Deck 2: Preparation

Question 1

With regard to introducing yourself as a therapist, which of the following statements is the most true?

A) Remember to refer to yourself as "only a student" to put the client at ease.
B) It is permissible to imply that you have more experience than you really do in order to put the client at ease.
C) You should give your full name and an accurate description of your status.
D) It is best to avoid this subject if possible, so as not to alarm the client.
E) When asked about your professional background, simply respond by saying, "No comment."

Answer 1

C

Question 2

Which of the following is most true of seating arrangements?

A) Interviewers should arrange seating in a way that optimizes their task and shouldn't give clients a choice.
B) Choice of seating arrangements doesn't vary based on theoretical considerations.
C) The interviewer should be sensitive to the client's preferred seating arrangement.
D) Having a large desk between the interviewer and the client is a good idea because most clients prefer having a safety barrier.
E) All of the above are equally true.

Answer 2

C

Question 3

Which of the following statements is most true about therapists' sexual attraction to clients?

A) It's a sign of positive countertransference and should be explored directly with clients.
B) It's almost a universal phenomenon.
C) Saying to a client "I feel sexually attracted to you" is NOT recommended.
D) You should keep it to yourself and definitely don't tell your supervisor.
E) Both b and c are true.

Answer 3

E

Question 4

Which of the following is consistent with what the authors say about the effect of environmental factors on interviewing process and outcome?

A) Interviews can take place anywhere because the relationship connection outweighs the specific setting
B) The setting in general, and the room, seating, office clutter, and other factors can have a significant effect on the interview
C) Using technology in your office can adversely affect rapport building
D) Both b and c are true
E) None of the above are true

Question 5

Which of the following IS TRUE regarding time management during a clinical interview?

A) Boundaries are relatively loose and flexible according to the needs of the moment.
B) Time limits should be rather strictly adhered to except in emergencies.
C) If the client arrives early, then it's a good idea to start the session early.
D) It is appropriate to extend the session of you think that the client is on the verge of a breakthrough.
E) Time is relative.

Question 6

If you think your client might benefit from a light touch on the arm, but you aren't entirely sure, what would be the best action?

A) Nothing; continue with the session as usual without touching the client's arm. Then talk with a colleague or supervisor about it later.
B) Directly ask the client before you touch in order to obtain permission.
C) Trust your instincts and touch the client's arm, but apologize sincerely if the client reacts adversely.
D) Wait a few minutes and then go with your genuine impulse.
E) Any of the above actions would be fine.

Question 7

Maxwell likes to wear tight shorts when he does counseling. He has a boring and conservative female supervisor who tells him to "dress it up." How should Maxwell respond?

A) What Maxwell wears is his own business.
B) Maxwell should ask his clients what they think.
C) Maxwell should accuse his supervisor of sexual harassment.
D) Maxwell should openly discuss the issue with his supervisor and consider modifying his clothing choices.
E) Both a and c are true.

Question 8

Who should be primarily in control of the physical surroundings during the interview?

A) The interviewer, with sensitivity to individual client needs.
B) The client should lead this.
C) The outside consultant.
D) It doesn't matter.
E) Usually neither interviewer nor client has any influence over office settings.

Question 9

Which of the following is/are true about note taking during the clinical interview?

A) Mental notes are acceptable but writing notes in the client's presence is distracting and should be avoided.
B) It should be done with the awareness that clients may ask to read what you've written.
C) It should be done discretely so clients cannot easily see what you've written.
D) None of the above is true.
E) Only a and c are true.

Question 10

In a clinical interview, the physical surrounding (e.g., the room):

A) Is not an important factor.
B) Should provide privacy and freedom from distractions.
C) Is important and should not be underestimated.
D) Both a and b are true.
E) Both b and c are true.

Question 11

A client arrives late for a session and therefore would like extra time with you. What should you do?

A) Be empathic but inform the client that it is important to stick to the scheduled appointment time and you look forward to a full session next week.
B) Agree to extend the session as long as the client has a genuine reason for being late and usually arrives on time.
C) If available, offer an additional appointment to the client later in the week to make up for the lost time.
D) Both a and c are acceptable.
E) None of the above.

Question 12

If an adult client ignores the interviewer's obvious seating arrangement and chooses an unusual seat, what should the interviewer do?

A) Immediately ask the client about the choice, because this can provide valuable diagnostic information.
B) Make a mental note of the client's behavior and continue with the interview as usual.
C) Ask the client to sit in the usual arrangement but continue with the interview if the client refuses.
D) Ask the client to sit in the usual arrangement, and if he or she refuses, politely ask him or her to leave the room.
E) Where clients sit is basically irrelevant to the clinical interviewing process.

Question 13

Which requirement should you follow when planning to record a session?

A) Obtain the client's permission to do so before actually recording.
B) Clients must not know they are being recorded, as it will skew the interview.
C) Begin to record before clients arrive so that you have their permission on the recording.
D) Make sure you have obtained the client's permission after you've finished the recording of the session.
E) Recording clients is always unethical and sometimes illegal.

Question 14

You're taking notes and your client, Caitlin, asks if she can see them. What's your best option?

A) Just say no.
B) Quickly stop taking notes and put them away.
C) Let her know that the notes are for your benefit and shouldn't mean anything to her.
D) Interpret her curiosity as paranoia.
E) Let her see your notes.

Question 15

If a client arrives early and asks if you are free to start the interview, what should you do?

A) Agree to begin the session early if you're not busy.
B) Agree to begin the session early if the client is willing to reimburse you for extra time.
C) Scold the client for making an inappropriate request.
D) Politely inform the client that you will be available at the scheduled appointment time, unless there is a crisis, in which case you can see the client early.
E) Use the behavioral technique of ignoring inappropriate behavior in an effort to extinguish it.

Question 16

When considering the appropriate grooming and attire for the beginning therapist, which of the following is/are true?

A) It's important to remember that your clients will judge you by the way you look and dress.
B) Any type of attire is acceptable by today's standards.
C) Beginning interviewers should err on the side of casualness.
D) Both a and c are true.
E) Before choosing your attire, you should consult with the professional journal, Vanity Fair.

Question 17

How should clinicians handle time issues when working with clients from cultures that have a different perspective on time?

A) Clinicians should stay consistent across all clients, regardless of culture.
B) Be clear from the beginning that you're operating based on a Western model of time and time boundaries.
C) Be as flexible as your clients need you to be.
D) None of the above.
E) Both a and b are true.

Question 18

Jessica is working with a young male client. She tends to wear tops that have low necklines and show cleavage. Her supervisor suggests that she avoid showing cleavage during her professional counseling sessions. How should Jessica respond?

A) What Jessica wears is her own business.
B) Jessica should ask her young male client what he thinks.
C) Jessica should accuse her supervisor of sexual harassment.
D) Jessica should openly discuss the issue with her supervisor and consider modifying her clothing choices.
E) Both a and c are true.

Question 19

In a recent study, researchers reported that different note-taking strategies, including using technology:

A) Had no effect on therapeutic alliance.
B) Was preferred by younger clients.
C) Was viewed by all clients as a threat to confidentiality.
D) Was, somewhat surprisingly, NOT preferred by younger clients.
E) Was preferred by older clients.

Question 20

Which of the following statements is NOT true about note taking?

A) Notes should be kept brief and succinct.
B) A common format used to take notes is the S-O-A-P.
C) Notes can be used as a defense if an interviewer is accused of malpractice.
D) All of the above are true.
E) Only a and b are true.

Question 21

When should clinicians inform clients of the legal limits of confidentiality?

A) At the beginning of the first session.
B) At the end of the first session.
C) As soon as the client talks about suicide, homicide, or child and elder abuse.
D) As soon as the client asks whether the information shared will be kept private.
E) None of the above is true.

Question 22

Which of the following is the cross-disciplinary mantra for multicultural preparation

A) Multicultural humility precedes multicultural competency
B) Multicultural competency precedes multicultural humility
C) Advocacy is at the heart of multicultural preparation
D) Awareness-knowledge-skill-advocacy
E) We all share a common heritage

Question 23

Charlar refers to:

A) Respect
B) Family relationships
C) Closeness
D) Small talk
E) A personable and friendly demeanor

Question 24

The term invisibility syndrome refers to individuals from which minority group?

A) African American
B) White
C) Hispanic
D) American Indian
E) Asian American

Question 25

Which of the following is true of fatalism?

A) It is a belief that one cannot do much about one's fate.
B) It is irrelevant to counseling.
C) It must be strongly challenged for counseling to be effective.
D) It absolves individuals of blame for traumatic circumstances that are out of their control.
E) All of the above are true.

Question 26

Which organization has an extensive online guide to record keeping?

A) The American Psychiatric Association
B) The American Psychological Association
C) The American Counseling Assocation
D) The National Association of Social Workers
E) None of the above

Question 27

Which part of S-O-A-P would the following statements correspond to if written by an interviewer? Carlos stated, "I've been depressed since Friday. Getting out of bed is difficult and making me late for work."

A) S
B) O
C) A
D) P
E) None

Question 28

Which of the following is true about African American women?

A) They believe a woman's place is in the home.
B) They occupy strong roles in the family.
C) They have little input in family decision-making.
D) They have a lower life-expectancy than African American males.
E) All of the above.

Question 29

When interviewing Native American clients, it may be preferable if the interviewer does which of the following?

A) Asks a lot of questions.
B) Arranges seating to facilitate maximum direct eye contact.
C) Refrains from silence.
D) All of the above.
E) None of the above.

Question 30

Which of the following is/are true?

A) All American Indians are highly spiritually oriented.
B) Many Native American cultures emphasize generosity and non-materialism.
C) Machismo is a central concept in American Indian culture.
D) a and b are true.
E) None of the above is true.

Question 31

Which of the following may add relational/role strain in an Asian family living in the United States?

A) The children are bilingual and therefore assume power in the family
B) Some members of the family may be living in the home country while others are in the United States
C) The children may integrate into the American culture more readily than their parents
D) Both a and c
E) All of the above

Question 32

Personalismo refers to:

A) Respect
B) Family relationships
C) Closeness
D) Small talk
E) A personable and friendly demeanor

Question 33

In Asian cultures, what does filial piety refer to?

A) Wealth being handed down to the first-born son.
B) Honoring and obeying those hierarchically above you.
C) Respecting the male members of the household.
D) A collectivist orientation.
E) None of the above is correct.

Question 34

In Asian cultures, decisions should be made:

A) By the entire family
B) By the individual
C) After considering how the decision will affect the family as a whole
D) a and b
E) a and c

Question 35

Confidential information may be disclosed in the following situation(s):

A) You have the client's permission.
B) The client is suicidal and in danger of hurting himself or herself.
C) The client is homicidal or a threat to others.
D) All of the above.
E) None of the above. All information disclosed during an interview is confidential.

Question 36

Which of the following is NOT true about Asian cultures?

A) They are generally more egalitarian than other minority cultures.
B) Decisions that affect the family should be decided by the family rather than the individual.
C) Direct eye contact is seen as invasive and disrespectful.
D) All of the above are true
E) None of the above are true

Question 37

Maryann reports she has increasingly angry feelings toward her husband. She tells you that she has a gun and she might feel inclined to "blow him away one of these days." Assuming you take her statement seriously, which of the following actions should you consider?

A) Contact Maryann's husband because you fear for his life and have a duty to warn him of the danger from Maryann. b. In order to protect confidentiality, pay a visit to Maryann's home and try to persuade her to give you the gun.
C) Contact a colleague to discuss the ethical dimensions of Maryann's case.
D) Both a and c.
E) Both b and c.

Question 38

Which of the following statements best describes Native Americans' beliefs about time?

A) They view time in a linear fashion.
B) They're more oriented to the here and now than to the future.
C) They believe it is important to always arrive on time for appointments.
D) Their beliefs about time parallel those of the dominant white culture.
E) Both c and d

Question 39

Which of the following is/are true about written informed consent?

A) It helps educate clients about the therapy process.
B) It can give the client a more favorable impression of the interviewer's expertise.
C) It should be written in plain language, as opposed to professional jargon.
D) All of the above are true.
E) Only a and b are true.

Question 40

Among which of the following groups is Catholicism most influential?

A) Asian
B) Hispanic/Latino
C) African American
D) American Indian
E) None of the above

Question 41

Maria is interviewing a new client who has deep religious faith. She should be sure to:

A) Begin with a debate regarding her client's faith.
B) Ignore issues of spirituality or religion.
C) Disclose her own faith immediately.
D) Let the client know that faith is irrelevant to therapy.
E) None of the above.

Question 42

The most important prerequisite for working with individuals with disabilities is:

A) Competence in working with people with disabilities. b. Sufficient formal education and training related to persons with disabilities.
C) An open and accepting attitude.
D) All of the above.
E) Only a and b.

Question 43

Which of the following is NOT a way a therapist can show his/her sensitivity toward people with non-heterosexual orientations?

A) GLBTQ-friendly pamphlets or literature in the waiting room/office
B) Avoid using gender-specific words indicating the assumption of heterosexuality
C) Ask general questions about romantic relationships or romance in general
D) Encourage the client to come out to his/her family.
E) Use gentle exploration to learn more about the client's relationships and family issues

Question 44

Which therapy approach is a major movement (and preference) for counseling GLBTQ clients?

A) Emotion-focused therapy
B) Psychoanalytic psychotherapy
C) Affirmative psychotherapy
D) Attachment-based therapy
E) Behavior therapy

Question 45

Even though ignoring a person's disability may be an attempt at politeness, the negative message it can send the person with the disability is:

A) That their disability should have no direct impact on emotional and interpersonal functioning.
B) That you're very knowledgeable about working with people with disabilities.
C) That you didn't notice the disability.
D) Both a and b
E) None of the above

Question 46

When unknowledgeable about relevant cultural information, therapists should:

A) Feel free to ask their clients as much as they need to. b. Be sensitive to the client's level of patience and use other sources of information as well.
C) Never use clients as a source of information; use other sources exclusively.
D) Discretely contact the individual's family for and hope the client does not find out.
E) Both c and d.