Chat with AIExam 11: Assessing Readiness and Motivation
Mr. T, a 45-year-old man, comes to you for help after being fired from his job of 20 years. He complains of feeling "depressed". Over the course of the first session, you find out that Mr. T has a supportive wife who works full-time. He has 3 young children, and his wife does not make enough to pay for the household expenses. You also learn that Mr. T is a part of a small church which he enjoys. What are Mr. T's strengths and limitations? How would you continue to assess for his strengths and limitations?
(37) 
Answered by Examlex AI CopilotMr. T's strengths include having a supportive wife and being a part of a small church community, which provides him with social support and a sense of belonging. His ability to maintain a job for 20 years also demonstrates dedication and work ethic. However, his limitations include the financial stress of being the sole breadwinner for his family and the emotional impact of being fired from his long-term job, leading to feelings of depression.
To continue assessing for Mr. T's strengths and limitations, I would explore his coping mechanisms and resilience in the face of adversity. I would also inquire about his social support network outside of his wife and church community, as well as his past experiences in overcoming challenges. Additionally, I would assess his self-esteem and self-efficacy in managing the current situation and explore any potential barriers to seeking help or utilizing available resources. By gaining a comprehensive understanding of Mr. T's strengths and limitations, I can tailor a treatment plan that builds on his existing strengths and addresses his limitations to support his mental health and overall well-being.
Which of the following is NOT one of the ways a practitioner may bring hope to the client?
(35) 
VerifiedA
Name and describe the four levels of discounting. For each level, give an example of that type of discounting and list one thing that the practitioner could do to help the client address and move past the discounting.
(36) Answered by Examlex AI CopilotThe four levels of discounting are:
1. Emotional discounting: This occurs when a person discounts their own emotions or feelings, often dismissing them as unimportant or invalid. An example of emotional discounting is when someone constantly tells themselves that their feelings don't matter and that they should just toughen up. To help a client address and move past emotional discounting, a practitioner could encourage them to practice self-compassion and validate their own emotions.
2. Cognitive discounting: This type of discounting involves dismissing or minimizing one's own thoughts or beliefs. An example of cognitive discounting is when someone constantly doubts their own intelligence or capabilities. To help a client address and move past cognitive discounting, a practitioner could work with them to challenge and reframe their negative thoughts and beliefs.
3. Interpersonal discounting: Interpersonal discounting occurs when a person discounts the thoughts, feelings, or experiences of others. An example of interpersonal discounting is when someone consistently ignores or belittles the opinions of their friends or family members. To help a client address and move past interpersonal discounting, a practitioner could encourage them to practice active listening and empathy in their relationships.
4. Behavioral discounting: This type of discounting involves dismissing or devaluing one's own actions or behaviors. An example of behavioral discounting is when someone constantly downplays their achievements or minimizes their efforts. To help a client address and move past behavioral discounting, a practitioner could help them recognize and celebrate their accomplishments, no matter how small.
By addressing and working through these different levels of discounting, clients can develop a healthier and more balanced perspective on their emotions, thoughts, relationships, and behaviors.
Which of the following is NOT an example of a client in the action stage?
(38) A client who has been referred to you because of her binge drinking behaviors at the college frat parties, which has led to her blacking out on several occasions, tells you that all her friends do it, that it is a normal part of the college experience, and she doesn't know why her parents are making such a big deal out of it. Which cognitive distortion is she engaging in?
(39) Carlita believes that she is responsible for her actions, and that her actions have consequences. In essence, she believes that changes in her behavior will lead to desired changes in her life. She is said to have an:
(32) Prochaska 1999) has identified ___ stages of readiness to change.
(38) You are working with Joe, who was ordered by the court to attend therapy sessions after he was convicted of assault of a police officer. Joe tells you during the first session that the police officer who arrested him was racist and that he does NOT have a friggin' anger management problem! What stage of change is Joe at, and what would you do to move him toward the next stage of change?
(27) All of the following are factors that influence motivation to change EXCEPT:
(32) The client's capacity, resources, and strengths have significant effects on _______.
(35) Mike has made a list of pros and cons and is experiencing conflict with regards to whether he should leave the security of his current job and start his own business. He is in the _____________ stage of change.
(35) Mrs. K calls your office and speaks to you for about half an hour about her interpersonal difficulties with her husband. You discuss your theoretical orientation and the interventions that you may teach her during subsequent sessions, as well as your firm belief with regard to the efficacy of therapy. Mrs. K sounds much calmer after your discussion and schedules a session for two weeks from today. Two weeks later, Mrs. K indicates in session that she has been feeling more hopeful in the past two weeks and her marital relationship has improved. This is likely an example of the:
(36) With regards to readiness for change, skillful practitioners ___________________ before deciding how to proceed in working with clients.
(28) Which of the following is NOT one of the levels of discounting?
(38) When working with clients in the pre-contemplation stage, the practitioner should focus on all of the following EXCEPT:
(36) The social cognitive theory considers the impact of ___________ factors on readiness to change.
(32) Celeste is a 10-year-old girl who is doing poorly in school. The teacher refers her to you because Celeste seems to "zone out" in class and does not complete her school work. Celeste comes from a chaotic, lower income family. There are 10 family members spanning multiple generations living in a 1 bedroom apartment. Testing results indicate a superior IQ. When Celeste arrives at your office, she is shy and tells you that she is a "good for nothing". Identify the environmental, personal, and behavioral factors that may be impacting Celeste's readiness to change, according to the social cognitive theory.
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