Deck 6: Assessing and Conceptualizing Client Problems and Contexts

Question 1

The helper assesses the client's way of thinking about problem-solving in which problem-solving therapy component?

A) Problem orientation
B) Generation of alternative solutions
C) Solution implementation
D) Decision making

Answer 1

A

Question 2

The purpose of generating alternative solutions is to do all of the following EXCEPT:

A) to have the client identify the most feasible and practical solution.
B) to filter out functional fixity, practicality, and feasibility in generating solutions.
C) to encourage the client to generate as many alternative solutions as possible.
D) to promote new, original, and perhaps even ridiculous alternative solutions.

Answer 2

A

Question 3

is defined as processes of re-establishing physiological homeostasis or stability of functioning through change.

A) Eleostasis
B) Allostasis
C) Mateostasis
D) Physiostasis

Answer 3

B

Question 4

When it is determined that a problem situation is unchangeable, the helper and client should:

A) adopt a problem-focused problem definition.
B) concentrate on managing the client's personal reactions.
C) emphasize problem-solving goals.
D) focus on changing the problem situation for the better.

Question 5

The appropriate sequence of training phases for stress inoculation would be:

A) educational, skill acquisition, rehearsal, application, generalization.
B) skill acquisition, generalization, rehearsal, application, educational.
C) rehearsal, application, educational, generalization, skill acquisition.
D) application, generalization, educational, skill acquisition, rehearsal.

Question 6

Spirituality possibly taps into all of the following health-linked factors EXCEPT:

A) promoting healthy behaviors.
B) fostering a sense of meaning.
C) encouraging risky behavior.
D) encouraging hope.

Question 7

When engaged in the problem-solving process, a client is asked to decide on the best solution after judging and comparing the proposed alternatives. This stage is known as:

A) solution implementation.
B) problem orientation.
C) decision making.
D) generation of alternatives.

Question 8

According to Meichenbaum (2007), losing one's job or a being a victim of a man-made disaster would be an example of a:

A) life stressor that is time-limited and not chronic.
B) life stressor that triggers a series of stress reactions.
C) chronic and intermittent stressor.
D) chronic and continual life stressor.

Question 9

The purpose of the step in problem solving is for the helper to help the client gather as much objective information about the problem as possible.

A) solution implementation and verification
B) decision making
C) treatment rationale
D) problem definition and formulation

Question 10

All of the following were identified as caveats for problem-solving therapy EXCEPT:

A) clients with severe maladaptive behaviors or serious environmental factors that cannot be managed through problem-solving will acquire a different approach.
B) it is important to adhere to the full problem-solving therapy components
C) careful assessment of the client's environment is needed.
D) it is less difficult for clients who are not accustomed to thinking of long range effects.

Question 11

Persons with a maladaptive problem-solving style tend to:

A) blame themselves or others for the problem.
B) have a high level of self-efficacy.
C) maximize the benefits of problem-solving.
D) minimize the losses from inadequate problem-solving.

Question 12

A client reports that his shyness has created difficulty and loneliness in his life. His family worries about his isolation and the client longs to have more friends. The client is most likely in what stage of problem-solving?

A) Solution implementation and verification
B) Decision making
C) Problem definition and formulation
D) Treatment rationale

Question 13

In stress inoculation, the client is educated about the nature of a stress reaction and possible coping strategies that might be employed. The client is made aware that the coping strategies must focus on:

A) physiological arousal.
B) cognitive processes such as covert self-statements.
C) both physiological arousal and covert self-statements.
D) inner dialogue only if accompanied by physiological arousal.

Question 14

Training in stress inoculation entails the acquisition and practice of coping skills and application of the coping skills to situations.

A) direct-action; problem-related
B) cognitive; problem-related
C) direct-action and cognitive; potential problem
D) direct-action and cognitive; problem-related and potential problem

Question 15

Stress management strategies that focus on spirituality and social supports networking would be examples of:

A) affecting factors that are creating the stress.
B) eradicating the source of stress.
C) fostering factors that will act as a buffer or will transform the stress.
D) managing the symptoms or phenomenology of the stress itself.

Question 16

Stress management approaches that focus on the symptoms or phenomenology of the stress itself might include .

A) relaxation, exercise, biofeedback
B) problem solving, conflict resolution
C) changing environmental stressors, advocacy
D) social supports networking, spirituality

Question 17

During the solution implementation and verification stage of the problem-solving strategy, the helper's role becomes:

A) more prescriptive.
B) more challenging and confrontational.
C) less directive.
D) less rapport-focused.

Question 18

When a helper engages a client in reflection on his/her typical problem-solving style, this is the stage of the problem-solving process.

A) solution implementation
B) problem orientation
C) decision-making
D) generation of alternatives

Question 19

Problem-focused coping strategies may be thought of as to manage stressors where emotion- focused strategies manage feelings associated with the stressor.

A) cognitions
B) beliefs
C) positive attitudes
D) actions

Question 20

All of the following statements are true of problem-solving therapy EXCEPT:

A) it is a cognitive-behavioral intervention.
B) it is based on a relational/problem-solving model.
C) solutions must be situation or context specific.
D) a singular solution is sought rather than a generation of alternative solutions.

Question 21

Describe a case scenario when using stress inoculation with a client would be an appropriate intervention.

Question 22

A helper works with a client to develop self-statements to reduce stress. This coping strategy is:

A) cognitive coping.
B) objective action.
C) affective coping.
D) direct action.

Question 23

All EXCEPT which of the following describe the appropriate use of coping thoughts?

A) The client shouldn't select coping thoughts that s/he employed in the past.
B) The client shouldn't select general coping thoughts that invite rote repetition.
C) The client should select coping thoughts that feel natural.
D) The helper should model possible coping thoughts for the client.

Question 24

Compose three questions that a helper may ask to assess for client's spirituality.

Question 25

is an example of a direct-action coping strategy designed to assist clients who are dealing with stressful life situations that cannot be substantially altered or avoided.

A) Information collection
B) Identification of escape routes
C) Palliative coping
D) Self-reward

Question 26

Identify and describe three guidelines you would utilize in working with a diverse client using problem-solving therapy.

Question 27

A client is seeking assistance in resolving problems she is having on her job. Please provide a treatment rationale for using a problem-solving therapy approach.

Question 28

Client: "I was so angry, but I was able to do deep breathing and I didn't lose my temper. I was so proud that I treated myself by watching my favorite movie." This stage in the phases of stress reactions would most likely be reflected in:

A) preparing for a stressful situation.
B) confronting a stressful situation.
C) rewarding oneself for handling a stressful situation.
D) coping with critical moments during a stressful situation.

Question 29

Coping skills are effective with current concerns but are ineffective with potential or prevention of future problems.

Question 30

What is the role of the helper in the problem orientation stage of problem-solving therapy.