During a group session, one of the members states, 'Let's keep this discussion going so that everyone can participate, but let's keep the time each person speaks to about 3 minutes.' The leader interprets this member as acting in which role?

Correct Answer: B

Rationale: The correct answer is B: Gatekeeper. The member is facilitating the group by ensuring equal participation and time management. Gatekeepers help maintain communication flow and ensure everyone has a chance to speak. They focus on group dynamics and encourage participation without dominating the conversation. Group observer (A) mainly watches and records group interactions. Encouragers (C) provide support and positive feedback. Energizers (D) motivate and stimulate group energy but may not necessarily focus on time management.

Correct Answer: C

Rationale: The correct answer is C because the statement reflects persistent and severe somatic symptoms that are distressing to the client and significantly impact their daily life. This aligns with the criteria for complex somatic symptom disorder, which includes excessive thoughts, feelings, or behaviors related to somatic symptoms. Choices A, B, and D do not express the same level of distress, preoccupation, or impact on daily functioning as choice C, making them less indicative of complex somatic symptom disorder.

Correct Answer: B

Rationale: The correct answer is B: Gatekeeper. The member is facilitating the group by ensuring equal participation and time management. Gatekeepers help maintain communication flow and ensure everyone has a chance to speak. They focus on group dynamics and encourage participation without dominating the conversation. Group observer (A) mainly watches and records group interactions. Encouragers (C) provide support and positive feedback. Energizers (D) motivate and stimulate group energy but may not necessarily focus on time management.

Correct Answer: D

Rationale: The correct answer is D: Interpersonal psychotherapy. This therapy focuses on improving interpersonal relationships and communication skills to address emotional issues. In the scenario, the person sought help for feelings related to survivor's guilt, which falls under the scope of interpersonal psychotherapy. The counselor likely helped the person process emotions, improve coping strategies, and enhance social support. A: Systematic desensitization is used to treat phobias by gradually exposing the individual to the feared object or situation to reduce anxiety. B: Psychoanalysis involves exploring unconscious conflicts and childhood experiences over an extended period. C: Behavior modification focuses on changing specific behaviors through reinforcement and punishment techniques.

Correct Answer: C

Rationale: The correct answer is C: a combination of behavior therapy training that includes the child, the family, and the school. This is the most appropriate response because multisystemic treatment is a comprehensive approach involving various aspects of the adolescent's life. It targets behavior through therapy and involves not only the child but also the family and school to address underlying issues and promote positive change. Incorrect options: A: Immediate assessment for oppositional defiant disorder - This option focuses solely on a diagnosis and does not address the holistic approach of multisystemic treatment. B: Very upsetting, but just typical for teenagers - This option dismisses the seriousness of the situation and does not provide a constructive solution. D: A course of prescription medication - This option suggests a medical intervention, which is not typically the first-line approach for managing behavioral issues in adolescents.