Deck 10: Developing a Deeper Understanding

Question 1

Why is it important for clients to thoroughly explain their behaviors, feelings, and experiences?

A) The situation becomes clearer to the practitioner and to the client.
B) The client becomes overwhelmed by the situation leading to increased desire to work with the practitioner.
C) The practitioner is more likely to seek consultation.
D) It holds the client accountable for his/her actions.

Answer 1

A

Question 2

Respect for the client may be shown through all of the following ways EXCEPT:

A) validating the client's story.
B) creating and maintaining a collaborative environment.
C) using language that expresses a belief in the client's ability to change.
D) creating a solution for the client's problem.

Answer 2

D

Question 3

If we communicate in session the way we usually communicate in ordinary conversation,

A) it increases the likelihood of misunderstanding because we normally tend to discuss topics in a superficial way.
B) it increases the likelihood of misunderstanding because clients will become offended.
C) it decreases the likelihood of misunderstanding because clients are familiar with this style of conversation.
D) it decreases the likelihood of misunderstanding because we ordinarily seek clarification and discuss things in-depth.

Answer 3

A

Question 4

Allowing silence is an appropriate and respectful response, particularly when

A) the practitioner wants the client to move more quickly.
B) the practitioner is scared and nervous.
C) the client is expressing strong feelings and needs time to reflect.
D) the client is not expressing any feelings, and the practitioner wants the client to verbally communicate.

Question 5

According to the strengths perspective, it is important to:

A) focus on the practitioner's strengths and positive factors.
B) focus on the client's strengths and positive factors.
C) minimize client strengths and address on the problems.
D) focus on strengths that the client needs to develop.

Question 6

Which of the following is NOT an example of comments that focus on strengths and positive factors?

A) It seems like you put in a lot of effort to make this project a success.
B) It sounds like you were respectful yet assertive with your boss, even though I know that this is difficult for you.
C) It sounds like you have been having difficulty falling and staying asleep.
D) It takes a lot of courage for you to admit that you have a drinking problem and come in for help.

Question 7

Your client tells you that her mother had a nervous breakdown, so she can't help how she acts. Which of the following is NOT a question you might ask if you wanted to seek clarification?

A) What is happening when you think your mom has a nervous breakdown?
B) Will you give me some examples of what you mean?
C) What makes you think that your mother had a nervous breakdown?
D) Have you tried to talk to your mom about her upsetting behaviors?

Question 8

Willingness to explore more deeply is generally based on

A) how emotionally overwhelmed the client is at the outset of the relationship.
B) the client's insightfulness.
C) the practitioner's skill.
D) feeling comfortable or safe with the practitioner.

Question 9

When a client resists exploring further, it may be an indication of any of the following EXCEPT

A) the client does not know how to be introspective.
B) the practitioner is trying to move too quickly.
C) the practitioner has broached an important topic and had not pushed the client to explore until the client was ready.
D) the practitioner has tried to gain further information before adequately establishing a trusting relationship with the client.

Question 10

All of the following are examples of clients' personal strengths EXCEPT:

A) what they have achieved.
B) their willingness to keep trying.
C) their abilities and resources.
D) the therapy process.

Question 11

Which of the following is NOT an example of a question that focuses on empowerment?

A) What are some things you have learned from dealing with past challenges?
B) How did it make you feel when your wife told you that she was not happy in the relationship?
C) How have you resolved such challenges in the past?
D) Of all the things that you have tried to resolve this challenge, tell me about the things that have worked well, even if only for a brief period of time.

Question 12

Which of the following is NOT an example of effective use of silence?

A) silence to allow the group members time to reply to a comment
B) silence to allow the client to reflect on her own comment
C) silence to allow the client to withdraw from the practitioner-client relationship
D) silence to allow other group members to think about possible solutions

Question 13

Seeking clarification encourages clients to

A) shut down and break the relationship with the practitioner.
B) talk about experiences in a more general manner.
C) explain their experience in depth or with more specific details.
D) terminate the relationship.

Question 14

You would like to explore strengths and positive factors with one of your adolescent clients. Which of the following is NOT an appropriate question to ask?

A) What is one thing you wish you could change about yourself?
B) What are you good at?
C) What does your family do that is fun?
D) If someone had a problem similar to yours, what would you suggest that person do?

Question 15

Which of the following is NOT one of the areas explored by practitioners when seeking clarification?

A) Exploring the meaning of words
B) Exploring the basis of conclusions
C) Exploring the practitioner's reaction to the client's words.
D) Exploring the meaning of body language

Question 16

Silence should be purposeful because

A) clients can feel rejected.
B) clients feel that the practitioner should do all the talking
C) clients need advice.
D) practitioners want to reflect content.

Question 17

____________________ is a nonverbal response that has been described as one of the most useful interventions available to practitioners.

A) Prolonged eye contact
B) Crossing your arms
C) Focused breathing
D) Allowing silence

Question 18

Using questioning to expand and clarify is particularly important with families and groups because

A) family and group members never listen to each other.
B) it encourages interaction among members as they expand on their thoughts/feelings.
C) family members do not communicate with each other unless in the presence of an unbiased observer.
D) it encourages family or group members to individualize and develop in a healthy manner separate from their family or group.

Question 19

As a practitioner, it is important to do all of the following EXCEPT:

A) listen for gaps in the information.
B) notice points and words that are not clear.
C) give advice for the client to follow.
D) ask about how conclusions are reached.

Question 20

When individuals and groups achieve a sense of empowerment, they

A) know that they have the knowledge, skills, competencies, and resources to make decisions, solve problems, and achieve goals.
B) know who they are and have an identity that contains both positive and negative elements.
C) have learned to depend on the practitioner to generate solutions for their problems and challenges.
D) can identify challenges but need help to solve those challenges.

Question 21

In the case with Hideko, how did the practitioner express understanding?

A) She reflected feelings and summarized.
B) She told Hideko how to solve her problem.
C) She listened and allowed silence.
D) She provided interpretations of Hideko's situation.

Question 22

One of your clients has just told you that she suspects that her son is involved in illegal drugs. What might you say to her to seek clarification?

A) I'm sure it will all turn out alright.
B) Don't worry about it. It's typical for teenagers to rebel against their parents.
C) Tell me what makes you think he is involved in drugs.
D) I can understand why you would be angry with him.

Question 23

Your client has just told you that he feels depressed but lapses into silence when you ask him to explain further what it means to him to feel depressed. What might be going on with the client, and how would you handle this situation?

Question 24

In what circumstances is silence useful?

Question 25

List 3 things you could do as a practitioner to express and demonstrate respect.

Question 26

In the case with Hideko, what happened in the interview that makes you think Hideko felt understood?

A) Hideko looked more tired than usual.
B) Hideko opened up and share more information. She also begins to cry.
C) Hideko agrees to sign the release of information to the hospital social worker.
D) Hideko talked about her inability to concentrate in class.

Question 27

One way to seek clarification is to explore the basis of conclusions drawn by the client. Which of the following is NOT an example of this method of seeking clarification?

A) What are you experiencing when you break eye contact and look down at the floor?
B) What happened recently that led you to feel overwhelmed?
C) Would you tell me how you know that she doesn't love you anymore?
D) What has he done to show you that he is no longer your friend?

Question 28

Ann has been coming to see you for three months. She was fired from her job a month ago and is struggling to make ends meet. In addition, she left her abusive husband three months ago and is currently residing in a women's shelter with her young son. Give three questions that you could ask her to explore strengths and positive factors.

Question 29

If a client expresses hesitancy in exploring and sharing further information, it may be helpful to:

A) indicate to the client that s/he needs to develop trust more quickly.
B) move more quickly with the session.
C) ask one question after another interrogation style.
D) ask the client to talk about their hesitancy.

Question 30

Shelley is a 19-year-old college student who was hospitalized after a suicide attempt. You were asked to see her as part of the inpatient course of treatment. What are three things you could ask her to increase her sense of empowerment