Question 1

The authors recommend beginning a first meeting in crisis cases by asking the miracle question.

Accepted Answer

The authors typically recommend starting a first meeting in crisis cases by assessing the situation and ensuring safety, rather than immediately asking the miracle question, which is more suited for solution-focused brief therapy in a different context.

Question 2

__________ is
A) The miracle question
B) Exception questions
C) Scaling questions
D) Coping questions

Accepted Answer

D

Question 3

In solution-focused coping conversations, scaling questions are used in wach of the following ways except which one?
A) Reinforce coping successes.
B) Evaluate the severity of past suicide attempts.
C) Explore pre-session coping changes.
D) Formulate the next step in coping.

Accepted Answer

Scaling questions in solution-focused coping conversations are primarily used to assess progress, explore changes, and plan future steps in coping strategies. They are not typically used to evaluate the severity of past suicide attempts, as this would require a more detailed and sensitive approach beyond the scope of scaling questions.

Question 4

In crisis cases, a solution-focused interviewer thinks less about whether a client is really in crisis and more about asking questions to discover the client's immediate capacity for goal formulation.

Accepted Answer

Solution-focused interviewing emphasizes identifying and leveraging a client's strengths and resources to address their current challenges, rather than dwelling on the validation of the crisis itself. This approach focuses on what the client can do right now to start moving towards their goals.

Question 5

According to the authors, clients' perceptions of the significance of crisis events for their lives can and do shift, sometimes dramatically so.

Accepted Answer

Clients' perceptions of the significance of crisis events can change over time as they process their experiences, receive support, and adapt to new circumstances, leading to shifts in how they view the impact of these events on their lives.

Question 6

A "crisis" is characterized not so much by any particular situation as by the individual's response to that situation.

Accepted Answer

A crisis is defined more by the individual's perception of an event or situation as intolerable and one that exceeds their existing resources and coping mechanisms, rather than by the event or situation itself.

Question 7

Once a client in crisis starts to turn to goal formulation in a first meeting with a practitioner, the session

Accepted Answer

When a client in crisis begins to focus on goal formulation during the first meeting, it indicates a shift towards problem-solving and future planning, which is a positive sign of engagement and readiness to work on resolving the crisis.

Question 8

The authors approach to crisis cases is consistent with:
A) a belief that a crisis represents a disturbance in the client's equilibrium.
B) a belief that the objective reality of a crisis is more important than how a client. perceives the crisis
C) a belief in the inevitability of change.
D) a belief in the systemic nature of crises.

Accepted Answer

The answer of The authors approach to crisis cases is...

Question 9

In crisis situations, interviewers should use less of the not-knowing approach because clients need interviewers to offer more suggestions in order to help them stabilize.

Accepted Answer

The not-knowing approach can be particularly effective in crisis situations as it respects the client's perspective and encourages them to explore their own solutions, fostering empowerment and resilience, even though guidance and suggestions may also be necessary.

Question 10

The more severe a client's crisis, the less the client is able to begin working on goals.

Accepted Answer

Clients in crisis can still work on goals with appropriate support and intervention; the severity of the crisis does not necessarily diminish their ability to work towards goals, especially with goals tailored to their immediate needs and capacities.

Question 11

Which of the following do the authors indicate as inappropriate to ask of a client who is contemplating suicide?
A) How did you survive long enough to get here?
B) How have you managed to cope for so long?
C) How come things are not worse?
D) Any of these questions could be appropriate to ask

Accepted Answer

The authors suggest that any of these questions could be appropriate to ask because they focus on the client's strengths and coping mechanisms, rather than solely on their suicidal thoughts or feelings. This approach can help build rapport and encourage the client to explore their resilience and reasons for living.

Question 12

Coping exploration is best described as a form of:
A) exception exploration.
B) end-of-session feedback.
C) complimenting.
D) empathizing.

Accepted Answer

Coping exploration involves identifying and understanding exceptions to problems, focusing on times when the problem does not occur or is less severe.

Question 13

Because assessment plays such a small role in solution building, De Jong and Berg do not think it is worthwhile for interviewers to acquaint themselves with the problem-assessment instruments commonly used to assess clients' life-sustaining and safety needs.

Accepted Answer

De Jong and Berg, proponents of solution-focused brief therapy, emphasize the importance of understanding the client's situation, including their life-sustaining and safety needs, as part of the therapeutic process, even though their approach focuses more on building solutions than on problem assessment.

Question 14

Paradoxically, according to the authors, the best assessment information in crisis cases about whether clients will be able to meet life-sustaining and safety needs is the extent and type of their solution talk.

Accepted Answer

In crisis intervention, assessing a client's ability to discuss solutions and generate potential ways to address their situation is a key indicator of their capacity to meet life-sustaining and safety needs. Solution talk reflects problem-solving skills, resourcefulness, and a level of engagement in the recovery process, which are critical factors in determining their ability to navigate and emerge from the crisis.

Question 15

In crisis situations, clients are generally dealing with threats to the needs which Maslow identified as most basic to human existence.

Accepted Answer

In crisis situations, clients often face threats to their physiological needs (such as food, water, warmth) and safety needs, which are the most basic human needs according to Maslow's hierarchy of needs.

Question 16

In crisis situations, the authors recommend first doing a basic assessment for how serious the crisis is for the client and, once the client is found not to be overwhelmed, moving on to solution building.

Accepted Answer

The answer of In crisis situations, the authors recommend first...

Question 17

Clients in crisis build solutions through the same process as all clients.

Accepted Answer

Clients in crisis build solutions through the same process as all clients because they use the same problem-solving skills and techniques.

Question 18

What did Jermaine
A) Participating in a self-help group for those who had been kidnapped
B) Knowing that his kidnappers had been caught and would be prosecuted
C) Listening to his wife's breathing in the middle of the night
D) Remembering how important his children were to him

Accepted Answer

Jermaine found comfort in listening to his wife's breathing in the middle of the night, which is a personal and intimate detail that suggests a sense of safety and normalcy after a traumatic event.

Question 19

The inability to sleep is a common response of clients right after a crisis.

Accepted Answer

After a crisis, it's common for individuals to experience a range of stress responses, including the inability to sleep, due to heightened anxiety and stress levels.

Question 20

De Jong and Berg state that solution-building activities are generally less appropriate the more severe a crisis is for the client.

Accepted Answer

De Jong and Berg, proponents of solution-focused brief therapy, argue that focusing on solutions rather than problems can be effective even in severe crises, as it helps clients envision a future beyond their current situation and mobilizes their resources towards achieving that future.

Quiz 10: Interviewing in Crisis Situations