Behavior Change
Multiple Choice Questions (1 point each) /12
*PLEASE HIGHLIGHT YOUR ANSWERS TO THE MULTIPLE-CHOICE QUESTIONS FOR EASE OF GRADING.
1) What is "hot" cognition?
a. Thoughts that are highly negative.
b. Thoughts that are resistant to conceptual change.
c. Thoughts that are inaccurate.
d.** Thoughts that are infused with emotion.
2) Which of the following client statements would be the best example of a personal theory?
a. "The world is an unsafe place."
b. "People are only out for themselves."
c. "If I ask my friend about suicide, that will put the idea in their head."
d. "Good things happen to good people; bad things happen to bad people."
3) A co-worker tells you about a tool they are using with their client to help them identify the eight
basic emotions. You guess that this tool is probably based in:
a. Paul Ekman's theory
b. Robert Plutchik's model
c. James Gross' model
d. Maslow's hierarchy
4) You notice that your client does not seem to be expressing a lot of emotion in therapy. When the
two of you discuss emotional topics, you never see them express anger or frustration and you
never see them appear sad or cry. Instead of labeling this as something that is wrong with your
client, you consider that this may be because of their culture's:
a. Display rules
b. Social referencing
c. Tunnel vision
d. Autonomy
5) You have another client who is highly emotional and experiences challenges with regulating
strong emotions. The two of you have been planning ahead for how she will manage an
upcoming holiday gathering with her family. One of the strategies you recommend is trying to
change her environment at the gathering, such as who she sits next to at dinner, in order to
prevent strong negative emotions before they begin. This is an example of:
a. Attentional deployment
b. Situation selection
c. Response modulation
d. Situation modification
6) During your intake interview, you talk to your new client about their goals for therapy. They tell
that you that they don't really have the time or interest in working on developing stress
management skills. Rather, they simply want you to help them appear calm and comfortable at
an upcoming wedding despite not knowing anyone. Their goal would best be described as a:
a. Mastery goal
b. Product goal
c. Performance goal
d. Process goal
7) Your client tells you that she has been having disagreements with a co-worker lately. She tells
you that yesterday at work, her co-worker snapped at her when she asked them a question.
Later in the day, her co-worker talked "down" to her and then made a joke at her expense.
According to the actor/observer bias, your client would most likely:
a. Say that this co-worker is a "jerk."
b. Tell you the co-worker was probably having a bad day.
c. Blame themselves for their co-worker's behavior.
d. Say that this is happening because your client is such a hard worker.
8) Jen is in her first semester of graduate school and just got a C- on her first paper. She is very
upset but tries to reflect on what happened. Jen thinks to herself "All of my classes have papers
this semester, and this means I'm going to do poorly in all of them!" She then remembers
learning about the Graduate Writing Center and visits their website. She tells herself "I'm going
to meet with them to improve my writing skills. If I do that, I think I'll be able to improve my
grades on future papers." This would be an example of which types of attributions?
a. Specific and controllable
b. Global and controllable
c. Global and external
d. Specific and stable
9) The central executive consists of:
a. Encoding, storage, and retrieval
b. The sensory register, short-term/working memory, and long-term memory
c. The visuospatial sketchpad and phonological loop
d. Nodes and networks
10) Which is the best example of encoding specificity?
a. It is easier for you to remember textbook material that you read at your desk when you
are later sitting at your desk.
b. It is easier to access information from your long-term memory if it is first in your short-
term memory.
c. When you access one piece of information in your mind, your brain also accesses many
pieces of similar information.
d. If you are given incorrect information, it can distort your original memory of correct
information.
11) Kim Cognition, M.A., LPCC is working with their client on various problem-solving skills. This
week, they are working on addressing "big" problems by breaking them into smaller parts and
then working on those parts one at a time. It sounds like Kim Cognition is teaching their client the
heuristic of:
a. Working backward
b. Self-explanation
c. Brainstorming
d. Means-ends analysis
12) Clients are taught to identify personal triggers and early warning signs in what type of
intervention?
a. Solution-focused brief therapy
b. Values clarification
c. Urge surfing
d. Relapse prevention training
Short Answer Questions (4 points each) /28
Please choose only 7 out of the 9 questions below to answer. Please be concise in your answer but make
sure you address all of the pieces of the question. You do NOT need to use full sentences; bullet points
are fine when appropriate. However, make sure your answer is clear to the reader, especially when
there are multiple points to address.
1) Engaging in conceptual change can be difficult. Discuss at least 3 challenges clients may face
when engaging in conceptual change.
2) Motivation is important for our client's success, but also for our success as mental health
providers. Identify 3 human needs (fundamental needs, "other" needs, or dispositions) and
how they may impact your motivation as a clinician.
3) Our thoughts can affect our learning and behavior in a variety of ways. Discuss a few specific
ways that attributions may impact a client's success in therapy.
4) Your client, Kendall, has been diagnosed with Major Depressive Disorder. They notice they are
having a lot of trouble concentrating and difficulty with their memory at work. Discuss specific
ways that attention/inattention may be impacting Kendall's memory difficulties.
5) Explain what is meant by "deep" processing. How might "deep" processing help a client better
learn and remember information?
6) Identify two areas of self-regulated learning that you feel are strengths for you and two areas
that you feel are areas for growth. What might you be able to do to work on your areas for
growth?
7) You are working with a 23-year-old client who is a single Latina mother of two young children.
She is recently unemployed and you are seeing her for Major Depressive Disorder and
Generalized Anxiety Disorder. Recently, she has begun to miss counseling sessions with you.
Please choose a theory from class (from any point in the semester) and use it to explain why
she may be missing sessions and how you would proceed.
8) What are three important things you are taking away from this course this semester? (This
could be material from the book, implications for counseling, or personal takeaways.)
9) It is essential that we provide ethical care when helping clients engage in behavior change
interventions. What are three ethical considerations to be aware of when considering a
behavior change intervention?
THANK YOU FOR YOUR HARD WORK THIS SEMESTER!
If you have any questions before submitting your exam, please let me know. In addition, if there is
anything at all I can do to aid in your development in the future, please don't hesitate to contact me