Deck 14: Skill Integration, Decisional Counseling, Treatment Planning, and Relapse Prevention
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Deck 14: Skill Integration, Decisional Counseling, Treatment Planning, and Relapse Prevention
1
Which one of the following is a useful strategy for decisional counseling?
A)Cognitive and emotional balance sheet
B)Logical consequences
C)Future diary
D)All of the above
A)Cognitive and emotional balance sheet
B)Logical consequences
C)Future diary
D)All of the above
D
2
"How will you elicit the client's idealized self or world?" As you prepare your first interview treatment plan for a new client, you would most likely ask this question when you consider which stage of the interview?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
C
3
Which one of the following is NOT an anticipated result of skill integration?
A)Developing counselors will integrate skills as part of their natural style.
B)Choices of application will vary among interviewers.
C)Interviewers will flex when their actions are ineffective.
D)Counselors and interviewers will be certified to open their own practice.
A)Developing counselors will integrate skills as part of their natural style.
B)Choices of application will vary among interviewers.
C)Interviewers will flex when their actions are ineffective.
D)Counselors and interviewers will be certified to open their own practice.
D
4
"What special issues do you anticipate with regard to rapport development?" As you prepare your first interview treatment plan for a new client, you would most likely ask this question when you consider which stage of the interview?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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5
____ the microskills into a well-formed interview and ____ the skills to situations beyond the training session or classroom.
A)Invent; apply
B)Integrate; generalize
C)Mix; address
D)Maneuver; develop
A)Invent; apply
B)Integrate; generalize
C)Mix; address
D)Maneuver; develop
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6
"What are anticipated concerns or strengths?" As you prepare your first interview treatment plan for a new client, you would most likely ask this question when you consider which stage of the interview?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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7
In addition to the five-stage interview structure, there are additional useful strategies for decisional counseling.Which one of the following is NOT a useful strategy for decisional counseling?
A)Creative brainstorming
B)Logical consequences
C)Future imaging
D)Verbal underlining
A)Creative brainstorming
B)Logical consequences
C)Future imaging
D)Verbal underlining
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8
The five stages of the client interview and all problem-solving systems are based on both ____ and ____.
A)Frank Parsons' original decisional model; trait-and-factor theory
B)trait-and-factor theory; the "1-2-3" influencing model
C)Benjamin Franklin's original decisional model; trait-and-factor theory
D)the "1-2-3" influencing model; Benjamin Franklin's original decisional model
A)Frank Parsons' original decisional model; trait-and-factor theory
B)trait-and-factor theory; the "1-2-3" influencing model
C)Benjamin Franklin's original decisional model; trait-and-factor theory
D)the "1-2-3" influencing model; Benjamin Franklin's original decisional model
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9
Effective decisions can be reached through ____.
A)cognitive processes located primarily in the executive left brain
B)a combination of cognitive decisions with emotional satisfaction
C)left and right brain coordination
D)the hippocampus energized by the amygdala
A)cognitive processes located primarily in the executive left brain
B)a combination of cognitive decisions with emotional satisfaction
C)left and right brain coordination
D)the hippocampus energized by the amygdala
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10
Which one of the following is NOT a component of Frank Parsons' 1908 trait-and-factor theory originated to help clients make vocational decisions?
A)Consider personal traits, abilities, skills, and interests.
B)Review positive and negative consequences.
C)Examine the environmental factors.
D)Develop "true reasoning" on the relationship of these groups of facts.
A)Consider personal traits, abilities, skills, and interests.
B)Review positive and negative consequences.
C)Examine the environmental factors.
D)Develop "true reasoning" on the relationship of these groups of facts.
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11
How can we help clients work through issues and come up with answers?
A)Decisional counseling
B)Problem-solving counseling
C)Balance sheet and future diary
D)All of the above
A)Decisional counseling
B)Problem-solving counseling
C)Balance sheet and future diary
D)All of the above
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12
According to the authors, decisions are:
A)the stuff of life.
B)the cause of our illnesses.
C)the most dreaded part of life.
D)the energy of life.
A)the stuff of life.
B)the cause of our illnesses.
C)the most dreaded part of life.
D)the energy of life.
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13
"What specific incongruities do you anticipate in the client?" As you prepare your first interview treatment plan for a new client, you would most likely ask this question when you consider which stage of the interview?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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14
A ___________________ is an individualized application of your theoretical model that takes into consideration the antecedents of the case and your observations and inferences.
A)case conceptualization
B)treatment plan
C)future diary
D)theoretical formulation
A)case conceptualization
B)treatment plan
C)future diary
D)theoretical formulation
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15
Which of the following theories of counseling deal with problem solving and decisions?
A)Cognitive behavioral
B)Person-centered
C)Psychoanalytic
D)All of the above
A)Cognitive behavioral
B)Person-centered
C)Psychoanalytic
D)All of the above
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16
The simplest problem-solving model is:
A)consider skills and interests, consider consequences, consider feelings and emotions.
B)examine emotional impacts, choose simple strategies, detail future consequences.
C)define the problem, generate alternatives, choose to act on one alternative.
D)self reflection, self-examination, decisional choices.
A)consider skills and interests, consider consequences, consider feelings and emotions.
B)examine emotional impacts, choose simple strategies, detail future consequences.
C)define the problem, generate alternatives, choose to act on one alternative.
D)self reflection, self-examination, decisional choices.
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17
_________ expanded Benjamin Franklin's Decisional Framework.
A)Skinner
B)Parsons
C)Frankl
D)Rogers
A)Skinner
B)Parsons
C)Frankl
D)Rogers
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18
In which stage of the interview may a common bond between you and your client be established?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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19
Which one of the following is an INACCURATE description of one of the five stages of the client interview?
A)Empathic relationship: Initiate the session, rapport and structuring
B)Story and strengths: Gather data, draw out client stories
C)Goals: Interviewer sets client goals
D)Restory: Explore and create alternatives
A)Empathic relationship: Initiate the session, rapport and structuring
B)Story and strengths: Gather data, draw out client stories
C)Goals: Interviewer sets client goals
D)Restory: Explore and create alternatives
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20
The effective helping professional plans each interview with a client.In which stage of the interview are you likely to emphasize behavior, thoughts, feelings, meanings?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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21
The maintaining change worksheet helps the client plan to:
A)maintain current behavior.
B)avoid slips into old behavior.
C)prevent current abnormal behavior.
D)resolve reason for consultation.
A)maintain current behavior.
B)avoid slips into old behavior.
C)prevent current abnormal behavior.
D)resolve reason for consultation.
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22
In which stage of the interview are you and your client likely to generate specific implementation plans?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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23
Decisional counseling theorists believe that all theories of counseling and therapy deal with problem solving and decisions.
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24
"What will enable the interviewee to feel the interview was worthwhile?" As you prepare your first interview treatment plan for a new client, you would most likely ask this question when you consider which stage of the interview?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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25
Which of the following is very important for counseling clients?
A)Checklist
B)Develop plans
C)Reexamine your own style
D)All of the above
A)Checklist
B)Develop plans
C)Reexamine your own style
D)All of the above
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26
Which of the following is TRUE about Mary's interview?
A)The relationship between job change and personal issues develops during the session.
B)Gender issues emerge as important multicultural factors.
C)Some interviewer responses were less effective than others.
D)All of the above.
A)The relationship between job change and personal issues develops during the session.
B)Gender issues emerge as important multicultural factors.
C)Some interviewer responses were less effective than others.
D)All of the above.
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27
The effective helping professional plans each interview with a client.In which stage of the interview can we begin by summarizing the client's positive strengths and wellness assets?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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28
Which one of the following is an appropriate reason for a counselor to take notes?
A)Structured notes will help you evaluate your own counseling skills.
B)Good notes facilitate planning for your next client contact.
C)Keeping notes can keep you from forgetting what happened in the last session.
D)All of the above.
A)Structured notes will help you evaluate your own counseling skills.
B)Good notes facilitate planning for your next client contact.
C)Keeping notes can keep you from forgetting what happened in the last session.
D)All of the above.
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29
Relapse prevention relates to which stage of the interview?
A)Story and strengths
B)Goals
C)Restory
D)Action
A)Story and strengths
B)Goals
C)Restory
D)Action
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30
The ________________ is a systematic way to monitor the progress of clients toward their goals.
A)Client Progress Scale
B)Client Concrete Scale
C)Client Change Scale
D)Client Developmental Identity Scale
A)Client Progress Scale
B)Client Concrete Scale
C)Client Change Scale
D)Client Developmental Identity Scale
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31
Which of the following is a good reason to consider referral for a client?
A)No interviewer has all the answers.
B)You refer your client to welfare and child services for additional help.
C)The client/interviewer relationship is just not working as well as it should.
D)All of the above.
A)No interviewer has all the answers.
B)You refer your client to welfare and child services for additional help.
C)The client/interviewer relationship is just not working as well as it should.
D)All of the above.
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32
You can evaluate the effectiveness of an interview by:
A)the mood of the client as he or she leaves the session.
B)changes observed using the Client Change Scale.
C)the feeling of satisfaction you experience at the close of the session.
D)how well you followed your interview treatment plan.
A)the mood of the client as he or she leaves the session.
B)changes observed using the Client Change Scale.
C)the feeling of satisfaction you experience at the close of the session.
D)how well you followed your interview treatment plan.
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33
No interview is perfect.What counts is:
A)your ability to be intentional.
B)your ability to change your behavior to be with the client.
C)your ability to be meet the client where he or she is.
D)all of the above.
A)your ability to be intentional.
B)your ability to change your behavior to be with the client.
C)your ability to be meet the client where he or she is.
D)all of the above.
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34
____________ is the author of The Checklist Manifesto.
A)Nezu
B)Gawande
C)Beck
D)Parsons
A)Nezu
B)Gawande
C)Beck
D)Parsons
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35
Which of the following should be included in a relapse prevention plan?
A)List of people who can be counted on for support
B)Triggers to the unwanted behaviors
C)Rewarding alternatives client can do instead of engaging in the negative behavior
D)All of the above
A)List of people who can be counted on for support
B)Triggers to the unwanted behaviors
C)Rewarding alternatives client can do instead of engaging in the negative behavior
D)All of the above
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36
Relapse prevention would be MOST LIKELY used by which of the following theories or methods?
A)Motivational interviewing
B)Decisional career counseling
C)Cognitive behavioral therapy
D)All of the above
A)Motivational interviewing
B)Decisional career counseling
C)Cognitive behavioral therapy
D)All of the above
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37
In which stage of the interview are you and your client likely to define the ideal outcome?
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
A)Empathic relationship
B)Story and strengths
C)Goals
D)Restory
E)Action
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38
_____________, as this will provide a constant way to grow and improve your interviewing skills.
A)Seek colleagues and supervisors to review your work
B)Continuously perform a detailed analysis of your interviewing style and behavior
C)Appropriately share your thoughts and analysis with your client
D)All of the above.
A)Seek colleagues and supervisors to review your work
B)Continuously perform a detailed analysis of your interviewing style and behavior
C)Appropriately share your thoughts and analysis with your client
D)All of the above.
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39
Decisions require creativity, a disciplined freedom, an openness to change, and the capacity to envision the potential consequences of given actions.
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40
Which of the following theories place a strong emphasis on treatment plans?
A)Cognitive therapy
B)Gestalt therapy
C)Person-centered therapy
D)All of the above
A)Cognitive therapy
B)Gestalt therapy
C)Person-centered therapy
D)All of the above
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41
A case conceptualization is an individualized application of your theoretical model that takes into consideration the antecedents of the case and your observations and inferences.
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42
The relapse prevention plan needs to be tailored to the individual client and his or her circumstances.
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43
The goal of the final audio or video exercise is to find what your current skill level is.
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44
Discuss the concept of referral and the various reasons for referring clients.Provide specific examples of each.
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45
Counselor's personal decisions rarely influence what happens in the session.
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46
A checklist of basic and often obvious factors significantly reduced dangerous errors.
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47
How would you design a relapse prevention program to facilitate a client in developing an effective weight loss program?
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48
Discuss Trait-and-Factor Theory's key concepts and historical development.
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49
You are about to see a client for the first time.You know that it is a career problem, that the client is female, and 32 years old.The client form mentions past work experience as a secretary, that she is divorced with one child, and that she is a graduate of a two-year business program.Develop an interview plan for this client specifying your objectives for the session as clearly as possible.
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50
Imagine that you are a supervisor for Allen, the interviewer in Chapter 14.Assume that the client in Allen's interview came from another culture.Specify that other culture and present an alternative interview plan for the client's first session.
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51
Imagine that you are a supervisor for Allen, the interviewer in Chapter 14.Using your knowledge of the interview, what strengths and weaknesses do you observe? Be specific and concrete in both your evaluations.
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52
The work that clients do after the session is as valuable as or more valuable than what they do during the session.
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53
According to Ivey, Ivey, and Zalaquett, in all interviews you will find some interviewer responses that are less effective than others.We all make errors but our ability to learn from them and change makes us become more effective interviewers or counselors.
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54
When you are unable to build a viable working relationship with a client and referral becomes necessary, make the referral and remove yourself from continued contact with the client.
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55
Decisional counseling is not useful with difficult personal decisions.
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56
It's not the mistakes you make, but what you do to correct them that counts.
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