In order for a person to agree to services, he or she must have the capacity to give
permission willingly. This patient right is called:
a. Comprehension of information
b. Informed consent
c. Self-determination
d. Confidentiality
In order to respond adequately to the content of what the client is saying, a skilled
listener should:
a. Verify that the client is telling the truth
b. Provide advice to the client
c. Check the accuracy of the information he or she heard
d. Listen for changes in the facts of the story for signs of lying
The context level immediately surrounding the client such as family, church group,
close friends, etc. would be considered:
a. The micro level
b. The meso level
c. The macro level
d. Unimportant because human service workers should be able to intervene on all three
levels
The information included in Step 1, at the top of the form, is:
a. Person’s name, DOB, your name
b. Person’s name, sex, DOB, address, your name
c. Person’s name, sex, DOB, address
d. Person’s name, DOB, sex, address, type of referral, your name
Which of the following is an inappropriately written goal statement?
a. “Marco will attend work-adjustment training for 30 of 30 scheduled sessions.”
b. “Manny will show up punctually for work for the duration of the six-week program.”
c. “Natasha, with the assistance of her educational counselor Vickie, will decide on a
realistic training program.”
d. “Jake will remain drug free for the three-month duration of his court-ordered
counseling”
The effect of asking the client multiple questions during the interview can be:
a. That the client feels interrogated
b. That the worker gains much valuable information
c. Similar to asking open questions
d. That the worker progresses quickly toward finding a solution
The first sentence of the “Presenting Problem” section is meant to:
a. Form the initial basis for diagnosis
b. Draw a mental picture of the client, problem, and the background
c. Form the basis of the comprehensive picture which will be the “Presenting Problem”
paragraph.
d. Include the client’s name, age, and problem necessitating treatment only
When a client speaks openly about his or her ambivalence, it should be obvious that:
a. You have hit a roadblock.
b. Your path, until now, has been counterproductive.
c. It is time for you as the counselor to take control and lead more effectively.
d. Something positive and therapeutic has happened.
The person who owns the problem is:
a. The client
b. The case manager
c. The person whose needs are not being met
d. Meddling and pushy
Open questions can serve to:
a. Clarify certain aspects of the other person’s story
b. Make clients tense and defensive
c. Provide needed identifying information about the client
d. Put the clinician ill at ease
When the clinician has a problem in the relationship with the client:
a. Arriving at a solution to the problem must be a shared responsibility
b. The clinician owns the problem and must solve the problem
c. This demonstrates that the client is not holding up his or her end of the therapeutic
relationship
d. The clinician owns the problem, and the client can decide that he or she doesn”t want
to help the clinician solve it
When goals are not being attained and progress is not going as expected, it is
recommended that the case manager send a message to the referral-agency contact
utilizing which specific pronoun?
a. You
b. He/she
c. They
d. I
How many dates appear on a typical referral form?
a. 3
b. 4
c. 2
d. 5
A referral for notification form typically contains:
a. A multi-axial diagnosis
b. A diagnosis with a code
c. The anticipated cost of service
d. A detailed description of the client’s symptoms
A client presents a series of arguments as to why he or she cannot change. The
counselor admits that the situation is helpless. This approach is:
a. A good example of reverse psychology
b. Shown to be effective in a number of studies
c. Beneficial in reframing the client’s situationthat only with change can a positive
outcome be achieved
d. Effective only in backing a client into an inescapable corner
A target date can:
a. Be shortened only
b. Be extended only
c. Be shortened or extended
d. Not be changed without revising the entire treatment plan
A blanket release-of-information form is:
a. Highly efficient
b. Illegal
c. Professionally prudent
d. Recommended by the American Psychological Association (APA)
Where can you find “Other Conditions That May Be a Focus of Clinical Attention” in
the DSM 5?
a. Dispersed throughout the diagnoses
b. In the back of the DSM
c. As a supplemental material on their website
d. In the front of the DSM
When requesting information/records pertaining to a client, it is sensible and prudent to
ask for:
a. The information in its entirety
b. Duplicates
c. A summary
d. The last 3″5 years only
The clinician would like to make the I-message less threatening to the client and
accomplishes this by:
a. Judging the client’s motives
b. Appeasing the client
c. Collaborating with the client
d. Providing the client with a solution
Which of the following is not generally regarded as a “common” reason why clients
become angered?
a. They have a history of feeling marginalized
b. Confusion
c. Psychopathology
d. The need for attention
Phil is not meeting the stated goals of his program. He is simply not achieving the
levels of progress set forth in his treatment plan. The correct procedure as pertains to
the treatment plan is:
a. Appending
b. Supplementing
c. Correcting
d. Revising
In formulating an open-ended question, it helps to:
a. Include an expression such as “a little bit more about” or “the larger picture” to soften
the question
b. Avoid beginning the sentence with an expression such as “Can you?” or “Could
you?”
c. Include one of the words “how,” “why,” “what,” “when” and “where”
d. Avoid directives such as ‘summarize” or “describe.”
“Can you tell me about the night your father left?” is an example of:
a. A question that directs the clinician toward a solution
b. A closed question
c. A prying question
d. An open question
The use of black ink when filling out case notes and other forms is:
a. Practical
b. Mandated by the APA, ACA, and a host of other professional organizations
c. Required by state and federal law
d. Required by federal law
The mental status examination hinges unequivocally on the practitioner’s power of:
a. Diagnosis
b. Intuition
c. Observation
d. Deduction
When assessing a client’s ability to adapt to a sheltered-living apartment, you find that
the client is not on track to achieve goals despite revisions in the service plan. As a
professional, you would be remiss if you did not consider:
a. The endless chances you have already given and the fact that your patience is running
thin
b. The fact that other, perhaps more suitable candidates might be waiting for a vacancy
c. The repercussions you will bear if this does not succeed
d. The fact that you might be ‘spinning wheels” and wasting time and money
Which of the following is not necessarily an item that needs to be included in the
discharge summary?
a. The reason the client turned to you for services initially
b. Diagnoses
c. Identified issues which were not addressed
d. Levels of rapport and communication established between counselor and counselee
The DSM 5 now includes a notation of the:
a. Severity of the disorder
b. Global Assessment of Functioning scale
c. Axis II
d. The clinician’s opinion
“Did Dr. Langley prescribe any medication when you saw her in the past?” is an
example of:
a. A question that directs the clinician toward a solution
b. A closed question
c. A prying question
d. An open question
It is important for the clinician to avoid the following mistake during the interview with
the client:
a. Staying too long on the reflective listening phase of the interview
b. Rushing to the solution phase of the interview
c. Asking open-ended questions
d. Giving too many I-messages
When a client comes to you with a problem, ______.
a. You must solve it for them
b. Listen, and then advise the best solutions for the client
c. Listen, provide resources and help the client arrive at a solution
d. The client must demonstrate that he or she can solve it
Guarding an individual’s confidentiality means that the human services provider
can/should:
a. Use an openly dated release of information form
b. Discuss the case only with colleagues for their professional opinion with a patient’s
verbal consent
c. Talk about the case with others, leaving out the patient’s identifying information
d. Discuss the case with others to prevent the person from harming himself or herself
Brief intakes are:
a. Mostly for therapy of short duration
b. A result of external pressures placed upon counseling professionals
c. For clients whose problems are generally clearly defined
d. Considered more effective as they take the focus off of unimportant issues
What part of the following statement is the case manager’s opinion: “I will honor your
request but I feel you are avoiding a real source of help.”
Answer:Answers will vary
The term confidentiality is best described as an ethical and (fill in the blank) concept.
Coming Alongside is another way of saying what?
Describe what the author defines as a stranger?
Name 4 elements of context in which the client operates.
What are some observations that would cause a case manager concern when doing a
home visit? Would these be a symptom of an active mental illness?
Answer:Answers will vary
What are the 4 levels of case management?
What is a valid concern when using electronic or mobile devices in taking social
histories? What are ways to remedy that?
Answer:Answers will vary
Name 3 attitudes a case manager might note on the MSE?
Briefly describe the financial purpose of monitoring services and following a client.
Answer:Answers will vary
Briefly define culture.
Answer:Answers will vary
Name 3 ways that people in collectivistic cultures handle conflict.
What are 3 things that are part of a person’s background information for a social
history?
Name 2 of the 5 stages of change.
What is the one appearance characteristic that a case manager should note on a MSE?
Correct the following statement to reflect the steps outlined in Ch 10: “You really
should think about what you are about to do. It might be dangerous.”
Answer:Answers will vary