Clinical Quiz Questions

Question 1

Triangular Model of Supervision

Answer 1

three points of the triangle:
1. organizational policies
2. professional knowledge
3. service to clients

Question 2

The triangular model of supervision puts emphasis on:

Answer 2

providing service to clients

Question 3

altruism, cohesion, universality, interpersonal learning input and output, guidance, catharsis, identification, family re-enactment, self-understanding, instillation of hope, and existential factors

Answer 3

Irvin Yalom’s therapeutic factors of group work

Question 4

Someone advocating an etic rather than an emic approach to therapy would

Answer 4

utilize a universal approach (universal is like Etc…, Em is the key of cultural songs)

Question 5

A U.S. study of WWI era German immigrants found that those who experienced discrimination were more likely to

Answer 5

assimilate

Question 6

Historical trauma is

Answer 6

a type of trauma that emanates from experiences of massive group trauma

Question 7

What family therapy prioritizes the first session of therapy and has four stages: the social stage, the problem stage, the interaction stage, and the goal-setting stage

Answer 7

Strategic Family Therapy

Question 8

During the first session with a woman who is the victim of spousal abuse, a feminist therapist would most likely:

Answer 8

help the woman identify and rehearse an “escape plan” to use when her husband becomes abusive

Question 9

Consultation is distinct from supervision in that supervision involves:

Answer 9

administrative responsibility

Question 10

As defined by Sue and Zane, gift giving might involve all of the following:

Answer 10

normalization, goal setting, skill acquisition

Question 11

In an enmeshed family in which an over-controlling father constantly nags and yells at his 18-and 15-year old sons, a structural family therapist is most likely to do which of the following

Answer 11

Manipulate the family’s mood by mimicking the father’s behavior in an exaggerated manner. (Minuchin)

Question 12

A group of previously identified high-risk individuals are presented with a screening test in order to determine who is likely to benefit from intervention is an example of _________ prevention

Answer 12

secondary

Question 13

Research on Yalom’s (1985) curative factors in group therapy indicates that which of the following factors are likely to be cited as most important by group members?

Answer 13

Cohesion, interpersonal learning, catharsis, self-understanding

Question 14

Therapist effects include all of the following:

Answer 14

therapist’s ethnicity, years of experience, therapist’s office set-up

Question 15

A 14-year old boy engages in “acting-out” behaviors whenever his parents begin talking about separating, and his actions temporarily disrupt their discussion and plans. From the perspective of family therapy, the boy’s behavior is best described as:

Answer 15

an attempt to restore homeostasis

Question 16

The new clients of Dr. Blanco, a Euro-American therapist, are an Asian family consisting of a grandmother, mother and father, and two children, ages 16 and 10. During an initial session with this family, Dr. Blanco would be best advised to:

Answer 16

assess each family member’s level of acculturation before developing a treatment plan

Question 17

According to Ridley, when working with an African American client exhibiting “healthy cultural paranoia”, an Anglo therapist would be best advised to

Answer 17

help the client bring feelings of suspiciousness, frustration, and antipathy toward whites into conscious awareness

Question 18

Ledley, Foa, & Huppert (2005) consulted with David Clark to develop a comprehensive CBT treatment manual for which of the following disorders

Answer 18

Social phobia

Question 19

A Milan systemic family therapist will emphasize the use of which of the following in therapy

Answer 19

Circular questions

Question 20

Gerald Caplan (1970) described a consultee’s objectivity as one of the targets of consultee-centered case consultation. According to Caplan, which of the following is a potential cause of a consultee’s lack of objectivity?

Answer 20

theme interference as a type of transference that occurs when a consultee’s unresolved conflict related to a particular type of client or situation interferes with his/her objectivity when working with similar clients or in similar situations.

Question 21

A therapist instructs a client who suffers from insomnia to polish his hardwood floors for at least two hours whenever he wakes up during the night. Apparently this therapist is familiar with the work of:

Answer 21

“ordeal”. For the exam, you should have paradoxical techniques and ordeals associated with Milton Erickson and Jay Haley (who was strongly influenced by Erickson).

Question 22

From the perspective of general systems theory, if an open system is faced with an unexpected threat, it will:

Answer 22

defend against or adapt to it

Question 23

Troiden’s (1988) Gay/Lesbian (Homosexual) Identity Development Model predicts that individuals in the sensitization stage

Answer 23

feel different or alienated from their opposite-sex peers

Question 24

This manualized treatment approach promotes the use of role playing in the treatment of alcohol use disorder:

Answer 24

12-step facilitation therapy

Question 25

A 36-year-old, second-generation Asian-American woman comes to Dr. Williams, a White middle-class male psychologist, at the suggestion of her physician who was unable to find a physical explanation for her symptoms which include: Frequent headaches, loss of appetite, and insomnia. Being familiar with the literature on cross-cultural counseling, Dr. Williams knows he should assume an active, directive approach by:

Answer 25

acknowledging the woman’s symptoms and discussing ways to alleviate these symptoms

Question 26

The concept of “striving for superiority” is most closely associated with which theorist?

Answer 26

Alfred Adler

Question 27

Hypnosis is best described as a response to suggestion involving

Answer 27

an alteration in memory, mood, and perception

Question 28

In the context of psychotherapy research, a “placebo” ordinarily involves providing participants with which of the following?

Answer 28

Nonspecific factors of psychotherapy

Question 29

From the perspective of Gestalt therapy, an optimal boundary is semipermeable and coterminous with the actual self. Introjection is one type of boundary disturbance. It occurs when:

Answer 29

the boundary is located deep within the self

Question 30

Ho (1987) recommended the use of a(n) __________ approach when working with African American therapy clients.

Answer 30

ecostructural

Question 31

According to Helms White Identity Development Model, the reintegration stage is characterized by:

Answer 31

adopting a belief in white superiority and minority inferiority

Question 32

The term historical trauma was coined by:

Answer 32

Maria Yellow Horse Braveheart

Question 33

Studies comparing the age at which gays and lesbians first disclose their sexual orientation to a friend, family member, or other person have found that:

Answer 33

the average ages of disclosure for individuals who are gay and those who are lesbian are not significantly different

Question 34

“Strong intersectionality” refers to:

Answer 34

overlapping systems of oppression

Question 35

A psychologist develops a parent mentoring program for parents who have a history of abusing or neglecting their children. Participants will have access to non abusive parents who will act as role models as well as support during times of crisis. This is an example of

Answer 35

tertiary prevention

Question 36

In the book, A Theory of Multicultural Counseling and Therapy, Sue, Ivey, and Pedersen (1996) describe three multicultural counseling competencies. These are:

Answer 36

awareness, knowledge, and skills.

Question 37

When treating a couple in which the husband has physically abused his wife and it has been clearly determined that the abuse can be classified as instrumental (vs. expressive), the best initial approach is:

Answer 37

to ensure that the husband and wife are physically separated and to provide them with separate therapy.

Question 38

A number of pioneers in the field of family therapy had a psychodynamic background, which they incorporated, to some degree, in their approach to family therapy. However, the psychoanalyst _______________ is generally identified as the first to formally adapt and apply psychoanalytic principles to the understanding of the family.

Answer 38

Nathan Ackerman

Question 39

A strategic family therapist is working with a family in which the husband and wife have avoided their own conflicts by focusing their attention on the problems of their 9-year old son. The therapist in this situation is most likely to:

Answer 39

give the husband and wife a homework assignment designed to foster recognition of the conflicts that exist between them.

Question 40

Triangulation is associated with __________ family therapy.

Answer 40

Structural

Question 41

Milan Systemic Therapy is associated with

Answer 41

“Circular questions”

Question 42

Helms’s (1995) White Racial Identity Development Model distinguishes between six statuses, with each status being associated with a different information processing strategy (IPS). For example, the “flexibility and complexity” strategy is characteristic of the __________ status.

Answer 42

autonomy (final stage)

Question 43

In their study of outpatient mental health services in Los Angeles County, Sue et al. (1991) found that, while clients from all groups showed improvement at the end of therapy, __________ had the best outcomes.

Answer 43

Hispanic Americans

Question 44

The ADDRESSING model:

Answer 44

provides a framework for addressing cultural complexities in clinical practice

Question 45

Which of the following techniques would a psychologist most likely use to clarify the emotional distance or closeness between family members?

Answer 45

sculpting

one or more members of the family to arrange the other members (and lastly themselves) in relation to one another in terms of posture, space, and attitude

Question 46

As defined by Wrenn (1985), a “culturally encapsulated” counselor:

Answer 46

disregards cultural differences and his/her own cultural biases

Question 47

The term homophobia was coined by:

Answer 47

George Weinberg

Question 48

For an extended family systems (Bowenian) therapist, when a family exhibits a high degree of fusion but one member is more differentiated than the others, the likely approach would be to:

Answer 48

work with the most differentiated family member

Question 49

Harry Stack Sullivan’s interpersonal approach to psychiatry identifies ____________ as the primary cause of psychopathology.

Answer 49

excessive anxiety

Question 50

For Carl Jung, transference is:

Answer 50

a form of projection

Question 51

Sue et al. (1991) found that ethnic matching was associated with improved treatment outcomes for:

Answer 51

Hispanic clients

Question 52

Structural family therapy entails three overlapping steps or stages. Which of the following techniques is/are most useful during the first step?

Answer 52

Tracking and mimesis

Question 53

During a therapy session, Dad, who is normally soft-spoken and mild-mannered, becomes very agitated and starts yelling. The oldest daughter becomes upset and says, “Please stop, you’re scaring Johnny” (the 6-year old son). Dad stops yelling and becomes calm again. This is an example of:

Answer 53

Family homeostasis

Question 54

According to Landrum and Batts, system blaming and system beating are:

Answer 54

Possible manifestations of internalized oppression

Question 55

Irvin Yalom (1985) described the group therapist’s role primarily as which of the following?

Answer 55

Technical expert

Question 56

The notion that there are three major life tasks - friendship, occupation, and love - is most consistent with the philosophy of:

Answer 56

Adler

Question 57

The stages of change (transtheoretical) model identifies two factors as the primary predictors of successful transition from one stage to the next. These are:

Answer 57

perceived self-efficacy and decisional balance.

Question 58

A primary goal of Minuchin’s structural family therapy is to:

Answer 58

replace rigid and diffuse boundaries with clear boundaries.

Question 59

A structural family therapist’s interventions when working with a triangulated family will be designed to:

Answer 59

create stress in order to unbalance the family’s homeostasis.

Question 60

A Freudian psychoanalyst is most likely to describe ___________ as explicitly connecting current behavior to unconscious processes.

Answer 60

Interpretation

Question 61

A prevention program involves identifying children who exhibit early signs of emotional disturbance so they can be provided with special assistance from teacher’s aides and other paraprofessionals. This is an example of:

Answer 61

secondary prevention.

Question 62

A program designed to improve the interpersonal skills of residents of a retirement community would be classified as a “primary prevention” when it is offered:

Answer 62

to all residents who want to participate.

Question 63

An advantage of using treatment manuals in clinical practice is that they:

Answer 63

provide the clinician with concrete examples that illustrate the appropriate application of an intervention.

Question 64

Which of the following groups has the lowest psychiatric hospital admission rate?

Answer 64

Widowed persons

Question 65

______________________ may occur when members of a cultural minority have negative interactions with members of the dominant culture.

Answer 65

Acculturative stress

Question 66

__________ refers to negative attitudes that are based on sexual orientation, whether the target identifies as homosexual, bisexual, or heterosexual.

Answer 66

Sexual prejudice

Question 67

Which of the following accurately presents Sophie’s (1985/86) stage theory of lesbian identity development?

Answer 67

First awareness, testing and exploration, identity acceptance, and identity integration

Question 68

Jung’s analytic theory differs from Freud’s psychotherapy in all of the following ways except:

Answer 68

Jung replaced the concept of the ego with the concepts of the self and the ideal-self.

Question 69

Helms’s (1995) White Racial Identity Development Model distinguishes between six statuses, with each status being associated with a different information processing strategy (IPS). For example, the “flexibility and complexity” strategy is characteristic of the __________ status.

Answer 69

autonomy

Question 70

Although it is necessary to avoid stereotypes when providing services to members of ethnic and racial minority groups, generalizations are often made in the literature. For example, past research suggests that when working with Hispanic and Hispanic American clients, it is important to keep in mind all of the following except:

Answer 70

family therapy is often contraindicated because of the hierarchical nature of many Hispanic family.

Question 71

The multisystems model:

Answer 71

addresses multiple systems, intervenes on multiple levels, and focuses on strengths

Question 72

For Minuchin, scapegoating and overprotection of a child by the child’s mother and father are both forms of:

Answer 72

detouring

Question 73

Which of the following programs best exemplifies a primary prevention program?

Answer 73

Use of public education programs to inform the public about the negative effects of alcohol abuse

Question 74

Savin-Williams and Diamond (2000) investigated the sexual identity trajectories among sexual-minority youth and found that:

Answer 74

adolescent males had an earlier onset of all milestone except first disclosure of sexual orientation to another person

Question 75

According to Sue and Zane (1987), in terms of ensuring good treatment outcomes, the most important factor in culturally sensitive therapy is:

Answer 75

using techniques that establish credibility

Question 76

Ridley (1984) addressed the distrust that often exists between African American clients and their therapists and proposed that the therapist’s ethnicity is the MOST important factor for:

Answer 76

a confluent paranoiac

Question 77

Cross’s (1991, 2001) Black Racial Identity Development Model includes four stages, the last of which is:

Answer 77

internalization

Question 78

A client describes a recurring dream to his therapist in which the client’s parents are standing on top of a stairway and refuse to let him climb up to the bedroom. If the therapist is a practitioner of Gestalt Therapy, she will most likely:

Answer 78

see the dream as representing parts of the client’s personality that need to be integrated