Exam 14: Endings and Transitions

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Sometimes clients bring a gift to the clinician at their last meeting. The clinician should:

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Discuss the risk management steps a clinician should take when ending clinical interventions against the client's will.

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When ending clinical interventions against a client's will, a clinician should take several risk management steps to ensure the safety and well-being of the client.

First, the clinician should thoroughly assess the reasons for the client's refusal of treatment and attempt to address any underlying concerns or fears. It is important to have open and honest communication with the client to understand their perspective and to try to reach a mutual understanding.

Next, the clinician should document the client's refusal of treatment and the reasons for it in the client's medical record. This documentation should be thorough and include any discussions or attempts to address the client's concerns.

The clinician should also consider seeking a second opinion from another qualified professional to ensure that ending the clinical interventions is the most appropriate course of action. This can help to mitigate any potential risks and provide additional perspectives on the situation.

Additionally, the clinician should discuss the situation with their supervisor or a risk management team within their organization to ensure that they are following appropriate protocols and to seek guidance on how to proceed.

Finally, the clinician should provide the client with information about alternative treatment options and resources that may be available to them. It is important to ensure that the client has access to the support they need, even if they are refusing the current interventions.

By taking these risk management steps, the clinician can help to minimize potential harm to the client and ensure that they are acting in the best interest of the client's well-being.

Giavanna came to counseling because she was anxious in social situations. After working together for 6 weeks, Giavanna has made a lot of progress and she and her clinician have decided it is time to stop their work together after two more meetings. At the next session, Giavanna reports that she finds herself once again becoming anxious in social situations. This is an example of:

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Discuss the purpose of "planned breaks" during the ending process.

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Core activities in a good ending process include all of the following EXCEPT:

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Carolina asks her clinician if they can occasionally meet for coffee after they conclude their work together. Her clinician should:

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Sometimes a client may be transferred to another clinician. Which of the following is TRUE?

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Elias tells you, his clinician, that he wants to end the work you are doing because he doesn't feel he is getting anything out of it. You should immediately:

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Client abandonment involves all of the following EXCEPT:

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What should the clinician do if the client just stops coming to meetings?

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The following illustrates a "cry for help" during the ending stages of the clinical work:

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A clinician may initiate endings legitimately because of all of the following EXCEPT:

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Which of the following is FALSE?

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Discuss the reasons why many clients drop out of treatment.

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Define "transitional object" and how it helps people during absences or endings.

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