Deck 14: Evaluating Progress in Therapy

Question 1

There are many advantages of nonstandardized evaluations. The advantages include:

A) they are as reliable or valid as standardized measures.
B) they are easily adapted for diverse clients.
C) they are not difficult to use with persons with severe pathology.
D) they are not difficult to use with children if parents are not there.

Answer 1

B

Question 2

The Dyadic Adjustment Scale is often used to measure progress with:

A) teens.
B) intergenerational family units.
C) couples.
D) individuals.

Answer 2

C

Question 3

When scoring standardized evaluations with diverse clients, which of the following statements is true?

A) Generally, the less diverse the clientele, the more difficult it is to accurately interpret scores.
B) Generally, the more diverse the clientele, the more difficult it is to accurately interpret scores.
C) Standardized evaluations cannot be used with diverse populations.
D) Standardized evaluations are developed initially for use with diverse populations.

Answer 3

B

Question 4

Which of the following measures the client-therapist relationship?

A) General Rating Scale
B) Ultra Brief Rating Scale
C) Outcome Rating Scale
D) Session Rating Scale

Question 5

Therapists have two general options for measuring progress. What are they?

A) General and experimental measures
B) Linear and analytical measures
C) Nonstandardized and standardized measures
D) Formal and informal measures

Question 6

As with nonstandardized evaluations, standardized measures have both advantages and disadvantages. Which of the following is NOT an advantage of standardized evaluations?

A) They are considered more reliable and valid
B) The therapist is better able to make cross-client comparisons
C) The therapist is better able to make comparisons across time
D) They are easily adapted for diverse clients

Question 7

Beth is a first-year family therapist who has just started working with clients. One of her clients is in therapy to work through his depression. The client is a 19-year-old male who has just recently moved to the United States from Puerto Rico. The client states that he still has a hard time with the English language, though he understands enough to carry on a conversation. Beth wants to get an accurate assessment of the client and his problem, but is unsure which type of assessment would be best in this case. What type of measurement should Beth use?

A) Standardized: The client does not fit the cultural norm, so he must be given a paper and pencil test
B) Standardized: Culture has no effect on the validity of standardized instruments
C) Non-standardized: It will give a more detailed and objective assessment based on the client's cultural norms
D) Non-standardized: A detailed self-report is most likely to capture the client's perspective

Question 8

Which of the following is usually true of standardized evaluations?

A) They are considered to be less reliable and valid
B) They are less able to make cross-client comparisons
C) It is difficult to use them to make comparisons across time
D) They may require more therapist time and/or equipment and resources

Question 9

Ultra brief instruments are those that require which of the following amounts of time?

A) As little as 1 minute
B) As few a 5 minutes
C) As few as 8 minutes
D) A little as 10 minutes

Question 10

The Outcome Rating Scale measures which areas of functioning?

A) Individual
B) Interpersonal
C) Social
D) All of these are correct

Question 11

Many insurance companies have shifted toward having clients complete which of the following to assess if therapy is warranted and effective?

A) Progress checklists
B) Treatment plans
C) Assessments
D) Outcome measures

Question 12

Brief measures refer to assessment instruments that require less than 10 minutes to complete. Which of the following is considered to be a brief measure?

A) Session Rating Scale (SRS)
B) Outcome Questionnaire
C) Extensive Client Questionnaire
D) None of these is correct

Question 13

Which of the following is not a guideline for using standardized measures in everyday practice?

A) Use instruments that take 5 minutes or less to complete
B) Use instruments at regular intervals, weekly or monthly
C) Use measures at the beginning and end of every session
D) Use measures clients will complete at the beginning of sessions

Question 14

What is one of the most critical aspects of success related to the outcome of using an assessment instrument?

A) The client's willingness to participate in therapy
B) The insurance company's demand for them
C) The therapist's attitude about assessment
D) None of these is correct

Question 15

The authors of the Family Adaptability and Cohesion Evaluation Scale propose that the balance of _____ and _____ are the two primary factors for conceptualizing relational functioning.

A) disengagement; conflict
B) cohesion; flexibility
C) adaptability; balance
D) balance; rigidity

Question 16

Gayle, a family therapist working with a couple in therapy, asks the couple at the beginning of each session, "This week, on a scale of 0 to 10, (0 meaning no improvement and 10 meaning we did not argue once) how have things been for each of you?" What is Gayle attempting to do here?

A) Assess her clients' problems
B) Help her clients assess their own progress
C) Standardize therapy
D) None of these is correct