Answer to Question 1
ANS: A, B, C
Rationale: Option A: Cognitive therapists are active rather than passive during therapy sessions
because they help clients reality test their thinking. Option B: Homework assignments are given and
are completed outside the therapy sessions. Homework is usually discussed at the next therapy
session. Option C: The goal of cognitive therapy is to assist the client in identifying inaccurate
cognitions and in reality testing and formulating new, accurate cognitions. Option D: The desired
outcome of cognitive therapy is to assist the client in increasing his or her objectivity, not
subjectivity, about the cognitions that influence behavior.
Answer to Question 2
ANS:
A, B, D
Rationale: Physical symptoms are seen as more acceptable in cultural groups in which
interdependence and harmony of the group are emphasized. Mental illness is often perceived as
reflecting a failure of the entire family. In groups in which mental illness is seen as a moral
weakness and both the individual and family are stigmatized, somatization of mental distress is
better accepted. In groups in which mind, body, and spirit are holistically perceived, somatization of
psychological distress is readily effected. Option C: Somatization is seen among clients with both
future and present orientation to time. Option E: Intergenerational conflict has not been noted as a
risk factor for somatization.
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