Test Bank for Treating Those with Mental Disorders: A Comprehensive Approach to Case Conceptualization and Treatment, 2nd Edition

Chapter 2: Real World Treatment Planning: Systems, Culture, and Ethics Multiple-Choice Questions 1. One result of the increase in managed care systems is: a) Increased client confidentiality b) Decreased client confidentiality c) Increased record keeping for counselors d) Decreased record keeping for counselors 2. Many counselors to avoid ascribing clients with stigmatizing diagnoses, while others to ensure clients’ services are covered. a) Downcode; upcode b) Upcode; downcode c) Downgrade; upgrade d) Upgrade; downgrade 3. Third Party payers are most likely to cover the costs of treatment for which of the following disorders: a) Personality disorders b) Other conditions that may be a focus of clinical attention c) Autism spectrum disorders d) Major depressive disorder 4. Accrediting bodies’ function is to a) Ensure that counselors provide the most accurate diagnosis possible b) Ensure that all clients receive services, regardless of the severity of their problem c) Ensure that clients are able to attain treatment for as long as necessary d) Enhance the quality of services provided to consumers of services 5. The client’s is typically used by third party payers to determine the number of sessions and type of counseling that is approved for reimbursement a) Income level b) Diagnosis c) Treatment plan d) Presenting issue 6. Third party payers generally reimburse clients for they receive a) More b) The same amount of c) Fewer d) It is dependent on client income level services than/that counselors would recommend 7. Counseling session limits influence a) Treatment plan and goals b) Treatment goals c) Treatment plan d) Diagnosis 8. Oftentimes, a is the treatment leader in treatment teams. a) Office Manager b) Supervisor c) Physician/psychiatrist d) Community psychiatrist support provider 9. All of the following are concerns of the DSM, except: a) Historically, some diagnostic labels have been marginalized and stigmatized b) There is limited evidence of cross-cultural validity in diagnostic conceptualizations c) The DSM can predict treatment outcomes d) There are flaws in the science behind DSM diagnoses 10. A medical model of change places the responsibility for problems—and for change—at/on the level. a) Relational b) Individual c) Community d) Societal 11. The is a positive development in the DSM-5 that helps counselors obtain the most clinically useful information, develop a relational connection with clients, and ultimately make accurate diagnoses. a) Cultural formation interview b) Global assessment of functioning scale c) Cultural diversity assessment d) Developmental formation interview 12. The primary purpose of informed consent is to a) Assess the client’s readiness for counseling b) Establish rapport between the client and counselor c) Ensure that the client fully understands the counseling process d) Outline the counselor’s fee schedule 13. The most recent version of the American Counseling Association’s (ACA) Code of Ethics was published in what year? a) 2004 b) 2010 c) 2018 d) 2014 14. Ethical standards require that counselors provide a) Accurate; severe b) Definitive; misrepresenting c) Accurate; misrepresenting d) Accurate; chronic diagnoses as well as avoid diagnoses. 15. Which statement is false regarding multiple relationships? a) Sexual and/or romantic counselor-client interactions or relationships with current clients, their romantic partners, or their family members are prohibited by current ethical standards b) Counselors must consider ways they can manage the therapeutic-fiduciary relationship c) A client may be harmed if a counselor engages in a multiple relationship with him/her d) Only sexual and/or romantic counselor-client interactions or relationships with current clients is prohibited by current ethical standards 16. Consultation and supervision can help counselors a) Ensure that diagnostic and treatment planning procedures are consistent with typical standards of care b) Decide how to best prevent harm to the client c) Ensure that an accurate diagnosis is ascribed d) All of the above 17. A culturally sensitive assessment is not achieved if a) A counselor assessed the client’s presenting issue solely from her/his clinical lens b) A counselor assessed the effect of trauma c) A counselor assessed gender socialization d) A counselor assessed cultural identity and values 18. Cultural validity in assessment requires that mental health professionals consider specific cultural backgrounds and norms such as a) socioeconomic status b) functional abilities c) race/ethnicity d) All of the above 19. Which statement reflects a counselor skill for diversity-sensitive diagnosis and treatment a) Know and use only symptom scales validated in the client’s culture b) Commit to assessing and overcoming personal biases and stereotypes c) Conduct gender-sensitive clinical assessments d) Avoid jumping to conclusions about clients on the basis of their cultural group 20. Which is true about informed consent? a) Informed consent is a one-time event that occurs on the first day of counseling b) Informed consent needs to be revisited in counseling only during ethical issues c) Informed consent does not include informing clients about changes in diagnosis d) Informed consent is an ongoing process Essay Questions: 1. What are at least three strengths of the DSM/medical model? What are at least three weaknesses of the DSM/medical model? Describe four strategies counselors can use to facilitate ethical diagnoses and treatment practices. Test Bank Answer Key Chapter 2 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. A A D D B C A C C B A C D C D D A D C D