Question 1

____________ is the integration of the best available research with clinical expertise in the context of patient characteristics,culture,and preferences.

Accepted Answer

Evidence-based practice involves integrating the best available research with clinical expertise and considering the patient's characteristics, culture, and preferences to make decisions about their care.

Question 2

Contemporary theories of counseling:

Accepted Answer

Contemporary theories of counseling often emphasize the uniqueness of the individual, self-assertion, and ego strength, which are concepts more aligned with Western cultural values.

Question 3

Maria,a Mexican American woman,will live with her parents until she marries.A culturally competent and sensitive counselor will understand that:

Accepted Answer

This choice recognizes the cultural context of Maria's situation, understanding that living with parents until marriage can be a norm in many cultures, including some Mexican American families, due to gender-role expectations. It does not pathologize the behavior but rather sees it through a cultural lens.

Question 4

Evidence-based practice is often associated with:

Accepted Answer

Cognitive-behavioral approaches are the most extensively researched psychotherapies, making them a primary example of evidence-based practice. This means they are supported by empirical research demonstrating their effectiveness.

Question 5

____________ uses assessment to understand the client's pattern of thinking and to identify self-defeating beliefs.

Accepted Answer

Cognitive-behavioral approaches focus on understanding the client's pattern of thinking and identifying self-defeating beliefs to help in modifying behavior and emotional responses.

Question 6

Not possessing the competence to use the DSM-5 appropriately raises an ethical issue.Practitioners who use the DSM diagnosis must be trained.This training requires learning more than diagnostic categories; it involves:

Accepted Answer

Practitioners need to understand personality theory and psychopathology to relate them to therapeutic practice, ensuring accurate and ethical use of the DSM-5.

Question 7

Empirical research _________the centrality of the therapeutic relationship as a primary factor contributing to psychotherapy outcomes.

Accepted Answer

Empirical research consistently supports the idea that the therapeutic relationship is a primary factor contributing to the outcomes of psychotherapy, highlighting its importance in the process.

Question 8

Practitioners must have a clear understanding of ______________ and have a sense of the expected outcomes of their interventions.

Accepted Answer

Understanding the techniques they use is crucial for practitioners to ensure the effectiveness and appropriateness of their interventions.

Question 9

Practitioners who argue AGAINST diagnosis:

Accepted Answer

The argument against diagnosis often centers on the concern that DSM labels can stigmatize individuals, leading to negative consequences in how they are perceived and treated by others, including within the healthcare system.

Question 10

__________ is the best predictor of treatment outcome.

Accepted Answer

The relationship between therapist and client, often referred to as the therapeutic alliance, is widely recognized as a strong predictor of treatment outcome across various types of therapy. This relationship encompasses the level of trust, respect, and mutual understanding between the therapist and client, which facilitates the client's willingness to engage in the therapeutic process and implement therapeutic strategies.

Question 11

A theoretical orientation is best described as:

Accepted Answer

A theoretical orientation provides a counselor with a broad framework or set of guidelines to understand their clients' issues and to guide their approach to therapy. It is not necessarily a rigid step-by-step process, but rather a way to conceptualize and address problems.

Question 12

According to professional ethical principles on testing,it would be unethical for a counselor to:

Accepted Answer

It is unethical for a counselor to perform testing and assessment services without adequate training because doing so can lead to inaccurate assessments, misinterpretation of results, and potential harm to the client. Competence in the specific assessment tools and methods is a fundamental ethical requirement in counseling and psychology.

Question 13

When considering administrating or interpreting testing,in order to increase the likelihood you are practicing in a culturally sensitive manner,it is important to pay attention to all of the following points EXCEPT:

Accepted Answer

Giving clients the test scores only and suggesting they look online for results is not a culturally sensitive practice. It disregards the importance of providing a professional interpretation of the results, which is crucial for understanding the context and implications of the scores. The other options (A, B, C) are important considerations for culturally sensitive testing practices.

Question 14

Feminist therapists have challenged the DSM system and proposed alternatives for making meaningful assessments.Therapists who question the usefulness of traditional diagnosis make all of the following observations,EXCEPT?

Accepted Answer

The correct answer is D because the DSM system and traditional diagnosis methods are generally not based on a systemic approach that views the source of distress as being within the entire system. Instead, they focus on the individual's symptoms and pathology.

Question 15

Practicing counseling without an explicit theoretical rationale is somewhat like:

Accepted Answer

Practicing counseling without an explicit theoretical rationale lacks direction and guidance, similar to trying to sail a boat without a rudder, which is essential for steering and navigating.

Question 16

____________ is based on Western American assumptions (such as individualism and universalism),which limits its usefulness among different cultural groups.

Accepted Answer

The DSM (Diagnostic and Statistical Manual of Mental Disorders) is based on Western American assumptions, such as individualism and universalism, which can limit its applicability and usefulness among different cultural groups. This is because it may not fully account for cultural variations in the expression and understanding of mental health conditions.

Question 17

____________ is a general term covering the process of identifying an emotional or behavioral problem and making a statement about the current status of a client.

Accepted Answer

Psychodiagnosis is the term that specifically refers to the process of identifying emotional or behavioral problems and making a statement about the current status of a client. It involves assessing psychological features and patterns to understand a person's mental health condition.

Question 18

The purpose in using a technique is to:

Accepted Answer

The primary purpose of using a technique in therapeutic or physical contexts is to facilitate movement, whether that be physical, emotional, or psychological, aiding in the client's progress or healing.

Question 19

It is an ethical,and sometimes legal,obligation of therapists to be mindful that a medical evaluation is many times indicated.Which of the following is NOT a reason to refer for a medical evaluation?

Accepted Answer

Marital discord is not typically a condition that necessitates a medical evaluation. It is more related to interpersonal issues and is usually addressed through counseling or therapy, unlike dementia, schizophrenia, and bipolar disorder, which may require medical evaluation for diagnosis and treatment.

Question 20

When a counselor works in a managed care system,client's goals need to be:

Accepted Answer

Managed care systems prioritize brief, solution-focused therapy. Goals are specific, aimed at reducing symptoms and often involve teaching coping skills to address immediate concerns rather than long-term character reconstruction or insight-oriented therapy.

Quiz 10: Issues in Theory and Practice