Question 1

Autumn asks her client: "What, exactly, would be different if you came in next week and told me that you're handling your anger at a 5?" Which type(s) of solution-focused question is she using?
A) Scaling questions
B) Projective questions
C) Presuppositional questions
D) All of the above
E) Only A and B

Accepted Answer

Autumn is using a scaling question, which asks the client to rate their current feelings or situation on a scale from 1-10, with 10 being the best outcome.

Question 2

Which of the following statements is true about client readiness to change?
A) Directives are probably more effective with clients who are in the action or maintenance stages
B) Directives are probably more effective with clients who are in the precontemplation or contemplation stages
C) If clients come to therapy, they are, by definition, ready for change
D) All clients begin therapy in the precontemplation stage
E) The readiness to change concept is part of motivational interviewing theory and has substantial empirical support

Accepted Answer

Directives, or specific actions or goals given to clients, are generally more effective with clients who are already in the action or maintenance stages of change. Clients in the precontemplation and contemplation stages may benefit more from reflective listening and discussion of the pros and cons of behavior change, rather than direct instructions.

Question 3

The purpose of Adler's "The Question" is:
A) To help clients envision themselves and their lives without their primary problem. 
B) To identify what forces make it easier for clients to give up their maladaptive behavior patterns.
C) To learn what specific motive or purpose was sustaining specific unhealthy behaviors
D) A and C.
E) All of the above

Accepted Answer

Adler's "The Question" is a therapeutic technique aimed at helping clients envision themselves and their lives without their primary problem, and to learn what specific motive or purpose is sustaining specific unhealthy behaviors. Therefore, the purpose is both to help clients envision a better future without their problem and to learn the specific motive behind their behavior. Option A and C covers the purpose of "The Question" accurately. Option B is not incorrect, but it is not the primary purpose of "The Question." Therefore, the best answer is D.

Question 4

If a solution-focused therapist uses some kind of metaphor or symbol when referring to a client's depression, for example, a "black cloud," which type of question is the therapist most likely using?
A) Externalizing question
B) Exception question
C) Metaphorical question
D) Unique outcome question
E) Presuppositional question

Accepted Answer

Externalizing questions help clients view their problems as separate from themselves, which is what using a metaphor like a "black cloud" to represent depression accomplishes. This technique allows clients to address their issues more objectively.

Question 5

From a cognitive therapy perspective, which of the following questions provide an intervention for the black-white thinking often associated with depressive symptoms?
A) Scaling questions
B) Percentage questions
C) Presuppositional questions
D) All of the above
E) Only A and B

Accepted Answer

Scaling questions and percentage questions both challenge black-white thinking by asking the individual to consider degrees of improvement or success rather than viewing situations as all-or-nothing. Presuppositional questions, in contrast, assume a certain belief or attitude and are not necessarily focused on shifting black-white thinking.

Question 6

Francie asks her client: "Suppose you were to go home tonight, and while you were asleep, something strange happened and this problem was solved. How will you know your problem was solved? What will be different?
A) An externalizing question
B) A presuppositional question
C) The miracle question
D) None of the above
E) Both A and C

Accepted Answer

The question is known as the miracle question, as it asks the client to imagine a hypothetical scenario wherein their problem is magically resolved overnight, and then reflect on what changes they would notice in their life as a result. This can help the client gain clarity on their goals and what they hope to achieve through therapy.

Question 7

Which of these is an example of a unique outcomes or re-description question?
A) How did you beat the fear and go out shopping?
B) How did you manage to stay calm?
C) What exactly were you thinking?
D) All of the above
E) Only A and B

Accepted Answer

Only option A and B are unique outcomes or re-description questions as they ask for specific details or actions taken, such as "beat the fear" or "manage to stay calm." Option C is a general question that does not ask for a unique outcome. Option D includes all options, but not all of them are unique outcomes or re-description questions.

Question 8

Why is it that using solution-focused and narrative techniques isn't always straightforward and requires practice, supervision, and feedback?
A) There's no problem, nearly everyone responds well to solution-focused and narrative techniques
B) Many clients identify with their negative symptoms and prefer talking about them
C) Solution-focused techniques are simple and don't require much practice or supervision
D) All of the above
E) Only A and B

Accepted Answer

Many clients may identify with their negative symptoms and prefer talking about them, which can make it difficult for them to shift their focus to solutions and positive outcomes. Additionally, using solution-focused and narrative techniques requires skill and practice in order to effectively guide the client towards their goals. It also benefits from supervision and feedback to continually improve the therapist's technique. Therefore, answer A and C are incorrect and D is partially correct but does not fully explain the reasoning behind the answer.

Question 9

When working with Japanese clients, Wubbolding discovered that clinicians should use which of the following questions for the "E" in "WDEP?"
A) What do you want?
B) Why do you act the way you do?
C) Is it working?
D) Should you make a new plan?
E) None of the above

Accepted Answer

Wubbolding's WDEP system, when applied in different cultural contexts such as with Japanese clients, may require adjustments. However, the specific question for the "E" (Evaluation) in WDEP remains consistent across cultures, which is "Is what you are doing helping you to get what you want?" None of the provided options directly match this question. Therefore, the correct answer is "None of the above," as the specific phrasing for "E" is not listed among the choices.

Question 10

Which of the following stages are included in Prochaska's readiness to change model?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
E) All of the above

Accepted Answer

Prochaska's readiness to change model includes all of the above stages: Precontemplation, Contemplation, Preparation, Action, and Maintenance. These stages describe the different levels of readiness individuals may have in making behavior changes.

Question 11

Which of the following is NOT one of the four essential questions associated with choice theory and reality therapy?
A) What do you want?
B) What are you doing?
C) Why do you act the way you do?
D) Is it working?
E) Should you make a new plan?

Accepted Answer

Choice theory and reality therapy, developed by William Glasser, focus on what individuals can control directly: their own behavior. The essential questions are designed to help individuals evaluate their own actions and their effectiveness in achieving their goals. The question "Why do you act the way you do?" is not one of the four essential questions because choice theory emphasizes present choices and actions over analyzing the reasons behind past behavior.

Question 12

What stage is associated with thinking about (but not yet acting on) positive change?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
E) All of the above

Accepted Answer

The answer of What stage is associated with thinking about...

Question 13

Alfred is working with Raissa and he asks: "What would be different if you were well?" Which technique is he using?
A) The first of the four big questions of choice theory
B) The pre-treatment change question
C) Adler's "The question"
D) The solution-focused exception question
E) The solution-focused miracle question

Accepted Answer

The answer of Alfred is working with Raissa and he...

Question 14

Marlon is in the ________________ stage. He will likely react negatively to directive techniques like advice-giving and psychoeducation.
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
E) All of the above

Accepted Answer

In the precontemplation stage of change, individuals are not yet considering change and may resist or react negatively to direct interventions or advice, as they do not see their behavior as problematic.

Question 15

Latisha is working with a new client who reports positive change ("I got together with an old friend") in response to the pre-treatment change question. Which question(s) are good examples of follow-up questions that stimulate "solution" talk?
A) What was good about seeing your friend?
B) How did you manage to get the excellent idea of getting together with your friend?
C) What other excellent ideas have you had since you went out with your friend?
D) All of the above
E) Only A and C

Accepted Answer

All the options are examples of follow-up questions that encourage the client to talk about solutions and positive changes. They focus on the client's strengths, resources, and successful strategies for making positive changes.

Question 16

The "P" in Wubbolding's acronym "WDEP" stands for:
A) Procedure
B) Plan
C) Paraphrase
D) Productivity
E) None of the above

Accepted Answer

The "P" in Wubbolding's acronym "WDEP" stands for "Plan." WDEP stands for Wants, Direction, Evaluation, and Plan, which are the four basic components of reality therapy. The "Plan" step involves identifying specific actions a client can take to move toward their desired goals, and negotiating a commitment from the client to carry out those actions.

Question 17

Which statement best describes the constructive view on traditional diagnostic interviewing?
A) It is a useful method for diagnosing symptoms which is key to developing solutions.
B) It fails to take into consideration the health care system.
C) It wrongly places the cause of psychiatric symptoms outside of the self.
D) It wrongly internalizes symptoms as medical disorders.
E) None of the above

Accepted Answer

The constructive view criticizes traditional diagnostic interviewing for internalizing symptoms as medical disorders, rather than considering them as part of a broader context or narrative.

Question 18

Which of the following statements is true about solution-focused and narrative therapists?
A) They rarely use questions
B) They often use questions
C) They like to find out about the origins of the client's problems before discussing solutions
D) They often use direct confrontations and challenge clients in order to find solutions
E) They only use open ended questions

Accepted Answer

Both solution-focused and narrative therapists often use questions as a way to facilitate their clients' exploration of their issues and to uncover potential solutions. This style of therapy is often characterized by a collaborative approach between the therapist and client, with questions used to guide the conversation and process.

Question 19

Presuppositional questions are virtually the same as:
A) Externalizing questions
B) Projective questions
C) Exception questions
D) All of the above
E) Only A and C

Accepted Answer

Presuppositional questions are similar to projective questions as both involve assumptions or projections about the respondent's thoughts or situations.

Question 20

When clients are in the action or maintenance stages of change which directive techniques are appropriate to use?
A) Paraphrasing
B) Psychoeducation
C) Advice
D) B and C
E) No directive techniques should be used during these stages.

Accepted Answer

During the action and maintenance stages, clients are more receptive to directive techniques that involve specific instructions and guidance. Paraphrasing can still be useful for clarifying the client's thoughts and feelings, but psychoeducation and advice can be more effective in helping them achieve their goals. Therefore, options B and C are appropriate choices for this stage of change. Option E is not accurate because directive techniques can be helpful during these stages.

Quiz 6: Skills for Directing Clients Toward Action

Autumn asks her client: "What, exactly, would be different if you came in next week and told me that you're handling your anger at a 5?" Which type(s) of solution-focused question is she using?

Which of the following statements is true about client readiness to change?

The purpose of Adler's "The Question" is:

If a solution-focused therapist uses some kind of metaphor or symbol when referring to a client's depression, for example, a "black cloud," which type of question is the therapist most likely using?

From a cognitive therapy perspective, which of the following questions provide an intervention for the black-white thinking often associated with depressive symptoms?

Francie asks her client: "Suppose you were to go home tonight, and while you were asleep, something strange happened and this problem was solved. How will you know your problem was solved? What will be different?

Which of these is an example of a unique outcomes or re-description question?

Why is it that using solution-focused and narrative techniques isn't always straightforward and requires practice, supervision, and feedback?

When working with Japanese clients, Wubbolding discovered that clinicians should use which of the following questions for the "E" in "WDEP?"

Which of the following stages are included in Prochaska's readiness to change model?

Which of the following is NOT one of the four essential questions associated with choice theory and reality therapy?

What stage is associated with thinking about (but not yet acting on) positive change?

Alfred is working with Raissa and he asks: "What would be different if you were well?" Which technique is he using?

Marlon is in the ________________ stage. He will likely react negatively to directive techniques like advice-giving and psychoeducation.

Latisha is working with a new client who reports positive change ("I got together with an old friend") in response to the pre-treatment change question. Which question(s) are good examples of follow-up questions that stimulate "solution" talk?

The "P" in Wubbolding's acronym "WDEP" stands for:

Which statement best describes the constructive view on traditional diagnostic interviewing?

Which of the following statements is true about solution-focused and narrative therapists?

Presuppositional questions are virtually the same as:

When clients are in the action or maintenance stages of change which directive techniques are appropriate to use?