Deck 6: Information Gathering: Questions, Structured Interviews, Assessment Procedures, and Writing a Case Report

Question 1

Professional disclosure statements generally include all but which of the following?

A) Information about the helping process
B) The clinician's theoretical orientation and credentials held
C) The purpose of the interview
D) Relevant agency rules
E) Limits to confidentiality
F) Legal issues
G) Fees for service
H) All of the above

Answer 1

H

Question 2

Closed questions:

A) are helpful if you want to very quickly gather information.
B) are helpful if you are confident that the response will be one of the options you offered.
C) run the risk of corralling the client into talking about a particular point.
D) run the risk of pushing the client to choose one of the options given to him or her.
E) Two of the above
F) Three of the above
G) All of the above

Answer 2

G

Question 3

Generally, assessment techniques should be given when?

A) Prior to starting the helping relationship
B) Soon after beginning the helping relationship
C) During the work stage of the helping relationship
D) a and b
E) All of the above

Answer 3

D

Question 4

Prior to starting the interview, it is wise to offer which of the following from the client?

A) A professional disclosure statement
B) A professional response form
C) Informed consent
D) Informed response statement
E) Two of the above

Question 5

Prior to starting the interview, it is wise to obtain which of the following from the client?

A) A professional disclosure statement
B) A professional response form
C) Informed consent
D) Informed response statement
E) Two of the above

Question 6

A direct question:

A) is a question the clinician uses in an attempt to direct the session.
B) is when the clinician attempts to get specific information about a topic.
C) should only be used during the work stage of the counseling relationship.
D) should never be used.

Question 7

In conducting a mental status exam, content of thought has to do with which of the following:

A) Delusions, distortions of body image, hallucinations, obsessions, suicidal or homicidal ideation, and so forth
B) Circumstantially, coherence, flight of ideas, logical thinking, intact as opposed to loose associations, organization, and tangentiality
C) Dress, hygiene, body posture, tics, significant nonverbals, and manner of speech
D) Feeling state that is constricted or full, appropriate or inappropriate to content, labile, flat, blunted, exaggerated, and so forth
E) Two of the above

Question 8

Which of the following are not generally considered informal assessment techniques?

A) Projective techniques such as the Rorschach and TAT
B) Ratings scales
C) Sentence completions
D) Diaries, autobiographies, and genograms
E) Observation and interviewing others about clients

Question 9

A mental status exam includes an assessment of all but which of the following?

A) Appearance and behavior
B) Emotional state
C) Physical state
D) Thought components
E) Cognitive functioning

Question 10

Which of the following should one not do in writing a case report?

A) Keep sentences relatively short, minimize difficult words, and reduce the use of jargon and acronyms.
B) Omit active verbs and decrease the use of subheadings.
C) Don't be judgmental.
D) Only label when necessary and beneficial to the client's well-being.
E) Describe behaviors that are representative of client issues.
F) Don't be afraid to take a stand if you feel strongly that the information warrants it.
G) Point out both strengths and weaknesses of your client.

Question 11

The Family Educational Rights and Privacy Act of 1974, the Freedom of Information Act, and the Health Insurance Portability and Accountability Act (HIPAA) have had its greatest impact on which of the following?

A) "Duty to Warn"
B) Fee assessment
C) Confidentiality of records
D) Competence of professionals
E) All of the above

Question 12

The use of questions can do all but which of the following?

A) Quickly assist clients in identifying issues
B) Help clinicians quickly develop goals and treatment plans
C) Make clients feel defensive, challenged, put-off, and misunderstood
D) Two of the above
E) All of the above

Question 13

A clinician asks, "What was it like after the fire?" What kind of question is this?

A) Direct question
B) Closed question delimiting content
C) Closed question delimiting affect
D) Open question
E) Tentative question

Question 14

A clinician asks, "How did the family respond after your brother committed suicide?" What kind of question is this?

A) Direct question
B) Closed question delimiting content
C) Closed question delimiting affect
D) Open question
E) Tentative question

Question 15

A clinician asks, "Did you get into graduate school or get a job at that point?" What kind of question is this?

A) Direct question
B) Closed question delimiting content
C) Closed question delimiting affect
D) Open question
E) Tentative question

Question 16

Which is not true of why questions?

A) They should never be used.
B) They could be very powerful if clients would answer them honestly.
C) They often make clients feel defensive.
D) They should be used sparingly.

Question 17

Benjamin suggests that prior to asking a question, one should do all but which of the following?

A) Be aware of the fact that you are asking a question.
B) Weigh carefully the desirability of asking a question and challenge its usage.
C) Examine the types of questions you personally tend to use.
D) Consider alternatives to the asking of questions.
E) Share your uneasiness with your client concerning your use of questions.
F) Consider whether the question you are about to ask will inhibit the flow of the interview.

Question 18

Open questions:

A) enable the client to have a wide range of responses.
B) create an environment in which the client can direct his or her own session.
C) allow the client to discuss any of a number of issues.
D) can be burdensome if one is in the position of needing to gather information quickly.
E) Two of the above
F) Three of the above
G) All of the above

Question 19

In making a mental status exam, process of thought has to do with which of the following:

A) Delusions, distortions of body image, hallucinations, obsessions, suicidal or homicidal ideation, and so forth
B) Circumstantially, coherence, flight of ideas, logical thinking, intact as opposed to loose associations, organization, and tangentiality
C) Dress, hygiene, body posture, tics, significant nonverbals, and manner of speech
D) Feeling state that is constricted or full, appropriate or inappropriate to content, labile, flat, blunted, exaggerated, and so forth
E) Two of the above

Question 20

A clinician asks, "Did you feel distraught or anxious after the fire?" What kind of question is this?

A) Direct question
B) Closed question delimiting content
C) Closed question delimiting affect
D) Open question
E) Tentative question

Question 21

In an effort to maintain a trusting relationship with your client, it is often necessary to find a balance between the use of questions and other techniques, such as empathic responding.

Question 22

The diagnosis part of a case report is generally listed near the beginning of the report.

Question 23

Administering assessment instruments prior to the beginning of the helping relationship has all but which of the following advantages?

A) They do not interfere with the building of the helping relationship or a natural flow that has begun to develop.
B) They can help to quickly identify problem areas and thus focus the upcoming clinical interview.
C) They can quickly identify problem areas that may be missed during the clinical interview because clients might reveal something on a written measure that they would not reveal face-to-face (e.g., suicide ideation, alcoholism, abuse).
D) The have been shown to help with rapport building more than a face-to-face interview.
E) They can help set a tone that anything is fair game to discuss.
True or False

Question 24

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Mental status

Question 25

If one needs to gather information quickly, open questions can sometimes be problematic.

Question 26

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Legal issues and history

Question 27

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
___ Demographic information

Question 28

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Diagnosis

Question 29

Computer driven case reports have become so sophisticated that they are difficult to distinguish from those written by expert therapists.

Question 30

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Summary, conclusions, and recommendations

Question 31

Today, professional disclosure statements are legal documents that can be brought to court to show that you have acted in accordance with your professional code of ethics.

Question 32

Because they allow clients options regarding the direction of counseling, tentative questions are particularly powerful in gathering information quickly.

Question 33

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Substance abuse history

Question 34

If one could honestly answer "why," the why question would be the most powerful question used in the helping relationship.

Question 35

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Educational and vocational background

Question 36

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Medical/psychiatric history

Question 37

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Family of origin background

Question 38

A mental status report generally is written in four separate paragraphs to assure coverage of all four areas.

Question 39

Despite the ability of questions to help the clinician quickly delve into the world of the client, the use of questions is often challenged and viewed negatively by training programs.

Question 40

Generally, case reports are between 5 and 10 pages long.

Question 41

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Knowledge base and intellectual functioning

Question 42

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Hygiene

Question 43

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Affect

Question 44

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Obsessions

Question 45

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Full, appropriateness to content, labile, flat, blunted, exaggerated

Question 46

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Insight and judgment

Question 47

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Oriented to time, place, and person

Question 48

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Tangentiality

Question 49

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Coherence

Question 50

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Reason for referral or contact

Question 51

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Short- and long-term memory

Question 52

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Cross-cultural issues

Question 53

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Manner of speech

Question 54

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Flight of ideas

Question 55

Items . Items 35 through 46 are generally included in a case report. Identify where each item generally goes in the report by placing A, B, C, D, E, or F, next to it.
A. First item-at the very beginning (1 item)
B. Second item-after first item (1 item)
C. In the middle, but closer to the beginning (2 items)
D. In the middle (5 items)
E. Closer to the end (2 items)
F. At the very end (1 item)
Current family background

Question 56

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Manner of dress

Question 57

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Hallucinations

Question 58

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Distortions of body image

Question 59

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Delusions

Question 60

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Significant nonverbals

Question 61

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Tics

Question 62

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Logical thinking

Question 63

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Prevailing feeling state of the client

Question 64

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Circumstantially

Question 65

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Mood

Question 66

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Intact as opposed to loose associations

Question 67

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Suicidal or homicidal ideation

Question 68

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Body posture

Question 69

For each item below, identify what aspect of the mental status it belongs to:
A. Appearance and behavior
B. Emotional state
C. Thought Components
D. Cognition
___ Organization