Deck 1: Building Your Foundation As a Helper

Question 1

A client who has a fear of snakes becomes panic-stricken when encountering a snake on a hiking trail. Her symptoms are characterized by features.

A) proximal
B) transparent
C) distal
D) surface

Answer 1

A

Question 2

approaches are recommended for clients presenting with overt, external symptoms.

A) Behavioral
B) Cognitive
C) Insight-focused
D) Interpretation

Answer 2

A

Question 3

All of the following would be considered modes of treatment EXCEPT:

A) individual.
B) group.
C) medication.
D) clinical decision-making.

Answer 3

D

Question 4

refer to the absence of certain thinking processes, such as the failure to realize the consequences of one's actions; refer to errors in cognitive processing, such as irrational beliefs.

A) Cognitive deficiencies; cognitive distortions
B) Cognitive distortions; cognitive deficiencies
C) Cognitive beliefs; cognitive denial
D) Cognitive denial; cognitive beliefs

Question 5

Asking clients to draw a plan of their home is an example of a feature of mainstream multicultural helping.

A) contextual awareness
B) consciousness development
C) diffusing distress and reframing resistance
D) therapeutic proactivity

Question 6

Persons demonstrating an externalized coping style would likely engage in all EXCEPT which of the following behaviors?

A) "Mouthing off" when angry or upset
B) Worrying about an anticipated confrontation
C) Physical altercations with others
D) Berating one's children or co-workers

Question 7

Which of the following was NOT a theme identified in the APA's (2006) components of clinical expertise?

A) Openness to feedback
B) Continued growth in the area of clinical skills
C) Intuitive clinical decision-making
D) Attention to client idiosyncratic and cultural factors

Question 8

Which of the following is NOT an element of the treatment planning process?

A) Assessing for client strengths and resources
B) Determination of client goals
C) Selection of appropriate interventions to help clients meet goals
D) Case conceptualization/formulation

Question 9

Research has suggested that children in collectivist cultures may favor more externalized coping practices (e.g., respect for elders, academic diligence), whereas children in more individualist cultures may exhibit more internalized coping mechanisms.

Question 10

Lambert and Ogles' (2004) identified the following additional common therapy factors:

A) support, learning, and action.
B) remoralization, remediation, and rehabilitation.
C) validation, normalization, and mitigation.
D) therapist, therapy procedures, and client.

Question 11

The intent of evidence-based practice is to:

A) educate helpers on the therapeutic process.
B) provide services to clients that have been supported by research.
C) offer assistance with diagnostic assessment.
D) assist in the development of a therapeutic alliance.

Question 12

Clarkin and Levy (2004) identified three general categories of variables that affect the selection and implementation of treatment strategies. Which of the following does NOT belong?

A) Client response to symptoms
B) Client's interpersonal context
C) Client's response to ecological context
D) Client impairment

Question 13

The contributions to counseling outcomes of: 1) client characteristics, 2) theories and techniques, 3) the therapeutic relationship, and 4) hope and expectancy have been referred to as factors.

A) idiosyncratic
B) universal
C) common
D) differential

Question 14

A specific phobia would MOST likely be attributed to:

A) biological or genetic influences.
B) learned behavior.
C) traumatic history.
D) socio-cultural-economic-political influences.

Question 15

Subjective distress refers to the client's external state that is easily observable.

Question 16

All of the following are identified as components of clinical expertise EXCEPT:

A) completing necessary case note documentation within 72 hours of the session.
B) continual self-reflection and acquisition of skills.
C) understanding the influence of individual and cultural differences on treatment.
D) having a rationale for clinical strategies.

Question 17

The specific format or way in which an intervention is delivered is referred to as:

A) type of treatment.
B) mode of treatment.
C) client implementation.
D) frequency and duration of service.

Question 18

A rule is a series of mental questions that the helper constantly asks himself or herself during interviews in order to match interventions to clients and their identified concerns.

A) organizational
B) conceptualization
C) decision
D) consultation

Question 19

Research by Eells, Lombart, Kendjelic, Turner, and Lucas (2005) found that case formulations of the novice therapists were rated higher in overall quality (e.g., comprehensiveness, complexity, precision of language, coherence) than those of the experienced therapists.

Question 20

In a client who is prone to high level or recurring resistance, which of the following might be more likely to result in positive therapeutic progress?

A) Information-giving
B) Interpretation
C) Structured homework assignments
D) Low level of helper directiveness

Question 21

Identify two components of clinical expertise and describe how you will incorporate them into your professional practice.

Question 22

is the process of becoming increasingly aware of one's cultural identity and how it is expressed in varying contexts over time.

A) Ethnicity sensitivity
B) Cultural adaptation
C) Consciousness development
D) Conscious ethnicity

Question 23

Describe factors that will affect your treatment selection.

Question 24

Explain the difference between proximal and distal features.

Question 25

Identify three different modes of treatment and describe their advantages.

Question 26

The practice of seeking before commencing treatment supports the client's freedom of choice and is consistent with a mainstream multicultural milieu.

A) informed consent
B) empowered consent
C) assent
D) permission

Question 27

A helper and client trace the history of the client's ethnic group to identify moments of crisis and challenge through which the ethnic group survived and triumphed. These lessons of history are used to inspire the client to overcome current obstacles. This activity represents a multicultural intervention focusing on:

A) maintenance of culture (vs. acculturation).
B) liberation (vs. oppression).
C) empowerment (vs. powerlessness).
D) parity (vs. exploitation).

Question 28

Comas-Diaz (2006, p. 94) described the practice of cultural , which she defined as "the ability to understand clients through clinical skill, cultural competence, and intuition."

A) competence
B) sensitivity
C) resonance
D) analysis

Question 29

All of the following were mentioned as ways to increase recruitment and retention of culturally diverse clients EXCEPT:

A) increase access to care in targeted locations intended to reach traditionally underserved groups.
B) provide educational programs to clinical staff on cultural sensitivity.
C) prescreening interviewer to speak the client's native language.
D) extension of tangible gifts to clients such as educational literature or reassurances.

Question 30

Choose one of the five interventions in multicultural practice discussed and describe how you will utilize it in your own helping role.