Chapter 14—Skill Integration, Decisional Counseling, Treatment Planning, and
Relapse Prevention
MULTIPLE CHOICE
1. ____ the microskills into a well-formed interview and ____ the skills to situations beyond the training
session or classroom.
a.
Invent; apply
b.
Integrate; generalize
c.
Mix; address
d.
Maneuver; develop
2. Which one of the following is NOT an anticipated result of skill integration?
a.
Developing counselors will integrate skills as part of their natural style.
b.
Choices of application will vary among interviewers.
c.
Interviewers will flex when their actions are ineffective.
d.
Counselors and interviewers will be certified to open their own practice.
3. According to the authors, decisions are:
a.
the stuff of life.
b.
the cause of our illnesses.
c.
the most dreaded part of life.
d.
the energy of life.
4. The five stages of the client interview and all problem-solving systems are based on both ____ and
____.
a.
Frank Parsons’ original decisional model; trait-and-factor theory
b.
trait-and-factor theory; the “1-2-3″ influencing model
c.
Benjamin Franklin’s original decisional model; trait-and-factor theory
d.
the “1-2-3” influencing model; Benjamin Franklin’s original decisional model
5. _________ expanded Benjamin Franklin’s Decisional Framework.
a.
Skinner
b.
Parsons
c.
Frankl
d.
Rogers
6. According to Parsons, when making a vocational decision clients need to:
a.
consider personal traits, abilities, skills, and interests.
b.
examine the environmental factors.
c.
both a and b.
d.
none of the above.
7. Which one of the following is NOT a component of Frank Parsons’ 1908 trait-and-factor theory
originated to help clients make vocational decisions?
a.
Consider personal traits, abilities, skills, and interests.
b.
Review positive and negative consequences.
c.
Examine the environmental factors.
d.
Develop “true reasoning” on the relationship of these groups of facts.
8. The simplest problem-solving model is:
a.
consider skills and interests, consider consequences, consider feelings and emotions.
b.
examine emotional impacts, choose simple strategies, detail future consequences.
c.
define the problem, generate alternatives, choose to act on one alternative.
d.
self reflection, self-examination, decisional choices.
9. Which of the following theories of counseling deal with problem solving and decisions?
a.
Cognitive behavioral
b.
Person-centered
c.
Psychoanalytic
d.
All of the above
10. Which one of the following is an INACCURATE description of one of the five stages of the client
interview?
a.
Empathic relationship: Initiate the session, rapport and structuring
b.
Story and strengths: Gather data, draw out client stories
c.
Goals: Interviewer sets client goals
d.
Restory: Explore and create alternatives
11. Effective decisions can be reached through ____.
a.
cognitive processes located primarily in the executive left brain
b.
a combination of cognitive decisions with emotional satisfaction
c.
left and right brain coordination
d.
the hippocampus energized by the amygdala
12. In addition to the five-stage interview structure, there are additional useful strategies for decisional
counseling. Which one of the following is NOT a useful strategy for decisional counseling?
a.
Creative brainstorming
b.
Logical consequences
c.
Future imaging
d.
Verbal underlining
13. Which one of the following is a useful strategy for decisional counseling?
a.
Cognitive and emotional balance sheet
b.
Logical consequences
c.
Future diary
d.
All of the above
14. How can we help clients work through issues and come up with answers?
a.
Decisional counseling
b.
Problem-solving counseling
c.
Balance sheet and future diary
d.
All of the above
15. A ___________________ is an individualized application of your theoretical model that takes into
consideration the antecedents of the case and your observations and inferences.
a.
case conceptualization
b.
treatment plan
c.
future diary
d.
theoretical formulation
16. “What are anticipated concerns or strengths?” As you prepare your first interview treatment plan for a
new client, you would most likely ask this question when you consider which stage of the interview?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
17. “What special issues do you anticipate with regard to rapport development?” As you prepare your first
interview treatment plan for a new client, you would most likely ask this question when you consider
which stage of the interview?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
18. In which stage of the interview may a common bond between you and your client be established?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
19. “What specific incongruities do you anticipate in the client?” As you prepare your first interview
treatment plan for a new client, you would most likely ask this question when you consider which
stage of the interview?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
20. “How will you elicit the client’s idealized self or world?” As you prepare your first interview treatment
plan for a new client, you would most likely ask this question when you consider which stage of the
interview?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
21. The effective helping professional plans each interview with a client. In which stage of the interview
are you likely to emphasize behavior, thoughts, feelings, meanings?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
22. In which stage of the interview are you and your client likely to define the ideal outcome?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
23. In which stage of the interview are you and your client likely to generate specific implementation
plans?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
24. The effective helping professional plans each interview with a client. In which stage of the interview
can we begin by summarizing the client’s positive strengths and wellness assets?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
25. “What will enable the interviewee to feel the interview was worthwhile?” As you prepare your first
interview treatment plan for a new client, you would most likely ask this question when you consider
which stage of the interview?
a.
Empathic relationship
b.
Story and strengths
c.
Goals
d.
Restory
e.
Action
26. ____________ is the author of The Checklist Manifesto.
a.
Nezu
b.
Gawande
c.
Beck
d.
Parsons
27. Which of the following is TRUE about Mary’s interview?
a.
The relationship between job change and personal issues develops during the session.
b.
Gender issues emerge as important multicultural factors.
c.
Some interviewer responses were less effective than others.
d.
All of the above.
28. You can evaluate the effectiveness of an interview by:
a.
the mood of the client as he or she leaves the session.
b.
changes observed using the Client Change Scale.
c.
the feeling of satisfaction you experience at the close of the session.
d.
how well you followed your interview treatment plan.
29. Which of the following is very important for counseling clients?
a.
Checklist
b.
Develop plans
c.
Reexamine your own style
d.
All of the above
30. The ________________ is a systematic way to monitor the progress of clients toward their goals.
a.
Client Progress Scale
b.
Client Concrete Scale
c.
Client Change Scale
d.
Client Developmental Identity Scale
31. _____________, as this will provide a constant way to grow and improve your interviewing skills.
a.
Seek colleagues and supervisors to review your work
b.
Continuously perform a detailed analysis of your interviewing style and behavior
c.
Appropriately share your thoughts and analysis with your client
d.
All of the above.
32. Which of the following is a good reason to consider referral for a client?
a.
No interviewer has all the answers.
b.
You refer your client to welfare and child services for additional help.
c.
The client/interviewer relationship is just not working as well as it should.
d.
All of the above.
33. Which of the following theories place a strong emphasis on treatment plans?
a.
Cognitive therapy
b.
Gestalt therapy
c.
Person-centered therapy
d.
All of the above
34. The maintaining change worksheet helps the client plan to:
a.
maintain current behavior.
b.
avoid slips into old behavior.
c.
prevent current abnormal behavior.
d.
resolve reason for consultation.
35. Relapse prevention would be MOST LIKELY used by which of the following theories or methods?
a.
Motivational interviewing
b.
Decisional career counseling
c.
Cognitive behavioral therapy
d.
All of the above
36. Relapse prevention relates to which stage of the interview?
a.
Story and strengths
b.
Goals
c.
Restory
d.
Action
37. Which of the following should be included in a relapse prevention plan?
a.
List of people who can be counted on for support
b.
Triggers to the unwanted behaviors
c.
Rewarding alternatives client can do instead of engaging in the negative behavior
d.
All of the above
38. No interview is perfect. What counts is:
a.
your ability to be intentional.
b.
your ability to change your behavior to be with the client.
c.
your ability to be meet the client where he or she is.
d.
all of the above.
39. Which one of the following is an appropriate reason for a counselor to take notes?
a.
Structured notes will help you evaluate your own counseling skills.
b.
Good notes facilitate planning for your next client contact.
c.
Keeping notes can keep you from forgetting what happened in the last session.
d.
All of the above.
TRUE/FALSE
1. Decisions require creativity, a disciplined freedom, an openness to change, and the capacity to
envision the potential consequences of given actions.
2. Decisional counseling theorists believe that all theories of counseling and therapy deal with problem
solving and decisions.
3. Decisional counseling is not useful with difficult personal decisions.
4. A case conceptualization is an individualized application of your theoretical model that takes into
consideration the antecedents of the case and your observations and inferences.
5. A checklist of basic and often obvious factors significantly reduced dangerous errors.
6. According to Ivey, Ivey, and Zalaquett, in all interviews you will find some interviewer responses that
are less effective than others. We all make errors but our ability to learn from them and change makes
us become more effective interviewers or counselors.
7. Counselor’s personal decisions rarely influence what happens in the session.
8. The work that clients do after the session is as valuable as or more valuable than what they do during
the session.
9. When you are unable to build a viable working relationship with a client and referral becomes
necessary, make the referral and remove yourself from continued contact with the client.
10. The relapse prevention plan needs to be tailored to the individual client and his or her circumstances.
11. The goal of the final audio or video exercise is to find what your current skill level is.
12. It’s not the mistakes you make, but what you do to correct them that counts.
ESSAY
1. You are about to see a client for the first time. You know that it is a career problem, that the client is
female, and 32 years old. The client form mentions past work experience as a secretary, that she is
divorced with one child, and that she is a graduate of a two-year business program. Develop an
interview plan for this client specifying your objectives for the session as clearly as possible.
2. Imagine that you are a supervisor for Allen, the interviewer in Chapter 14. Using your knowledge of
the interview, what strengths and weaknesses do you observe? Be specific and concrete in both your
evaluations.
3. Imagine that you are a supervisor for Allen, the interviewer in Chapter 14. Assume that the client in
Allen’s interview came from another culture. Specify that other culture and present an alternative
interview plan for the client’s first session.
4. Discuss Trait-and-Factor Theory’s key concepts and historical development.
5. How would you design a relapse prevention program to facilitate a client in developing an effective
weight loss program?
6. Discuss the concept of referral and the various reasons for referring clients. Provide specific examples
of each.