Deck 16: Integrative Case Conceptualization

Question 1

When a counselor is developing an understanding of the client's presenting concern,the description of the presenting concern should include all of the following EXCEPT:

A) the reason(s) each client states he/she is seeking counseling or has been referred.
B) one definition or description of the problem.
C) any information from the referring agent (teacher, doctor, psychiatrist, etc.) and his/her description of the problem.
D) descriptions of the attempted solutions and the outcome of these attempts.

Answer 1

B

Question 2

It is important to include client demographic features in a case conceptualization because _______________________________________.

A) insurance companies will request this information
B) it will be relevant when you present the case to the client's family
C) it will assist you in diagnosing the client
D) it provides the reader with a basic sketch of the client and his or her support network

Answer 2

D

Question 3

When a counselor is trying to determine the client's presenting concern,a common mistake of a new counselor is ____________________________________.

A) focusing on a rigid problem definition
B) getting bogged down in too few definitions of the problem
C) defining the problem from the client's worldview
D) viewing the client from a multicultural perspective

Answer 3

A

Question 4

Applying Erickson's Psychosocial Developmental Stages in clinical counseling is useful for which of the following?

A) Helping clients more quickly identify core dynamic patterns that are affecting all areas of life.
B) To better understand the client's internal dynamics, particularly those that are contributing to the presenting problem.
C) Helping clients identify unconscious or semi-conscious erroneous assumptions about life to develop a system of private logic that supports them in pursuing their life goals.
D) Understanding the larger developmental concerns that may be underlying the problems clients bring to session.

Question 5

Which of the following statements LEAST accurately reflects the author's beliefs about assessing for diversity issues when conceptualizing counseling cases?

A) Each form of diversity brings with it both unique resources as well as limitations.
B) Only feminist, narrative, and collaborative counselors need to assess for diversity issues.
C) For many clients, traumatic and oppressive experiences related to being a minority or simply "different" is at the core of their problematic situation.
D) Many cultural and ethnic groups are marginalized in dominant society, but they also tend to have stronger than average social and religious networks that provide them a sense of belonging and support.

Question 6

In behavioral counseling,assessment focuses on observable symptoms.In order to measure a client's progress in therapy it is first necessary to get ____________________.

A) a sense of relationship patterns
B) an assessment of defense mechanisms
C) a baseline of symptomatic behavior
D) one's road map for life

Question 7

Object relations theorists examine the client's relationship with early caregivers to understand the dynamics that are creating current difficulties.The patterns can be described in each of the ways below EXCEPT:

A) secure.
B) insecure.
C) anxious.
D) avoidant.

Question 8

In humanistic approaches to counseling,such as person-centered and Gestalt,assessment focuses on the person's ability to experience and express their __________________.

A) appreciation for others
B) internal experience
C) authentic self
D) boundaries

Question 9

When a behavioral counselor is assessing a client using a schema analysis,the counselor is looking for what specifically,as it relates to the client's problem(s)?

A) relationship patterns
B) style of life
C) emotions
D) specific unhelpful beliefs

Question 10

All of the following are considered a core component of a counseling case conceptualization for working with an individual EXCEPT:

A) defining who a client is.
B) the fee the client will be paying for sessions.
C) understanding how the client defines the problem.
D) identifying client strengths.

Question 11

When assessing client,Gestalt counselors look for where their clients are "stuck" in the cycle of making contact-otherwise known as ____________________________.

A) sources of life meaning
B) personal constructs and facades
C) trust of self
D) contact boundary disturbances

Question 12

After obtaining the background information about the problem,the counselor should be careful to _____________________________ when choosing words,ordering the information,and emphasizing particular details.

A) insert clinical opinions throughout
B) include descriptive words and adjectives
C) be only positive
D) not impose bias

Question 13

In family systemic conceptualization,which of the following is a stage of the family life cycle?

A) Intimacy vs. Isolation
B) Launching Children
C) Good Interpersonal Relationships
D) Latency

Question 14

Helping a client to identify their strengths relies heavily on _______________________.

A) the counselor's ability to view or "see" the flip side of the presenting problem
B) the client's insight into him or her self
C) the counselor's expertise in assessment
D) the client's ability to view or "see" the flip side of the presenting problem

Question 15

According to systemic counselors,in relationships,____________ must constantly be negotiated in order for relationships to weather the test of time and to adjust to each person's evolving need.

A) hierarchies
B) boundaries
C) attachment
D) lifecycle stages

Question 16

Which of the following statement is FALSE regarding psychodynamic defense mechanisms?

A) They are automatic psychological processes that a person uses to ward off anxiety and external stressors and thus describe strategies the person frequently uses to handle problems.
B) All defense mechanisms are maladaptive.
C) The current recommendation is for counselors to identify up to seven defense mechanisms that the client uses in session or describes using outside of session.
D) Identifying defense mechanisms allows for a better understanding of the client's internal dynamics, particularly those that are contributing to the presenting problem.

Question 17

All of the following are true about identifying client strengths during the conceptualization of the case EXCEPT:

A) assessing client strengths can give the counselor hope for the client
B) assessing client strengths can strengthen the counseling relationship
C) assessing for client strengths should be done at the end of the assessment
D) assessing for client strengths should be done at the beginning of the assessment

Question 18

In the A-B-C Analysis of Irrational Beliefs,the A-B-C stands for which of the following?

A) A=Activating Event ? B=Behavior ? C=Commentary?
B) A= Activating Event ? B=Belief ? C=Consequence
C) A=Acceptance ? B=Behavior? C=Consequence
D) A= Acceptance ? B=Belief ? C=Commentary

Question 19

According the author of the text,which of the following best describes a useful view of spirituality to consider as a counselor when assessing for client's spiritual strengths?

A) Spirituality includes only major religious traditions, such as Protestantism, Catholicism, Judaism, Islam, New Age religions, Native American practices.
B) Spirituality includes how a person relates to Life, as long as it is in an organized context.
C) Spirituality is a topic to be avoided in the counseling relationship because the counselor could very easily impose their beliefs onto the client.
D) Spirituality includes how a person conceptualizes his/her relationship to the universe or God.

Question 20

When a counselor does an Existential analysis of a client's life situation,it is critical that they ask perennial,existential questions such as which of the following?

A) What inspires you and makes you feel whole and fulfilled?
B) How often do you feel anxious?
C) What are the symptoms of your depression?
D) How does your job affect your mood?

Question 21

How might a clinician excel in case conceptualization and assessment?

Question 22

In most systemic family counseling approaches,problem systems known as __________ or __________ develop as the result of tension between two people being resolved by drawing a third person,are identified during the assessment process.

A) triangles; boundaries
B) accommodations; coalitions
C) accommodations; boundaries
D) triangles; coalitions

Question 23

What purpose do counseling theories serve?

Question 24

How does obtaining background information further the therapeutic work?

Question 25

According to the author,what is one of the major problems with case conceptualization and assessments in general?

A) Healthy emotionally engaged boundaries look the same for everyone.
B) There is really only one set of ethnic norms.
C) The more similar clients are to us, the less we expect them to share our values and behavioral norms.
D) There are no objective standards against which a person can be measured.

Question 26

How does a counselor utilize client strengths in the formation of a case conceptualization?

Question 27

List and describe three elements of a case conceptualization.

Question 28

Which of the following statements is true when counselors are assessing for solutions?

A) Counselors need to assess only solutions that have worked.
B) Counselors need to assess only solutions that have not worked.
C) Counselors need to assess both solutions that have and have not worked.
D) Solutions are not integral to the counseling process.

Question 29

Systemic family counselors use genograms to assess all of the following EXCEPT:

A) substance and alcohol abuse and dependence.
B) dreams and aspirations.
C) sexual, physical, and emotional abuse.
D) personal qualities and/or family roles.

Question 30

A counselor who practices from a post modern perspective is assessing a client who states while sharing her problem discourse,"I have failed as a sister" because of her younger brother's experimentation with alcohol.What would the counselor call the story that her client tells herself?

A) the problem discourse
B) the identity narrative
C) the dominant narrative
D) the local or preferred narrative