Deck 15: Evaluating and Ending Professional Relationships

Question 1

If progress is being made by the client, it is important to:

A) highlight successes and focus on improvement so that the practitioner feels gratified and the client is supported.
B) highlight other issues to work on so that the client does not rest on his/her laurels.
C) redefine goals so that the client is motivated.
D) re-evaluate the entire process and make a referral to another practitioner to further the progress that has already been made.

Answer 1

A

Question 2

The following are all reasons why a professional relationship may end EXCEPT

A) only a limited number of meetings have been approved by the managed care provider.
B) the client may be better served by another agency.
C) the client achieves the results s/he wanted.
D) the practitioner is tired of the client and wants to take on a new challenge. *

Answer 2

D

Question 3

Self-efficacy in clients is enhanced when

A) clients succeed in solving the problems they themselves have identified.
B) practitioners tell the clients that they have self-efficacy.
C) the clients fail to meet identified goals.
D) the clients grow older.

Answer 3

A

Question 4

During the ending phase of the work, the practitioner needs to evaluate all of the following EXCEPT

A) how the client's value systems have become more similar to the practitioner's.
B) what was most helpful in the work.
C) what did not work as effectively.
D) how the client might grow in the future.

Question 5

Which of the following is NOT a reason why clients may be hesitant to end the relationship?

A) They may be unsure about their ability to continue on their own.
B) They may be feeling old feelings of abandonment or loss.
C) They may be eager to be independent.
D) They may have limited supportive relationships outside of the practitioner-client relationship.

Question 6

All of the following are ways that practitioners may pursue ongoing professional development EXCEPT

A) participating in personal counseling.
B) attending seminars to keep abreast of new ideas, programs, research, and resources.
C) participating in high-quality supervision and peer consultation.
D) developing a new theoretical orientation without input from peers.

Question 7

It is common to feel a sense of loss or fear about ending a relationship,

A) but it is uncommon to feel anger about ending.
B) so practitioners should encourage clients to express their feelings.
C) so the practitioner should focus on working through his/her own feelings during the meeting.
D) but practitioners should refrain from discussing this with the client since they should focus on celebrating successes.

Question 8

At the end of the helping relationship, it is important to:

A) celebrate accomplishments and recognize the client's strengths.
B) find more issues on which the client can focus.
C) ask the client refer friends and family members who are experiencing challenges.
D) be sad or angry that the relationship is ending since this indicates that rapport has been built.

Question 9

One helpful method of evaluation in terms of your work as a practitioner is to:

A) read books.
B) take a test of your knowledge.
C) get feedback from peers and supervisors.
D) make a list of everything you did wrong in your sessions.

Question 10

Before the first meeting, the practitioner should evaluate

A) the progress that the client has made.
B) whether the plan is leading to achievement of identified goals.
C) whether they have the skills and abilities to work with a specific client.
D) whether the client is motivated to achieve goals.

Question 11

You would like to ask your clients to evaluate your work. The following are all options that you might utilize EXCEPT:

A) asking the client what you said or did that was helpful and what was not.
B) asking the client to complete an evaluation form that asks about satisfaction with services.
C) discuss satisfaction face-to-face.
D) have your client complete a test on the last session to see if they remember what they have learned from you during your time together.

Question 12

All of the following are ways that a practitioner could pursue ongoing professional development EXCEPT:

A) practicing outside your scope of competence to develop new skills.
B) reflecting on their own values and ethics.
C) participating in lifelong learning.
D) subscribe to professional jounals

Question 13

Which of the following is NOT an example of how a practitioner might evaluate the client's satisfaction with the work completed?

A) What are some of the things that you liked about our work together?
B) Are there things that you were not satisfied with?
C) I'll bet you were disappointed that all your problems didn't get solved. Didn't you feel that way too?
D) What suggestions do you have on how we could improve our services?

Question 14

Why is it important to keep abreast of research on empirically-based practice and methods?

A) There has been increasing interest on methods based on research studies that determine the most effective ways to respond to various problems.
B) The research is always correct and will tell you how to be an effective practitioner.
C) The skills and methods found in the research are the most important elements to building rapport with the client.
D) You will be expected to conduct your own research on a regular basis with your clients.

Question 15

It is important to ask about all of the following in talking to clients about ending the professional relationship EXCEPT

A) their plans for maintaining a friendship between practitioner and client.
B) their plans for maintaining the gains they have made
C) their plans for pursuing continued growth
D) their plans for obtaining ongoing support

Question 16

All of the following are challenges that you might face as a practitioner EXCEPT:

A) decreased funding for all types of health care.
B) staying current with new research findings.
C) changing demographics.
D) producing research to justify your work with your clients.

Question 17

Goal attainment scaling is a way to _____________ progress.

A) deter and slow
B) remember
C) monitor and evaluate
D) change and build

Question 18

Which of the following is NOT one of the steps in the process of ending professional relationships with task groups, neighborhoods, organizations, or communities?

A) Review agreed-upon tasks and future plans.
B) Offer individual sessions to members who have personal issues to discuss.
C) Schedule a follow-up meeting.
D) Develop a thorough summary of what has been accomplished.

Question 19

If there are a limited number of meetings available, all of the following are appropriate EXCEPT:

A) The practitioner identifies how many more meetings are remaining.
B) The client and practitioner decide together how many more meetings are needed.
C) The client and practitioner may decide to move from weekly meetings to less frequent meetings.
D) The practitioner works with the client to quickly solve all of the issues before the sessions are terminated.

Question 20

By following up when clients leave unexpectedly, practitioners have the opportunity to do all of the following EXCEPT:

A) ask about the client's decision to leave.
B) tell the client how hurt and surprised the practitioner is that the client no long wants to work with him/her.
C) acknowledge the rights of clients to withdraw at any time.
D) offer to continue working with the clients in the future.

Question 21

Discuss five ways that a practitioner could engage in career-long learning.

Question 22

One of your clients is experiencing depression. Discuss the reasons it is important to use research evidence to inform practice, and describe how you might go about learning about the disorder and using research evidence to inform practice.

Question 23

Briefly describe how evaluation fits into each stage of the helping process.

Question 24

You are about to terminate with a client at your practicum site as your contract is ending. Over the year, you have developed good rapport with this client, and there has been improvement in the client's challenges. Last week, you reminded your client that your last session would be in two weeks. Since then, your client has missed a session and has not returned any of your phone calls. During this week's session, your client was quite angry with you over a trivial matter that had never bothered her in the past. She states that "going to therapy has been a waste of time". These behaviors are quite out of character for her. What might be going on?

A) The client believes that the sessions have been a waste of time as little progress has been made.
B) The client is experiencing negative feelings regarding the ending of the therapeutic relationship.
C) The client is ill, which is why she missed her session and did not return phone calls.
D) The client has a mental illness, and you cannot take what she says at face value.

Question 25

What is a question you might ask your client to discuss plans for the future?

A) Who are some people you might turn to if the going gets rough? *
B) What have we accomplished in our work together?
C) How are you feeling about the fact that our work together will be ending?
D) On a scale of 1 to 10, with 10 being accomplishment of the goal we are working on, what score would you give yourself?

Question 26

Which of the following is NOT an appropriate practitioner statement that shares feelings about ending?

A) This will be our last time together. I'm going to miss seeing you and hearing about your progress, though I'm happy you achieved your goals. Please keep in touch. Let's meet up for coffee once in a while so I can see how you're doing.
B) I'm going to miss our time together. I feel sad when I think about not seeing you. I'm glad that you are happy with the progress you've made.
C) I'm glad that in our work together you were able to improve your relationship with your daughter. I hope that you will continue to become close and support each other.
D) I can see that you're more confident in your new position. I'm so glad that you achieved your goal of becoming comfortable in your new position.

Question 27

Cohesive and supportive groups often feel ___________ when the group ends.

A) relieved
B) confident
C) anxious
D) terrified

Question 28

What are the six steps to end a professional relationship and facilitate this transitional period?

Question 29

Discuss three skills a practitioner might use when working with a client who is apprehensive about terminating the relationship?

Question 30

Which of the following is NOT a way to develop yourself professionally?

A) Gain effective training in formal education to gain knowledge related to different types of client challenges.
B) Teach a class on a topic you have not been trained in.
C) Gain high-quality supervision at training sites to develop and practice skills in their areas of interest.
D) Engage in peer consultation to learn from the experiences of others and gain feedback on their work.