Counseling Families, Diagnosis, & Advanced Concepts Flashcards Preview

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Flashcards in Counseling Families, Diagnosis, & Advanced Concepts Deck (17):
1

Which statement is true regarding Native American families?
a) They are a very diverse group as they belong to over 500 state-recognized tribes.
b) Extended family and the tribe are very significant.
c) A high percentage of children have been placed in foster care homes, residential facilities, or adoption homes that are non-Native American.
d) All of the above are true.

d) All of the above are true.

2

An important technique in structural family therapy is joining. Which statement most accurately depicts this intervention?
a) The therapist meets, greets, and attempts to bond with the family. The therapist will use language similar to that of the family and mimesis which means that he or she will mimic communication patterns.
b) The therapist is professional but distant.
c) The therapist joins the family and sympathizes with their difficulties.
d) Joining is used during the final session of therapy.

a) The therapist meets, greets, and attempts to bond with the family. The therapist will use language similar to that of the family and mimesis which means that he or she will mimic communication patterns.

3

Most experts predict that in the 21st century, theories of counseling and psychotherapy will:
a) becomes more integrative, since about 30 - 50% of all therapist say they are eclectic.
b) becomes more behavioralistic, since this is the approach that uses statistical outcomes.
c) become more Rogerian, since the world as a whole is becoming more humanistic.
d) not tolerate eclecticism, since it is not scientific.

a) becomes more integrative, since about 30 - 50% of all therapist say they are eclectic.

4

Most experts believe that the number of multi-generational families with a child, a parent, and a grandparent will:
a) decrease
b) increase
c) remain static
d) will continue to go up and down on a fairly regular basis.

b) increase

5

The agency you work for insist that you diagnose every client. Since this is in violation of the new ACA ethics this would qualify as "negative conditions." You could handle this by:
a) meeting with your supervisor and executive director of the agency and discussing other ways to secure funding that go beyond DSM reimbursement.
b) advocate for the client by explaining to the insurance company asking for the diagnosis that in some cases it is best that a diagnosis not be given. You could even teach the client to advocate for herself by having her inform the insurance company that a diagnosis might not be in her best interest.
c) show your supervisor, executive director, or insurance company/managed care firm the actual ACA Code of Ethics so they can see it in writing that the code stipulates that "Counselor may refrain from making and/or reporting a diagnosis if they believe it would cause harm."
d) all of the above.

d) all of the above.

6

A married couple brings their 2 children to counseling for behavioral problems. The 14-year old daughter stays out late and their 17-year old son is using drugs. According to most marriage and family therapist the identified patient would be:
a) the 17-year old son.
b) the 14-year old daughter.
c) the family.
d) both children.

c) the family.

7

Which statement is true of families?
a) the divorce rate has decreased markedly in the last several years.
b) remarriage today is uncommon.
c) remarriage today is common.
d) the divorce rate in the US hovers at about 10%.

c) remarriage today is common.

8

Which statement is true of African American families?
a) they are the largest minority in the US.
b) fewer African Americans are getting marries than at any time in history and out-of-wedlock births account for 2 out of 3 first births to African American women under the age of 35.
c) African American are less likely to be concerned about gender roles (e.g. men and women can cook meals or work outside of the home).
d) b and c.

d) b and c.

9

Career counselors refer to job shadowing and volunteering as activities, while reading the job hunting book What Color Is Your Parachute? would be:
a) non-interactive; interactive
b) interactive; non-interactive
c) interactive; interactive
d) noninteractive; noninteractive

b) interactive; non-interactive

10

A counseling agency decided to pay their employees once a week. The agency is using a:
a) fixed interval schedule of reinforcement
b) a variable interval schedule of reinforcement
c) a fixed ratio scheduled of reinforcement
d) a variable ration schedule of reinforcement

a) fixed interval schedule of reinforcement

11

"Sybil" was a famous client who had 15 personalities. At the time, Sybil was said to suffer from multiple personality disorder (MPD). Today her diagnosis would be:
a) disassociative identity disorder
b) a mood disorder
c) related to RS issues
d) a personality disorder

a) disassociative identity disorder

12

A counselor is seeing a client on a managed-care plan. Unfortunately, the client has used up her maximum number of sessions for the year. The counselor, however, the counselor's agency will not allow him to see her for any additional session. The best plan of action would be for the counselor to:
a) refer the client for continued counseling to a practitioner who will see the client whether or not she has managed-care benefits.
b) empathize with the client, but be sure to explain that she is catastrophizing (an irrational thought pattern delineated by Albert Ellis) and use REBT, a cognitive therapy, to help her cope with the fact that she cannot be seen again until next year.
c) threaten to sue the managed-care company, since this would be in violation of ethical care for the client.
d) see the client, but don't tell your supervisor. This is both legal and ethical.

a) refer the client for continued counseling to a practitioner who will see the client whether or not she has managed-care benefits.

13

A homosexual protest that he has been homosexual long enough and wants to lead a heterosexual lifestyle. He tells you that he wants a family and children. You should:
a) refer him to a psychiatrist as medicine is necessary
b) use dialectical behavior therapy (DBT)
c) bring in other members of his family since homosexuality has its roots in the family system.
d) explain that homosexuality is not a mental disorder that needs to be changed.

d) explain that homosexuality is not a mental disorder that needs to be changed.

14

The new ACA ethical requirement to have a transfer plan in writing would apply to:
a) a situation in which a counselor became disabled.
b) a situation in which a counselor died.
c) a situation where a counselor moved to another state.
d) all of the above.

d) all of the above.

15

You are counseling a 29-year old man in your private practice who is seeing a primary care physician (PCP) for severe headaches:
a) you are required to contact the PCP.
b) you are not required to contact the PCP; however, attempting to secure permission to do so from your client would be considered the ideal course of action.
c) the answer would be no for headaches, but yes if the client had visited the PCP regarding a mental health complaint.
d) yes, but only if the client is abusing a child or a senior citizen.

b) you are not required to contact the PCP; however, attempting to secure permission to do so from your client would be considered the ideal course of action.

16

As a private practice counselor your _____ would be most important in terms of filing claims:
a) graduate transcript.
b) undergraduate and graduate transcript.
c) NCC provider number.
d) NPI number

d) NPI number

17

You have impeccable training and experience as a counseling supervisor. Now your brother finishes his master's degree in counseling and wants you to supervise him. According to ACA ethics you should:
a) accept him as a supervisee since it will be beneficial to him.
b) co-supervise him with another colleague.
c) refer him to a trusted colleague trained in supervision who is willing to take your brother.
d) supervise him if it is for licensing, but not if it is for NCC.

c) refer him to a trusted colleague trained in supervision who is willing to take your brother.