Midterm reviewer 2 Flashcards

1
Q
  1. A therapist notices they are becoming emotionally attached to a client beyond professional boundaries. Which concept best describes this phenomenon?
    a) Transference
    b) Countertransference
    c) Multiple relationship
    d) Exploitative relationship
A

Answer: b) Countertransference

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2
Q
  1. A therapist decides to terminate therapy because they feel unqualified to handle a client’s complex case. Which ethical principle guides this decision?
    a) Justice
    b) Responsibility
    c) Integrity
    d) Respect
A

Answer: b) Responsibility

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3
Q
  1. What ethical concern arises if a psychologist provides services outside their field of competence during a non-emergency situation?
    a) Breach of confidentiality
    b) Exploitative relationship
    c) Boundaries of competence
    d) Deception
A

Answer: c) Boundaries of competence

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4
Q
  1. Which strategy is MOST effective for building initial rapport with a resistant client?
    a) Relying on the halo effect
    b) Using supportive non-verbal cues
    c) Disclosing personal information to the client
    d) Critiquing the client’s behavior early on
A

Answer: b) Using supportive non-verbal cues

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5
Q
  1. A psychologist uses the elimination-by-aspects model in clinical judgment. What does this involve?
    a) Prioritizing hypotheses based on a single most important feature
    b) Systematically evaluating multiple options
    c) Evaluating one characteristic at a time, starting with the most important
    d) Eliminating improbable hypotheses through critical reasoning
A

Answer: c) Evaluating one characteristic at a time, starting with the most important

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6
Q
  1. Which ethical standard is violated when a psychologist starts dating their client?
    a) Misuse of psychologist’s work
    b) Exploitative relationship
    c) Multiple relationship
    d) Deception
A

Answer: c) Multiple relationship

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7
Q
  1. In which situation would informed consent NOT be required?
    a) When the client has diminished decision-making capacity
    b) During an emergency crisis intervention
    c) When deception is used in therapy
    d) When the client refuses to sign the consent form
A

Answer: b) During an emergency crisis intervention

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8
Q
  1. Which heuristic involves making decisions based on how easily examples come to mind?
    a) Availability heuristic
    b) Representative heuristic
    c) Single-feature model
    d) Additive feature model
A

Answer: a) Availability heuristic

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9
Q
  1. A psychologist consistently overestimates their ability to predict a client’s outcome. What cognitive bias might they be experiencing?
    a) Illusion of control
    b) Paradox of choice
    c) Expectancy bias
    d) Projection
A

Answer: a) Illusion of control

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10
Q
  1. What does the APA principle of integrity require of psychologists?
    a) To always act within their scope of competence
    b) To deliver fair and unbiased treatment to clients
    c) To provide truthful and honest services
    d) To respect the autonomy of their clients
A

Answer: c) To provide truthful and honest services

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11
Q
  1. A client feels their therapist has become dismissive and judgmental. Which element of the therapeutic relationship has likely been compromised?
    a) Collaboration
    b) Unconditional positive regard
    c) Genuineness
    d) Respect
A

Answer: b) Unconditional positive regard

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12
Q
  1. A psychologist working with trauma survivors uses both cognitive-behavioral therapy and psychodynamic techniques. Which approach is this?
    a) Additive approach
    b) Eclectic approach
    c) Elimination-by-aspects approach
    d) Scientist-practitioner model
A

Answer: b) Eclectic approach

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13
Q
  1. What is a key characteristic of the scientist-practitioner model in clinical psychology?
    a) Emphasis on professional practice over research
    b) Training psychologists to integrate research and practice
    c) Focus on specialization in one therapy modality
    d) Reliance on paraprofessionals for therapy implementation
A

Answer: b) Training psychologists to integrate research and practice

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14
Q
  1. Which principle is violated if a psychologist discloses a client’s personal information without consent?
    a) Justice
    b) Integrity
    c) Confidentiality
    d) Respect
A

Answer: c) Confidentiality

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15
Q
  1. A client with severe physical disabilities struggles with emotional adjustment. Which mental health professional would most likely assist?
    a) Rehabilitation psychologist
    b) Clinical social worker
    c) Psychiatric nurse
    d) Counseling psychologist
A

Answer: a) Rehabilitation psychologist

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16
Q
  1. Which psychological bias might lead a therapist to unfairly perceive a client as untrustworthy based on one minor dishonest act?
    a) Projection
    b) Halo effect
    c) Selective perception
    d) Perceptual set
A

Answer: c) Selective perception

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17
Q
  1. What is a potential downside of using the additive feature model in decision-making?
    a) It focuses on one feature at the expense of others.
    b) It can be overly time-consuming.
    c) It neglects less important options.
    d) It relies solely on heuristic thinking.
A

Answer: b) It can be overly time-consuming.

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18
Q
  1. When would deception be permissible in psychological research or therapy?
    a) When withholding information is necessary to ensure positive outcomes
    b) When it benefits the client’s immediate mental health
    c) When it is deemed essential and accompanied by a thorough debriefing
    d) When the client refuses consent
A

Answer: c) When it is deemed essential and accompanied by a thorough debriefing

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19
Q
  1. A psychologist unintentionally projects their personal fears onto their client during therapy. What is this called?
    a) Transference
    b) Countertransference
    c) Implicit personality bias
    d) Stereotyping
A

Answer: b) Countertransference

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20
Q
  1. A school psychologist evaluates a child with ADHD to create intervention strategies. What ethical standard must guide this process?
    a) Beneficence
    b) Respect
    c) Justice
    d) Competence
A

Answer: d) Competence

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21
Q
  1. What differentiates beneficence from nonmaleficence in therapy?
    a) Beneficence requires active efforts to do good; nonmaleficence avoids harm.
    b) Beneficence applies to treatment plans; nonmaleficence applies only to emergencies.
    c) Beneficence ensures autonomy; nonmaleficence ensures confidentiality.
    d) Beneficence applies to all clients; nonmaleficence applies to vulnerable populations.
A

Answer: a) Beneficence requires active efforts to do good; nonmaleficence avoids harm.

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22
Q
  1. A psychologist refuses to accept a client’s gift after a successful therapy session, explaining that it could jeopardize professional boundaries. Which ethical concern is being addressed?
    a) Exploitative relationships
    b) Multiple relationships
    c) Respect for autonomy
    d) Conflict of interest
A

Answer: d) Conflict of interest

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23
Q
  1. A client insists their therapist reminds them of their abusive parent and begins to express hostility during sessions. What is this an example of?
    a) Projection
    b) Transference
    c) Countertransference
    d) Perceptual set
A

Answer: b) Transference

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24
Q
  1. A therapist who systematically avoids discussing sensitive topics to protect their emotional state is violating which principle?
    a) Beneficence
    b) Justice
    c) Integrity
    d) Responsibility
A

Answer: d) Responsibility

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25
Q
  1. Which principle is most violated when a psychologist uses a test outside their area of expertise in a high-stakes assessment?
    a) Respect for autonomy
    b) Boundaries of competence
    c) Integrity
    d) Informed consent
A

Answer: b) Boundaries of competence

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26
Q
  1. A psychologist creates a treatment plan based solely on the availability heuristic. What risk does this pose to clinical judgment?
    a) Overreliance on past experiences that might not be applicable
    b) Ignoring client feedback in the decision-making process
    c) Overvaluing one feature of a treatment while neglecting others
    d) Dismissing scientifically validated interventions
A

Answer: a) Overreliance on past experiences that might not be applicable

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27
Q
  1. A therapist discontinues therapy with a client due to personal dislike of their political beliefs. Which principle does this violate?
    a) Respect
    b) Integrity
    c) Justice
    d) Beneficence
A

Answer: c) Justice

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28
Q
  1. In which situation would a multiple relationship be considered unavoidable yet ethical?
    a) When the therapist discloses personal information to the client
    b) When it is impossible to refer the client to another professional
    c) When the client insists on socializing outside therapy
    d) When the relationship is not documented
A

Answer: b) When it is impossible to refer the client to another professional

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29
Q
  1. A psychologist providing therapy to their friend’s child is MOST at risk of violating which ethical concern?
    a) Informed consent
    b) Exploitative relationships
    c) Multiple relationships
    d) Competence boundaries
A

Answer: c) Multiple relationships

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30
Q
  1. A client’s unrealistic belief that they can control the outcome of random events is an example of which cognitive bias?
    a) Paradox of choice
    b) Illusion of control
    c) Expectancy bias
    d) Attribution error
A

Answer: b) Illusion of control

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31
Q
  1. What principle is compromised when a psychologist engages in gossip about a client’s progress during a professional conference?
    a) Respect
    b) Confidentiality
    c) Integrity
    d) Justice
A

Answer: b) Confidentiality

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32
Q
  1. A psychologist evaluates a new client using a structured interview, behavioral observation, and self-report questionnaires. This combination of methods demonstrates which approach?
    a) Eclectic approach
    b) Additive feature model
    c) Comprehensive assessment
    d) Scientist-practitioner model
A

Answer: c) Comprehensive assessment

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33
Q
  1. What is the purpose of flexibility and responsiveness in building rapport?
    a) To give the therapist more control over the session
    b) To adapt to the unique needs and emotions of the client
    c) To challenge the client’s perceptions early in therapy
    d) To reduce the therapist’s workload
A

Answer: b) To adapt to the unique needs and emotions of the client

34
Q
  1. A therapist working with a trauma survivor uses nonverbal communication, such as maintaining a relaxed posture and avoiding sudden movements. Which rapport-building strategy is this?
    a) Client feedback
    b) Body language
    c) Collaboration
    d) Genuineness
A

Answer: b) Body language

35
Q
  1. A client insists on making all therapy decisions without considering the therapist’s input. What rapport-building strategy could BEST address this?
    a) Collaboration
    b) Genuineness
    c) Flexibility
    d) Transference management
A

Answer: a) Collaboration

36
Q
  1. A therapist begins to feel strong resentment toward a client, which starts affecting their ability to provide unbiased treatment. What is this an example of?
    a) Projection
    b) Countertransference
    c) Implicit personality theory
    d) Attribution error
A

Answer: b) Countertransference

37
Q
  1. A client’s perception of their therapist is clouded by the therapist’s resemblance to a negative authority figure in their life. Which bias is at play?
    a) Stereotyping
    b) Halo effect
    c) Perceptual set
    d) Projection
A

Answer: c) Perceptual set

38
Q
  1. A client experiences worsening symptoms after their treatment plan is modified without proper evaluation. What process failed?
    a) Clinical reasoning
    b) Additive feature model
    c) Informed consent
    d) Competence boundaries
A

Answer: a) Clinical reasoning

39
Q
  1. Which concept helps explain why a therapist who prioritizes one standout feature of a client’s case might misdiagnose them?
    a) Single-feature model
    b) Representative heuristic
    c) Availability heuristic
    d) Additive feature model
A

Answer: a) Single-feature model

40
Q
  1. A therapist working in a disaster-struck region provides psychological first aid despite having no prior training. Which ethical principle could justify this action?
    a) Respect
    b) Competence boundaries
    c) Responsibility in emergencies
    d) Beneficence
A

Answer: c) Responsibility in emergencies

41
Q
  1. A psychologist selectively records only the information that aligns with their preconceived notions about a client. This is an example of which perceptual barrier?
    a) Selective perception
    b) Projection
    c) Expectancy bias
    d) Perceptual set
A

Answer: a) Selective perception

42
Q
  1. If a client refuses to participate in therapy after being misled about its purpose, what ethical principle has been violated?
    a) Right to withdraw
    b) Informed consent
    c) Integrity
    d) Responsibility
A

Answer: b) Informed consent

43
Q
  1. A psychologist administers a culturally biased test that misrepresents the abilities of clients from minority groups. This action violates which ethical principle?
    a) Respect
    b) Justice
    c) Integrity
    d) Competence boundaries
A

Answer: b) Justice

44
Q
  1. Which therapeutic model emphasizes the development of unconditional positive regard to maintain the client-therapist relationship?
    a) Eclectic approach
    b) Scientist-practitioner model
    c) Humanistic approach
    d) Cognitive-behavioral therapy
A

Answer: c) Humanistic approach

45
Q
  1. A therapist, aware of their emotional attachment to a client, continues therapy without supervision or consultation. What risk does this pose?
    a) Therapeutic boundary violations
    b) Exploitative relationships
    c) Countertransference
    d) Illusion of control
A

Answer: c) Countertransference

46
Q
  1. During therapy, a psychologist unconsciously imposes their own values onto the client’s decisions. This violates which ethical standard?
    a) Justice
    b) Respect
    c) Integrity
    d) Responsibility
A

Answer: b) Respect

47
Q
  1. A therapist prioritizes making a quick diagnosis based solely on symptoms without exploring the client’s history. Which decision-making flaw is being demonstrated?
    a) Additive feature model
    b) Availability heuristic
    c) Single-feature model
    d) Clinical reasoning
A

Answer: c) Single-feature model

48
Q
  1. In which situation might deception be justified in therapy?
    a) To protect the therapist’s reputation
    b) To minimize harm in a life-threatening situation
    c) To enhance the therapist’s rapport with the client
    d) To speed up the therapeutic process
A

Answer: b) To minimize harm in a life-threatening situation

49
Q
  1. A therapist overestimates their influence on a client’s decision to improve and believes the client’s progress is entirely due to their intervention. What cognitive bias does this reflect?
    a) Illusion of choice
    b) False sense of control
    c) Availability heuristic
    d) Expectancy bias
A

Answer: b) False sense of control

50
Q
  1. A therapist begins to treat a client while simultaneously engaging in business transactions with them. This situation is MOST likely an example of what?
    a) Exploitative relationship
    b) Multiple relationship
    c) Conflict of interest
    d) Breach of confidentiality
A

Answer: b) Multiple relationship

51
Q
  1. A client believes that making their therapist happy will lead to better treatment outcomes, so they alter their feedback. What dynamic is being demonstrated?
    a) Transference
    b) Projection
    c) Perceptual set
    d) Countertransference
A

Answer: a) Transference

52
Q
  1. A psychologist underestimates the severity of a client’s condition due to personal bias against the client’s cultural background. This is a violation of which ethical principle?
    a) Integrity
    b) Justice
    c) Respect
    d) Beneficence
A

Answer: b) Justice

53
Q
  1. A therapist repeatedly confronts a client’s defensiveness in a way that undermines their autonomy and self-respect. This violates which principle?
    a) Justice
    b) Respect
    c) Responsibility
    d) Integrity
A

Answer: b) Respect

54
Q
  1. A clinical social worker focuses primarily on the client’s immediate social environment rather than internal psychological issues. This approach aligns MOST closely with: **
    a) Counseling psychology
    b) Ecological systems theory
    c) School psychology
    d) Psychiatric nursing
A

Answer: b) Ecological systems theory

55
Q
  1. A psychologist prioritizes efficiency over accuracy by using heuristics in assessment, leading to missed diagnostic clues. What is being compromised?
    a) Critical thinking
    b) Clinical deterioration
    c) Clinical reasoning
    d) Competence boundaries
A

Answer: c) Clinical reasoning

56
Q
  1. A therapist in a rural area provides emergency psychological services to a client outside their area of expertise. What condition would justify this ethically?
    a) When refusal could lead to severe harm
    b) When the client insists on immediate intervention
    c) When another professional expresses approval
    d) When the client consents to lower-quality care
A

Answer: a) When refusal could lead to severe harm

57
Q
  1. A psychologist dismisses critical feedback from a client about the therapeutic approach, resulting in a breakdown of rapport. Which principle has been neglected?
    a) Integrity
    b) Flexibility and responsiveness
    c) Collaboration
    d) Client feedback
A

Answer: b) Flexibility and responsiveness

58
Q
  1. Informed consent in therapy MOST importantly ensures what?
    a) The client’s autonomy and understanding of their treatment
    b) The therapist’s protection from legal liability
    c) The client’s emotional comfort during sessions
    d) The therapist’s ability to make independent decisions
A

Answer: a) The client’s autonomy and understanding of their treatment

59
Q
  1. When is it ethical to disclose confidential client information without their consent?
    a) To comply with legal reporting obligations
    b) To improve the client’s treatment outcomes
    c) To warn another therapist of a client’s past behavior
    d) To prevent discomfort for the therapist
A

Answer: a) To comply with legal reporting obligations

60
Q
  1. Which heuristic involves eliminating options by focusing on one characteristic at a time, starting with the most important?
    a) Single-feature model
    b) Additive feature model
    c) Elimination by aspects
    d) Availability heuristic
A

Answer: c) Elimination by aspects

61
Q
  1. A psychologist feels compelled to treat a client despite significant personal discomfort with the client’s lifestyle choices. What ethical principle is MOST likely violated?
    a) Respect
    b) Integrity
    c) Responsibility
    d) Justice
A

Answer: a) Respect

62
Q
  1. A client’s partner begins attending therapy sessions without the client’s consent, leading to discomfort. Which ethical guideline is this most likely violating?
    a) Confidentiality
    b) Respect for autonomy
    c) Beneficence
    d) Responsibility
A

Answer: b) Respect for autonomy

63
Q
  1. A therapist relies solely on their own training without seeking supervision or consulting other experts, even when handling complex, high-risk cases. What ethical principle is most likely compromised?
    a) Integrity
    b) Competence boundaries
    c) Responsibility
    d) Beneficence
A

Answer: b) Competence boundaries

64
Q
  1. A counselor’s recommendations are based more on their personal opinions than on the evidence gathered during the assessment. This demonstrates which flaw in clinical decision-making?
    a) Overconfidence bias
    b) Illusion of control
    c) Single-feature model
    d) Lack of clinical reasoning
A

Answer: a) Overconfidence bias

65
Q
  1. A psychologist makes a diagnosis of major depression after conducting a single brief interview without a thorough assessment of the client’s background or other relevant factors. What clinical error is being made?
    a) Hasty generalization
    b) Overdiagnosis
    c) Confirmation bias
    d) Inadequate clinical reasoning
A

Answer: d) Inadequate clinical reasoning

66
Q
  1. A therapist continues treatment with a client they personally dislike, which interferes with their professional judgment. This is an example of which bias?
    a) Expectancy bias
    b) Countertransference
    c) Projection
    d) Stereotyping
A

Answer: b) Countertransference

67
Q
  1. In assessing a client, a psychologist fails to account for the client’s cultural background, which significantly influences their behaviors and communication style. What is the psychologist’s most serious error?
    a) Disregarding client autonomy
    b) Lack of cultural competence
    c) Misapplication of clinical tools
    d) Ignoring informed consent
A

Answer: b) Lack of cultural competence

68
Q
  1. A psychologist believes that their methods are always the best and disregards other possible approaches or the client’s feedback. This is an example of what kind of cognitive bias?
    a) Confirmation bias
    b) Illusion of choice
    c) Expectancy bias
    d) Illusion of control
A

Answer: a) Confirmation bias

69
Q
  1. During a therapy session, a psychologist’s personal beliefs about a client’s values conflict with the client’s identity, but the psychologist proceeds without addressing this issue. What ethical principle is most at risk?
    a) Respect
    b) Beneficence
    c) Integrity
    d) Justice
A

Answer: a) Respect

70
Q
  1. A therapist addresses the emotional impact of a trauma on a client by guiding them through a structured cognitive-behavioral intervention that integrates the client’s feedback. Which principle of rapport-building is being demonstrated?
    a) Genuineness
    b) Client feedback
    c) Flexibility and responsiveness
    d) Collaboration
A

Answer: d) Collaboration

71
Q
  1. A psychologist evaluates the risks and benefits of a treatment option based on a limited sample of similar cases, ignoring broader research evidence. This is a demonstration of what type of error?
    a) Availability heuristic
    b) Overconfidence bias
    c) Confirmation bias
    d) Additive feature model
A

Answer: a) Availability heuristic

72
Q
  1. A counselor proposes a treatment plan based exclusively on a single client issue, ignoring other potential contributing factors. Which model of decision-making is being used?
    a) Additive feature model
    b) Single-feature model
    c) Elimination by aspects
    d) Heuristic decision-making
A

Answer: b) Single-feature model

73
Q
  1. A client consistently exhibits behaviors that make the therapist feel frustrated. The therapist expresses their frustration openly during a session. What ethical principle is being violated?
    a) Responsibility
    b) Beneficence
    c) Integrity
    d) Respect
A

Answer: d) Respect

74
Q
  1. A therapist provides services to a client without confirming the client’s understanding of the terms, including risks and benefits of treatment. What ethical guideline has been neglected?
    a) Informed consent
    b) Confidentiality
    c) Responsibility
    d) Justice
A

Answer: a) Informed consent

75
Q
  1. A psychologist is treating a client with a personality disorder but fails to document the client’s progress or reassess the treatment plan. This neglects which aspect of the therapeutic process?
    a) Critical thinking
    b) Clinical reasoning
    c) Clinical judgment
    d) Evaluation of outcomes
A

Answer: d) Evaluation of outcomes

76
Q

**76. A therapist develops an emotional attachment to a client and finds themselves unable to provide objective feedback. This is an example of: **
a) Countertransference
b) Projective identification
c) Therapeutic alliance rupture
d) Transference

A

Answer: a) Countertransference

77
Q
  1. A psychologist sees a client with a problematic history of violent behavior but chooses not to report this to the authorities despite potential harm to others. Which ethical principle is violated?
    a) Integrity
    b) Responsibility in emergencies
    c) Confidentiality
    d) Beneficence
A

Answer: b) Responsibility in emergencies

78
Q
  1. A counselor fails to establish clear boundaries when a client begins to contact them outside of sessions with personal matters unrelated to therapy. What is the therapist neglecting?
    a) Client autonomy
    b) Multiple relationships
    c) Therapeutic relationship
    d) Professional competence
A

Answer: b) Multiple relationships

79
Q
  1. A therapist works with a client in a crisis, providing brief interventions despite the therapist’s lack of experience with the specific type of crisis. What should the therapist do to maintain ethical standards?
    a) Continue without seeking consultation
    b) Refer the client to a more qualified professional
    c) Encourage the client to resolve the crisis independently
    d) Work with the client in a highly structured setting
A

Answer: b) Refer the client to a more qualified professional

80
Q
  1. A client feels misunderstood by their therapist, who continuously interrupts during sessions and offers unsolicited advice. Which therapeutic principle is at risk here?
    a) Client feedback
    b) Flexibility and responsiveness
    c) Genuineness
    d) Therapeutic alliance
A

Answer: d) Therapeutic alliance