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CB - Setting Clear and Ethical Boundaries with Clients Post Test

Psychologist, Ohio MFT and Counselor Post Test:
Only Psychologists, Ohio MFT's and Ohio Counselors taking this course for credit need to complete these additional questions below to be in compliance with their Boards. requirements. If you are not a psychologist, Ohio MFT or Ohio Counselor please return to the original Answer Booklet. You do not need to complete the additional questions below.

Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

1.1 What is the third philosophical basis of the therapeutic relationship?
1.2 What are some criticisms of substance-use treatment professionals about the Diagnostic and Statistical Manual (DSM)?
2.1 What is the ‘right response’ reinforced by?
3.1 What does culture define and set up?
3.2 What happens when role definitions become rigid?
4.1 When is it constructive to make temporary use of defense mechanisms?
5.1 What is the purpose of considering the need for security versus growth?
6.1 Middle-class values are generally seen as values related to what?
6.2 What might a therapist do regarding avoiding judgments to effectively set boundaries?
7.1 What are two levels of incompatibility?
7.2 What is helpful in setting boundaries for clients who lose control on regular basis?
8.1 What two types of contradictory messages may occur because nonverbal communication never ceases?
9.1 When is physical contact counter indicated?
10.1 What is a vital ingredient in the development of boundaries?
10.2 In acceptance, we accept the reality of the individual’s situation but what do you NOT judge?
11.1 What two duties are key illustrations of the expectation of boundary setting?
12.1 Why might a boundary be set?
13.1 What happens when the transference reaction is carried to an extreme?
14.1 What is a therapeutic partnership based on?
15.1 What is the ‘micro view’ essential for?
16.1 In the partialization boundary, what is the therapist’s responsibility?
18.1 How is a third example of promises found?
18.2 What is confrontation described as?
19.1 For manipulation of the environment to be ethical, what three factors must be present?
Answers:

A. Simplistic and too straightforward
B. The right to share the benefits of society
C. Define significant roles and sets up expectations of the behaviors that accompany them
D. By significant others and the media
E. Denial, projection, regression, fantasy, etc.
F. They tend to be counterproductive
G. Cleanliness, conformity, hard work, and sexual behavior
H. To examine ways in which therapists may be utilizing your working relationships with clients to meet the therapists’ needs rather than meeting the needs of the clients
I. 1. the difficulty you have in understanding and accepting people who are different from you. 2. the transference of attitudes and feelings your previous experiences with persons who have displayed similar personality patterns to that of your clients
J. A therapist must evaluate him/herself and his/her values as objectively and rationally as he/she can
K. One related to present circumstances and another related to your past issues
L. Setting boundaries with a clear and predictable sequence of interventions and statements
M. The genuineness of acceptance and concern for the client
N. If used to meet the need of the therapist rather than that of the client
O. Duty-to-Warn and Duty-to-Protect
P. The client as being right or wrong, good or bad
Q. The reality of the current therapy relationship may be lost
R. Because the relationship is time limited
S. An awareness of possible conflicts of interest, to understand and to reconcile similarities and discrepancies between your client's individual view and the larger picture
T. An understanding and acceptance of the differences of the roles and tasks of your client and you
U. By implying that the relationship is permanent when in reality the client’s therapist may change many times in the course of a helping endeavor, especially if the client is involved with the courts and the bureaucratic funding structure
V. To assess the totality of the client’s situation, help break it down into manageable units, and help the client think about and decide what action, if any, should be taken
W. Client’s right and need to be involved in both deciding and taking are considered, the client’s ability to participate, and the distinction between those activities which are appropriate for the therapist to manipulate and those which are appropriate for the client to take charge
X. Laying the cards on the table and looking at them as they are and facing the reality

Course Content Manual Questions The answer to Question 25 is found in Section 25 of the Course Content. The Answer to Question 26 is found in Section 26 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

23.1 What is the best way to eliminate confidentiality problems?
23.2 What should a therapist do when a personal friend asks them to provide services for them or one of their family members?
24.1 According to the American Counseling Association Code of Ethics Exert, what should counselors take into account when they receive gifts from their patient?
25.1 Give two examples of potential boundary issues between the client and the therapist.
25.2 What might a therapist tell the client who does not want her information released to human services?
26.1 According to Shay, what is the most basic therapeutic principle of all when working with discordant couples who fight a lot?
26.2 What is one way of untying the knot of conflict between combative couples?
26.3 When a client says, ‘‘She says that she has been initiating sex more often, but I don’t see it that way," what expression of resistance in marital therapy is being described?
29.1 What are two types of excuses that therapists make to account for the client’s obstructiveness?
29.2 When a therapist reaches the limit of what they know or can do, when they feel confused or blocked by a situation that is beyond their understanding or abilities, what does a therapist do?
Answers:

A. It is best not to provide professional services to friends
B. To only share information about clients with those people whom the client has signed a release of information for
C. 1) the client tries to engage the therapist into doing things for them 2) the client asks the therapist not to divulge information to human services
D. The therapeutic relationship, the monetary value of the gift, a client’s motivation for giving the gift, and the counselor’s motivation for wanting or declining the gift
E. Everybody walks out alive
F. The only time the therapist would be forced to release information without consent is if there is “clear and convincing evidence regarding harm to self or others.”
G. Denial of progress
H. Helping them express their feelings to one another without being abusive
I. Blame the client
J. The tendency for the therapist to be a perfectionist and to blame herself when therapy does not proceed according to plan, and for the therapist to be defensive and disown any responsibility for negative outcomes

 
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