Deck 1: Contexts of Effective Treatment

Question 1

Research on counseling effectiveness

A)shows that counseling is usually effective.
B)is difficult to apply to unique situations.
C)tends to be biased in favor of counseling.
D)shows that short-term therapy is more effective than long-term therapy.

Answer 1

shows that counseling is usually effective.

Question 2

The "B" in the BETA model represents change theories that emphasize

A)behavior.
B)biology.
C)background.
D)biofeedback.

Answer 2

background.

Question 3

The "E" in the BETA model represents change theories that emphasize

A)empowerment.
B)emotions.
C)environment.
D)exploration.

Answer 3

emotions.

Question 4

The "T" in the BETA model represents change theories that emphasize

A)trust.
B)training.
C)transference.
D)thoughts.

Question 5

The "A" in the BETA model represents change theories that emphasize

A)actions.
B)analysis.
C)adaptation.
D)actualization.

Question 6

A counselor who believes that a thorough understanding of a client's childhood is necessary for successful treatment might exemplify_________________ theory.

A)existential
B)humanistic
C)cognitive
D)psychodynamic

Question 7

Replacing negative thoughts with positive ones would most likely be the goal of a/an ____________________ therapist.

A)behavioral
B)cognitive
C)psychodynamic
D)existential

Question 8

Which of the following is NOT a common factor implicit in almost every form of successful therapy?

A)Provides a collaborative therapeutic alliance between client and clinician.
B)Instills hope and optimism.
C)Promotes clinician's sense of mastery and expertise.
D)Improves coping, impulse control, stress reduction, and promotes behavioral change.

Question 9

Which of the following is a common ingredient of successful treatment strategies?

A)An average of 10-15 counseling sessions.
B)The use of affect-based techniques.
C)Matching counselor and client based on gender and culture.
D)Improved client ability to modify thoughts.

Question 10

The most powerful factor in change appears to be

A)clients' experiences and inner resources.
B)client optimism.
C)clinician expertise.
D)the techniques and interventions utilized.

Question 11

Which of the following is a problem you would NOT expect to be presented by the Diaz family?

A)Edie's excessive use of alcohol
B)Edie's overprotection of her daughter
C)Ava's acting out
D)Roberto's over involvement in his work

Question 12

Which of the following statements is false?

A)Some clients can benefit from treatment more than others regardless of theoretical approach.
B)The therapeutic alliance is an important determinant of treatment outcome.
C)Client motivation is an important determinant of treatment outcome.
D)Clients who do better in therapy attribute it to the techniques and interventions used.

Question 13

Which of the following is NOT an outcome of establishing a positive therapeutic alliance?

A)It prevents ruptures from occurring in the future.
B)It lets the client know that the clinician is listening empathically.
C)It encourages clients' self-esteem, congruence, and self-disclosure.
D)It encourages client's positive expectations of change.

Question 14

The acronym ADDRESSING is important because:

A)It can improve the clinician's cultural competence.
B)It helps clinicians understand the effect of their client's address on their personality.
C)ADDRESSING provides an all-inclusive treatment modality.
D)About 25% of therapists describe themselves as being culturally challenged.

Question 15

Which of the following people is strongly associated with the third force in counseling and psychotherapy?

A)Sigmund Freud
B)Martin Seligman
C)Albert Ellis
D)Carl Rogers

Question 16

The most powerful predictor of treatment outcome is the

A)nature of the relationship between clinician and client.
B)theoretical orientation of the clinician.
C)client's sense of self-efficacy.
D)number of counseling sessions.

Question 17

A 30-year-old African American female says she would feel most comfortable with a clinician of similar age and background. To enhance the therapeutic alliance, it would be best to

A)pair her with an older African American counselor to minimize transference.
B)assign her to a clinician who specializes in her presenting problem, regardless of other factors.
C)assign her to a clinician who is very different than she to gently challenge her assumptions and stereotypes.
D)honor her request as closely as possible.

Question 18

A distinguishing characteristic of a sound therapeutic alliance is

A)shared goals created in collaboration with the client.
B)client's access to an extensive support system.
C)an emphasis on personal growth and spirituality.
D)a clinician who uses caring confrontations.

Question 19

As predictors of positive treatment outcome, techniques and interventions

A)have little predictive value.
B)are not as important as the clinician-client relationship.
C)are not as accurate as the clinician's level of education.
D)are not as accurate as client age.

Question 20

Which theoretical orientation is the most effective overall?

A)behavior modification in combination with cognitive therapy
B)solution-focused brief therapy
C)any treatment as long as it incorporates mindfulness
D)While some treatment methodologies work better for specific problems, no single treatment approach has been found to be the most effective overall.

Question 21

Which of the following is true of ethical guidelines for counselors?

A)Most professional associations have a code of ethics.
B)The guidelines address confidentiality issues.
C)Belonging to professional organizations and following established guidelines can help to protect counselors from lawsuits.
D)All of the above.

Question 22

Wayne, a mental health therapist, was convinced that his client intended to assault a co-worker. Wayne alerted the co-worker that he may be in danger. Ethically, Wayne

A)had the option of maintaining confidentiality.
B)was required to consult a supervisor before taking this action.
C)was required to take this action.
D)had no basis for his action.

Question 23

Paul, a talented carpenter, agreed to build bookcases for his therapist's office. Is this agreement ethical?

A)Yes, because the therapist will not be present when the bookcases are installed.
B)Yes, because the therapist is paying fair market value.
C)No, because it constitutes a dual relationship.
D)Possibly, depending on Paul's therapeutic goals.

Question 24

During their first session, Malia explained the expectations and responsibilities of both the client and clinician to her client. This is an example of

A)role induction.
B)initiation.
C)boundary setting.
D)modeling.

Question 25

Describe the emphasis of each of the four "forces of psychotherapy." If possible, provide at least one example of a theorist associated with each approach.

Question 26

Define empathy, unconditional positive regard, and congruence. How are they important in developing a positive therapeutic alliance?

Question 27

What are the salient psychological issues for each member of the Diaz family?

Question 28

Clients attribute a large portion of the change they experience in treatment to extratherapeutic factors. Explain the meaning of this statement and discuss its implications for clinicians.

Question 29

List and define five important aspects of people's lives which can serve as areas for assessment.

Question 30

Name three ways that a clinician can maximize the positive influence of client background and personal qualities.

Question 31

Define the mnemonic ADDRESSING. Describe how the concepts can be applied in the counseling setting.

Question 32

Jose, 32, arrived in the United States from Ecuador about six months ago. He is seeking therapy at this time because he is having difficulty adjusting to American culture and finding suitable employment. He has been assigned to a 23-year-old therapist who emigrated with his parents from Iran at the age of 18. Although their backgrounds are quite different, consider the ADDRESSING acronym and which "locations" or components of identification are similar and which are different. How can the clinician use the ADDRESSING model to build a cohesive therapeutic alliance with Jose?

Question 33

Identify five characteristics of effective therapeutic relationships and briefly define each.

Question 34

List the five interpersonal characteristics you believe are most essential in an effective clinician. Explain why you chose these five.

Question 35

Discuss important considerations of these ethical topics and provide an example of each: (1) do no harm, (2) confidentiality, (3) duty to warn, (4) dual relationships.

Question 36

Describe the purpose of role induction and list five topics you would address in this process. Provide a brief statement illustrating how you as a clinician would present each of the five topics.

Question 37

Identify at least five procedures or interventions that a clinician might use to promote rapport.

Question 38

Describe three aspects of cultural competency.

Question 39

Describe five specific areas of clinician competency from those listed on pages 14-15 that you would like to develop in yourself. Explain why you chose each of these five areas, drawing on information from the text, your career goals, and your knowledge of yourself.

Question 40

Identify at least six areas that might be covered in an intake interview.

Question 41

Name at least four considerations clinicians should address when formulating questions