Question 1

Which of the following is NOT appropriate when preparing to work with clients from a different culture than your own?
A) Reading literature by authors from other cultures.
B) Talking to people from other cultures.
C) Learning about the relationship between your culture and other cultures.
D) Not learning about other cultures so that you won't be biased in the session.

Accepted Answer

Understanding and learning about other cultures is crucial for providing culturally competent services. Not learning about other cultures under the guise of avoiding bias can actually lead to misunderstandings and reinforce stereotypes.

Question 2

When the person coming to see the practitioner is considered a minor,
A) the parents usually have a legal right to know what happens during meetings.
B) the parents have waived their legal right to know what happens during meetings.
C) the school has a legal right to know what happens during meetings if the child has a school-related problem.
D) the parents have a legal right to advise the practitioner how to address the problems faced by the child.

Accepted Answer

In most jurisdictions, when the person coming to see the practitioner is considered a minor, the parents or legal guardians usually have a legal right to know what happens during meetings, unless specific confidentiality agreements or laws apply that limit this right.

Question 3

When working with clients, the practitioner's introduction to therapy should include all of the following EXCEPT:
A) referrals to other clients who have been successfully treated by the practitioner including their contact information)
B) the purpose of the meeting.
C) where the meeting will take place.
D) how long the meeting will last.

Accepted Answer

Referrals to other clients who have been successfully treated, including their contact information, would violate confidentiality and privacy standards. The other options are standard information to provide in an introduction to therapy.

Question 4

Administrative contracts:
A) are optional.
B) are the same across disciplines.
C) are part of the case record.
D) are completed at termination.

Accepted Answer

Administrative contracts are part of the case record, documenting agreements, plans, and services provided. They are essential for tracking and accountability within various professional settings, including social work, healthcare, and legal services.

Question 5

What emotions do clients usually experience in the first meeting?
A) Excitement and joy
B) Anxiety and nervousness
C) Anger and love
D) Jealousy and competitiveness

Accepted Answer

Clients often feel anxiety and nervousness in the first meeting due to uncertainty about the process, concerns about being judged, or worries about the outcomes of the meeting.

Question 6

How does beginning meetings with families differ from meetings with individuals?
A) When working with families, confidentiality does not need to be covered since all the members of the family will hear what the others have to say.
B) When working with families, it is important to make a report to child protective services at once, since the family is likely having a problem with the child.
C) When working with families, it is important to provide basic information using words that the children will understand.
D) When working with families, it is important to explain the process once to each individual in the family.

Accepted Answer

When working with families, especially those that include children, it's crucial to communicate in a way that is understandable to all members, including children. This ensures that everyone is on the same page regarding the purpose and process of the meetings.

Question 7

Because of issues of confidentiality, initially practitioners should avoid:
A) taxes.
B) using their name when they introduce themselves.
C) making direct comments to their clients.
D) using the client's name to greet them, especially if there are other people in the waiting room.

Accepted Answer

To maintain confidentiality, practitioners should avoid using the client's name to greet them in the presence of others, as it could inadvertently disclose the client's identity and the fact that they are receiving services.

Question 8

Which of the following is NOT one of the circumstances in which a practitioner is required to break confidentiality?
A) When the client threatens to hurt herself
B) When the client states in session that her live-in boyfriend burns her 1-year-old daughter with cigarette butts
C) When the client indicates in session that her elderly neighbor with dementia is being locked in her room and tied to her chair by the neighbor's daughter, to prevent her from wandering off and getting lost.
D) When the client states that she was sexually assaulted 20 years ago, as a 10-year-old child by a man who is now dead.

Accepted Answer

The requirement to break confidentiality typically does not extend to reports of past abuse where the perpetrator is deceased and there is no ongoing or imminent risk to others.

Question 9

Is it appropriate to use the client's first name when you address him/her?
A) Yes, because it helps to build the therapeutic relationship if everyone is on a first name basis.
B) Yes, because using someone's last name is too formal for a therapeutic setting.
C) No, because it encourages over-familiarity and the overstepping of professional boundaries.
D) Yes, but only if the client states that s/he wants to be addressed by his/her first name.

Accepted Answer

Using a client's first name can be appropriate in a therapeutic setting, but it is crucial to respect the client's preferences. If the client expresses a desire to be addressed by their first name, it should be honored to maintain respect and comfort in the therapeutic relationship.

Question 10

What is confidentiality within the context of the practitioner-client relationship?
A) Assurance that the content of the sessions will be shared only on a need-to-know basis.
B) Assurance that the practitioner is confident in his/her ability to aid the client.
C) Assurance that the client's information shared with the practitioner will be kept confidential, secure, and not shared with others unless s/he signs a consent form.
D) Assurance that the relationship will remain confidential and that the practitioner has the ability to build rapport with the client.

Accepted Answer

Confidentiality in the practitioner-client relationship means that the client's information is kept secure and not shared without consent.

Question 11

Which of the following is NOT one of the tasks that must always be completed in the first meeting?
A) Setting the tone
B) Explaining the process
C) Signing a "no suicide" contract
D) Reviewing confidentiality and the limits of confidentiality

Accepted Answer

Signing a "no suicide" contract is not considered a standard or universally required task in initial meetings across various therapeutic approaches. The first meeting typically involves setting the tone, explaining the therapeutic process, and reviewing confidentiality and its limits to establish a safe and clear framework for therapy.

Question 12

When working with an individual client, which seating arrangement is most conducive to open discussion?
A) Sitting across from a client so the client feels comfortable.
B) Sitting behind a desk to increase professionalism.
C) Sitting behind the client so the client may free associate.
D) All seating arrangements have the same effect.

Accepted Answer

Sitting across from a client can create a more open and comfortable environment for discussion, as it allows for direct eye contact and a sense of equality. This setup is generally considered more conducive to open communication compared to the other options, which can create barriers or feelings of hierarchy.

Question 13

General information about a specific cultural group should:
A) apply to all individuals since it is broad information and you can assume that it is accurate.
B) give the practitioner a starting point for understanding the client's worldview.
C) be humorous and contain slang.
D) show you that your culture is better than the other culture.

Accepted Answer

General information about a specific cultural group can serve as a foundational understanding for practitioners, offering a starting point to appreciate and comprehend the client's worldview. It is essential to recognize that while such information can be helpful, it should not be assumed to apply universally to all individuals within that group.

Question 14

A practitioner wants to prepare for the next client session. Which of the following is NOT one of the things s/he would do?
A) Obtain available client information
B) Develop goals for the client to achieve based on the referral information
C) Possibly discuss the case with a supervisor or co-worker
D) Plan out an agenda

Accepted Answer

Developing goals for the client to achieve based solely on referral information, without first meeting the client and assessing their individual needs and perspectives, is not an appropriate step in preparing for a client session. It's important to involve the client in goal-setting to ensure the goals are relevant and tailored to the client's unique situation and needs.

Question 15

In subsequent meetings, a common beginning phrase is
A) "Where would you like to start?"
B) "Hello"
C) There is no common beginning phrase
D) "Why are you always late for our meetings?"

Accepted Answer

The phrase "Where would you like to start?" is often used to open discussions in meetings, allowing participants to guide the conversation.

Question 16

Which of the following is most true about confidentiality and informed consent?
A) Once the client has been given the statement of confidentiality and informed consent forms to read and sign, the practitioner has met his/her responsibility.
B) It is the responsibility of the practitioner to be sure the client understands written or spoken communication about confidentiality and consent.
C) The statement of confidentiality and informed consent forms may be given to the client at any time throughout the course of treatment.
D) Informed consent is not required from adult clients as their attendance of the sessions can be considered as consent.

Accepted Answer

It is essential for the practitioner to ensure that the client fully understands the information provided about confidentiality and informed consent, whether it is delivered through written or verbal means. This understanding is crucial for the ethical practice and for the client's ability to make informed decisions about their treatment.

Question 17

All of the following may be discussed near the end of the meeting EXCEPT:
A) the possibility of future meetings.
B) the client's feelings about seeking help.
C) a review of what was covered in the meeting.
D) confidentiality and informed consent.

Accepted Answer

Confidentiality and informed consent are topics that should be discussed at the beginning of a meeting or therapy session, not at the end, to ensure that the client understands their rights and the boundaries of the therapeutic relationship from the start.

Question 18

In the first meeting, it is the practitioner's responsibility to:
A) structure and organize the meeting in a way that promotes trust and creates an atmosphere of safety.
B) work with the client to find a solution to the problem.
C) terminate the relationship.
D) provide feedback and suggestions to the client.

Accepted Answer

In the first meeting, the practitioner's primary responsibility is to establish a foundation of trust and safety, which is essential for effective communication and collaboration in future sessions.

Question 19

Preparing mentally for a session includes:
A) giving yourself a pep talk, for example, by telling yourself "You can do it!"
B) telling yourself that everything doesn't matter in the end, so you won't feel so anxious about the meeting.
C) letting go of distracting thoughts and getting ready to fully focus on the client.
D) reviewing everything that your supervisor told you in the last supervision session and writing notes on your hand to remind yourself to cover those topics.

Accepted Answer

Letting go of distracting thoughts and getting ready to fully focus on the client is an important part of preparing mentally for a session.

Question 20

Practitioners who work with groups might start the first session with the following exercise to help members get acquainted:
A) Having group members share one of their most shameful moments.
B) An icebreaker activity such as going around and having each member describe something unique about him/herself.
C) Having members fill out an anonymous feedback form on what they found useful in the sessions.
D) Have each member critique another member's ideas.

Accepted Answer

Starting with an icebreaker activity where each member describes something unique about themselves is a common and effective way to help group members get acquainted. It's non-threatening and encourages personal sharing without putting members in a potentially uncomfortable position. Sharing shameful moments or critiquing each other's ideas could create discomfort and inhibit the development of a safe and trusting group environment, especially in the first session. Anonymous feedback forms are typically used to gather feedback after some sessions have occurred, not as an introductory activity.

Quiz 7: Opening and Closing a Meeting

Which of the following is NOT appropriate when preparing to work with clients from a different culture than your own?

When the person coming to see the practitioner is considered a minor,

When working with clients, the practitioner's introduction to therapy should include all of the following EXCEPT:

Administrative contracts:

What emotions do clients usually experience in the first meeting?

How does beginning meetings with families differ from meetings with individuals?

Because of issues of confidentiality, initially practitioners should avoid:

Which of the following is NOT one of the circumstances in which a practitioner is required to break confidentiality?

Is it appropriate to use the client's first name when you address him/her?

What is confidentiality within the context of the practitioner-client relationship?

Which of the following is NOT one of the tasks that must always be completed in the first meeting?

When working with an individual client, which seating arrangement is most conducive to open discussion?

General information about a specific cultural group should:

A practitioner wants to prepare for the next client session. Which of the following is NOT one of the things s/he would do?

In subsequent meetings, a common beginning phrase is

Which of the following is most true about confidentiality and informed consent?

All of the following may be discussed near the end of the meeting EXCEPT:

In the first meeting, it is the practitioner's responsibility to:

Preparing mentally for a session includes:

Practitioners who work with groups might start the first session with the following exercise to help members get acquainted: