Simulation 3 Flashcards
(31 cards)
Mark, a 25-year-old Caucasian male, calls for an appointment without disclosing any specific concerns. He works for a barber and beauty supply business, and drives a local delivery route in and around the city in which he resides. He has been married for two years, and he and his wife have one newborn child.
Mark, a 25-year-old Caucasian male, calls for an appointment without disclosing any specific concerns. He works for a barber and beauty supply business, and drives a local delivery route in and around the city in which he resides. He has been married for two years, and he and his wife have one newborn child.
What is the primary concern of the client in the scenario?
The client is experiencing intrusive fantasies that disrupt his daily life and relationships.
What initial question is indicated as helpful for the client?
Can you tell me what’s on your mind?
This question is open and non-threatening, allowing the client to express concerns freely.
Which question is considered inappropriate to ask the client?
Shall we discuss my fee schedule?
This could be seen as disrespectful and may alienate the client.
What spatial arrangement is most useful for the client during an intake session?
The counselor and client seated at an angle from each other with nothing between them.
What is the indicated diagnosis for the client based on the symptoms presented?
Obsessive-Compulsive Disorder, unspecified (F42.9).
What are the characteristics of the client’s obsession?
- Recurrent and persistent thoughts
- Experienced as intrusive and inappropriate
- Causes marked anxiety or distress.
Which treatment approach is indicated for the client’s condition?
Provide cognitive-behavioral therapy.
What is a recommended adjunct to the treatment of Obsessive-Compulsive Disorder?
Refer the client for a medications evaluation.
What was the client’s method to cope with intrusive thoughts?
Putting his forehead to his palm and counting to 7.
What is the client’s fear regarding his job?
He fears losing his job due to missing deliveries.
What is the client’s primary emotion regarding his situation?
Embarrassment.
What is an inappropriate response to the client’s enrollment in a medication study?
Tell Mark that he needs to drop out of the study if he intends to continue working with you.
What is the ethical responsibility of the counselor regarding the client’s participation in the study?
Consult with the physician about Mark’s safety concerns in driving.
What is a potential outcome of the client being randomized into a placebo group?
The client may receive less than adequate available treatment.
What should be avoided when discussing the client’s concerns about seeing a counselor?
Presuming the client is worried about seeing the counselor.
What does the presence of diplomas and certification plaques suggest during the counseling session?
An attempt at professional dominance or an effort to cover professional insecurity.
What is the potential impact of the client’s fantasies on his personal life?
It has disrupted his relationship with his wife.
Which treatment modality has a poor track record for modifying OCD symptoms?
Engage the client in insight-oriented psychotherapy.
What is a key feature of the client’s compulsions?
The ritual of counting to 7.
What does ACA Code of Ethics Section D.1.b. state about counselors?
Counselors should work to develop and strengthen relationships with colleagues from other disciplines to best serve clients.
What is indicated by enrolling the client in the investigational study?
The client may be randomized into a placebo group, resulting in less than adequate treatment.
What concern must be addressed regarding the client’s driving safety?
The client’s fear for his driving safety when engaged in obsessive thoughts.
What does ACA Code of Ethics Section G.1.e. require from counselors?
Counselors must take reasonable precautions to avoid causing emotional, physical, or social harm to participants.
