Treatment Planning

c

Setting goals serves the following functions in counseling:

a. To provide an assessment of the problem, diagnosis, prognosis and prescription

b. To observe, assess, establish rapport and form a hypothesis

c. To motivate and educate the client, to evaluate the counseling progress and to help the counselor develop a treatment plan

d. To be specific, measurable, attainable, realistic and time-limited

d

A counselor working in a community health clinic is given a referral from a nurse who is providing medical care to a homeless woman who appears to be experiencing symptoms of anxiety and depression after being evicted from her apartment. According to Maslow’s Hierarchy of Needs, the first priority in goal setting would be to:

a. Find her employment.

b. Help her get a GRE.

c. Find a romantic partner.

d. Secure food and housing.

a

You are working with a male client who is forty and suffering from symptoms of depression. In the past, he was very active and participated in competitive races for running and cycling. He recently was injured and is now unable to achieve the same results. While he’s able to go running and cycling during his rehabilitation, he is struggling to motivate himself to get active which is something he views as desirable. You’ve noticed that it seems like he misses both the sport and the competition and bring up your observations during one of his sessions, asking if he thinks a goal may help with this issue. He agrees to give it a try. Which of the following is the most appropriate goal for you and the client to establish?

a. The client will either go running or cycling 3 times a week for 30 minutes for the next two weeks.

b. The client will enter a competitive race and participate in it within 30 days.

c. The client will get back to their former level of fitness before the end of the year.

d. The client will find a new hobby that is not in the area of fitness.

b

Maria is a seventeen-year-old client who started meeting with you because she has some anxiety about leaving home for college. She desires to go away to college, but is struggling with her anxiety surrounding all of the unknowns about the upcoming experience. She has only spent the night away from her parents when visiting her grandparents who live in the same town. You collaborate with her to establish the following treatment goal: Enhance coping skills to decrease anxiety. Which of the following objectives would be least likely to help your client reach her goal?

a. Arrange to spend the night at a close friend’s house.

b. Plan to take a gap year and work a part-time job.

c. Speak with her cousin, a current college student who is enjoying school, about what her experience has been like.

d. Begin visiting college campuses.

c

A client has a goal to increase and practice the ability to manage anger. This is an appropriate long-term goal for a client who is most likely to be diagnosed with:

a. adjustment disorder

b. obsessive compulsive disorder

c. conduct disorder

d. autism spectrum disorder

d

A client has a goal to make short and simple “to do” lists with 3 tasks to complete each day. This is a short-term goal for a client who is most likely to be diagnosed with:

a. gender dysphoria

b. intellectual disability

c. schizophrenia

d. depression

a

When talking with a client who is in recovery from addiction, you ‘flag the minefield’ to mark potential future setbacks. What is the most common reason why people with addiction relapse?

a. stress

b. social group

c. over-confidence

d. unrealistic expectations

b

A client recently started seeing you because she is depressed following a break-up with her boyfriend of 6 years. Recently, she shared they still talk several times a week, with no intention of getting back together, and she always feels worse after their conversations. Her goal is to get through a week without communicating with her ex-boyfriend. Which of the following, if present, would form a barrier to her attaining this goal?

a. following him on social media

b. talking to his sister

c. making plans with her best friend

d. Both a and b

b

When clients set ________ goals, they are more likely to attain them.

a. single, measurable, achievable, realistic, and time-sensitive (SMART)

b. specific, measurable, achievable, realistic, and time-sensitive (SMART)

c. specific, maintained, achievable, realistic, and time-sensitive (SMART)

d. specific, measurable, achievable, response-oriented, and time-sensitive (SMART)

c

When looking at the strengths that help clients attain their goals, having the client understand their own _______ factors is important.

a. risk

b. relevance

c. resilience

d. reserve

d

Which of the following is a primary indicator that your client needs more than outpatient and/or group counseling?

a. diagnosis of depression

b. self-injurious behavior

c. diagnosis of narcissistic personality disorder

d. dual diagnosis

a

You are meeting with a 14-year-old client who has an anxiety disorder. She shares with you that she is afraid of gaining weight even though she is underweight and has restricted eating patterns and other behaviors consistent with Anorexia Nervosa. You believe that she may need the most intensive-level of treatment. Which of the following would be the most intensive-level of treatment?

a. Inpatient care

b. Outpatient care

c. Partial hospitalization

d. Residential care

b

For which of the following situations would a counselor refer a client to another professional for concurrent treatment?

a. when the client’s needs are outside of the counselor’s knowledge base

b. when a client with a mood disorder decides they would like to try medication to help with their moods.

c. when a counselor is unable to work with a certain client

d. when a client could benefit from working with a counselor who uses a different approach

c

_____________ are part of the treatment plan the counselor and client need to visit at various intervals to determine success.

a. Supports

b. Methods

c. Outcomes

d. Sessions

d

Which of the following is the best example of a responsibility of an office-based counselor that may be listed in the treatment plan for a client with a goal to use more positive parenting strategies?

a. The counselor will call the client’s family members to interview them about his parenting style.

b. The counselor will be ‘on-call’ for the client.

c. The counselor will observe the client in his home, using recently learned positive parenting strategies.

d. The counselor will provide the client with materials to document the new house rules, rewards, and consequences system.

a

All of the following factors can be relevant to determining whether a client is ready for group counseling, except:

a. income

b. social networks

c. current needs

d. interpersonal relationships

b

Getting a follow-up appointment after discharge from mental health hospitalization is __________ for the long-term wellness of clients.

a. unnecessary

b. essential

c. recommended, if covered by insurance,

d. statistically significant

c

Which of the following is true about follow-up care?

a. Future hospitalizations are likely to increase with follow-up care.

b. A client should wait until symptoms reappear before scheduling a follow-up appointment.

c. Clients who do not seek follow-up care are at higher risk for homelessness.

d. Follow-up appointments are only needed for clients who were hospitalized because they were suicidal.

b

Sara is a sixty-year-old client working on a goal of increasing her physical fitness to improve her overall health. When reviewing her treatment plan, it would be important to revise it if:

a. Sara completed two of the five objectives.

b. Sara has not completed any of the objectives.

c. Sara was on vacation and didn’t work on the goal during that time period.

d. Sara is excited to get back to better health.

c

Michael is a twenty-two-year-old client working on a goal of increasing client defined “good days” over an eight-week period. When reviewing his treatment plan after several weeks, it would be important to revise it if:

a. Michael found a new online resource which is helping him keep track of good days.

b. Michael is practicing relaxation techniques more than what is noted in the plan.

c. Michael’s definition of “good days” is making it difficult for him to have one because he has equated “good” with “perfect”.

d. Michael had a minor argument with his brother who is listed as a support.

d

A client has been working on a goal of reducing arguments with her spouse by 15% over a 4- week period. How should the counselor involve the client when reviewing the progress toward the goal?

a. Have the client share the frequency of arguments.

b. Ask the client which strategies for reducing arguments they used the most.

c. Ask the client how many arguments were avoided or cancelled.

d. All of the above

a

A 13-year-old client with school avoidance is working on a goal of reducing days absent at school by 20% over a 2-week period. When it’s time to review his progress, the counselor asks him to share his attendance log and he shares he has made no progress toward his goal. He and his counselor decide to revise the goal to be more achievable. Which of the following would be the best revision?

a. The client will gradually be re-exposed to the school setting.

b. The client will reduce days absent at school by 30% over a 3-week period.

c. The client will increase days present at school by 40% over a 4 week period.

d. The client will be homeschooled.

b

You are meeting with a 7-year-old boy who has school phobia. The school psychologist from his public school called to coordinate care and see if there is anything you’ve worked on that could apply to help the student while at school. She will be completing a full psychoeducational evaluation and asked for your oral and written feedback. In this case, you should:

a. Release all information because it is a representative from a public school which it is funded by the state.

b. Check to make sure his legal guardian(s) have signed a release form allowing you to both release and receive oral and written communication with the school entity.

c. Let the school psychologist know this is an unethical request.

d. Ask the parent if they would like you to release the information, then speak with the school representative.

c

You are working with a 12-year-old girl and are concerned she is being physically abused. Which of the following is correct?

a. You do not ever need written consent to communicate with state personnel.

b. You should attempt to get all legal guardians to sign release forms at the start of counseling services in case you need to make a report to child protective services.

c. You do not need the legal guardian’s consent to share this information with child protective services personnel.

d. Once you have reported the concerns to child protective services, you should notify the minor’s legal guardian(s) about your actions.

d

In which phase of therapeutic progress would the counselor let a client know he or she may test

a client’s boundaries?

a. Orientation

b. Exploration

c. Resolution

d. Identification

a

You let a client know they may feel temporarily worse as they enter into the ______ phase of therapeutic progress.

a. Exploration

b. Identification

c. Resolution

d. Orientation

b

When would it be most valuable to talk to a client about complying with the treatment plan?

a. During the first session.

b. When the client is starting a new prescription medication to treat depression.

c. When the client misses an appointment.

d. Counselors are not qualified to talk with clients about compliance.

c

If a client who has social anxiety is in the ________ stage of Prochaska and DiClement’s Transtheoretical model (Stages of Change), it would be important to talk about complying with the client’s treatment plan as he may be making plans to change, but not yet making any changes.

a. precontemplation

b. contemplation

c. preparation

d. action

d

Lisa is a professional counselor working in private practice. Lisa is currently credentialed to accept state insurance from clients. When Lisa submits her request to bill the insurance company, she must submit a _________, along with a diagnosis, in order to be compensated for counseling services.

a. Global Assessment of Functioning

b. ICD codes

c. Goals of Counseling

d. Treatment Plan

b

Suzanne's parents have decided that she will enroll in the state college near their hometown. Suzanne did not apply to other colleges and when her mother informed her that she will be an undeclared major for the first year, Suzanne nodded in agreement. According to James Marcia, Suzanne is experiencing:

a. identity diffusion

b. identity foreclosure

c. identity moratorium

d. identity achievement

a

Which of the following is a main concept in reality therapy?

a. Responsibility

b. Punishment

c. The past

d. Formal assessment

d

You have been seeing a client named Mary for several months. During a session, she mentions that she had been in touch with her old counselor that she had seen for over a year, and in fact, she had gone to see him. She states that he wanted to see her and her father for a session. You should:

a. Tell Mary that she should stop seeing the other counselor, as it confounds her treatment plan

b. Tell Mary she should stop seeing you and see her other counselor instead since they had a longer-term relationship and he knew her better

c. Tell her that seeing two counselors can have a compounding effect and would be to her benefit

d. Acquire a release for authorization of information to contact the other counselor to discuss further

d

A client you have been seeing for several months brings in her husband for a session at your request. You felt that educating the husband about your patient’s depression would be useful, as well as eliciting his support in her recovery. At the end of the joint session, your client’s husband asks if he can keep coming to the sessions to work on their marriage. Your best response would be:

a. “Mr. Smith, I think that’s a fabulous idea, but let’s ask Mrs. Smith. Mrs. Smith?”

b. “Mr. Smith, I was hoping you would say that. You two have so much potential and I’d like to help you enhance your relationship.”

c. “Mr. Smith, I’m sorry, but under no circumstances can I see you two for marriage counseling. It’s a conflict of interest.”

d. “Mr. Smith, I appreciate your willingness, but I’d like to first discuss this with Mrs. Smith since we’ve been working individually up to this point.”

b

Your client receives a bill for services and becomes incensed. Your office staff tells you that she came in irate, and tells your office staff to tell you to *#$% the bill-- she is going to “blow this place up!” Which of the following applies?

a. You cannot terminate treatment as it would be considered abandonment.

b. You can terminate treatment.

c. You can terminate treatment after you call the police and have a session with your client to discuss it.

d. You cannot terminate treatment unless your client actually makes an attempt to harm you; she was probably just angry.

d

A client of yours is considering shifting careers. Being a doctor has always been a strong interest of hers. She has always had good grades but wants to be sure she has what it takes to get through med school. Which of the following should you suggest she take?

a. An interest inventory

b. The MBTI

c. The 16-PF

d. An aptitude test

c

You are working at a counseling center and a family has come in with a concern that their youngest daughter may have been exposed to lead paint. She is 4 years old and does not appear to be learning as rapidly as their other children. Which of the following would be included in the test battery to assess her intelligence?

a. WAIS-IV

b. WISC-V

c. WPPSI-IV

d. Otis Lennon

d

Second -year students who have not declared a major at the community college are advised to make an appointment at the Career Center to take the Strong Interest Inventory. The Strong Interest Inventory is a type of:

a. Achievement test

b. Personality test

c. Cognitive test

d. Educational and Career Guidance Tool

b

A client is ready for discharge from a psychiatric facility. What will the client’s counselor be asked to prepare to give to the other members of the mental health staff involved in the client’s treatment?

a. Treatment plan

b. Psychological report

c. Personality inventory

d. Emotional Battery Test

c

What is an indication that counseling has been successful?

a. The counselor and client become friends.

b. The client quits counseling and transitions into self-help.

c. The client meets goals and learns new coping skills

d. The client cancels further sessions.