Deck 10: Bringing up Difficult Issues

Question 1

What is one of the 4 parts in constructing an "I" messages when addressing difficult issues with a client?

Answer 1

​Answers will vary

Question 2

At times,the clinician must advocate for the client by confronting others who may be interfering with the clinician's ability to interact effectively with the client.The clinician's message in this case must be:

A) ​A request for advice or suggestion
B) ​Tentative
C) ​One in which a display of anger is justified
D) ​Pleasant, but firm

Answer 2

D

Question 3

A confrontation usually takes the form of a(n):

A) ​Accusation
B) ​I-message
C) ​You-message
D) ​Advice

Answer 3

B

Question 4

The clinician would like to make the I-message less threatening to the client and accomplishes this by:

A) ​Judging the client's motives
B) ​Appeasing the client
C) ​Collaborating with the client
D) ​Providing the client with a solution

Question 5

When should a case manager introduce difficult issues: early in the relationship with a client or later?

Question 6

In order to make an I-message effective,the clinician should:

A) ​Suggest a solution while also asking the client for a solution
B) ​Avoid asking the client how he or she sees the situation
C) ​Be confident that he or she is privy to all the information and avoid searching for extenuating circumstances
D) ​Follow an observation that supports the client's point of view with "but" or "however" in order to add an opposing opinion

Question 7

A case manager should focus on tangible behavior.What does tangible mean?

Question 8

Confrontation is sometimes necessary when:

A) ​The client asks for assistance, but the clinician has made no headway in finding a solution
B) ​There is a discrepancy between what the client is saying and his or her body language
C) ​The client continues drinking while in therapy
D) ​The client experiences schizophrenic symptoms

Question 9

"The way it appears,housing certainly isn't a high priority for you! You never follow through" is an example of a(n):

A) ​I-message
B) ​Prying question
C) ​Inappropriate confrontation
D) ​Appropriate confrontation

Question 10

What is wrong with the following statement: "You are not listening to me.I feel that you would be better off if you went to rehab."

Question 11

The clinician uses confrontation because:

A) ​The clinician owns the problem
B) ​The client owns the problem
C) ​Both the clinician and the client own the problem
D) ​It is up to the client to find a solution

Question 12

When a case manager needs to express a firmer message,there are 4 steps to the process.Describe them.

Question 13

Correct the following statement to reflect the steps outlined in Ch 10: "You really should think about what you are about to do.It might be dangerous."

Question 14

Name one of the 5 reasons outlined in the book for addressing discrepancies with a client.

Question 15

In the social services,confrontation is used:

A) ​By the client to bring concerns out into the open when he or she is upset
B) ​To make sure the client takes responsibility for his or her actions
C) ​As a means for the clinician to express anger with the client
D) ​By the clinician to bring concerns out in the open to gain better understanding

Question 16

Asking the client permission to share your ideas with him or her allows the clinician to:

A) ​Make sure the client takes responsibility for actions
B) ​Offer advice while still remaining in charge of the client's situation
C) ​Offer advice while still leaving the client in charge of his situation
D) ​Set an example of courtesy for the client

Question 17

What part of the following statement is the case manager's opinion: "I will honor your request but I feel you are avoiding a real source of help."

Question 18

"I feel that talking about your husband's sudden death with your relatives will be very helpful" is an example of:

A) ​The clinician offering useful advice
B) ​The clinician being overbearing
C) ​A collaborative response
D) ​A reflective response