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Clinical Supervision

Central Principles of Clinical Supervision

1. Which of the following is NOT one of the central principles of clinical supervision?

A. Clinical supervision is an essential part of all clinical programs

B. Clinical supervision enhances professional gate keeping and discipline

C. Every clinician, regardless of level of skill and experience, needs and has a right to clinical supervision

D. The supervisory relationship is the crucible in which ethical practice is developed and reinforced


Suggestions For New Supervisors

2. New clinical supervisors should ask for a period of six months to learn about their new roles and to find their decision-making styles.

A. True

B. False


3. The clinical supervision model that focuses on the skills and learning needs of the supervisee as well as setting appropriate goals falls into which category?

A. Competency-based models

B. Treatment-based supervision models

C. Developmental models

D. Integrated models


Developmental Stages of Counselors

4. Supervisors need to recognize that counselors are at different stages of professional development and need to take into account the individual learning styles and developmental stage of each counselor.

A. True

B. False


Figure 4. Continuum of Cultural Competence

5. Having a basic understanding and appreciation of the importance of sociocultural factors in work with minority populations occurs in which stage of becoming culturally competent?

A. Cultural capacity

B. Cultural competence

C. Cultural proficiency

D. Cultural openness/sensitivity


Confidentiality

6. Informed consent and concerns for confidentiality should occur at three levels, including consent to treatment, client consent to supervision of the case, and supervisee consent to supervision.  

A. True

B. False


Supervisor Ethics

7. Which of the following is NOT one of the ethical standards that supervisors will adhere to?  

A. Conduct themselves in a manner that models and sets an example for agency mission, vision, philosophy, wellness, recovery, and consumer satisfaction

B. Reinforce zero tolerance for interactions that are not professional, courteous, and compassionate

C. Adhere to the standards and regulations of confidentiality as dictated by the field, whichapplies to the supervisory as well as the counseling relationship

D. Seek help from a colleague when personal issues interfere with clinical and/or supervisory functioning


Evaluation of Counselors

8. A formative evaluation is a formal rating of the counselor's overall job performance, fitness for the job, and job rating.

A. True

B. False


Address Burnout and Compassion Fatigue

9. The clinical supervisor should normalize the counselor's reactions to stress and compassion fatigue in the workplace as a natural part of being an empathic and compassionate person rather than as an individual failing or pathology.

A. True

B. False


Methods of Observation

10. It is recommended that supervisors use direct observations of counselors because a counselor's report of a session will be affected by his or her:  

A. Experiences and values

B. Filters and perceptions

C. Biases and distortions

D. None of the above


Recorded Observation

11. Audio-taped supervision is the primary method of direct observation for supervisors in both the marriage and family therapy and social work fields.

A. True

B. False


Live Observation

12. Although live observation can be very effective, it can be time-consuming, intrusive, and anxiety-provoking for all involved.

A. True

B. False


Distinguishing Between Supervision and Therapy

13. The purpose of administrative supervision is to:

A. Ensure improved client care

B. Ensure compliance with agency and regulatory body's policies and procedures

C. Ensure adequate job performance

D. All of the above


14. Transference and countertransference may occur in the relationship between supervisee and supervisor, and may include:

A. The supervisee's idealization of the supervisor

B. Distorted reactions to the supervisor based on the supervisee's reaction to the power dynamics of the relationship

C. The supervisee's need for acceptance by or approval from an authority figure

D. All of the above


Balancing Clinical and Administrative Functions

15. When a clinical supervisor is also the administrative supervisor, it is important to delegate whenever possible and get input from others to be sure of objectivity and perspective.

A. True

B. False


Finding the Time to do Clinical Supervision

16. Peer supervision is a tutorial and mentoring relationship that includes a formal evaluation procedure.  

A. True

B. False


17. All counselors, regardless of years of experience or academic training, will receive at least _____________ of supervision for every 20-40 hours of clinical practice.

A. 2 hours

B. 90 minutes

C. 1 hour

D. 30 minutes


Structuring the Initial Supervision Session

18. It is important for supervisors to determine the knowledge and skills, learning style, and _________________ of their supervisee along with their motivation, self-awareness, and ability to function autonomously.  

A. Conceptual skills

B. Level of proficiency

C. Strengths and weaknesses

D. None of the above


Documentation for Administrative Purposes

19. One of the most important administrative tasks of a supervisor is that of documentation and record keeping, especially of clinical supervision sessions, as this is a crucial risk-management tool.

A. True

B. False


20. Each of the following should be included in records of supervision EXCEPT:

A. A brief summary of the supervisee's experience, training, and learning needs

B. Notations of all supervision sessions, including cases discussed and significant decisions made

C. Significant problems encountered in supervision and how they were resolved

D. Sensitive supervisee information reported during supervision


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