Deck 2: Real World Treatment Planning: Systems, Culture, and Ethics

Question 1

One result of the increase in managed care systems is:

A) Increased client confidentiality
B) Decreased client confidentiality
C) Increased record keeping for counselors
D) Decreased record keeping for counselors

Answer 1

Increased client confidentiality

Question 2

Many counselors to avoid ascribing clients with stigmatizing diagnoses, while others
To ensure clients' services are covered.

A) Downcode; upcode
B) Upcode; downcode
C) Downgrade; upgrade
D) Upgrade; downgrade

Answer 2

Downcode; upcode

Question 3

Third Party payers are most likely to cover the costs of treatment for which of the following disorders:

A) Personality disorders
B) Other conditions that may be a focus of clinical attention
C) Autism spectrum disorders
D) Major depressive disorder

Answer 3

Major depressive disorder

Question 4

Accrediting bodies' function is to

A) Ensure that counselors provide the most accurate diagnosis possible
B) Ensure that all clients receive services, regardless of the severity of their problem
C) Ensure that clients are able to attain treatment for as long as necessary
D) Enhance the quality of services provided to consumers of services

Question 5

The client's is typically used by third party payers to determine the number of sessions and type of counseling that is approved for reimbursement

A) Income level
B) Diagnosis
C) Treatment plan
D) Presenting issue

Question 6

Third party payers generally reimburse clients for services than/that counselors would recommend they receive

A) More
B) The same amount of
C) Fewer
D) It is dependent on client income level

Question 7

Counseling session limits influence

A) Treatment plan and goals
B) Treatment goals
C) Treatment plan
D) Diagnosis

Question 8

Oftentimes, a is the treatment leader in treatment teams.

A) Office Manager
B) Supervisor
C) Physician/psychiatrist
D) Community psychiatrist support provider

Question 9

All of the following are concerns of the DSM, except:

A) Historically, some diagnostic labels have been marginalized and stigmatized
B) There is limited evidence of cross-cultural validity in diagnostic conceptualizations
C) The DSM can predict treatment outcomes
D) There are flaws in the science behind DSM diagnoses

Question 10

A medical model of change places the responsibility for problems-and for change-at/on the
Level.

A) Relational
B) Individual
C) Community
D) Societal

Question 11

The is a positive development in the DSM-5 that helps counselors obtain the most clinically useful information, develop a relational connection with clients, and ultimately make accurate diagnoses.

A) Cultural formation interview
B) Global assessment of functioning scale
C) Cultural diversity assessment
D) Developmental formation interview

Question 12

The primary purpose of informed consent is to

A) Assess the client's readiness for counseling
B) Establish rapport between the client and counselor
C) Ensure that the client fully understands the counseling process
D) Outline the counselor's fee schedule

Question 13

The most recent version of the American Counseling Association's (ACA) Code of Ethics was published in what year?

A) 2004
B) 2010
C) 2018
D) 2014

Question 14

Ethical standards require that counselors provide diagnoses as well as avoid diagnoses.

A) Accurate; severe
B) Definitive; misrepresenting
C) Accurate; misrepresenting
D) Accurate; chronic

Question 15

Which statement is false regarding multiple relationships?

A) Sexual and/or romantic counselor-client interactions or relationships with current clients, their romantic partners, or their family members are prohibited by current ethical standards
B) Counselors must consider ways they can manage the therapeutic-fiduciary relationship
C) A client may be harmed if a counselor engages in a multiple relationship with him/her
D) Only sexual and/or romantic counselor-client interactions or relationships with current clients is prohibited by current ethical standards

Question 16

Consultation and supervision can help counselors

A) Ensure that diagnostic and treatment planning procedures are consistent with typical standards of care
B) Decide how to best prevent harm to the client
C) Ensure that an accurate diagnosis is ascribed
D) All of the above

Question 17

A culturally sensitive assessment is not achieved if

A) A counselor assessed the client's presenting issue solely from her/his clinical lens
B) A counselor assessed the effect of trauma
C) A counselor assessed gender socialization
D) A counselor assessed cultural identity and values

Question 18

Cultural validity in assessment requires that mental health professionals consider specific cultural backgrounds and norms such as

A) socioeconomic status
B) functional abilities
C) race/ethnicity
D) All of the above

Question 19

Which statement reflects a counselor skill for diversity-sensitive diagnosis and treatment

A) Know and use only symptom scales validated in the client's culture
B) Commit to assessing and overcoming personal biases and stereotypes
C) Conduct gender-sensitive clinical assessments
D) Avoid jumping to conclusions about clients on the basis of their cultural group

Question 20

Which is true about informed consent?

A) Informed consent is a one-time event that occurs on the first day of counseling
B) Informed consent needs to be revisited in counseling only during ethical issues
C) Informed consent does not include informing clients about changes in diagnosis
D) Informed consent is an ongoing process

Question 21

What are at least three strengths of the DSM/medical model? What are at least three weaknesses of the
DSM/medical model?

Question 22

Describe four strategies counselors can use to facilitate ethical diagnoses and treatment practices.