Deck 5: Fundamentals

Question 1

A classification system developed by a task force of the American Psychiatric Association would be ___________________.

A)The DRCI-V
B)The MMCD-IV
C)The DMS-II
D)The DSM-V

Answer 1

The DSM-V

Question 2

Does the DSM-V explain the causes of disorders?

A)Yes
B)For specific categories of disorders
C)Only for disorders where the causes are well-known
D)No

Answer 2

No

Question 3

The first edition of the DSM was published in 1952. When was the last edition, DSM-V, issued?

A)1987
B)1994
C)2001
D)2013

Answer 3

2013

Question 4

Why do they need to keep changing the manual?

A)New information
B)Changes in the way abnormal behaviors are viewed
C)To change the descriptions and categories
D)All of the above

Question 5

Does the DSM-V classify people?

A)Yes, according to their disorders
B)Yes, according to their symptoms
C)Sometimes, depending on which diagnoses you are looking at
D)No, it classifies the disorders that people have

Question 6

Counselors should use "insanity" in which way:

A)It's a legal term
B)It's an exception
C)It's an action word
D)I don't know
E)It explains the inexplicable behavior of spouses

Question 7

In establishing a therapeutic relationship, Sweeney describes seven actions that can be used in counseling to provide encouragement. Which of the following would not be one of them?

A)Focus on what people are doing rather than evaluate their performance
B)Focus on the effort rather than the outcome
C)Focus on motivation from without (extrinsic), rather than within (intrinsic)
D)Focus on the present more than the past or future

Question 8

Which client characteristic seems unrelated to outcome?

A)Intelligence
B)Age
C)Education
D)Socioeconomic level

Question 9

Elena's client admitted to drinking excessively at a party. Which of the following questions is most likely to have a negative impact on the client?

A)How did you feel about that?
B)What happened?
C)What would you do differently next time?
D)Why did you drink so much?

Question 10

Clients with which of the following disorders are most likely to lack the ability to engage in the self-examination required by Adlerian therapy?

A)Impulse control disorders
B)Psychotic disorders
C)Personality disorders
D)Anxiety disorders

Question 11

Which of the following is not an open question?

A)What brought you here?
B)How are things going?
C)Did you have a good week?
D)How did you react?

Question 12

People most likely to enjoy the energetic and interactive approach of REBT are those with which characteristics?

A)Low self-esteem
B)Highly motivated pragmatic, logical
C)Fairly resilient , tough minded
D)All but A

Question 13

A clinician can create a therapeutic alliance with their client by ________.

A)Mutuality
B)Genuineness
C)Hope
D)All of the above

Question 14

There are five types of psychotherapeutic alliances. Which type focuses on shared goals and an agreement to engage in certain tasks to achieve those goals?

A)Transpersonal relationships
B)I-You relationships
C)Working alliances
D)Reparative/developmentally needed relationships

Question 15

One aspect of role induction is ______________.

A)Listening to the client
B)Familiarizing the client with the nature of counseling
C)Ensuring the room is set up properly
D)None of the above

Question 16

Duty to warn is an important part of professional ethics in therapy. What is not an aspect of duty to warn?

A)Duty to protect others who are endangered by a client
B)Duty to protect clients who threaten suicide or other forms of physical harm
C)Duty to seek consultation from a colleague or supervisor when faced with an issue to break confidentiality
D)Duty to warn client when the therapist will be on vacation

Question 17

Two personal characteristics of the effective clinician are _________.

A)Friendly and likeable
B)Patient and inflexible
C)Motivated by money and high self-esteem
D)Humorous and loud

Question 18

A critical component of the diagnostic interview includes which of the following?

A)Family and social history
B)Medical history
C)Previous diagnoses
D)All of the above

Question 19

When do clinicians need to refer clients to other professionals?

A)When a possible underlying medical condition is discovered
B)When additional concerns discovered are not within the clinician's expertise
C)When the clinician is having a bad day
D)A and B

Question 20

Global Assessment of Functioning is a numerical scale (0-100) clinicians use to subjectively assess the social, occupational, and psychological functioning of adults. Which is not a part of the scale?

A)100-91: Superior functioning in a wide range of activities; life's problems never seem to get out of hand; is sought out by others because of his/her many positive qualities. No symptoms.
B)10-1: Persistent danger of severely hurting self or others (e.g., recurrent violence);persistent inability to maintain minimal personal hygiene; serious suicidal act with clear expectation of death.
C)80-71: If symptoms are present, they are transient and expectable reactions to psycho-social stressors (e.g., difficulty concentrating after family argument); no more than slight impairment in social, occupational, or school functioning (e.g., temporarily
D)All of the above are part of the GAF

Question 21

In assessing a client's progress toward counseling goals, a clinician should __________.

A)Ask the client how they are doing
B)Refer to the treatment plan
C)Ask other clinicians how they think the client is doing
D)Not worry about assessing progress; it's all about the journey

Question 22

Many tests are available to assess client functioning. What is a reliable, valid test for assessing depression?

A)The MMPI-TM2
B)The QOLI
C)The HTP
D)The BDI

Question 23

The MBHI, or Million Behavioral Health Inventory, instrument is a brief self-report personality inventory designed to help the clinician assess the psychological coping factors related to the physical health care of adult medical patients. It is useful in:

A)Evaluation and screening of physically ill, injured, and surgical patients
B)Workers' compensation evaluations to help assess stress-related claims
C)Evaluation and screening of individuals in specialty clinics or programs (e.g., pain, stress, headache)
D)All of the above

Question 24

One of the reasons bipolar disorder can be difficult to diagnose in a child under ten is that ________.

A)The symptoms mimic or overlap ADHD
B)Children under ten do not experience bipolar disorder
C)Children under ten usually are very irritable anyway
D)None of the above

Question 25

Common factors in effective treatment are _________.

A)Acquiring insight and new understanding
B)Developing new perceptions or views of one's stressors or problems
C)Enjoying the process of counseling
D)Both A and B

Question 26

In Brief Solution-Based therapy, the underlying theory is _____________.

A)Problems stem from the inability of the ego to suppress or moderate drives from the id.
B)A climate of acceptance and unconditional positive regard promotes self-esteem and facilitates client growth
C)Small behavioral changes lead to larger changes that have ripple effects on the whole system
D)People are self-determining and choose everything, including their thoughts, actions, and emotions.

Question 27

On a multiaxial system assessment, Axis II is for reporting _____________ and _______________.

A)Clinical disorders and personality disorders
B)Psychosocial and environmental problems
C)Personality disorders and mental retardation
D)Adjustment disorders and eating disorders

Question 28

When using the Global Assessment of Functioning (GAF) scale, clinicians need to start ________.

A)At the bottom and evaluate each range for the function of the individual
B)At the top level and keep moving down the scale until the best match is found
C)By guessing at about which level the person might be functioning
D)With another type of assessment altogether

Question 29

What is the differential diagnosis for Reactive Attachment Disorder according to the DSM-V?

A)Schizophrenia
B)Depression
C)Pervasive Developmental Disorders
D)Anxiety

Question 30

A client states "It doesn't matter what I do, nothing goes right for me." This is an example of________________ in cognitive therapy.

A)All-or-nothing thinking
B)Overgeneralization
C)Catastrophizing
D)Disqualifying the positive

Question 31

Self-talk is a technique in which people repeat to themselves positive and encouraging phrases that they have identified as helpful many times a day. This technique is used in ____________ therapy.

A)Brief Psychodynamic therapy
B)Cognitive therapy
C)Jungian analytical therapy
D)This is not a technique used in therapy

Question 32

What is the primary purpose of a strengths-based assessment?

A)To focus on the strengths of the client in all aspects of their life
B)To find a meaning to struggling
C)To create an awareness of how much clients have been through
D)To assist in choosing a method of treatment

Question 33

Stress Inoculation Training (SIT) is a part of cognitive behavioral treatment. The therapist seeks to "immunize" a client from the adverse impact of stress by helping them successfully handle increasing levels of stress. There are three phases to this training. The first phase is ________________.

A)Problem identification
B)Conceptualization
C)Development of skills
D)Application and follow through

Question 34

When using Anchoring in treatment with a client, the clinician is attempting to create ___________ .

A)A way to hold the client in his chair
B)Planned positive responses to certain situations
C)A metaphor for sailing
D)Thought stopping procedures

Question 35

Cognitive therapy is based on the finding that changes in __________ lead to changes in __________.

A)Stress levels; the ability to sleep
B)Hormones; thoughts
C)Thinking; feeling and acting
D)Believing; doing

Question 36

Research has shown there are several characteristics of a successful client. Two of these characteristics are ___________ and _______________.

A)Maturity and the capacity for relationships
B)Intelligence and trustworthiness
C)Sense of humor and adventure
D)Trusting and giving

Question 37

Three essential skills needed for a clinician are _______, ____________, and ___________.

A)Organizational skills, listening skills, and patience
B)The ability to structure time, team work, and clarity
C)Time management skills, being alert, and able to clean
D)Having respect for the client, encouraging optimism in seeking a realistic solution, and excellent communication skills.

Question 38

To make a diagnosis of a Major Depressive Episode based on DSM-V criteria, a client would need to have five or more symptoms, with at least one of the two necessary symptoms. Which symptom below is one of those two necessary symptoms?

A)Significant weight loss
B)Feelings of worthlessness
C)Markedly diminished interest or pleasure
D)Fatigue or loss of energy

Question 39

What mental health diagnosis is most prevalent in children under age ten?

A)Obsessive-Compulsive Disorder (OCD)
B)Attention Deficit/Hyperactivity Disorder (ADHD)
C)Oppositional Defiant Disorder (ODD)
D)Major Depressive Disorder (MDD)

Question 40

In couples therapy, the Dyadic Trust Scale ____________.

A)Is an eight-item questionnaire
B)Takes less than 3 minutes to take
C)Focuses on trust between marriage partners
D)All of the above

Question 41

In single parent families created by divorce, stressors for custodial parents include _____.

A)Finances
B)Social
C)Parenting alone
D)All of the above

Question 42

Elderly couples are concerned about which of the following?

A)Finances
B)Physical health
C)Memory loss
D)All of the above

Question 43

One task of a new couple according to Carter and McGoldrick Is to ____________.

A)Develop personal autonomy
B)Learn to share with partner
C)Develop a support group
D)Adjust to decreased energy

Question 44

"Informed Consent" in a counseling situations means__________.

A)The clinician informs the client they will meet with them each week
B)Outlines the clinician's responsibilities to the client
C)Outlines the client's responsibilities to the clinician
D)Both B and C

Question 45

The process of terminating psychotherapy or counseling with a client typically occurs in one of three ways: Clinician's choice, client's choice or by mutual agreement. Why would a clinician terminate working with the client?

A)They are tired of working with the client
B)The clinician is experiencing life changes
C)They do not think the client is making progress
D)Clinician's do not terminate counseling with a client

Question 46

What does it usually mean when a clinician and client mutually agree to terminate treatment?

A)The client has made sufficient progress toward their goals
B)The client no longer is enjoying treatment
C)The clinician no longer wants to work with the client
D)None of the above