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Quiz 1_Course 4S



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INTRODUCTION: Although Clinical Supervisors have some administrative functions, your role and skill set as a Clinical Supervisor are distinct from those of counselor and administrator.
True False
DEFINITIONS of Supervision: Clinical Supervision is a tutorial process wherein principles are transformed into skills, with four overlapping foci: administrative, evaluative, clinical, and supportive. (Powell & Brodsky, 2004)
True False
Supervision is a 'social influence' activity in which the supervisor participates with supervisees to ensure quality of clinical care. What activity is NOT an example of 'social influence.'
building teams, creating cohesion, resolving conflict, observing, mentoring, coaching, evaluating, inspiring
shaping agency culture, attending to ethical and diversity issues at all levels
interpreting a critical incident which has occurred at the program to the media and the public.
creating an atmosphere that promotes self-motivation, learning, and professional development
FUNCTIONS OF CLINICAL SUPERVISORS: When identifying key functions of Clinical Supervision to a newly appointed supervisor, what should be emphasized?
Central to the supervisor’s function is the alliance between the supervisor and supervisee.
Supervisors are the primary link between administration and front line staff, communicating staff and client needs to administrators.
Supervisors interpret and monitor compliance with agency goals, policies, and procedures
All of the above are essential key functions.
CENTRAL PRINCIPLES OF CLINICAL SUPERVISION: Supervision ensures that treatment philosophy and goals are integrated with clinical theory and EBPs. 'EBPs' refers to ______
Evidence-Based Practices
Emergent Biosolutions Protocols
Supervisors should have a role in determining which EBPs are utilized in the program, because not all EBPs are relevant to a given organization’s clients.
True False
Effective supervision of supervisees requires the Clinical Supervisor to ______.
continually strive for cultural competence in the clinical setting.
utilize direct observation methods.
accept responsibility as a gatekeeper of the profession.
all of the above
none of the above
Still in Central Principles of Clinical Supervision: Good counselors tend to be promoted to supervisory roles. Which statement is true about such promotions?
The knowledge base which was developed as a clinical staff person in the field is the same knowledge base that will be needed when promoted to the role of supervisor.
Individuals are promoted into supervisory positions because they already have the requisite skills to provide effective clinical supervision.
Clinical supervision is a skill in and of itself that has to be developed.
all of the above
GUIDELINES FOR NEW SUPERVISORS: One traditional function of a Clinical Supervisor is that of 'gatekeeper' for the profession, which includes counseling some supervisees out of the field. Recently, however, this function has been halted due to the potential of a lawsuit alleging employment discrimination based upon race, sexual orientation, religious beliefs, ethnicity, and age.
True False
Resolving the defensiveness of resistant supervisees: When supervisees respond defensively or reject directions from you, which response is NOT an appropriate supervisor response?
Honor the resistance and acknowledge their concerns; abandon trying to push the supervisee too far, too fast.
Sympathize with their concerns, i.e., “I understand this is difficult. How are we going to resolve these issues?”
Self-disclosure by the supervisor about his or her experiences as a supervisee may be helpful in dealing with defensive, anxious, fearful, or resistant staff.
Understand that the supervisee's resistance is likely a personality defect, rather than an expression of ambivalence about change.
MODELS OF CLINICAL SUPERVISION: The Blended or Integrated Developmental Model of Supervision, which is the central theme of this course, was conceptualized and published by
Rigazio- DiGilio (1997)
Todd and Storn (1997)
Stoltenberg, McNeill, and Delworth (1998)
none of the above
The INTEGRATED DEVELOPMENT MODEL OF Clinical Supervision _____.
recognizes that each supervisee goes through different stages of development
recognizes that movement through the stages of development is not always linear
recognizes that progression through the stages of development can be affected by changes in assignment, setting, and population served.
recognizes that supervisors also go through stages of development
all of the above
IN FIGURE 3: A supervisee who is anxious and uncertain and/or preoccupied with performing the 'right way' is an indication that the supervisor needs to provide less structure with more autonomy in order to minimize anxiety.
True False
The Developmental Stage/Level of the supervisee will be the same for all aspects of service delivery (i.e., Level 2 mastery for individual counseling and Level 2 for couples counseling).
True False
IN FIGURE 4: When a Clinical Supervisor is at Developmental Level 2, which is NOT a characteristic?
Is overfocused on the Counselor's deficits and perceived resistance
Is now comfortable with the evaluation process
May fall back to being a therapist with the Counselor
CULTURAL AND CONTEXTUAL issues: Seeing all cultures and people as alike and equal is a form of discrimination referred to as _____________.
Cultural Destructiveness
Cultural Incapacity
Cultural Blindness
It is not the supervisor's responsibility to address the supervisee's beliefs, attitudes, and biases about cultural and contextual variables because those are very personal thoughts and feelings.
True False
ETHICAL AND LEGAL as it pertains to dual relationships: Common boundary issues include asking the supervisee to do favors, providing preferential treatment, socializing outside the work setting, becoming a 'therapist' to the supervisee, and becoming an Alcoholics Anonymous sponsor for a former supervisee.
True False
The legal doctrine of 'respondeat superior' refers to all EXCEPT which situation?
'Vicarious liability,' in which a supervisor can be held liable for damages incurred by a client as a result of negligence in the supervision process.
Provides a better chance for an injured client to recover damages, because the employer or supervisor is deemed liable for the injuries caused by an employee.
Supervisory negligence such as failure to listen carefully to a supervisee’s comments about a client.
Dereliction of supervisory responsibility, such as when there is no direct observation of a supervisee’s clinical work,
Supervisory negligence such as providing inappropriate advice to a supervisee about a client.
Regarding 'Confidentiality of Substance Use Disorder Patient Records, 42 CFR Part 2' --- What is NOT accurate about the changes in the 42 CFR Part 2 rule?
Modernizing of 42 CFR Part 2 will strengthen the nation’s efforts to reduce opioid misuse and abuse and to support patients and their families confronting substance use disorders,
The changes in 42 CFR Part 2 advance the integration and coordination of healthcare for individuals with substance use disorders while maintaining critical privacy and confidentiality protections.
The changes to 42 CFR Part 2 will go into effect April 1, 2021.
Health care providers will be able to more easily conduct such activities as quality improvement, claims management, patient safety, training, and program integrity efforts.
In the National Board for Certified Counselors’ (NBCC) 2020 policy regarding ethics and online counseling, all EXCEPT which statement below is true?
The new policy is entitled 'NBCC Policy Regarding the Provision of Distance Professional Services,'
The policy includes multiple forms of Online Professional Services,
The policy is still entitled 'Ethics of Online Counseling,'
The policy includes counseling, supervision, consultation, and education through electronic means.
The policy includes services conducted as email-based, chat-based, telephone-based, video-based, and computer-based programming.
In Figure 6, what is a RISK FACTOR that should be evaluated and/or action that should be taken when a supervisor identifies a potential legal or ethical violation?
Was there a duty-to-warn or duty-to-act situation in which the supervisee failed to respond?
Was there any damage incured or might damage be incurred as the result of this action?
Could the supervisee's action be perceived as inappropriate?
Contact affected parties and notify relevant authorities
all of the above


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