Ch10 Cengage

Question 1

Empathic confrontation is
A) a gentle skill that includes listening
B) seeking clarification by “going against” client ideas
C) a direct, harsh challenge guiding clients to face hard issues
D) the primary skill used by counselors

Answer 1

A

Question 2

Identify the step of empathic confrontation in which a counselor would most likely make this statement: “on the one hand…, and in the other hand…”
A) step2: point out and clarify issues of incongruity
B) step3: evaluate the change
C) step1: identify conflict
D) this statement is not included in supportive confrontation

Answer 2

A

Question 3

The client may distort his/her story and blame others unfairly in which level or the Client Change Scale (CCS)?
A) level 2: partial examination
B) level 1: denial
C) level 4: generation of a new solution
D) level 3: acceptance and recognition, but no change
E) level 5: development of a new, larger, and more inclusive constructs, patterns, or behaviors–transcendence

Answer 3

B

Question 4

Discrepancies internal to the client include
A) incongruities between two verbal statements
B) mixed messages observed in nonverbal client behavior
C) differences between what the client says and does
D) all of the above
E) none of the above

Answer 4

D

Question 5

Which word is NOT interchangeable with all the others? 
A) incongruity 
B) discrepancy 
C) observation 
D) conflict 
E) mixed messages

Answer 5

C

Question 6

As a result of effective and empathic confrontation, a counselor or therapist can expect that the client will
A) move to a more productive topic
B) come up with new ideas, thoughts, and feelings
C) resolve his or her issues
D) become angry

Answer 6

B

Question 7

A counselor may hear, “yes, I hurt, and perhaps I should be angry,” in which Legos the Client Change Scale (CCS)?
A) level 2: partial examination
B) level 1: denial
C) level 4: generation of new solution
D) level 3: acceptance and recognition, but no change
E) level 5: development of new, larger, and more inclusive constructs, patterns, or behaviors–transcendence

Answer 7

A

Question 8

Regarding discrepancies between you and your client, which of the following is NOT true?
A) it’s important to note your own or the client’s discomfort with possible differences

B) if you listen carefully, most discrepancies with your client will disappear

C) if you sense differences, you should support the client by listening

D) you should never hide differences you may have with your client

Answer 8

D

Question 9

Identify the step of empathic confrontation in which a counselor would most likely make this statement: “you really want to see him, but you’re a little bit anxious.”
A) step 3: evaluating change
B) step 2: pointing out issues of incongruity
C) step 1: identify conflict
D) this is not included in supportive confrontation

Answer 9

C

Question 10

Which one of the following is NOT a technique of empathic confrontation?
A) observe and note discrepancies and conflict
B) evaluate the client response and whether there is client change
C) feedback internal and external discrepancies to the client
D) match tonal quality with the client during the feedback of discrepancies
E) if the client does not change, try another skill

Answer 10

D

Question 11

I can’t have a heart attack. It will never happen to me. I need to eat real food.
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 11

D

Question 12

Oh I suppose I’m overweight, but if I cut down a bit on butter and perhaps no more milkshakes, I’ll be okay
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 12

C

Question 13

I guess j can see that I need to balance my diet, but the busy life I lead won’t really allow that to happen
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 13

E

Question 14

Now I’m able to cut out fats. At least that’s taken care of.
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 14

A

Question 15

I’ve completely changed my way of doing things. I eat right, no fat at all, I exercise, and I’m even getting to like relaxation and stress management
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 15

B

Question 16

Yes, I need a job plan. I can see now that this is necessary. I’ll write one and bring it in tomorrow.
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 16

E

Question 17

I feel committed. I’ve started to take action at home, work, and I’m really going to concentrate on a more active approach to this issue. It’s so important.
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 17

B

Question 18

I’ve started working with my family and children on being more tolerant, fair, and understanding of people different from us
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 18

A

Question 19

I don’t really believe there is such a thing as racism or sexism. It’s just people complaining.
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 19

D

Question 20

Well some people do discriminate, but I think that many people are just exaggerating
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 20

C

Question 21

There is a fair amount of prejudice, racism, and sexism everywhere
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 21

E

Question 22

I’ve got the job! The plan worked, and I interviewees well, and now I’m on my way
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 22

B

Question 23

The plan has been helpful. I think I see now how to interview more effectively and present myself better
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 23

A

Question 24

The teacher referred me to you. Everyone has to have a job plan, but I see no need to worry about it so much. I’ll be okay.
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 24

C

Question 25

Okay, I guess I see your point. I’ve been released from 2 work-study programs because I didn’t show up on time. But those were the bosses’ fault. They should have made what they wanted clearer.
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 25

D

Question 26

Counselor: so on the one hand your wife is working outside the home, but on the other hand you expect her to continue with all the housework too. This confrontation focused on
A) discrepancies between verbal and non verbal communication
B) discrepancies internal to the client
C) discrepancies between the client and the external world
D) discrepancies between counselor and client
E) discrepancies between what was said and what one does

Answer 26

C

Question 27

Client: you damn bet she’s expected to do what she’s always done–I’m not confused about that
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 27

D

Question 28

I see. You're not confused; you really don't like what's going on. Could you give me a specific example of what's happening--something that goes on between the 2 of you when you both get home? 
The counselor is seeking 
A) concreteness 
B) authenticity 
C) basic empathy 
D) immediacy 
E) attentive confrontation

Answer 28

A

Question 29

Client: yeah that’s right. I don’t like what’s been going on. Like last night, Sara was so tired that she didn’t get around to fixing dinner until a half hour later. I was hungry and tired. We had a big argument.
On the client change scale what level is the client at?
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 29

C

Question 30

Client: I guess I hadn’t thought of it they way before. If Sara is working she isn’t find to be physically able to do what she did. But where does this leave me?
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 30

E

Question 31

Client: uhh.. We need the money. We’ve missed the last car payment. It was my idea they Sara go to work. But hang housework “women’s work”?
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 31

E

Question 32

The interview ends here as the client is starting to understand. Change doesn’t occur rapidly. Which of the following would be a level 4 response on the client change scale?
A) I’m glad to report that this week, I actually did the dishes. And with all the new things I’m doing our relationship is better

B) I really understand her now

C) I guess I’m going to have to change and share some of the work

D) I’ll think about it

E) Sara has finally realized that she needs to accept her role

Answer 32

C

Question 33

Which of the following would be an indicator that the client has really started the change process at level 5?
A) I’m glad to report that this week, I actually did the dishes. And with all the new things I’m doing our relationship is better

B) I really understand her now

C) I guess I’m going to have to change and share some of the work

D) I’ll think about it

E) Sara has finally realized that she needs to accept her role

Answer 33

A

Question 34

Client: yes I’m angry and discouraged. Sara and I were doing pretty well until the babies came. Somehow things just got off kilter. We had fun times over the past 3 years. We both like the outdoors.
A) generation of a new solution
B) development of a new, larger, and more inclusive constructs, patterns, behaviors–transcendence
C) partial examination
D) denial
E) acceptance and recognition

Answer 34

E

Question 35

Client: (pause) well lately I’ve had a lot of pressure at work. I worry I’ll be next. When I get home I want to sit. Sara’s got the same thing. Her new boss just wants more. I guess when she gets home, she’s about exhausted as I am
A) discrepancies between verbal and non verbal communication
B) discrepancies internal to the client
C) discrepancies between the client and the external world
D) discrepancies between counselor and client
E) discrepancies between what was said and what one does

Answer 35

C

Question 36

Counselor: I see you both work all day and come home exhausted. Do you think Sara can when that hard and still take care of you like she used to?
The implicit confrontation here is:
A) on the one hand you are working hard, on the other hand, so is she

B) on the one hand Sara is working and is exhausted, on the other hand, you expect her to continue to take care of you

C) on the one hand I see what you are saying, but on the other, you need to consider the situation more broadly

D) focusing on discrepancies internal to the client

E) focusing on how dual career can make family life difficult

Answer 36

B