Helping Relationships NCE Practice Test

The main idea being tested is that Glasser’s approach, known as choice theory, holds that people are in control of their actions and can make choices that lead to a happier, more positive life. Reality Therapy aligns with this by focusing on taking responsibility for what a person does and guiding them to choose better actions to meet their needs.

In Reality Therapy, the emphasis is on present behavior and future plans rather than dwelling on the past. Therapists help clients identify what they want, assess what they are doing to get it, evaluate how effective those actions are, and formulate concrete plans to change behavior. This practical, choice-driven process embodies the belief that individuals can influence their happiness by choosing more effective ways to satisfy their needs (such as belonging, power, freedom, fun, and survival) within the constraints of reality.

Other approaches differ in focus. For example, Person-Centered Therapy centers on the therapeutic relationship and the client’s own inner capacity for growth, emphasizing unconditional positives and self-direction rather than a structured theory of choice and present-focused planning. Cognitive Behavioral Therapy concentrates on changing distorted thoughts to alter emotions and behaviors, rather than framing behavior as deliberate, choice-driven means to meet needs. Existential Therapy explores meaning, freedom, and authenticity, but it doesn’t anchor itself in Glasser’s specific theory of choice and responsibility for actions.

So the option that best fits Glasser’s framework is Reality Therapy.