Deck 7: Opening and Closing a Meeting

Question 1

Which of the following is NOT appropriate when preparing to work with clients from a different culture than your own?

A) Reading literature by authors from other cultures.
B) Talking to people from other cultures.
C) Learning about the relationship between your culture and other cultures.
D) Not learning about other cultures so that you won't be biased in the session.

Answer 1

D

Question 2

When the person coming to see the practitioner is considered a minor,

A) the parents usually have a legal right to know what happens during meetings.
B) the parents have waived their legal right to know what happens during meetings.
C) the school has a legal right to know what happens during meetings if the child has a school-related problem.
D) the parents have a legal right to advise the practitioner how to address the problems faced by the child.

Answer 2

A

Question 3

When working with clients, the practitioner's introduction to therapy should include all of the following EXCEPT:

A) referrals to other clients who have been successfully treated by the practitioner including their contact information)
B) the purpose of the meeting.
C) where the meeting will take place.
D) how long the meeting will last.

Answer 3

A

Question 4

Administrative contracts:

A) are optional.
B) are the same across disciplines.
C) are part of the case record.
D) are completed at termination.

Question 5

What emotions do clients usually experience in the first meeting?

A) Excitement and joy
B) Anxiety and nervousness
C) Anger and love
D) Jealousy and competitiveness

Question 6

How does beginning meetings with families differ from meetings with individuals?

A) When working with families, confidentiality does not need to be covered since all the members of the family will hear what the others have to say.
B) When working with families, it is important to make a report to child protective services at once, since the family is likely having a problem with the child.
C) When working with families, it is important to provide basic information using words that the children will understand.
D) When working with families, it is important to explain the process once to each individual in the family.

Question 7

Because of issues of confidentiality, initially practitioners should avoid:

A) taxes.
B) using their name when they introduce themselves.
C) making direct comments to their clients.
D) using the client's name to greet them, especially if there are other people in the waiting room.

Question 8

Which of the following is NOT one of the circumstances in which a practitioner is required to break confidentiality?

A) When the client threatens to hurt herself
B) When the client states in session that her live-in boyfriend burns her 1-year-old daughter with cigarette butts
C) When the client indicates in session that her elderly neighbor with dementia is being locked in her room and tied to her chair by the neighbor's daughter, to prevent her from wandering off and getting lost.
D) When the client states that she was sexually assaulted 20 years ago, as a 10-year-old child by a man who is now dead.

Question 9

Is it appropriate to use the client's first name when you address him/her?

A) Yes, because it helps to build the therapeutic relationship if everyone is on a first name basis.
B) Yes, because using someone's last name is too formal for a therapeutic setting.
C) No, because it encourages over-familiarity and the overstepping of professional boundaries.
D) Yes, but only if the client states that s/he wants to be addressed by his/her first name.

Question 10

What is confidentiality within the context of the practitioner-client relationship?

A) Assurance that the content of the sessions will be shared only on a need-to-know basis.
B) Assurance that the practitioner is confident in his/her ability to aid the client.
C) Assurance that the client's information shared with the practitioner will be kept confidential, secure, and not shared with others unless s/he signs a consent form.
D) Assurance that the relationship will remain confidential and that the practitioner has the ability to build rapport with the client.

Question 11

Which of the following is NOT one of the tasks that must always be completed in the first meeting?

A) Setting the tone
B) Explaining the process
C) Signing a "no suicide" contract
D) Reviewing confidentiality and the limits of confidentiality

Question 12

When working with an individual client, which seating arrangement is most conducive to open discussion?

A) Sitting across from a client so the client feels comfortable.
B) Sitting behind a desk to increase professionalism.
C) Sitting behind the client so the client may free associate.
D) All seating arrangements have the same effect.

Question 13

General information about a specific cultural group should:

A) apply to all individuals since it is broad information and you can assume that it is accurate.
B) give the practitioner a starting point for understanding the client's worldview.
C) be humorous and contain slang.
D) show you that your culture is better than the other culture.

Question 14

A practitioner wants to prepare for the next client session. Which of the following is NOT one of the things s/he would do?

A) Obtain available client information
B) Develop goals for the client to achieve based on the referral information
C) Possibly discuss the case with a supervisor or co-worker
D) Plan out an agenda

Question 15

In subsequent meetings, a common beginning phrase is

A) "Where would you like to start?"
B) "Hello"
C) There is no common beginning phrase
D) "Why are you always late for our meetings?"

Question 16

Which of the following is most true about confidentiality and informed consent?

A) Once the client has been given the statement of confidentiality and informed consent forms to read and sign, the practitioner has met his/her responsibility.
B) It is the responsibility of the practitioner to be sure the client understands written or spoken communication about confidentiality and consent.
C) The statement of confidentiality and informed consent forms may be given to the client at any time throughout the course of treatment.
D) Informed consent is not required from adult clients as their attendance of the sessions can be considered as consent.

Question 17

All of the following may be discussed near the end of the meeting EXCEPT:

A) the possibility of future meetings.
B) the client's feelings about seeking help.
C) a review of what was covered in the meeting.
D) confidentiality and informed consent.

Question 18

In the first meeting, it is the practitioner's responsibility to:

A) structure and organize the meeting in a way that promotes trust and creates an atmosphere of safety.
B) work with the client to find a solution to the problem.
C) terminate the relationship.
D) provide feedback and suggestions to the client.

Question 19

Preparing mentally for a session includes:

A) giving yourself a pep talk, for example, by telling yourself "You can do it!"
B) telling yourself that everything doesn't matter in the end, so you won't feel so anxious about the meeting.
C) letting go of distracting thoughts and getting ready to fully focus on the client.
D) reviewing everything that your supervisor told you in the last supervision session and writing notes on your hand to remind yourself to cover those topics.

Question 20

Practitioners who work with groups might start the first session with the following exercise to help members get acquainted:

A) Having group members share one of their most shameful moments.
B) An icebreaker activity such as going around and having each member describe something unique about him/herself.
C) Having members fill out an anonymous feedback form on what they found useful in the sessions.
D) Have each member critique another member's ideas.

Question 21

Under which circumstances would a practitioner need to break confidentiality and report to the appropriate authorities?

Question 22

Julie is a 13-year-old girl whose mom brought her to see you because of behavioral problems at school. In the first session, you set ground rules that you will only reveal information if Julie's behavior is a threat to herself or others. Four sessions later, Julie tells you that her mom's 35-year-old boyfriend has been forcing her to have sex with him for the past 3 months, and she thinks that she may be pregnant, but she is afraid to tell her mom because her mom "really loves this guy" and may not believe her. What would you do in this situation? Discuss the confidentiality issues with specific consideration given to Julie, her mom, and any authorities to which you need to report.

Question 23

List three ways a practitioner could prepare substantively and affectively for a meeting with a client?

Question 24

Write out an introductory paragraph that you could use with your clients that contain at least five of the necessary elements covered in the chapter.

Question 25

Which of the following is NOT one of the items that may be included in an administrative contract?

A) Payment terms
B) The practitioner's personal address and phone number
C) Rights of the client to review records
D) What to do in case of emergencies

Question 26

Which of the following is NOT an appropriate closing statement?

A) Okay, sorry to interrupt, but we're out of time now. I can see you have a problem keeping track of time.
B) How would you like to end today?
C) We have fifteen minutes left. Do you have any closing thoughts?
D) Let's talk about what we have accomplished today.

Question 27

What is a confidentiality issue that pertains to groups that may not arise when working with individuals?

A) Whether group members are free to discuss information from the group meeting in smaller groups if they meet for coffee after the group meeting has ended
B) Whether the practitioner is allowed to discuss information from group with his/her supervisor
C) Whether informed consent and confidentiality is required by law
D) Whether someone can share personal information that s/he discussed in group about him/herself with family or friends.

Question 28

Jamie, who is 12 years old, has just told you about an incident when his mom hit him in the face with a belt buckle while she was drunk. Will you need to break confidentiality and report to the appropriate authorities? If so, why, is this?

A) It depends whether she was abusing him or punishing him because he did something wrong.
B) No, because parents are allowed to discipline their children as they see fit.
C) Yes, because this could be considered child abuse.
D) Yes, this needs to be reported to the police because you believe this is an indictable offence.

Question 29

Julie is a 13-year-old girl whose mom brought her to see you because of behavioral problems at school. In the first session, you set ground rules that you will only reveal information if Julie's behavior is a threat to herself or others. Four sessions later, Julie tells you that her mom's 35-year-old boyfriend has been forcing her to have sex with him for the past 3 months, and she thinks that she may be pregnant, but she is afraid to tell her mom because her mom "really loves this guy" and may not believe her. You decide to break confidentiality. Discuss how the relationships might change between
a) you and Julie,
b) Julie and her mom, and
c) you and her mom.

Question 30

Is it appropriate for the practitioner to interrupt the flow of the meeting?

A) Yes, to allow ample time to close the meeting and complete the meeting on schedule.
B) No, because interrupting the client would be disrespectful and would have a negative impact on rapport.
C) No, because it would make the client feel unheard, like what they say is not important to be completed.
D) Yes, because the practitioner's comments are often more important than the client's comments.