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This Sample test is for your own personal assessment, and is identical to the CEUS test. You may take the test and receive results. However, you will not be given credit until completing the CEUS Test. There is no charge for taking the CEUS test. After passing the CEUS test, you may pay to receive a certificate of completion. Any post-test that you have passed will be listed on your Member Account page.

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80 questions have been provided. You must answer 80% correctly to pass.



Clinical Supervision

Which of these is NOT part of a relationship or connection in supervision?

a) Income b) Discipline being practiced c) Client's home d) Eye color e) Age

If you are a good clinician, you will undoubtedly be a good supervisor.

True False

Which concept is part of competency-based supervision?

a) Supervision contract with continual evaluation b) Beginning assessment of supervisee's values c) Profession specific competencies d) Foundations of good supervisory relationship e) All of the above

The clinical supervisor's role does NOT include:

a) Keeping track of client welfare b) Enhancing the supervisee's functioning c) Being the boss of the relationship d) Monitoring supervisee's quality of service e) All of the above

Forces that have encouraged the importance of supervision include:

a) State boards requiring supervision for licensure b) Insurance companies requiring supervision of therapists c) Professional organizations requiring supervision for membership d) Agencies having special requirements for supervisors e) All of the above

Four domains on which clinical supervision concentrate are:

a) Direct practice, therapist individuality, continued learning, project management b) Direct practice, treatment-team collaboration, annual CEU courses, job management c) Direct practice, treatment-team collaboration, continual learning, job management d) Direct practice, treatment-team collaboration, continual learning, project management e) All of the above

Four basic areas of supervisor competencies include:

a) Values associated with supervision b) Knowledge c) Social context d) a and b e) All of the above

You should have a supervisor checklist on which you keep track of your current competencies and those you want to improve.

True False

Which of the following legal issues do you NOT need to worry about?

a) Duty-to-warn b) Perceived threat to supervisee c) Supervisee noncompliant with paperwork d) Domestic violence e) All of the above

If you are covered by your agency's liability insurance, you do not need to purchase your own liability insurance.

True False

Due process is:

a) Policies and procedures to be followed if a grievance has been made about the supervisee. b) A rule to ensure a grievance is heard. c) A rule to allow the one accused to give his side of the story. d) All of the above

Supervisor's goals do NOT include:

a) Integrating parts of the therapeutic process. b) Not spending time on therapeutic styles. c) Believing in himself/herself as a professional. d) Exploration of ways to aid with specific client issues

What questions does a supervisor need to ask to aid in developing his supervisory philosophy?

a) "What is the role of the supervisor?" and "What is the role of the supervisee?" b) "How do I define 'good clinical supervisor'?" and "What is my model of clinical supervision?" c) "What do I believe about conducting therapy?" and "What do I want to accomplish through clinical supervision?" d) "What attributes do I have that can help in effective supervion?" and "What ethical issues might I run into?" e) All of the above

Functional Approaches to Supervision looks at the functions and focus of supervision. They include the following models:

a) Authoritative Model b) Laissez-Faire Model c) Client-Centered Model d) a and b

Competency-Based Approaches to Supervision target the supervisee's skills and learning needs. They include the following models:

a) Microcounseling Model b) Facilitative Model c) Discrimination Model d) a and c e) b and c

Theory-and-Treatment-Based Approaches to Supervision target the supervisee's theoretical base. They include the following models:

a) Narrative Model b) Person-Centered Model c) Psychodynamic Model d) b and c

Developmental Approaches to Supervision describe progressive levels that the supervisee attains. They include the following models:

a) Integrated Developmental Model b) Supervisee-Centered Model c) Developmental Phase Model d) a and c

Process-Oriented and Other Approaches to Supervision define basic roles and tasks. They include the following models:

a) Feminist Model b) Seven-Eyed Supervisor Model c) Interpersonal Process Recall Model d) b and c

Ethical and legal issues most important to clinical supervisors include:

a) Vicarious liability b) Confidentiality c) Informed consent d) Boundary concerns e) All of the above

The lack of timely supervisory feedback seldom causes ethical complaints.

True False

Skills that facilitate good communication include:

a) Revealing feelings b) Stating opinions c) Warning of consequences d) None of the above

Excelling in a specific technique is more important for becoming an effective counselor than having characteristics of social intelligence, empathy, tolerance, and sense of well-being.

True False

Areas related to competencies of professional and ethical standards include:

a) Being sure that supervisees know what the clients' rights are. b) Aiding supervisees to recognize, comprehend, and cope with specific transference and counter-transference problems when working with clients. c) Practicing only in one's areas of supervisory and clinical competence. d) a and c

An insight regarding transference that can lead to long-lasting psychological change has the following characteristics:

a) The therapist should encourage transference b) The therapist should use non-disclosure and deliberate opacity c) Recognize that they are based on reality d) a and b

Counter-transference can be an issue if:

a) The client terminates therapy prematurely b) The therapist is irritated by a client for no apparent reason c) The supervisor feels like he/she is falling in love with a supervisee d) b and c

Questions the supervisor or therapist must ask himself/herself is he/she becomes aware of possible counter-transference include:

a) Is the feeling characteristic of you? b) Is this feeling obviously related to the supervisee or client? c) Is the feeling uncharacteristic for you (or the therapist), a reaction to one specific supervisee(or client), but the precise trigger is not obvious at once? d) Is this feeling triggered by something not related to the supervisee or client? e) All of the above

There are some circumstances where a sexual relationship between supervisors and supervisees is not unethical.

True False

Potential contextual sources for transference and counter-transference issues do NOT include:

a) Age b) Disability c) Recovery vs. non-recovery status d) School grades e) All of the above

You can never give a supervisee or a client too much nurturance.

True False

Three things work together to produce empathy. They are:

a) Unemotional sharing b) Infringement of the ego c) Mental inflexibility d) All of the above e) None of the above

Which statements are true about therapeutic relationships?

a) They interact with specific therapy strategies b) They are based on knowledge c) They are as important to productive therapy and supervision as the techniques used d) The therapist's capacity for self-awareness and empathy are basic for development of a therapeutic relationship e) All of the above

Sometimes dual-relationship is unavoidable and ethical. Point out which relationship is NOT acceptable:

a) Living in a small community, the therapist may at times hire a client (carpenter, electrician, etc.) b) Working together on a community event c) Having a sexual relationship d) Taking part in a work-sponsored activity

Which statement(s) about self-disclosure is/are accurate?

a) Self-disclosure is usually a violation of boundaries b) Self-disclosure can be damaging to therapy when working with a stigmatized population c) Supervisor modeling can be more successful if it includes self-disclosure d) Self-disclosure will likely harm a good supervisory relationship

Which legal principles must you understand in order to practice effective risk management?

a) Vicarious liability b) Statutory liability c) Limited liability d) a and b

Which of these are part of supervision's standards of care?

a) Periodically monitoring and controlling supervisee's activities b) Providing appropriate feedback and evaluation c) Supervising only within your area of competence d) b and c

In the framework of supervision, which of these is/are accurate test(s) of malpractice?

a) The supervisee suffered demonstrable injury or harm b) There was an unprofessional relationship between the supervisor and supervisee c) The supervisor's breach of duty to practice within the standard of care was the proximate cause (reasonably foreseeable) of the supervisee's or client's injury d) There is a demonstrable standard of care, and the supervisor breached that standard e) All of the above

Supervisor behaviors that represent potential direct liability charges might include:

a) Having a supervisory contract b) The supervisee was assigned very few clients c) Providing clear crisis procedures d) None of the above

Vicarious liability is founded on which of the following concepts:

a) The supervisor is in a position of authority and responsibility b) The supervisor or the supervisor's agency does not profit from the actions of their supervisees c) The supervisee is under the direct control of the supervisor d) a and c

Which of the following is/are NOT a part of good risk management strategies?

a) Document everything b) Supervision contract c) Maintaining written policies d) Liability insurance e) None of the above

Clinical files serve as:

a) Tools for education b) Basis for planning the client's care and treatment c) Legal document describing the care the client received d) Means by which the client or a third party payer can verify that she actually received the services billed for e) All of the above

Keeping up clinical records is the responsibility of:

a) The supervisor b) The supervisee c) The agency's office staff d) The supervisor and the supervisee

Which of the following does NOT belong in the client's record?

a) Identifying data (e.g., name, client id number) and contact information b) Assessment of client status c) Relevant cultural and sociopolitical factors d) All of the above e) None of the above

The mental status exam (MSE) is to determine the client's cognitive functions, including:

a) Orientation to person, time, place, and space b) Concentration c) Judgment d) Short-and long-term memory e) All of the above

Informed consent forms that the client signs should NOT include:

a) Information about the supervisor that includes credentials, qualifications and approach to supervision b) Due process c) Number of supervisees for which the supervisor will be responsible d) Ethical codes of conduct e) None of the above

Which of the following is/are true of informed consent:

a) It is a single event b) It is a process that changes over time c) Subsequent consent to treatment discussion should all be documented d) b and c

One of the informed consent forms a client must sign is consent to be treated by a trainee. This form need NOT include which of the following about the supervisee:

a) When the supervisee received his degree b) Professional discipline (i.e., social work, counseling, psychology, nursing) c) Specialty (i.e., counseling, clinical, school) d) Treatment philosophy or orientation

Under HIPAA, a client does NOT have which of the following rights:

a) The right to request restriction on the uses and disclosures of protected health information (PHI) b) The right to request amendments of her designated record set (DRS) c) The right to request confidential communications d) The right to request an accounting of disclosures e) None of the above

HIPAA makes some exceptions to confidentiality that include:

a) Threat of harm to self or others b) Any criminal activity disclosed c) Involuntary commitment d) a and c

Potential responses to a subpoena for client information never include:

a) Stating that you can neither deny nor confirm that any specific individual is a client and cannot release information from any client record without a court order or client consent b) Negotiate with the issuer of the subpoena c) Ignore the subpoena d) Modify the subpoena

HIPAA allows free use of client information for which of the following:

a) Use by the therapist that originated treatment notes for further treatment b) Use or disclosure by the therapists for training programs under supervision to practice and improve their abilities in individual, family, joint, or group counseling c) Use or disclosure by the therapist as defense in legal or other proceedings brought by the clients. d) All of the above

HIPAA states that a release of information form must NOT:

a) Advise patient of his right to receive a copy of the authorization b) Be separate from all other documents in the client's file c) State specific uses and limitations of the use of the information by the persons authorized to receive it d) State the date after which the provider can no longer disclose information e) None of the above

The DSM has a 5-axes assessment system that includes:

a) Symptoms that need treatment b) Recent psychosocial stressors c) Score from the "Duke Health Profile" d) a and b

A formal treatment plan includes:

a) Presenting problem b) Goals of therapy c) Time estimate d) Interventions and methods e) All of the above

You discover you left important information out of a progress note. You can:

a) Add the information to the note b) Ignore it and hope it won't be a problem c) Make a new note, date it 'today,' and stae that you realize you forgot to include...

If a client won't follow your suggestions, some of the reasons may be:

a) They don't understand it b) They tried it but got a negative reaction c) They tried it but couldn't do it on one attempt d) They don't believe it will work e) All of the above

Which of the following statements are true regarding whether or not a client must follow the therapist's directives:

a) The client never has to follow your directives b) The client should always follow your directives c) The client must follow your directives when their problem has legal consequences

Modern digital technologies have added new considerations in the field of mental health. Which of the following are true when using e-mail, mobile phone messages, and text messages?

a) Lack of privacy is of no concern b) 'Caution' is the by-word when using these methods c) There is no potential problem of security

Sometimes you or your supervisee must decide whether or not it is ethical to accept a gift from the supervisee/client. Factors to be considered in your decision include:

a) The nature of the gift b) The cost of the gift c) The therapeutic/supervisory relationship between the one giving the gift and the one receiving it d) The transference or other issues that led to giving the gift e) All of the above

When you need to assess suicide risk in a young person, you should:

a) Ask the client directly b) Estimate the risk level based on a thorough assessment c) Ask parents, caregivers and other sources of collateral information for their perspectives d) Re-evaluate the risk status periodically e) All of the above

What is the single, most helpful thing an agency can give its therapists and supervisors to help in dealing with suicidal or homicidal clients?

a) A good armamentarium of assessment tests b) Regular CEU classes on the topic c) Clear, written policy of management of these clients d) Support and encouragement

HIPAA allows psychotherapy notes to be withheld from the clients under certain circumstances.

True False

Health providers may refuse to give parents access to their child's health and mental health records. Which of the following is NOT an acceptable requirement?

a) The child is age 16 or older b) The provider believes this access would have a negative effect on his professional relationship with the child c) The provider believes this access would damage the child's physical safety d) The provider believes this access would damage the child's psychological well-being

Disclosure of record keeping procedures is potentially a part of informed consent. What information might be needed for a client to decided whether or not to sign the consent form?

a) Client records may become part of an electronic file that can be accessed by a wide range of institutional staff. b) When mental health client records are released with appropriate permission to do so, from that point it's possible that they might be distributed further without the therapist's or client's knowledge or consent c) Records released in a context of litigation may be placed in the public domain and be accessible to anyone d) In some educational settings, federal, state, and institutional regulations require record keeping procedures that could enlarge the range of people who have access to the records of a school psychologist e) All of the above

According to the HIPAA definition of psychotherapy notes. Items NOT mentioned as being separate from these notes are:

a) Modalities and frequencies of treatment furnished b) Medication preblockedion and monitoring c) Summaries of the diagnosis, symptoms, prognosis, and progress d) The complete treatment plan

Client records that are on paper, must be protected from:

a) Unauthorized access b) Water damage c) Fire d) Insect damage e) All of the above

Client records that are in electronic form must be protected from:

a) Unauthorized access b) Power outages or surges c) Insect damage d) a and b

Preservation of the context of client records includes:

a) The location in which the records are kept b) A given time frame during which services were delivered c) A specific situational context during which services were delivered d) b and c

Precautionary actions that can be taken to protect unintentional electronic disclosure of confidential information include:

a) Use passwords and/or encryption to protect confidential materials b) Use case identification numbers, not clients' Social Security numbers to identify records c) Get training in special issues when using electronic media or consult with a specialist when necessary d) Become aware of special issues raised when using electronic methods and media e) All of the above

Red flags for performance problems to pay attention to when evaluating supervisees do NOT include:

a) Chronic lateness b) Delinquent paperwork c) No alterations in interaction style or behavior d) Client cancellations (by client or supervisee)

Your supervisory functions in guiding a supervisee through critical issues in their developmental stages include:

a) Monitoring client welfare b) Curtailing movement towards autonomy that is too fast c) Enhancing growth within stages d) a and c

Supervisees sometimes are resistant to supervision. There are at least five kinds of resistances, which may also be equated to categories of games they might play. These generally do NOT include:

a) Submission b) Projection c) Arguing d) Helplessness e) None of the above

Ways to deal with supervisee resistance include:

a) Identifying the source of anxiety (or threat); then brainstorming to find suitable strategies for dealing with the conflict b) Play the games they do, but better to model the inherent disadvantages in game-playing c) Positive reframing to empower the supervisee, increase the supervisee's self-esteem, and to model effective ways of coping with feelings, thoughts and behaviors d) a and c

Developmental supervision stages between supervisor and supervisee include:

a) Establishing the supervisor-supervisee relationship, setting goals and clarifying the contract b) The interpersonal dynamics in regards to boundary setting in the relationship c) The transition from supervisor/teacher to a consultant's role of exploration and reflection d) a and c

Sometimes problems between a supervisor and a supervisee occur because of the supervisor's:

a) Perceived threats in the hierarchy b) Anxiety about their competency c) Fear of losing control d) Seeking approval e) All of the above

Certain issues need to be taken care of at the beginning of a supervisory relationship. These include a(n):

a) Behavioral Contract b) Individual Development Plan c) Assessment of Supervisee Readiness d) a and b

Supervision approaches or modalities may include:

a) Live supervision b) Delayed review (audiotape, videotape) c) Verbal or written reports d) Video conferencing e) All of the above

Non-clinical areas that you may need to discuss with a supervisee will NOT include:

a) Avoiding risk factors for misconduct with clients. b) Preparation for licensing c) Project priorities d) None of the above

Most mental health organizations have a bureaucratic management system.The ways you and your supervisee can cope with bureaucratic problems include:

a) Ignore the bureaucracy, concentrate on the clients b) Keep a stiff upper lip about the situations c) Find humor in the situation d) All of the above

Signs of possible burnout in you or your supervisee do NOT include:

a) Interpersonal problems such as overreacting to conflicts b) Low productivity caused by unusual depression c) Resorting to substance abuse or addiction to TV, the computer, food (or loss of appetite) d) Falling asleep while taking this test

Acting on sexual attraction to a client is not ethical. Risk factors for therpiast-client sexual misconduct include:

a) Professinal inexperience causing belief that familiarity is a sign of therapeutic progress. b) Loneliness and isolation of the supervisee c) Juvenile morality of the supervisee d) a and b