Deck 5: The Helping Process

Question 1

Perhaps the most important type of self-disclosure is that which

A)focuses on the relationship between you and your client.
B)involves telling the client detailed stories about your personal past and present problems.
C)concerns issues that you have effectively processed.
D)relate to the client's issues.

Answer 1

A

Question 2

In a managed care environment the emphasis is on

A)exploration of the client's past to best determine what treatment is needed in the present.
B)making quick assessments of clients' problems.
C)designing brief interventions geared to problematic symptoms.
D)none of the above
E)both b and c

Answer 2

E

Question 3

When dealing with someone in crisis,it is important to help the client consider

A)situational supports in which they can draw strength.
B)coping mechanisms such as the actions,behaviors,or environmental resources that clients can use in getting through the crisis.
C)positive and constructive thinking patterns which can substantially change a client's perspective on a problem and lessen stress and anxiety.
D)all of the above

Answer 3

D

Question 4

In managed care,third- party payers regulate and control which aspects of the helping services rendered?

A)the duration
B)the quality
C)the cost
D)the terms
E)all of the above

Question 5

Jane assumes that most people don't want to change and that the best way to get through the client's resistance is to employ very directive and highly confrontational techniques.Holding these beliefs,she

A)is ineffective in helping others and should leave the field.
B)may have worked with resistant clients over the years and may be generalizing that behavior to all clients.
C)will be more successful than if she adopted a less directive approach.
D)is rigidly holding these assumptions and will be unable to modify them.

Question 6

Your orientation to the helping process is most largely a function of

A)your client population.
B)your beliefs about human nature and how people change.
C)the agency's policies where you are employed.
D)the resistances your clients manifest.

Question 7

Effective planning strategies have the following characteristics:

A)Plans should be complex,having generous timelines,and be stated within the limits of the motivation and capabilities of each client.
B)Before taking action,evaluate the plan to determine if it is realistic,attainable,and reflects what the client needs and wants.
C)The counselor needs to take responsibility for determining ways of carrying out plans outside of the helping relationship.
D)Helpers should encourage clients to develop plans that are contingent on others so they can be supported in their efforts.

Question 8

Before you accept a position in any setting,it is essential that you understand _____because this influences the manner in which the agency functions.

A)the philosophy of the agency
B)the agency's policies about vacations and sick leave
C)what is happening in other local social service organizations
D)all of the internal politics of the agency

Question 9

During the first stage of the helping relationship,each is given attention except for which of the following?

A)creating a climate for change
B)establishing the relationships
C)identifying exceptions to one's problems
D)educating clients and obtaining informed consent

Question 10

Of the following statements,which is the one most characteristic of an effective helper?

A)If I can create a therapeutic climate,my clients will tend to change in a positive direction.
B)A sociopath is resistant to therapy and will never change.
C)I'm color blind and can work equally well with any racial or ethnic group.
D)People who are on welfare are basically lazy and really don't want to work.
E)If clients don't change,it's their fault,not minE.

Question 11

Living in an encapsulated environment and seeing only what confirms your existing belief system is known as

A)selection bias.
B)confirmatory bias.
C)encapsulation bias.
D)hallucinatory bias.

Question 12

During the initial stage in the helping process,which of the following would be least applicable?

A)Carrying out an action program.
B)Creating a therapeutic climate.
C)Understanding the context.
D)Using self-disclosure appropriately.
E)Encouraging clients to tell their story.

Question 13

_____ is a general term covering the process of identifying an emotional or behavioral problem and making a statement about the current status of a client.

A)Assessment
B)A psychological diagnosis
C)An investigation
D)A critical questioning procedure

Question 14

The client comes in for help and seems to be overwhelmed by multiple problems.It would be best to

A)confront the client to look at the discrepancies and distortions in his or her problems.
B)help the client create appropriate goals to deal with many issues simultaneously.
C)encourage the client to gain a focus by exploring key issues in terms of experiences,feelings,and behaviors.
D)identify and assess action strategies to pursue resolutions to his or her numerous problems.

Question 15

Robert is working with a new client.He provides attention,active listening,and empathy,while demonstrating respect and genuineness.In order to work effectively with the client,Robert needs to start with the second stage of counseling which is to

A)identify the client's problems.
B)help the client to create goals.
C)encourage the client to take action.
D)get a historical perspective on the client's problems.

Question 16

Effective helpers

A)hold positive beliefs about people.
B)ground their interventions in values.
C)are respectful of cultural differences.
D)have a healthy self-concept.
E)all of the above

Question 17

The major determinants of the quality of your relationships with clients are

A)the kind of person you are and your attitudes.
B)your knowledge and counseling skills.
C)your body language and facial expressions.
D)your credentials.

Question 18

Helpers who have little self-awareness are at best

A)marginally intelligent.
B)skilled technicians.
C)master therapists.
D)paraprofessionals.

Question 19

Conducting an initial assessment generally occurs at which stage of helping?

A)Stage 1: Establishing a working relationship.
B)Stage 2: Identifying clients' problems.
C)Stage 3: Helping clients create goals.
D)Stage 4: Encouraging clients' exploration and taking action.
E)Stage 5: Termination.

Question 20

During which stage do clients most address specific feelings,thoughts,and behaviors they would most like to change?

A)Stage 1: Establishing a working relationship.
B)Stage 2: Identifying clients' problems.
C)Stage 3: Helping clients create goals.
D)Stage 4: Encouraging clients' exploration and taking action.
E)Stage 5: Termination.

Question 21

Helping is both an art and a science.

Question 22

Some mental health professionals oppose a diagnostic model on the assumption that this approach labels and stigmatizes clients.

Question 23

If helpers are going to confront a client's behavior,they need to earn the right to confront and it is essential that they know their motivations for confronting.

Question 24

Clients need to state their goals in such a manner that both they and the helper will know what changes are desired.

Question 25

A helper's orientation to the helping process is largely a function of the helper's beliefs about human nature and about how people change.

Question 26

In a large measure,failure within the professional ranks to control rising costs has contributed to external control by the managed care industry.

Question 27

Experts agree that in the not too distant future most managed care programs will not longer exist.

Question 28

It is essential that an assessment be completed during the intake interview,for if this is not done,there is no basis to determine which treatment strategies to use.

Question 29

Contracts are a useful way to evaluate the outcomes of a helping process.

Question 30

The Coreys suggest that helpers would do well to challenge their assumptions.

Question 31

Assessment consists of evaluating the relevant factors in a client's life to identify themes for further exploration in the counseling process.

Question 32

Helpers should encourage clients to develop plans that they can carry out mainly with the support of others.

Question 33

Diagnosis,which is sometimes part of the assessment process,consists of identifying a specific psychological or behavioral problem based on a pattern of symptoms.

Question 34

Helper self-disclosure typically detracts from the client's agenda and tends to be inappropriate and unprofessional.

Question 35

The aim of confrontation is to cut away at a client's defenses.