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Clinical Modalities Exam 2 Questions With Complete Solutions
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Clinical Modalities Exam 2 Questions With Complete Solutions
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Clinical Modalities Exam 2 Questions With CompleteSolutions
(level 1) Physiological Needs,
(level 2) Safety and Security,
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem,
(level 5) Self Actualization Correct Answer maslows hierarchy
of needs
• Anxious with silence
• Responds to everyone's comments
• Decreased ability to empathize with others
• Unaware of impact on others
• Discusses tangential issues in irrelevant detail
• May assume the role of interrogator
• May tearfully describe his or her own crisis Correct Answer
Monopolist, characteristics
• CBT builds a set of skills that enables an individual to be
aware of thoughts and emotions; identify how situations,
thoughts, and behaviors influence emotions; and improve
feelings
• Focus is on changing dysfunctional thoughts and behaviors.
• Identifying the negative schemas, thought processes and
automatic cognitive errors.
• Modifying these cognitive errors by
o Demonstrating the advantages and disadvantages of the
schema
o Identifying larger pattern of behavior•
,It is your responsibility to keep the discussion on track and
focused. To prevent unfocused discussions, gently guide the
patient back to the topic when he or she drifts, emphasize key
emotions, beliefs, and automatic thoughts, and often summarize
and rephrase what the patient says. Correct Answer Thought
process of focus by therapists using CBT
• CBT is present centered structured, active, cognitive, problem-
oriented approach.
• CBT is based on the theory that a person's thoughts, not
external influences, determine his emptions and behaviors
• CBT brings faster results and is completed within a specific
period of time. Time limited...10-25 sessions
• A constructive and trusting relationship between the patient
and therapist exists in CBT, but the function of the therapist is
not just to counsel the patient, but to teach him how to apply
rationalization skills to his thoughts and emptions
• CBT is educational as it uses homework to support individual
sessions. Techniques and concepts are learned in CBT to help
make the patient aware of his excessive reactions to situations
and teaches him appropriate ways to handle his thoughts. Client
may keep a diary of their negative thoughts or automatic
assumptions.
• Guided discovery is elucidation of certa Correct Answer
Characteristics of CBT
• Develop an understanding of the member with the problem
behavior
• Ask yourself, "What does this person really need?"
• Ask yourself, "What does the group need?"
,• Take measures to preserve the group integrity Correct Answer
Strategies for the Group Therapist
• Do not express your anger and frustration.
• Use empathy and self disclosure about hopelessness of
situation
• Do not continue to offer help
• Give support for HRC to choose to accept or reject help
• Use feedback only when trust is established Correct Answer
HRC: Therapeutic Interventions
• Dreads self-disclosure
• Perfectionistic
• Fears failure
• Dreads being center of attention
• May be conflicted about aggression
• Maintains control thru silence
• May be avoiding display of feelings
• May feel incapable of expressing self in ways other group
members have done
• What are your reasons for being silent? Correct Answer The
Silent Member
• Get group to give feedback on how behavior makes them feel
• Discuss consequences of behavior on relationships with others
• Use empathy to develop trust
• Look at pattern of behavior outside group and consequences
for SRM
• Don't tell him he's right. Why? Correct Answer SRM:
Therapeutic Interventions
, • Help people become aware of their cognitive distortions and
maladaptive behaviors.
• Guide patients to challenge their cognitive distortions which
helps them realize the error in their logic that result in unhelpful
patterns of behavior.
• Encourage patients to come up with and try out new
interpretations, and apply the alternative ways of thinking in
their daily lives
• As a result patients are better equipped to deal with daily
stressors and life challenges. Correct Answer Goal of the
cognitive-behavioral model according to Beck and Ellis:
• identifying relationships from the past and present that
reinforce dependent behavior
• helping patient to examine their view of themselves as helpless
• challenging patients self-denigrating statements
• helping patient to gain insight into the ways they express
dependency needs
• helping them to think of alternative ways to meet their needs
• building coping skills • teaches to become aware of the
negativity so one can change their views to a more realistic and
healthy one
Assertiveness training and social skills training may also help.
Correct Answer Cognitive behavioral strategies for the
dependent, worthless and/or inadequate patient:
• If you as leader are bored by this person, so is the group
• Group tolerates this behavior better than other problem
behaviors, because it seldom disrupts the group
• Use self as data to give member feedback
• Replace boredom with curiosity
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