Final Exam Flashcards

1
Q

“How does it feel, being a woman, to talk to me about this issue, as I am a man?” Discussing this issue is part of the ethical area of:

A)
social justice.

B)
informed consent.

C)
competence (boundaries).

D)
power.

A

D)

power.

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2
Q

Which of the following is seen as the most basic emotion?

A)
surprise

B)
anger

C)
disgust

D)
fear

A

D)

fear

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3
Q

Which of the following is NOT true regarding a strength-based wellness model?

A)
The model emphasizes the individual origin of symptoms.

B)
The model leads to a more egalitarian and empathic relationship in the counseling.

C)
The model places the client in the role of an active and engaged agent.

D)
The model builds on the client’s strengths and assets.

A

A)

The model emphasizes the individual origin of symptoms.

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4
Q

When you observe and practice ethically and follow professional standards, you can anticipate:

A)
negative issues of social justice because justice is blind.

B)
the client will recognize your power position within the relationship.

C)
increased client trust and understanding of the interview process.

D)
more liability in your practice.

A

C)

increased client trust and understanding of the interview process.

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5
Q

Which one of the following wellness dimensions or elements are you trying to assess when you ask, “Can you understand and support another’s emotional experience and become attuned to the way this person experiences the world?”

A)
The coping self

B)
The essential self

C)
The creative self

D)
The physical self

A

C)

The creative self

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6
Q

Nonattention is:

A)
not a valid skill for the interviewer.

B)
avoided by effective interviewers.

C)
rude behavior for the interviewer.

D)
useful in shifting clients away from negative topics.

A

D)

useful in shifting clients away from negative topics.

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7
Q

Which of the following focuses is NOT an attending skill?

A)
Visual/eye contact

B)
Verbal tracking

C)
Vocal quality

D)
Emotional intelligence

A

D)

Emotional intelligence

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8
Q

Mirror neurons:

A)
fire up when clients look at themselves.

B)
fire up when clients observe actions by others.

C)
guide clients’ grooming behavior.

D)
fire up when clients look into a mirror.

A

B)

fire up when clients observe actions by others.

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9
Q

Which cultural groups are most likely to reject direct eye contact, particularly if coming from a traditional background?

A) 	
White middle-class and Latina/Latino clients

B)
African-American women and White children

C)
Native American and Latina/Latino clients

D)
None of the above

A

C)

Native American and Latina/Latino clients

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10
Q

Empathy is often defined as:
A)
the same as sympathy.

B)
being kind to the client when he/she is troubled.

C)
experiencing the world as if you were the client.

D)
comforting the client through difficult emotions.

A

C)

experiencing the world as if you were the client.

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11
Q

Open questions ________, and closed questions ________.

A)
bring out specifics; encourage others to talk

B)
focus the interview; provide maximum information

C)
encourage others to talk; bring out specifics

D)
can be answered with few words; cannot be answered with few words

A

C)

encourage others to talk; bring out specifics

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12
Q

Which of the following is NOT one of the several major issues around questions, discussed in the book?

A)
Open questions help elaborate and enrich the client’s story.

B)
Questions are critical in assessment.

C)
Questions promote trust in cross-cultural situations.

D)
Questions help begin the interview.

A

C)

Questions promote trust in cross-cultural situations.

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13
Q

Too many questions together give too much control to the interviewer and can put the client on the defensive. This is known as ________.

A)
questions as statements

B)
bombardment / grilling

C)
asset questioning

D)
excessive questioning

A

B)

bombardment / grilling

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14
Q

A positive asset search can be performed through questioning. The asset search enables clients to ________.

A)
ignore really difficult problems

B)
search for times when their problem does not occur

C)
find positive strengths through family and cultural context

D)
search for times when their problem does not occur and find positive strengths through family and cultural context

A

D)

search for times when their problem does not occur and find positive strengths through family and cultural context

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15
Q

When you use closed questions effectively as an interviewer, you can predict the client will:

A)
become more talkative and expressive.

B)
give more specific information but may close his or her talk.

C)
pay more attention to interviewer instructions.

D)
often become very defensive.

A

B)

give more specific information but may close his or her talk.

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16
Q

The basic listening sequence consists of which skills?

A)
attending behavior, listening skills, and self-disclosure

B)
questions, encouragers, paraphrases, reflection of feeling, and summarizations

C)
open questions, closed questions, attending behavior, check-out

D)
verbal underlining, attending behavior, and influencing skills

A

B)

questions, encouragers, paraphrases, reflection of feeling, and summarizations

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17
Q

“Patricia, what is your concern?” Identify the stage from the five-stage dimensions of the interview where an interviewer would most likely use this statement.

A)
Stage 2: Story and Strengths - Gather Data

B)
Stage 3: Goals - Mutual goal setting

C)
Stage 4: Restory - Working

D)
Stage 1: Empathic relationship - Initiate the Session

A

A)

Stage 2: Story and Strengths - Gather Data

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18
Q

Without a follow-up plan, clients often:

A)
become creative and resourceful.

B)
take responsibility of their actions.

C)
fail to do what was decided.

D)
feel anxious.

A

C)

fail to do what was decided.

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19
Q

Which of the following is NOT one of the steps in Benjamin Franklin’s problem-solving model?

A)
Identify the problem

B)
Decide what action to take

C)
Establish a relationship

D)
Generate alternatives

A

C)

Establish a relationship

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20
Q

“Robert, describe an ideal solution.” Identify the stage from the five-stage counseling model where an interviewer would most likely use this statement.

A)
Stage 1: Empathic relationship - Initiating the session

B)
Stage 2: Story and Strengths - Gathering data

C)
Stage 3: Goals - Mutual goal setting

D)
Stage 4: Restory - Working

A

C)

Stage 3: Goals - Mutual goal setting

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21
Q

The maintaining change worksheet helps the client plan to:

A)
maintain current behavior.

B)
avoid slips into old behavior.

C)
prevent current abnormal behavior.

D)
resolve reason for consultation.

A

B)

avoid slips into old behavior.

22
Q

The five stages of the client interview and all problem-solving systems are based on both ____ and ____.

A)
Frank Parsons’ original decisional model; trait-and-factor theory

B)
the “1-2-3” influencing model; Benjamin Franklin’s original decisional model

C)
trait-and-factor theory; the “1-2-3” influencing model

D)
Benjamin Franklin’s original decisional model; trait-and-factor theory

A

D)

Benjamin Franklin’s original decisional model; trait-and-factor theory

23
Q

All your clients like to be listened to accurately. If your client is culturally different from you, it may be more difficult for the client to trust you to hear him or her correctly. Which of the following would NOT be helpful to establish the necessary trust?

A)
Accurately following the specified treatment plan designated for your client’s observed ethnic group.

B)
Enjoying yourself at cultural celebrations.

C)
Appropriate interviewer disclosure and an explanation of your methods.

D)
Learning the political / power structure of the client’s community.

A

A)
Accurately following the specified treatment plan designated for your client’s observed ethnic group.

B)
Enjoying yourself at cultural celebrations.

24
Q

Counseling children requires ______________.

A)
more extensive use of questions than with adults

B)
avoiding the repetition of paraphrasing

C)
using more concrete language

D)
summarizing constantly what the child is saying

A

C)
using more concrete language

D)
summarizing constantly what the child is saying

25
Q

Which of the following lists the four dimensions of an accurate paraphrase?

A)
Sentence stem, key words, essence of what the client has said, and a check-out

B)
Key words, mirroring client body language, quoting the client, and a closing

C)
Sentence stem, reflection of feeling, a closing, and a check-out

D)
Key words, essence of the client’s story, reflection of feeling and a closing

A

A)

Sentence stem, key words, essence of what the client has said, and a check-out

26
Q

Observation is:

A)
secondary to attending and questioning skills.

B)
vital to establishing a helping relationship.

C)
less important when you videotape interview sessions.

D)
focusing only on your client’s speech in the interview.

A

B)

vital to establishing a helping relationship.

27
Q

When the client and the interviewer are communicating well, they “mirror” each other’s body language. This is known as ____.

A)
none of these types of movement

B)
movement dissynchrony

C)
movement synchrony

D)
movement complementarity

A

D)

movement complementarity

28
Q

What is acculturation?

A)
The degree to which a person adopts the standard way of behaving in a given culture.

B)
The process of growth experienced by the client during helping sessions.

C)
none of the above

D)
Accurately identifying the ethnic background of a given client.

A

A)

The degree to which a person adopts the standard way of behaving in a given culture.

29
Q

Which of the following statements represent a concrete client statement?

“I feel mixed-up and confused.”

“Why did this happen to me?”

“I went to a movie last night, we walked in and I saw my friend Jim. Then we bought popcorn and we sat down.”

“My lover is mean to me.”

A

“I feel mixed-up and confused.”

30
Q

The client is smiling, but his/her knuckles are white from clinched fists. This is an example of a ____.

A)
discrepancy in nonverbal behaviors

B)
discrepancy between what one says and what one does

C)
discrepancy in verbal statements

D)
discrepancy between statements and verbal behavior

A

D)

discrepancy between statements and verbal behavior

31
Q

There is a distinctive difference between paraphrasing and reflection of feeling. Paraphrase focuses on ________ and reflection of feeling is concerned with ________.

A)
emotion; content

B)
content; observations

C)
content; emotion

D)
observations; emotion

A

C)

content; emotion

32
Q

The following primary emotions, in terms of facial expression and language, have been validated throughout the world in all cultures. These primary emotions are ________.

A)
sad, mad, glad, surprised, contempt, and scared

B)
happy, joyous, excited, nervous, contempt, and surprised

C)
mad, annoyed, angry, contempt, surprised, and furious

D)
surprised, disgusted, caring, guilt, obstinate, and contempt

A

A)

sad, mad, glad, surprised, contempt, and scared

33
Q

When a client feels anger, the ________ energizes the limbic HPA axis, and hormones lead to a faster heartbeat, higher blood pressure, breathing changes, and muscular tension.

A)
pituitary gland

B) TAP

C)
all of the above

D)
amygdala

A

D)

amygdala

34
Q

Josephine: I’ve been in this “home” for three years now. The staff doesn’t care, my family never comes, and the food is awful.

Which is the most appropriate reflection of her implicit feelings?

A)
“Josephine, you sound really frustrated!”

B)
“Josephine, you sound really angry. Is that close to what you are feeling?”

C)
“Josephine, I hear that you are frustrated. Underneath that, you sound lonely . . . and angry? Is that close to what you are feeling?”

D)
“Josephine, you are frustrated and angry. Is that close to what you are feeling?”

A

C)
“Josephine, I hear that you are frustrated. Underneath that, you sound lonely . . . and angry? Is that close to what you are feeling?”

35
Q

____________ clients may demonstrate a general tension and increased breathing rate, averted eyes or raised eyebrows, furrowed brow, biting the lips, crossed arms, or anxious playing with fingers.

A)
Mad

B)
Sad

C)
Scared

D)
Disgusted

A

C)

Scared

36
Q

Which one of the following examples is NOT an example of a counselor acting for social justice or as an advocate?

A)
A career counselor helps a 40-year-old business manager face a career change.

B)
A social worker helps an abused wife and her children obtain shelter.

C)
An elementary school counselor works with a child who is being bullied on the playground.

D)
A high-school counselor initiates school policies and awareness programs against oppression in the classroom.

A

A)

A career counselor helps a 40-year-old business manager face a career change.

37
Q

According to Ivey, consciousness represents the psychological present. What is the typical length of the psychological present?

A)
1 to 3 seconds

B)
10 to 75 milliseconds

C)
None of the above

D)
100 to 750 milliseconds

A

D)

100 to 750 milliseconds

38
Q

“Vanessa, we’ve been working together for two weeks. Today I’m glad you can openly express your feelings to me.” With this response, how is the interviewer trying to focus the client?

A)
Mutuality, immediacy, counselor

B)
Theme or issue focus

C)
Client focus

D)
Significant others

A

A)

Mutuality, immediacy, counselor

39
Q

A counselor is most likely looking for ________ and ________ when he or she suggests to the client that creating a community genogram may be helpful.

A)
“free-form” client activity; client creativity

B)
client developmental history; to identify client strengths

C)
community of origin; present community

D)
detail client strengths; detail client issues

A

B)

client developmental history; to identify client strengths

40
Q

A number of regions of the ________ are activated attentional task preparation and execution.

A)
right intuitive brain

B)
prefrontal cortex

C)
limbic system and the right intuitive brain

D)
limbic system

A

B)

prefrontal cortex

41
Q

The reality of the story is acknowledged during __________________ of the Client Change Scale (CCS).

A)
Level 1: Denial

B)
Level 4: Generation of a new solution

C)
Level 2: Partial examination

D)
Level 3: Acceptance and recognition, but no change

A

D)

Level 3: Acceptance and recognition, but no change

42
Q

Empathic confrontation is best described as _____________.

A)
all of the above

B)
a gentle, but firm, challenge

C)
direct eye contact and a clear voice

D)
identifying mixed messages

A

B)

a gentle, but firm, challenge

43
Q

Crisis counseling was developed:

A)
as person-centered theory gave little attention to action.

B)
as a way to help clients cope positively with life challenges in a short-time frame.

C)
all of the above.

D)
as assertiveness training is too behavioral and specific.

A

B)

as a way to help clients cope positively with life challenges in a short-time frame.

44
Q

A major assumption of ____ is that the client is competent and self-actualizing.

A)
brief counseling

B)
none of the above

C)
person-centered theory

D)
cognitive behavioral theory

A

C)

person-centered theory

45
Q

The first step in confrontation is:

A)
identifying a contradiction or discrepancy.

B)
confronting the client.

C)
establishing rapport.

D)
asking the client why he or she did it.

A

C)

establishing rapport.

46
Q

Which one of the following is an expected result when using reflection of meaning?

A)
The client will role-play personal stories and conflictive issues.

B)
The client will experience their thoughts more deeply.

C)
The client will analyze behavioural patterns.

D)
The client will discuss stories, issues, and concerns in more depth.

A

D)

The client will discuss stories, issues, and concerns in more depth.

47
Q

What, if any, is the difference between interpretation and reframe?

A)
There is no discernable difference.

B)
Interpretation reveals new ways of meaning making beneath client conversation; reframe defines a new frame of reference for considering issues.

C)
Both focus on providing new ways of thinking led by the client.

D)
Interpretation is new ways of thinking provided by the client; reframe is a new frame of reference provided by the interviewer.

A

B)
Interpretation reveals new ways of meaning making beneath client conversation; reframe defines a new frame of reference for considering issues.

48
Q

The process of discernment is ____.

A)
completely unrelated to the microskills

B)
another term to describe reflection of meaning

C)
a more systematic approach to finding meaning and purpose

D)
another term to describe interpretation / reframe

A

C)

a more systematic approach to finding meaning and purpose

49
Q

To “hyper-reflect,” one ____.

A)
thinks of negative meanings of events in one’s life and may overeat, drink to excess, or wallow in depression

B)
reflects on too many thoughts to the client’s detriment

C)
transcends suffering through thinking of positive aspects of life

D)
thinks carefully about many alternatives thus demonstrating intentionality

A

A)

thinks of negative meanings of events in one’s life and may overeat, drink to excess, or wallow in depression

50
Q

Which question is most likely to bring out underlying client meaning issues?

A)
“Could you share what sense you make of it?”

B)
“Could you tell me more?”

C)
“Could you explore that in more detail?”

D)
“Could you share some specifics of what occurred?”

A

A)

“Could you share what sense you make of it?”