Deck 14: Endings and Transitions

Question 1

Elias tells you, his clinician, that he wants to end the work you are doing because he doesn't feel he is getting anything out of it. You should immediately:

A)Tell him you respect his decision, that you are glad he could tell you that this will be your last session, and leave on a positive note by wishing him luck in the future.
B)Ask him to tell you what is not working for him and explore the issues.
C)Tell him you disagree and that you think there is work you can do together, and give him some examples.
D)Tell him that you think this desire of his to end your relationship is part of an old pattern he has of breaking off relationships.

Answer 1

B

Question 2

Discuss the risk management steps a clinician should take when ending clinical interventions against the client's will.

Answer 2

not answer

Question 3

The following illustrates a "cry for help" during the ending stages of the clinical work:

A)The clinician asks for extra supervision.
B)The client threatens harm to self when the work is ending.
C)The client in the waiting room calls out to the secretary for assistance in standing.
D)The client drops out of the work.

Answer 3

B

Question 4

Client abandonment involves all of the following EXCEPT:

A)The client is left at the mall when the van driver takes other clients back to the center.
B)The clinician fails to make a proper referral as needed.
C)The clinician fails to assess a client's risk for self-harm before ending.
D)The clinician ends the work prematurely because the client is difficult to work with.

Question 5

Discuss the reasons why many clients drop out of treatment.

Question 6

Which of the following is FALSE?

A)Less than 20% of clients drop out of treatment prematurely.
B)Clients may drop out of clinical work because they feel stigmatized.
C)Clients who do not have a clinician who shares their ethnicity, culture or native language may be less satisfied with the relationship and just stop coming without explanation.
D)Pre-intervention preparatory conversations and videos may reduce the number of drop-outs.

Question 7

Define "transitional object" and how it helps people during absences or endings.

Question 8

Sometimes a client may be transferred to another clinician. Which of the following is TRUE?

A)The client may not want the old clinician to speak to the new clinician so as not to prejudice the new clinician.
B)The client may want the clinician to speak with the clinician so that they don't have to repeat everything to the old clinician.
C)Sometimes the transfer is short-term and the original clinician will return and take the client back from the "covering" clinician.
D)The clinician must get permission from the client before speaking to the new clinician.
E)All of the above

Question 9

Sometimes clients bring a gift to the clinician at their last meeting. The clinician should:

A)Never accept a gift from a client.
B)Always accept a gift from a client so as not to hurt the client's feelings.
C)Consider the suitability and meaning of the gift as well as the cultural context.
D)Be sure to give the client a gift, if the client gives the clinician a gift.

Question 10

A clinician may initiate endings legitimately because of all of the following EXCEPT:

A)The goals of the work have been accomplished.
B)The clinician doesn't have the expertise to help the client.
C)The client isn't making use of the relationship.
D)The client expresses sexual attraction toward the clinician.

Question 11

What should the clinician do if the client just stops coming to meetings?

Question 12

Discuss the purpose of "planned breaks" during the ending process.

Question 13

Carolina asks her clinician if they can occasionally meet for coffee after they conclude their work together. Her clinician should:

A)See if she has time to occasionally meet with Carolina.
B)Consider if she likes Carolina enough to eventually become friends.
C)Tell Carolina that of course she can call and they can get together, realizing that Carolina probably won't call her.
D)Explain to Carolina that they have had a professional relationship and that Carolina can occasionally write to her to let her know how she is doing but they need to keep the professional relationship.

Question 14

Core activities in a good ending process include all of the following EXCEPT:

A)Dealing with reactions to ending
B)Bringing all clients food and drinks to share
C)Reviewing accomplishments of the work together
D)Identifying remaining issues

Question 15

Giavanna came to counseling because she was anxious in social situations. After working together for 6 weeks, Giavanna has made a lot of progress and she and her clinician have decided it is time to stop their work together after two more meetings. At the next session, Giavanna reports that she finds herself once again becoming anxious in social situations. This is an example of:

A)Cry for help
B)Therapist dependence
C)Regression under stress
D)Foreshadowing