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Which of the following is not consistent with the contemporary understanding of the therapist's role in establishing a client-centered therapeutic relationship?


A) Capacity to develop an empathic understanding of the client
B) Use of clinical reasoning to guide interactions with the client
C) Capacity to serve as an expert (or guide) and instill confidence in the client
D) Use of collaborative and client-centered approaches to care

E) A) and D)
F) None of the above

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Which of the following is not one of the central components of the Intentional Relationship Model (IRM) ?


A) Interpersonal characteristics
B) Interpersonal intentionality
C) Interpersonal modes
D) Occupational engagement

E) A) and B)
F) B) and C)

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You have been working with a client in an outpatient hand therapy unit who has been reluctant to participate in therapy and inconsistent with following your home exercise program. In your interactions, the client has been quiet, reserved, and unwilling to provide feedback. In your next meeting, you decide to step back from the therapeutic activities and ask the client about how things are going outside of therapy. The client begins to cry and tells you that he or she has been recently diagnosed with breast cancer. Which of the following statements are consistent with the Intentional Relationship Model (IRM) ?


A) The client's reluctance to participate in therapy, expression of sadness, and intimate self-disclosure related to the diagnosis are inevitable interpersonal events of therapy.
B) The therapist took a step back from therapeutic activity in an attempt to establish an empathic understanding of the client's experience.
C) The client's quiet and reserved communication and unwillingness to provide feedback offers insight into the client's interpersonal characteristics.
D) All of the above

E) All of the above
F) A) and B)

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The quality of the client-therapist relationship can have an impact on the ultimate outcome of therapy because:


A) Clients often prioritize therapists' ability to communicate and relate effectively with them above the therapists' technical expertise.
B) Development of trust between the therapist and client makes it possible for the therapist to manipulate the client into doing nonpreferred activities.
C) The therapeutic relationship affects engagement in therapeutic activities.
D) Both answers A and C

E) A) and D)
F) B) and C)

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D

According to the Intentional Relationship Model (IRM) , the role of empathy within a therapeutic relationship is to:


A) Explain or support the process of relating to a client as a means of changing the way that the client is thinking, feeling, or behaving
B) Understand the client's lived experience with our personal experience, or with that of our other clients, family members, or friends
C) Achieve an understanding of the client's interpersonal characteristics and how the client is reacting to the inevitable interpersonal events of therapy
D) All of the above

E) B) and C)
F) B) and D)

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C

The central objective of the Intentional Relationship Model (IRM) is to explain therapeutic use of self and its relationship with occupational engagement and offer clinicians a set of concrete tools and interpersonal skills for use in practice.

A) True
B) False

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According to the Intentional Relationship Model (IRM) , intentionality is described as exercise of:


A) Empathic understanding
B) Impulse control
C) Directed attention
D) Both answers A and B
E) Both answers A and C

F) B) and D)
G) B) and C)

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According to the Intentional Relationship Model (IRM) , which of the following are the central components of client-centered therapy in the field of occupational therapy?


A) Intentionality
B) Empathy
C) Empowerment
D) Answers A and B
E) All of the above

F) A) and B)
G) B) and E)

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Suzanne Peloquin is best known for teaching the value of empathy through:


A) Skills training methods
B) Having students undergo counseling or psychotherapy
C) Art, literature, and other examples of the malpractice consequences of poor communication in therapy
D) Requiring all students to take courses in positive psychology

E) A) and C)
F) All of the above

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C

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