chapter 4

Which of the following is NOT a way an assessment report should be used? a. As a mechanism to assist in providing insight to clients for therapy b. As a means of suggesting treatment options in counseling c. To suggest educational services for students with special needs d. To protect clinicians from liability concerns by keeping a second set of reports which is hidden from clients e. To provide feedback for the courts in making difficult decisions

In assuring that the information gathering process for the report is adequate, clinicians need to take into account which of the following? a. The breadth and depth of the assessment b. The type of interview being conducted c. The kinds of assessment instruments that will be used d. Determining if other collateral information will need to be gathered e. All of these must be taken into account.

Which of the following is NOT true about the clinical interview? a. It helps to set a tone for the types of information that will be covered. b. It allows the clinician to examine areas of the client’s life that are not critical to the overall assessment process. c. It helps the client to become desensitized to intimate and personal information. d. It allows the examiner to assess non-verbals. e. It gives the client and examiner the opportunity to assure that they can work together.

Which of the following is NOT suggested in the text as guidelines to be cognizant of in order to adequately interview a client? a. Establish trust and rapport. b. Provide an environment that is comfortable and assures confidentiality. c. Focus on verbal and nonverbal cues in an effort to gather all of what the person is communicating to you. d. Be confrontational if necessary regarding substance use and abuse.

Which of the following is NOT an advantage of the structured interview? a. It offers broad enough areas of content to cover topics a practitioner may otherwise have missed. b. It increases the reliability of results due to the fact that all prescribed items will be covered. c. It allows the client the freedom of response to discuss other items, if need be. d. It helps the examiner to focus on specific items that may otherwise be missed or difficult to cover during an unstructured interview.

Which of the following is NOT a disadvantage of the structured interview? a. It can cause the examiner to miss important pieces of information because items are pre-determined. b. It creates an atmosphere that might be experienced as dehumanizing by the client. c. It can result in misinterpretation of items by clients, or of client responses by examiners, when working with minority clients or others who may be less familiar with items. d. It may focus too much on one area at the exclusion of others.

Which of the following is NOT an advantage of the unstructured interview? a. It assures all topics are adequately discussed. b. It creates an atmosphere that is conducive to rapport building. c. It allows the client to feel as if he or she is directing the interview thus allowing the client to discuss items that he or she deems important. d. It offers the potential for greater depth of information and the uncovering of underlying issues that the client might otherwise avoid revealing.

Which is true about computer-driven assessment reports? a. They assure coverage of a wide range of topics. b. They are not as reliable as clinician interviews. c. The case reports generated by them are generally of poor quality. d. All of these are true. e. None of these are true.

All of the following affirm clients’ right to access their test data and reports EXCEPT: a. Jaffee v. Redmond. b. Family Educational Rights and Privacy Act (FERPA). c. Freedom of Information Act. d. Health Insurance Portability and Accountability Act (HIPAA).

Which of the following is suggested when writing reports? a. Use shorter rather than longer words. b. Maximize the number of difficult words. c. Use the jargon of your professional associations. d. Use acronyms to save space. e. Use passive verbs.

Which of the following is suggested when writing reports? a. Describe your feelings (not behaviors) about the client and his or her issues. b. State your opinion throughout the report. c. Use labels regarding your client as a valuable tool for your reader. d. Take a stand if you feel strongly that the information warrants it. e. Points out only the weaknesses of your client; his or her strengths are unimportant for the report.

Which of the following is generally NOT included in the demographic information section of the report? a. Name of client b. Birth date of client c. Address, phone number, and e-mail address of client d. Place of birth e. Ethnic background of client

Which of the following is important when gathering family background information? a. To gather as much detail as possible and report all that is obtained. b. That information is focused on the aspects of the family that may have affected the presenting problem. c. The hypotheses or your opinion concerning the client’s family are offered in this section of the report. d. All of these are important.

Which of the following categories are NOT generally found in a report? a. Significant medical/counseling history b. Substance use and abuse c. Vocational and educational history d. “Other” pertinent background information e. All of these are often found in a report.

Which of the following is NOT found in a mental status report? a. The client’s appearance and behavior b. The client’s stability at work/school/home life c. The client’s emotional state d. The client’s thought components e. The client’s cognitive functioning

Terms like constricted, full, appropriate, inappropriate, content, labile, flat, blunted, or exaggerated refer to the client’s: a. affect. b. mood. c. thought components. d. cognitive functioning. e. All of these are true.

The manner in which a client thinks reveals much about how he or she comes to understand and make meaning of the world. In the mental status exam, this refers to the client’s: a. affect. b. mood. c. thought components. d. cognitive functioning. e. All of these are true.

Delusions, distortions of body image, hallucinations, obsessions, or suicidal or homicidal ideation all refer to the client’s: a. affect. b. mood. c. thought components. d. cognitive functioning. e. All of these are true.

Which of the following is NOT considered a part of the client’s content of thought? a. Delusions b. Distortions of body image c. Hallucinations d. Obsessions e. Circumstantiality

In the mental status exam, concepts such as circumstantial, flight of ideas, logical and organized, loose associations, tangential, and poverty refer to the client’s: a. content of thought. b. thought processes. c. cognitive functioning. d. affect and mood. e. All of these are true.

Which of the following is NOT considered part of the client’s thought processes? a. Circumstantiality b. Coherence of thoughts c. Flight of ideas d. Logical thinking e. Suicidal or homicidal ideation

Whether a client is oriented to time, place, and person; memory; knowledge base; intellectual functioning; insight; and judgment refers to the client’s: a. affect. b. mood. c. thought components. d. cognitive functioning. e. All of these are true.