCEPT:

A) offers behavioral strategies, including problem solving, skills training, contingency management.
B) validation and problem-solving strategies form the core of DBT.
C) includes acceptance-based procedures, such as validation, mindfulness, and distress tolerance.
D) problem solving is undertaken before the validation process to ensure steps in goal-setting.

Question 28

is inclusive of client and helper factors (e.g., client cultural diversity), treatment interventions and setting, and research findings while is concerned only with interventions or techniques that are external to the helper.

A) Evidence-based treatment; evidence-based practice
B) Evidence-based treatment; efficiency practice
C) Evidence-based practice; efficiency treatment
D) Evidence-based practice; evidence-based treatment

Question 29

List four components of Osborn's salutary suggestions for stamina.

Question 30

Discuss an efficacy research project you may develop for a helping profession (please include the necessary components of efficacy research in your response).