CLT Client Assessment & Goal Setting 2 — Questions and Answers
Question 1: During an initial LEAP assessment, a therapist notices the client denies having any problems. What is the most appropriate first step?
- Confront the denial directly and present diagnostic evidence
- Listen without judgment to understand the client's perspective (Correct answer)
- Postpone the session until the client acknowledges the issue
- Refer the client to a psychiatrist immediately
Correct answer: Listen without judgment to understand the client's perspective
In LEAP, the L (Listen) step prioritizes understanding the client's subjective experience before any other intervention.
Question 2: Which assessment principle is most central to identifying anosognosia in a LEAP client?
- Using standardized depression screening tools
- Asking the client to describe their own insight into their condition (Correct answer)
- Reviewing medication compliance records first
- Administering a cognitive function battery
Correct answer: Asking the client to describe their own insight into their condition
Anosognosia assessment in LEAP focuses on how the client perceives their own awareness of illness, not external records.
Question 3: A CLT practitioner uses the 'Columbo technique' during assessment. What is its primary purpose?
- To gather legal consent before treatment begins
- To ask curious, non-threatening questions that invite the client to think deeper (Correct answer)
- To challenge cognitive distortions directly
- To evaluate memory recall in trauma cases
Correct answer: To ask curious, non-threatening questions that invite the client to think deeper
The Columbo technique uses open-ended, inquisitive questions to gently explore client beliefs without triggering defensiveness.
Question 4: When assessing a client's readiness for change, which stage in the Transtheoretical Model indicates the client is not yet considering change?
- Contemplation
- Preparation
- Precontemplation (Correct answer)
- Action
Correct answer: Precontemplation
Precontemplation is the stage where an individual has no intention to change behavior in the near future.
Question 5: In a LEAP-informed intake session, what should the therapist prioritize when documenting client goals?
- Goals determined by the treatment team alone
- Goals that align with clinical diagnosis only
- Goals co-created with the client using their own language (Correct answer)
- Goals benchmarked against population norms
Correct answer: Goals co-created with the client using their own language
LEAP is client-centered; goals must reflect the client's own words and priorities to build genuine partnership.
Question 6: A CLT therapist discovers a client's stated goal conflicts with the clinician's treatment recommendation. What is the LEAP-aligned response?
- Override the client's goal and document the clinical rationale
- Find genuine areas of overlap between the client's goal and the clinical goal (Correct answer)
- Discharge the client for non-compliance
- Ask the supervisor to intervene immediately
Correct answer: Find genuine areas of overlap between the client's goal and the clinical goal
The 'Agree' step in LEAP involves finding authentic common ground rather than imposing clinical priorities on the client.
Question 7: Which of the following best describes a SMART goal in the context of CLT client goal setting?
- Spontaneous, Motivating, Attentive, Realistic, Timed
- Specific, Measurable, Achievable, Relevant, Time-bound (Correct answer)
- Simple, Manageable, Acknowledged, Recorded, Tested
- Strengths-based, Meaningful, Affirming, Reflective, Therapeutic
Correct answer: Specific, Measurable, Achievable, Relevant, Time-bound
SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound, providing a structured framework for goal setting in therapy.
CLT Client Assessment & Goal Setting 2
During an initial LEAP assessment, a therapist notices the client denies having any problems.
What is the most appropriate first step?