High Risk Situations
When do you need to take immediate action?
a.) High risk: harm to others, trauma, lack of self care, self-inflicted harm
b.) High risk: harm to others, lack of self care, client demands help, trauma
c.) High risk: harm to others, lack of self care, an emergency with the client's house, trauma
a.) High risk: harm to others, trauma, lack of self care, self-inflicted harm
a.) be more directive towards the client
b.) be aware that our own anxiety may mean we overlook significant issues
c.) be more vigilant about managing the risk of danger to the client or others
d.) b + c
e.) a + b + c
e.) a + b + c
When you receive a phone call from a patient, you need to focus on...
a) His/her suicidal thoughts
b) the tone of his/her voice
c) why now?
d) the battery of your phone
c) why now?
If your client wants to end therapy, but you think it is too early, you should
a) support the client's whishes
b) object
a) support the client's whishes
What should I do in a high risk emergency?
a.) maintain the appearance of calm, don't argue or threaten with anyone who is acting out, don't tell anyone what to do
b.) talk slowly, stay with those who need help from police/ambulance, don't tell anyone what to do
c.) talk slowly, maintain the appearance of calm, enlist the help of calm people, keep breathing and tell others to do so too, wait for police/ambulance
c.) talk slowly, maintain the appearance of calm, enlist the help of calm people, keep breathing and tell others to do so too, wait for police/ambulance
What must we do when responding to high risk situations?
a.) get help quickly, use common sense, sort out payment for the extra time
b.) don't be afraid to admit you can't handle the situation, never put yourself in danger, call the police, sort out payment for the extra time
c.) get help quickly, don't put yourself in danger, use common sense, don't be afraid to admit you can't handle the situation
c.) get help quickly, don't put yourself in danger, use common sense, don't be afraid to admit you can't handle the situation
If a client is in crisis is it a good idea to redirect his attention away from his distorted and helpless thinking?
a.) Yes
b.) No, focus on these in order to find a way to change them
As a therapist, you should have billing policies regarding ...
a) Missed appointments, court appearances, phone calls, extended sessions, report, letters
b) Missed appointments, court appearances, extended sessions, report, letters
c) Missed appointments, court appearances, phone calls, extended sessions
d) Court appearances, phone calls, extended sessions, report, letters
a) Missed appointments, court appearances, phone calls, extended sessions, report, letters
If an ex-client wants to meet with you for an informal talk after the end of the therapy you should
a) accept if you'd like to
b)ask him/her to schedule a formal appointment
c) kindly refuse
b)ask him/her to schedule a formal appointment
During crisis situations how should we best look after ourselves?
a.) seek consultation yourself and keep a written record of all steps you have taken
b.) take a couple of days off work
c.) seek consultation and speak to your own friends about the crisis and how this affected you
d.) keep a written record of all steps you have taken and stop seeing the client
a.) seek consultation yourself and keep a written record of all steps you have taken
What do you do when a friend/relative of a client needs help?
a.) explain that you cannot help as you have a duty to your client
b.) take care of basic safety, protect your client's right to confidentiality, provide consultation to other's if appropriate
c.) always explain to the client what you are going to do e.g., call their husband
d.) always maintain confidentiality
b.) take care of basic safety, protect your client's right to confidentiality, provide consultation to other's if appropriate
When a client is in crisis it is important to always talk through the negative feelings they are having.
a.) True
b.) False
b.) False - for some clients this may be counterproductive - can lead to destructive coping strategies
If you meet your client by chance somewhere outside your office you should
a) Act if you don't know each other
b) Just say hello and leave it at that
c) talk about trivial issues not related to therapy
d) all the above, depending on the client's preference
d) all the above, depending on the client's preference
Which criteria should be considered when assessing our client's readiness for termination?
a) the client's initial problems are reduced
b)the client's coping skills are now sufficient
c) the client has an increased ability to plan and work productively
d) all the above
d) all the above
TRU/FALSE: Under any circumstance you should spend time with your patients for purposes other than therapy
a) true
b) false
b) false
TRUE or FALSE: Typically it's not necessary for a therapist to have a release of information when disclosure is necessary to prevent clear and imminent danger to the clients or to others.
TRUE
What are some of the ways to help client's out of crisis?
a.) look for successful coping, suggest experimentation, suggest a holiday
b.) encourage self-care, mobilise support, increase medication, create concrete plans
c.) encourage self-care, mobilise support, look for successful coping strategies, suggest experimentation, create concrete plans
c.) encourage self-care, mobilise support, look for successful coping strategies, suggest experimentation, create concrete plans
TRUE/FALSE: your phone should always be turned off when you are with a client
a) true
b) false
b) false
TRUE/FALSE: after the end of a therapy follow up meetings should be avoided
a) FALSE
b) TRUE
a) FALSE
It is OK to accept a gift from a client:
a) never
b)if it is a good one
c)if it costs less than 10 dollars
d)if it costs less than the price of a session
c)if it costs less than 10 dollars
What should you do if your client won't agree to a release of information but you believe that their friends and family need help and support to manage their reactions to a crisis?
a.) ignore the client and contact the friends and family
b.) continue to ask the client until they give in
c.) arrange for a colleague to speak with the friends and family
d.) explain again to the client that it is really important for the friends and family to get help too
c.) arrange for a colleague to speak with the friends and family
What is the most important question to ask your client in distress?
a.) Do you understand?
b.) Do you have any more questions?
c.) Can you imagine yourself being able to follow through on our plans?
d.) Do you have any questions about what you are agreeing to?
b.) Do you have any more questions?
Therapy differs from friendship because:
a) during therapy the focus is only on the client
b) it is contractual: the framewotk is spelled out, duties roles and limitations are clarified
c) it is supposed to help the client so it is goal oriented
d) it is contractual, purposeful, unilateral
d) it is contractual, purposeful, unilateral
TRUE/FALSE: You shouls space out appointments as clients get closer to their goals
a) true
b) false
a) true
When clients react with anger or can't understand our obligations, it could be a sign of ?
a) Borderline personality disorder
b) Histrionic personality disorder
c)Narcissistic personality disorder
d) a), b) and c)
d) a), b) and c)