Deck 10: Treatment Planning

Question 1

Treatment planning is primarily:

A) conceptual and theoretical.
B) intuitive and generative.
C) client-focused and client-centered.
D) action-oriented and goal-directed.

Answer 1

D

Question 2

_____ can provide one defense against exaggerated or false claims or other types of malpractice suits:

A) Treatment formats
B) Treatment approaches
C) Documentation
D) Third-party involvement

Answer 2

C

Question 3

The information, "overreactive hostility to insignificant irritants" refers to:

A) a treatment goal of improving the clients anger management.
B) an operational definition of the client's anger management problem.
C) a client conceptualization of underlying anger.
D) a diagnostic description of the client's impulse control disorder.

Answer 3

B

Question 4

In the textbook case example of Sienna, the counselor wrote the following in the treatment plan: "the client's self-reported success in reducing dependency needs and conflict." This information was most likely recorded in which section of the plan?

A) Selecting achievable goals for change
B) Determining treatment modes
C) Documenting attainment of goals
D) Not enough information to determine

Question 5

The three basic steps in the treatment planning process take place in which order?

A) Document attainment of goals; determine treatment modes; select achievable goals
B) Select achievable goals; determine treatment modes; document attainment of goals
C) Determine treatment modes; select achievable goals; document attainment of goals
D) Select achievable goals; document attainment of goals; determine treatment modes

Question 6

According to the text, the foundation of the treatment plan is

A) selection of achievable goals.
B) assessment, appraisal, and conceptualization.
C) documenting attainment of goals.
D) implementation of an effective treatment modality.

Question 7

In the textbook case example of Sienna, the counselor wrote the following in the treatment plan: "promote insight through the use of person-centered skills." This information was most likely recorded in which section of the plan?

A) Selecting achievable goals for change
B) Determining treatment modes
C) Documenting attainment of goals
D) Not enough information to determine

Question 8

An effective treatment plan can address:

A) any concerns raised by the client.
B) an exhaustive list of symptoms.
C) a single primary treatment goal.
D) a few selected concerns.

Question 9

In the textbook case example of Sienna, the counselor wrote the following in the treatment plan: "return to previous level of functioning." This information was most likely recorded in which section of the plan?

A) Selecting achievable goals for change
B) Determining treatment modes
C) Documenting attainment of goals
D) Not enough information to determine

Question 10

According to Seligman, the client's presenting concerns and underlying difficulties are the _______ when treatment planning:

A) point of origin
B) destination
C) roadblocks
D) milestones

Question 11

In the textbook case example of Janine, presenting concerns included a depressive disorder, family conflicts, and psychosocial stressors of unemployment, medical diagnosis of diabetes, and poverty. Therefore the primary treatment goal is:

A) reduction in depressive symptoms.
B) resolution of family conflicts.
C) solution of unemployment and poverty problems.
D) improved adjustment to diagnosis of diabetes.
E) Not enough information to determine

Question 12

Treatment goals are selected from among the client's various:

A) presenting concerns
B) associated concerns
C) etiological factors
D) sustaining factors
E) Two of the above
F) Three of the above
G) All of the above

Question 13

The most important target for treatment is:

A) individual symptoms or concerns.
B) groups or constellations of symptoms.
C) inferred difficulties.
D) Not enough information to determine

Question 14

Documentation provides the clinician with:

A) a method of selecting treatment goals.
B) a method for showing efficacy.
C) a method for communicating with third-party payers.
D) a method of communicating with the client.
E) Two of the above
F) All of the above

Question 15

Which of the following might be used to document attainment of goals?

A) assisting the client in analyzing her cognitive self-talk to assess dysfunctional thinking
B) alleviate depressed mood and return to previous level of functioning
C) alleviation of depressed mood as measured by observation and psychological testing
D) Not enough information to determine

Question 16

Individual psychotherapy, group counseling, family therapy, and medication are examples of:

A) treatment plans.
B) treatment formats.
C) therapeutic approaches.
D) treatment goals.

Question 17

Which of the following might be used to record mode of treatment?

A) decrease in anti-depressant medication dosage
B) alleviate depressed mood and return to previous level of functioning
C) meet with psychiatrist to evaluate for anti-depressant medication
D) Not enough information to determine

Question 18

Treatment planning provides a "road map" for:

A) the client.
B) the counselor.
C) the stakeholders.
D) the referral agent.
E) a and b
F) c and d

Question 19

The most urgent client problems tend to be those that involve:

A) self-harm.
B) potential for harm to others.
C) diagnostic "red flag" problems.
D) problems causing the greatest emotional distress or greatest disruption in functioning.
E) Two of the above
F) Three of the above
G) All of the above

Question 20

According to Seligman, the alleviation of troubling symptoms and patterns is the _____ when treatment planning:

A) point of origin
B) destination
C) roadblock
D) milestone

Question 21

Comparing psychological testing results at the beginning and end of therapy provides an _____ method for confirming change.

A) objective
B) reactive
C) suggested
D) subjective
E) clinical

Question 22

Intervention techniques used should be based on the case conceptualization. In other words, one consideration is that treatment is:

A) matched to the uniqueness of the client.
B) matched to goals.
C) a function of theoretical orientation.
D) based on an estimate of the duration of counseling.

Question 23

Therapeutic interventions in the fictional case example of Maya Angelou's Marguerite include interpretation and analyzing resistance. Therefore, the theoretical approach to be employed by the counselor is:

A) cognitive-behavioral.
B) brief solution focused.
C) humanistic.
D) psychodynamic.
E) eclectic.

Question 24

One powerful method of clinician rating is the:

A) GPD
B) CBT
C) RET
D) GAF
E) RAT

Question 25

Research used to compare different counseling and psychotherapy approaches is said to show:

A) evidence basis.
B) absolute efficacy.
C) relative efficacy.
D) relative basis.
E) absolute basis.

Question 26

Specialized services such as diagnosis and appraisal for medication often require referral to which type of mental health professional?

A) psychologist
B) generalist counselor
C) generalist psychotherapist
D) licensed family counselor
E) psychiatrist

Question 27

In the fictional case example of Scarlett O'Hara presented in the text, "lack of satisfaction with past achievements in spite of successes" is one example of a:

A) goal for change.
B) therapeutic intervention.
C) behavioral definition of a problem.
D) existential-feminist approach.

Question 28

Research used to demonstrate the overall effectiveness of counseling and psychotherapy generally is said to show:

A) evidence basis.
B) absolute efficacy.
C) relative efficacy.
D) relative basis.
E) absolute basis.

Question 29

Referring to the fictional case example of the Wicked Queen of Snow White and the Seven Dwarfs,match the presenting problem with the appropriate goal for change:
a. Hallucinations
b. Traumatic early childhood experiences
c. Anti-social behaviors
d. Low self-esteem
e. Narcissism
Improve method of relating to the world ___

Question 30

Referring to the fictional case example of the Wicked Queen of Snow White and the Seven Dwarfs,match the presenting problem with the appropriate goal for change:
a. Hallucinations
b. Traumatic early childhood experiences
c. Anti-social behaviors
d. Low self-esteem
e. Narcissism
Control or eliminate active psychotic symptoms ___

Question 31

Specialized services such as testing often require referral to which type of mental health professional?

A) psychologist
B) generalist counselor
C) generalist psychotherapist
D) licensed family counselor
E) psychiatrist

Question 32

Client reports can provide one source of ______ information about the success of treatment.

A) objective
B) reactive
C) suggested
D) subjective

Question 33

Referring to the fictional case example of the Wicked Queen of Snow White and the Seven Dwarfs,match the presenting problem with the appropriate goal for change:
a. Hallucinations
b. Traumatic early childhood experiences
c. Anti-social behaviors
d. Low self-esteem
e. Narcissism
Become more responsible for behavior and keep behavior within acceptable limits ___

Question 34

Diaries, structured logs, and checklists are examples of:

A) clinician estimates.
B) clinician ratings.
C) milestone gains.
D) client self-reports.

Question 35

Change is measured by:

A) a combination of subjective and objective measures.
B) subjective measures.
C) objective measures.
D) absolute efficacy.
E) relative efficacy.

Question 36

The chosen intervention should be appropriate for the client and his or her characteristics. In other words, one consideration is that treatment is:

A) matched to the uniqueness of the client.
B) matched to goals.
C) a function of theoretical orientation.
D) based on an estimate of the duration of counseling.

Question 37

Active, symptom-management approaches often are selected when:

A) client motivation is high.
B) therapeutic contacts will be limited.
C) client motivation is low.
D) therapeutic contacts will be extensive.
E) a and b
F) c and d

Question 38

Therapeutic interventions in the fictional case example of Hansel (of Hansel and Gretel) include a variety of techniques such as play therapy, art therapy, and imagery. Therefore, the theoretical approach to be employed by the counselor is:

A) cognitive-behavioral.
B) brief solution focused.
C) humanistic.
D) psychodynamic.
E) eclectic.

Question 39

Post-only assessment results:

A) should not be used in treatment plans as measures of change.
B) can be used as measures of change but provide less clear information than pre-post results.
C) should be used as measures of change because they are less biased than pre-post results.
D) should be used as measures of change because they provide better third-party information.

Question 40

Which of the following were described in the text as outside non-counseling referrals?

A) social services
B) legal services
C) psychiatric services
D) child protective services
E) Two of the above
F) Three of the above
G) All of the above