Chapter 5: Individual Treatment

Test Bank

Multiple Choice

1. People think in ______ and ______.

A. thoughts; symbols

B. images; concepts

C. words; images

D. symbols; concepts

Learning Objective: 5-1: Describe what is meant by individual treatment.

Cognitive Domain: Knowledge

Answer Location: Individual Treatment

Difficulty Level: Easy

2. A solid foundation for a good therapeutic relationship is to constantly ______.

A. support, confront, and advise

B. encourage, educate, and support

C. advise, direct, and support

D. encourage, advise, and direct

Learning Objective: 5-2: Identify how a therapeutic alliance is developed.

Cognitive Domain: Knowledge

Answer Location: How to Develop a Therapeutic Alliance

Difficulty Level: Easy

3. Client self-efficacy is ______.

A. their worldview

B. self-esteem

C. believing they can succeed

D. a key block to treatment progress

Learning Objective: 5-2: Identify how a therapeutic alliance is developed.

Cognitive Domain: Knowledge

Answer Location: How to Develop a Therapeutic Alliance

Difficulty Level: Easy

4. Transference is ______.

A. when a counselor develops feeling or thoughts for a client, which they have for someone else

B. when a client moves between levels of care

C. when a client develops feelings or thoughts for the counselor that they have for someone else in their life

D. when a client falls in love with their counselor

Learning Objective: 5-5: Discuss the difference between transference and countertransference.

Cognitive Domain: Knowledge

Answer Location: Transference and Countertransference

Difficulty Level: Easy

5. Countertransference is ______.

A. when a counselor develops feeling or thoughts for a client that they have for someone else

B. when a client moves between levels of care

C. when a client develops feelings or thoughts for the counselor that they have for someone else in their life

D. when a client falls in love with their counselor

Learning Objective: 5-5: Discuss the difference between transference and countertransference.

Cognitive Domain: Knowledge

Answer Location: Transference and Countertransference

Difficulty Level: Easy

6. Keys to developing a therapeutic alliance may include ______.

A. leaning away from the client

B. conditional positive regard

C. good listening skills

D. engaging on an intuitive level

Learning Objective: 5-5: Discuss the difference between transference and countertransference.

Cognitive Domain: Comprehension

Answer Location: Transference and Countertransference

Difficulty Level: Medium

7. In behavioral therapy, a reinforcement ______.

A. is a barrier between goals

B. increases a behavior

C. decreases a behavior

D. introduces something negative

Learning Objective: 5-7: Describe the components of behavior therapy and the reasons why behavior therapy is typically used first.

Cognitive Domain: Comprehension

Answer Location: What Is Reinforcement?

Difficulty Level: Medium

8. In behavioral therapy, a punishment ______.

A. is a barrier between goals

B. increases a behavior

C. decreases a behavior

D. introduces something positive

Learning Objective: 5-7: Describe the components of behavior therapy and the reasons why behavior therapy is typically used first.

Cognitive Domain: Comprehension

Answer Location: What Is Punishment?

Difficulty Level: Medium

9. A behavioral therapist must understand the behavior chain. Typically this is represented as ______.

A. feel, think, behavior, and consequence

B. consequence, feel, think, behavior, and trigger

C. trigger, think, feel, action, and consequence

D. trigger, behavior, feel, think, and consequence

Learning Objective: 5-7: Describe the components of behavior therapy and the reasons why behavior therapy is typically used first.

Cognitive Domain: Knowledge

Answer Location: The Behavior Chain

Difficulty Level: Easy

10. A newly recovering heroin addict happens across a hypodermic syringe. Before long he finds himself thinking about heroin. The syringe represents a(n) ______.

A. reminder

B. consequence

C. urge

D. trigger

Learning Objective: 5-7: Describe the components of behavior therapy and the reasons why behavior therapy is typically used first.

Cognitive Domain: Comprehension

Answer Location: The Behavior Chain

Difficulty Level: Medium

11. The most common defense mechanism in addiction is ______.

A. rationalization

B. minimization

C. enabling

D. denial

Learning Objective: 5-8: Summarize how cognitive therapy breaks through a client’s defense mechanisms.

Cognitive Domain: Comprehension

Answer Location: Defense Mechanisms

Difficulty Level: Medium

12. According to Dr. Aaron T. Beck, there are three elements essential to depression. They are ______.

A. serotonin reuptakes, mono-amine oxidase inhibitors, and tricyclics

B. thinking errors, feeling errors, and learned helplessness

C. cognitive triad, silent assumptions, and logical errors

D. logical assumptions, cognitions, and choice

Learning Objective: 5-8: Summarize how cognitive therapy breaks through a client’s defense mechanisms.

Cognitive Domain: Application

Answer Location: Automatic Thoughts

Difficulty Level: Hard

13. Interpersonal therapy ______.

A. resolves childhood issues

B. restores self-worth

C. heals relationships

D. necessitates truth

Learning Objective: 5-9: Explain how interpersonal therapy works.

Cognitive Domain: Comprehension

Answer Location: Interpersonal Therapy

Difficulty Level: Medium

14. “I’ve had a hard day; I deserve a few drinks” is an example of ______.

A. minimizing

B. maximizing

C. rationalizing

D. denial

Learning Objective: 5-8: Summarize how cognitive therapy breaks through a client’s defense mechanisms.

Cognitive Domain: Application

Answer Location: Defense Mechanisms

Difficulty Level: Hard

15. Which of the following are appropriate for helping clients deal with grief?

A. teach the client to stop thinking about their loved one

B. write a goodbye letter to the loved one

C. only talk about the bad times they had with the loved one

D. talk only of the good times they had with the loved one

Learning Objective: 5-8: Summarize how cognitive therapy breaks through a client’s defense mechanisms.

Cognitive Domain: Comprehension

Answer Location: How to Handle Grief

Difficulty Level: Medium

True/False

1. Good problem-solving involves using feeling appropriately.

Learning Objective: 5-1: Describe what is meant by individual treatment.

Cognitive Domain: Knowledge

Answer Location: Individual Treatment

Difficulty Level: Easy

2. Denial keeps clients from the truth of their addiction. With this in mind, the therapist may need to hammer their ideas home aggressively.

Learning Objective: 5-8: Summarize how cognitive therapy breaks through a client’s defense mechanisms.

Cognitive Domain: Comprehension

Answer Location: Defense Mechanisms

Difficulty Level: Medium

3. Reinforcement may be likened to catching someone doing the right thing and rewarding it.

Learning Objective: 5-7: Describe the components of behavior therapy and the reasons why behavior therapy is typically used first.

Cognitive Domain: Comprehension

Answer Location: What Is Reinforcement?

Difficulty Level: Medium

4. Individual therapy helps prepare clients for group therapy.

Learning Objective: 5-10: Understand how to choose a therapeutic modality.

Cognitive Domain: Knowledge

Answer Location: How to Choose the Therapeutic Modality

Difficulty Level: Easy

5. Some delicate issues are best left for individual therapy.

Learning Objective: 5-10: Understand how to choose a therapeutic modality.

Cognitive Domain: Knowledge

Answer Location: How to Choose the Therapeutic Modality

Difficulty Level: Easy

Short Answer

1. A client has a lot of self-doubt when entering treatment, especially if they have failed in previous attempts to quit using. How can you help to increase their belief in themselves?

Learning Objective: 5-2: Identify how a therapeutic alliance is developed.

Cognitive Domain: Analysis

Answer Location: How to Develop a Therapeutic Alliance

Difficulty Level: Medium

2. You are working with a client who shares how you remind them of their parents. This is an example of what? What are some methods of addressing this in therapy?

Learning Objective: 5-5: Discuss the difference between transference and countertransference.

Cognitive Domain: Application

Answer Location: Transference and Countertransference

Difficulty Level: Hard

3. What is reinforcement? How is this different from punishment? Give an example of how reinforcement can be used.

Learning Objective: 5-7: Describe the components of behavior therapy and the reasons why behavior therapy is typically used first.

Cognitive Domain: Application

Answer Location: What Is Reinforcement?

Difficulty Level: Hard

4. Cognitive therapy involves illumination and altering of thinking errors. Oftentimes, a client may filter reality through “defense mechanisms.” Give an example of the three defense mechanisms discussed in the book.

Learning Objective: 5-8: Summarize how cognitive therapy breaks through a client’s defense mechanisms.

Cognitive Domain: Application

Answer Location: Defense Mechanisms

Difficulty Level: Hard

5. Individual therapy may do well to prepare clients for group therapy. That said, everything discussed individually might not be suitable for group. Why is this? Given an example of an issue best left for individual counseling. Explain.

Learning Objective: 5-10: Understand how to choose a therapeutic modality.

Cognitive Domain: Application

Answer Location: How to Choose the Therapeutic Modality

Difficulty Level: Hard