Question 1

It is an ethical,and sometimes legal,obligation of therapists to be mindful that a medical evaluation is many times indicated.Which of the following is NOT a reason to refer for a medical evaluation?

Accepted Answer

A)  Dementia 
B)  Schizophrenia 
C)  Bipolar disorder 
D)  Marital discord

Question 2

A _____________ assigned to clients can have implications for their employment or future employability status.

Accepted Answer

A)  diagnosis 
B)  empirically supported treatment 
C)  assessment 
D)  treatment manual

Question 3

Maria,a Mexican American woman,will live with her parents until she marries.A culturally competent and sensitive counselor will understand that:

Accepted Answer

A)  Maria's parents are enmeshed in her life. 
B)  Maria is afraid to live alone. 
C)  Maria must move out of her parents' home if she wants to truly be a healthy individual. 
D)  this may be a result of gender-role expectations in Maria's family and not enmeshment.

Question 4

When a counselor works in a managed care system,client's goals need to be:

Accepted Answer

A)  long-term and all encompassing. 
B)  aimed at character reconstruction. 
C)  geared toward the client gaining insight into his or her problems and movement toward self-actualization. 
D)  highly specific,limited to reduction of problematic symptoms,and often aimed at teaching coping skills.

Question 5

Counselors must give extra attention to avoid misdiagnosing and pathologizing certain cultural groups.In order to avoid these issues,counselors need to:

Accepted Answer

A)  carefully consider all aspects of clients' culture without considering clients' past and present life circumstances. 
B)  carefully consider the clients' past and present life circumstances only. 
C)  carefully consider the clients' decisions in life with no regard of culture. 
D)  carefully consider the ways in which clients' socioeconomic and cultural experiences can influence behavior,including the presentation of symptoms.

Question 6

____________ believe that many symptoms stem from problems within the system,rather than originating in the individual.

Accepted Answer

A)  Cognitive behavioral therapists 
B)  Cognitive therapists 
C)  Family systems therapists 
D)  Psychoanalysts

Question 7

Not possessing the competence to use the DSM-5 appropriately raises an ethical issue.Practitioners who use the DSM diagnosis must be trained.This training requires learning more than diagnostic categories; it involves:

Accepted Answer

A)  understanding V- and D-codes. 
B)  knowing how to make a diagnosis fit criteria accepted by an insurance company. 
C)  knowing how to work within some kind of diagnostic and assessment framework but not needing a clear picture of the client's problem. 
D)  knowing personality theory,psychopathology,and seeing how they relate to therapeutic practice.

Question 8

____________ is a general term covering the process of identifying an emotional or behavioral problem and making a statement about the current status of a client.

Accepted Answer

A)  Medical diagnosis 
B)  Differential diagnosis 
C)  Psychodiagnosis 
D)  Cognitive appraisal

Question 9

Developing an approach to counseling is an ongoing and fluid process.Counselors in training tend to be drawn to a particular theory initially but modify it as they gain experience.Ultimately,your counseling orientation and style must:

Accepted Answer

A)  include some aspects of psychoanalytic theory. 
B)  be appropriate for the unique needs of your clients and for the type of counseling you do. 
C)  be a combination of all theories in the counseling field. 
D)  be appropriate for some clients; other clients will change to fit your counseling orientation and style.

Question 10

____________ is the process of distinguishing one form of mental disorders from another by determining which of two (or more)disorders with similar symptoms the person is suffering from.

Accepted Answer

A)  Differential diagnosis 
B)  Psychological diagnosis 
C)  Assessment 
D)  Psychometric testing

Question 11

____________ is the integration of the best available research with clinical expertise in the context of patient characteristics,culture,and preferences.

Accepted Answer

A)  Feminist therapy 
B)  Evidence-based practice 
C)  Behavior practice 
D)  Systemic therapy

Question 12

__________ is the best predictor of treatment outcome.

Accepted Answer

A)  The client's motivation 
B)  Severity of the client's symptoms 
C)  Cost 
D)  The relationship between therapist and client

Question 13

It is important to understand the common ___________ used in your profession,even if you choose not to use them in your practice.

Accepted Answer

A)  diagnoses 
B)  assessment tools 
C)  confidentiality 
D)  informed consent

Question 14

According to professional ethical principles on testing,it would be unethical for a counselor to:

Accepted Answer

A)  perform testing and assessment services for which they have not been adequately trained. 
B)  develop,administer,score,interpret,or use assessment procedures that are appropriate for the situation. 
C)  test within the client's socialized behavioral or cognitive patterns. 
D)  consider the validity of a given test and interpret data in the context of the cultural characteristics of the client.

Question 15

The movement toward grounding psychotherapy practice on a scientific foundation led to the concept of:

Accepted Answer

A)  differential diagnosis. 
B)  psychometric testing. 
C)  psychological diagnosis. 
D)  empirically supported treatments.

Exam 10: Issues in Theory and Practice