Deck 4: Stage 1: Building Relationships and Establishing Goals

Question 1

Which of the following are important points when arranging an initial appointment?

A) discuss fees
B) set clear boundaries for the appointment
C) be available whenever the client needs to be seen
D) make a contract for the number of sessions counseling will last

Answer 1

set clear boundaries for the appointment

Question 2

Record-keeping involves all of the following except:

A) recording a diagnosis
B) recording date, time, and duration of the meetings
C) educational records
D) recording goals and objectives

Answer 2

educational records

Question 3

Duration of the counseling relationship is dependent upon:

A) the nature of the relationship
B) the nature of the problem
C) setting in which the relationship occurs
D) all of these

Answer 3

all of these

Question 4

Key features in establishing trust and support in a helping relationship include:

A) not using audiotapes or videotapes
B) accepting phone calls during the session
C) agreeing not to provide diagnoses to insurance companies
D) keeping appointments as scheduled

Question 5

What is the best response for the helper when a helpee comes late?

A) reschedule the appointment for another time
B) say nothing since the important thing is that the client came
C) process with the client what this might mean
D) tell the client how rude he was to keep the helper waiting

Question 6

Talking about the weather and other chit-chat:

A) should always be avoided
B) should be done only later in the sessions when a relationship is formed
C) is OK in the first few moments of the session
D) is OK as long as the therapist is the one who brings it up

Question 7

An appropriate amount of reassurance:

A) offers support
B) helps with problem solution
C) tends to be focused on cognitive issues
D) often leads to a behavioral response

Question 8

Which of the following is likely to help clients establish an effective helping relationship and approach their true concerns?

A) reassurance
B) questioning
C) responsive listening
D) silence

Question 9

Referral may be appropriate when:

A) you feel you can't help the client
B) your agency offers only short term therapy
C) you think a client may benefit from a self-help or support group
D) all of these

Question 10

Helpers can handle client resistance by all of the following except:

A) open-ended leads
B) silence
C) affirmation techniques
D) aggressive confrontation

Question 11

During step 2, Clarification of Presenting Problem, a helper must do all of the following except:

A) determine who owns the problem
B) get beyond superficial concerns discussed in initial sessions
C) sort through and rank different problems
D) quickly solve the presenting problem so clients will move on to other problems

Question 12

A key factor in the helping contract is:

A) mutual agreement
B) time of sessions
C) fees
D) that it be made immediately

Question 13

The term interview is used to describe:

A) on-going therapy
B) the sessions where strategies are applied
C) first one or two sessions
D) managed care's allocation of sessions

Question 14

Establishment of goals:

A) should be done during the initial contact
B) should not include helper-helpee relationship goals
C) often include short- and long-term goals
D) all of these

Question 15

Examples of resistance include:

A) failure to keep appointments
B) gives monosyllabic answers
C) talks about irrelevant subjects
D) all of these

Question 16

Client's resistance may be a response to all of the following except:

A) client feeling threatened
B) when helper is probing too intensively
C) inappropriate helper response
D) helper's acceptance of the resistance

Question 17

Which is in the right order?

A) clarification, exploration, initiation
B) clarification, exploration, establishment of possible goals
C) initiation, establishment of possible goals, definition of structure/contract
D) exploration, clarification, establishment of goals

Question 18

Resistance can be shown by:

A) the client verbalizing too little
B) the client talking nonstop
C) the client talking about safe subjects
D) all of these

Question 19

Struggling against the resistance:

A) shows the client that the therapist is stronger and can help him/her
B) weakens the resistance
C) is a key factor in the helping process
D) tends to be frustrating for the helper

Question 20

What factors determine the duration of a helping relationship?

Question 21

Why might clients want to pay "out of pocket" to see a counselor even if they have insurance?

Question 22

Under what circumstances might you want to gather information about your client from other professionals/agencies? When would you want the helpee to sign an informed consent form?

Question 23

Discuss the pros and cons of using an interpreter in a session.

Question 24

How would you deal with a reluctant client? Give three suggestions.

Question 25

How would you decide whether to make a referral to another helper?

Question 26

According to this model, what is the difference between an interview and a session?

Question 27

Why is it important to understand the individual from an ecological perspective? Be sure to refer to the ecological model, presented in the first chapter.

Question 28

How can "going with" the helpee's resistance be a facilitative technique?

Question 29

A client states, "My son is flunking out of high school. I've done everything I can to help him. I don't know what to do any more. How can I make him go to college?" What is this client's problem? Whose problem is it? How can a helper respond to this mother's underlying problems?

Question 30

How can a contract clarify expectations?

Question 31

Why do helping relationships vary in intensity?