Question 1

Complete this sentence with the best : Building and maintaining a therapeutic alliance is ______________.&#10;A) Important only in Carl Rogers's approach&#10;B) Unrelated to expressions of empathy&#10;C) Only important with fragile clients&#10;D) Essential to successful treatment

Accepted Answer

Building and maintaining a therapeutic alliance is considered essential to successful treatment across various therapeutic approaches, not just in Carl Rogers's approach. It involves empathy, trust, and collaboration between therapist and client, contributing significantly to positive outcomes.

Question 2

The term countertransference refers to:&#10;A) Reactions of the therapist to the client&#10;B) Methods used by a therapist to prevent transference from occurring&#10;C) Reactions of the client to the therapist's efforts to counter his resistance&#10;D) None of the above

Accepted Answer

Countertransference refers to the emotional reactions, thoughts, and feelings that a therapist might have towards a client. These reactions are influenced by the therapist's own background, beliefs, and experiences.

Question 3

In working with older adults, which is not an issue to be aware of?&#10;A) Negative stereotypes and ageism can affect well-being.&#10;B) Older adults can benefit from psychodynamic therapy.&#10;C) Higher dropout rates than young adults&#10;D) Sexual activity can still be important.

Accepted Answer

Older adults do not necessarily have higher dropout rates than younger adults in therapy or other interventions. This statement is not accurate as dropout rates can vary widely depending on numerous factors such as the type of therapy, the individual's health status, and the therapeutic alliance, rather than being directly correlated with age.

Question 4

When dealing with an individual in crisis:&#10;A) The clinician must adopt an active approach.&#10;B) Building rapport is not necessary because it slows down the process.&#10;C) Be careful not to undermine the client's self-esteem by offering coping strategies.&#10;D) Avoid talking about the event that led to the crisis.

Accepted Answer

In crisis intervention, it's crucial for the clinician to adopt an active approach to quickly assess the situation and provide immediate support. Building rapport is essential for effective communication, offering coping strategies can help empower the individual, and discussing the event can be therapeutic and necessary for resolution.

Question 5

Examples of protective factors that reduce suicide risk include all except:&#10;A) Social support&#10;B) Employment&#10;C) Black-and-white thinking&#10;D) Religious beliefs

Accepted Answer

Black-and-white thinking, also known as all-or-nothing thinking, is a cognitive distortion and not a protective factor against suicide. It can actually increase stress and emotional distress, potentially elevating suicide risk. In contrast, social support, employment, and religious beliefs are all recognized as protective factors that can help reduce the risk of suicide by providing emotional support, a sense of purpose, and a community of belonging.

Question 6

The standard for reporting abuse to a governmental agency is:&#10;A) Verification of the truth of the allegation&#10;B) Reasonable suspicion&#10;C) Documentation of repeated abuse, not just a single episode&#10;D) Beyond a reasonable doubt

Accepted Answer

The standard for reporting abuse to a governmental agency is "reasonable suspicion." This means that if there is a reasonable basis to believe abuse has occurred, it should be reported. It does not require verification, documentation of repeated abuse, or certainty beyond a reasonable doubt.

Question 7

Which statement is not true about a problem list?&#10;A) Identifies targets for treatment&#10;B) Creates benchmarks to evaluate progress&#10;C) Helps overwhelmed clients see their problems in an organized manner&#10;D) Describes problems using theoretical jargon

Accepted Answer

A problem list is meant to be clear and accessible, using straightforward language rather than theoretical jargon, to ensure that both practitioners and clients can understand and use it effectively.

Question 8

Evidence-based practice requires all of the following except:&#10;A) Consideration of patient characteristics, culture, and preferences&#10;B) Clinical expertise&#10;C) Adherence with fidelity to a manual&#10;D) Knowledge of best available research

Accepted Answer

Evidence-based practice integrates clinical expertise, patient values and preferences, and the best available research evidence. Adherence with fidelity to a manual is not a requirement of evidence-based practice, as it may not always incorporate the most current research or individual patient needs and preferences.

Question 9

Which statement is accurate regarding treatment plans?&#10;A) They are only needed when mandated by a third party such as an insurance company.&#10;B) They need to incorporate information about client strengths.&#10;C) They should ignore financial considerations when specifying the duration of therapy.&#10;D) Once established, they should only be updated if interventions are unsuccessful.

Accepted Answer

Treatment plans should incorporate information about client strengths to ensure a holistic and strengths-based approach to therapy. This helps in building on the client's existing resources and resilience.

Question 10

Which strategy is not a recommended approach to prevent premature termination from therapy?&#10;A) Comment on anxieties that may come up in the future and cause the client to abandon therapy.&#10;B) Provide education about appropriate therapy behaviors.&#10;C) Incorporate the client's preferences into the treatment plan.&#10;D) Advise clients who express skepticism about therapy to come back when they are truly ready.

Accepted Answer

Advising clients who express skepticism about therapy to come back when they are truly ready can discourage engagement and does not address the underlying concerns or barriers to therapy. Effective strategies involve addressing anxieties, educating about therapy, and incorporating client preferences to encourage continued participation.

Deck 3: Fundamentals of Treatment