Question 1

Achieving a major more lasting transformation in client thinking and behavior may require:

Accepted Answer

Achieving a major and more lasting transformation in client thinking and behavior would require several interviews to understand their perspective comprehensively, time to internalize new solutions, and moving from denial or partial acceptance to complete acceptance of the necessary changes. Therefore, all of the above options are necessary to achieve a significant and sustainable transformation in a client's thinking and behavior.

Question 2

An interviewer may hear, "Yes, I hurt and perhaps I should be angry," in which level of the Client Change Scale (CCS)?

Accepted Answer

The answer of An interviewer may hear, "Yes, I hurt...

Question 3

Instructions: Imagine that you are talking with a client about emotional child abuse.You have just confronted the client with the following statement: "On one hand, you say you love your child, but on the other hand you continue to put her out in the hall of your apartment where you force her to stand in the dark.How do you put that together?"
Classify the following client's response using the CCS scale.
-Client response: "I don't understand what you are saying.There's no need to put it together.There's no problem.That's the way I do it." This client is where on the CCS?

Accepted Answer

The client's response indicates denial, as they are avoiding acknowledging the contradiction between their professed love for their child and the emotionally abusive behavior they exhibit by forcing their child to stand in the dark in the hall. They also show no sign of examining or changing their behavior, nor have they accepted the incongruity.

Question 4

Instructions: Imagine that you are talking with a client about emotional child abuse.You have just confronted the client with the following statement: "On one hand, you say you love your child, but on the other hand you continue to put her out in the hall of your apartment where you force her to stand in the dark.How do you put that together?"
Classify the following client's response using the CCS scale.
-Client response: "I understand what you are saying, it just doesn't make sense what I'm doing.I seem to be saying one thing, but doing another." This client is where on the CCS?

Accepted Answer

The client acknowledges the inconsistency in their actions and words, indicating a full examination of the situation, but there is no indication of a change in behavior yet.

Question 5

After four interviews, Dominic comments, "Wow, it's really working.Things are great at home.Sara and I are doing well.Working together works!" Dominic is in what level of the CCS scale?

Accepted Answer

The answer of After four interviews, Dominic comments, "Wow, it's...

Question 6

"On the one hand..., and on the other hand..." In which step of empathic confrontation would an interviewer most likely make this statement?

Accepted Answer

In Step 2, the interviewer summarizes the conflicting viewpoints or perspectives of both parties involved. The phrase "On the one hand..., and on the other hand..." is often used as a way to summarize two different viewpoints or conflicting arguments.

Question 7

Instructions: Imagine that you are talking with a client about emotional child abuse.You have just confronted the client with the following statement: "On one hand, you say you love your child, but on the other hand you continue to put her out in the hall of your apartment where you force her to stand in the dark.How do you put that together?"
Classify the following client's response using the CCS scale.
-Client response: "I heard what you are saying.I want to change, but right at the moment I just can't do what I want.I tried last week, it didn't work.The divorce is getting to me.I'll do the best I can to change, but it is so hard." This client is where on the CCS?

Accepted Answer

The answer of Instructions: Imagine that you are talking with...

Question 8

The reality of the story is acknowledged during __________________ of the Client Change Scale (CCS).

Accepted Answer

Level 3 of the Client Change Scale (CCS) involves acceptance and recognition of reality, but no change has yet occurred. This implies that the reality of the story has been acknowledged, but the client has not yet generated a new solution or taken any action towards change.

Question 9

Instructions: Imagine that you are talking with a client about emotional child abuse.You have just confronted the client with the following statement: "On one hand, you say you love your child, but on the other hand you continue to put her out in the hall of your apartment where you force her to stand in the dark.How do you put that together?"
Classify the following client's response using the CCS scale.
-Client response: "Yes, I do love her.I care for her very much.She is extremely important to me.We do everything together.We really do so many things that work out OK." This client is where on the CCS?

Accepted Answer

The answer of Instructions: Imagine that you are talking with...

Question 10

Instructions: Imagine that you are talking with a client about emotional child abuse.You have just confronted the client with the following statement: "On one hand, you say you love your child, but on the other hand you continue to put her out in the hall of your apartment where you force her to stand in the dark.How do you put that together?"
Classify the following client's response using the CCS scale.
-Client response: "I think I see what you're saying.There is a big incongruity there.I want to stop, but I was abused and hit by my parents.I think I'm doing better than they did -<-font>at least I don't strike Amie.But perhaps I can do something different next week.I'll try your new idea about disciplining her." This client is where on the CCS?

Accepted Answer

The client acknowledges the incongruity, reflects on their past, and expresses a willingness to try a new approach, indicating development of new behaviors.

Question 11

Confrontation during a single session and over a series of interviews may be measured on a 5-point scale called the Client Change Scale.Which of the following represents this scale?

Accepted Answer

The Client Change Scale includes stages: Denial, Partial Examination, Acceptance But No Change, Generation of New Solution, and Transcendence.

Question 12

Discrepancies between the client and the external world include:

Accepted Answer

Discrepancies between the client and the external world can arise in various forms, including conflicts with other individuals (choice A), difficult or challenging situations (choice B), and even clashes with healthcare professionals like nurses (choice C). Therefore, all the options - A, B, and C - are correct as they represent potential sources of disagreement between the client and the external environment.

Question 13

Which of the following is TRUE?

Accepted Answer

Confrontations involve both listening and influencing skills. Listening is important to understand the other person's perspective and influencing is important to express your own perspective and attempt to come to a resolution.

Question 14

Which of the following statements about the Client Change Scale (CCS) is NOT true?

Accepted Answer

The CCS does not measure the intensity of counselor statements during direct confrontation. Instead, it measures the client's perceived discomfort with the confrontation and the likelihood of them making changes based on the confrontation.

Question 15

"You really want to meet him, but you're a little bit anxious." In which step of supportive confrontation would an interviewer most likely make this statement?

Accepted Answer

The answer of "You really want to meet him, but...

Question 16

An interviewer may hear, "You helped me see my mixed feelings; I need to express my feelings more," in which level of the Client Change Scale (CCS)?

Accepted Answer

The answer of An interviewer may hear, "You helped me...

Question 17

Regarding discrepancies between you and your client, which of the following is NOT true?

Accepted Answer

The answer of Regarding discrepancies between you and your client,...

Question 18

A client who is dying comments, "It won't happen: not to me." This is an example of:

Accepted Answer

The client's comment "It won't happen: not to me" reflects denial, which is a common defense mechanism used to cope with difficult or painful situations. The client may be struggling to accept the reality of their situation and may need support and guidance to work through their feelings.

Question 19

"I've been avoiding my anger, and it is getting in my way.I'm going to start dealing with it." An interviewer may hear this statement in which level of the Client Change Scale (CCS)?

Accepted Answer

The answer of "I've been avoiding my anger, and it...

Question 20

The client may distort his or her story and blame others unfairly in which level of the Client Change Scale (CCS)?

Accepted Answer

The answer of The client may distort his or her...

Quiz 10: Empathic Confrontation and the Creative New: Identifying and Challenging Client Conflict

Achieving a major more lasting transformation in client thinking and behavior may require:

An interviewer may hear, "Yes, I hurt and perhaps I should be angry," in which level of the Client Change Scale (CCS) ?

After four interviews, Dominic comments, "Wow, it's really working.Things are great at home.Sara and I are doing well.Working together works!" Dominic is in what level of the CCS scale?

"On the one hand..., and on the other hand..." In which step of empathic confrontation would an interviewer most likely make this statement?

The reality of the story is acknowledged during __________________ of the Client Change Scale (CCS) .