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Page 1
Multiple Choice
1. Empathic confrontation is
a.
a direct challenge.
b.
a harsh action.
c.
going against the client.
d.
a gentle skill.
ANSWER:
d
POINTS:
1
REFERENCES:
Defining Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/2/2015 11:41 PM
DATE MODIFIED:
3/4/2015 6:56 AM
2. Most clients come to the interview feeling
a.
b.
c.
d.
ANSWER:
d
POINTS:
1
REFERENCES:
Defining Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/2/2015 11:44 PM
DATE MODIFIED:
3/4/2015 6:56 AM
3. Confrontation is a combination of skills.
a.
True
b.
False
ANSWER:
a
POINTS:
1
REFERENCES:
Defining the Basic Skills of Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/2/2015 11:46 PM
DATE MODIFIED:
3/4/2015 6:56 AM
4. Empathic confrontation is divided into ____ steps
a.
1
b.
2
c.
3
d.
4
ANSWER:
c
POINTS:
1
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Page 2
REFERENCES:
Defining the Basic Skills of Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/2/2015 11:48 PM
DATE MODIFIED:
3/4/2015 6:56 AM
5. Incongruities and discrepancies of the interviewee to be identified include all but one of the following:
a.
between two statements
b.
between statements and nonverbal behavior
c.
between the influencing skill used by the interviewer and the interviewee response
d.
between what one says and what one does
ANSWER:
c
POINTS:
1
REFERENCES:
Defining the Basic Skills of Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/2/2015 11:50 PM
DATE MODIFIED:
3/4/2015 6:56 AM
6. Which of the following is correct regarding the sequence of the steps of empathic confrontation?
a.
listening and observing; providing feedback on internal and external conflict; evaluating how the client
received the confrontation
b.
providing feedback on internal and external conflict; listening and observing; evaluating whether it led to
change
c.
listening and observing; evaluating how the client received the confrontation; providing feedback on internal
and external conflict
d.
all of these
ANSWER:
a
POINTS:
1
REFERENCES:
Discerning the Basic Skills of Empathic Confrontation;
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/2/2015 11:53 PM
DATE MODIFIED:
3/4/2015 6:56 AM
7. Which of the following steps of empathic confrontation includes the Confrontation Client Change Scale (CCS)?
a.
listening and observing
b.
providing feedback on internal and external conflict
c.
evaluating how the client received the confrontation and whether it led to change
d.
all of these
ANSWER:
c
POINTS:
1
REFERENCES:
Discerning the Basic Skills of Empathic Confrontation;
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/3/2015 12:01 AM
a.
denial
b.
partial examination
c.
full examination, no change
d.
development of new constructs, patterns, or behaviors
ANSWER:
c
POINTS:
1
REFERENCES:
Discerning the Basic Skills of Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
PREFACE NAME:
DATE CREATED:
3/3/2015 12:13 AM
DATE MODIFIED:
3/4/2015 6:56 AM
a.
b.
partial examination
c.
decision to live with incongruity
d.
development of new constructs, patterns, or behaviors
ANSWER:
a
POINTS:
DATE MODIFIED:
3/4/2015 6:56 AM
8. The first step in empathic confrontation is
a.
identifying a contradiction or discrepancy.
b.
asking questions to clarify discrepancies.
c.
checking out incongruity.
d.
establishing rapport.
ANSWER:
a
POINTS:
1
REFERENCES:
Discerning the Basic Skills of Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/3/2015 12:04 AM
DATE MODIFIED:
3/4/2015 6:56 AM
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Page 4
REFERENCES:
Discerning the Basic Skills of Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
PREFACE NAME:
Narrative
DATE CREATED:
3/3/2015 12:50 AM
DATE MODIFIED:
3/4/2015 6:56 AM
11. “I think I see what you’re saying. There is a big incongruity there. I want to stop, but I was abused and hit by my
parents. I think I’m doing better than they did—at least I don’t strike Amie. But perhaps I can do something different next
week. I’ll try your new idea about disciplining her.”
a.
partial examination
b.
full examination, no change
c.
decision to live with incongruity
d.
development of new constructs, patterns, or behaviors
ANSWER:
d
POINTS:
1
REFERENCES:
Discerning the Basic Skills of Empathic Confrontation;
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
PREFACE NAME:
Narrative
DATE CREATED:
3/3/2015 12:54 AM
DATE MODIFIED:
3/4/2015 6:56 AM
12. “Yes, I do love her. I care for her very much. She is extremely important to me. We do everything together. We really
do so many things that work out OK.”
a.
denial
b.
partial examination
c.
full examination, no change
d.
decision to live with incongruity
ANSWER:
b
POINTS:
1
REFERENCES:
Discerning the Basic Skills of Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
PREFACE NAME:
Narrative
DATE CREATED:
3/3/2015 12:57 AM
DATE MODIFIED:
3/4/2015 6:56 AM
13. “I heard what you are saying. I want to change, but right at the moment I just can’t do what I want. I tried last week; it
didn’t work. The divorce is getting to me. I’ll do the best I can to change, but it is so hard.”
a.
partial examination
b.
full examination, no change
c.
decision to live with incongruity
d.
development of new larger and more inclusive constructs, patterns, behaviors
ANSWER:
c
POINTS:
1
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Page 5
REFERENCES:
Discerning the Basic Skills of Empathic Confrontation
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
PREFACE NAME:
Narrative
DATE CREATED:
3/3/2015 1:10 AM
DATE MODIFIED:
3/4/2015 6:56 AM
14. Nonempathic confrontation includes
a.
coercive confrontation.
b.
aggressive confrontation.
c.
challenging the client too quickly.
d.
All of these.
ANSWER:
d
POINTS:
1
REFERENCES:
Refining: Nonempathic Confrontation, Dealing with Resistance, Multicultural Issues, and Working
with Groups
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/3/2015 1:17 AM
DATE MODIFIED:
3/4/2015 6:56 AM
15. Telling the client what the issue is and how to resolve it is an effective counseling method.
a.
True
b.
False
ANSWER:
b
POINTS:
1
REFERENCES:
Refining: Nonempathic Confrontation, Dealing with Resistance, Multicultural Issues, and Working
with Groups
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/3/2015 1:51 AM
DATE MODIFIED:
3/4/2015 6:56 AM
16. Which of the following is a behavior to avoid in interviewing and counseling?
a.
blaming
b.
assuming
c.
pushing
d.
All of these
ANSWER:
d
POINTS:
1
REFERENCES:
Refining: Nonempathic Confrontation, Dealing with Resistance, Multicultural Issues, and Working
with Groups
QUESTION TYPE:
Multiple Choice
HAS VARIABLES:
False
DATE CREATED:
3/3/2015 1:56 AM
DATE MODIFIED:
3/4/2015 6:56 AM
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Page 6
Essay
17. A client comes to you saying the following: “”I have no problems in stopping smoking; I’ve stopped ten times in the
last year.” a. identify the incongruity in the statement; b. write an empathic confrontation, which you might say to the
client, including the important check-out; c. follow this by writing client statements that would represent denial, partial
examination, full examination, decision to live with the incongruity, and the development of new patterns, constructs, or
behaviors.
ANSWER:
Answers Vary
POINTS:
1
QUESTION TYPE:
Essay
HAS VARIABLES:
False
STUDENT ENTRY MODE:
Basic
DATE CREATED:
3/3/2015 2:05 AM
DATE MODIFIED:
3/4/2015 6:56 AM
18. Mediation and conflict resolution combine the five stages of the interview and empathic confrontation. Imagine you
are working with a couple arguing over child custody. How could you use the mediation model to assist in this process?
ANSWER:
Answers Vary
POINTS:
1
QUESTION TYPE:
Essay
HAS VARIABLES:
False
STUDENT ENTRY MODE:
Basic
DATE CREATED:
3/3/2015 2:08 AM
DATE MODIFIED:
3/4/2015 6:56 AM
19. Mediation may be used with children who are in conflict. Discuss how the five-stage model of the interview and
mediation and empathic confrontation may be combined to assist in conflict resolution.
ANSWER:
Answers Vary
POINTS:
1
QUESTION TYPE:
Essay
HAS VARIABLES:
False
STUDENT ENTRY MODE:
Basic
DATE CREATED:
3/3/2015 2:12 AM
DATE MODIFIED:
3/4/2015 6:56 AM
20. Discuss some of the key multicultural issues in the use of empathic confrontation.
ANSWER:
Answers Vary
POINTS:
1
QUESTION TYPE:
Essay
HAS VARIABLES:
False
STUDENT ENTRY MODE:
Basic
DATE CREATED:
3/3/2015 2:14 AM
DATE MODIFIED:
3/4/2015 6:56 AM
21. Explain the different stages of change model and indicate how you would use this model to guide empathic
confrontation.
ANSWER:
Answers Vary
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Page 7
POINTS:
1
QUESTION TYPE:
Essay
HAS VARIABLES:
False
STUDENT ENTRY MODE:
Basic
DATE CREATED:
3/3/2015 2:15 AM
DATE MODIFIED:
3/4/2015 6:56 AM
Matching
Client Change Scale—Rater Training Examples
Imagine you are an interviewer or counselor working with an array of client problems. You make a statement or
have approached a case in a certain way. Then the client responds to you in one of five different ways:
Level 1. Denial. The client seems unable to accommodate new data from the counselor or therapist. The client
will fail to deal with the conflict or contradiction, makes an abrupt topic shift, or shows a clearly incorrect “off–
the-wall” response.
Level 2. Partial examination. The client deals with only a portion of the issue or counselor’s statement. The
client may over-generalize, delete, or distort what has been said, but not as seriously as in Level 1. You may
find irrational ideas and some blindness to problems.
Level 3. Acceptance and recognition, but no change. The client recognizes the situation as it is, and the client’s
comment, feeling, or thought seems close to that presented by the therapist, but nothing new is added by the
client. This level characterizes homeostasis or no change. Score as Level 3 if the client tends to describe a
situation, event, or self-picture fairly clearly but tends to leave it there.
Level 4. Generation of a new solution. In response to the counselor, the client moves to the creation of
something new. The client has added something that was not there before. At times, the underlying conflict may
remain—acceptance of insoluble problems begins here.
Level 5. Development of new, larger, and more inclusive constructs, patterns, or behavior—transcendence. The
client has arrived at a new synthesis, a new way of thinking, behaving, or feeling. These are relatively rare
moments in counseling and therapy and may represent the development of useful or important insights, the
ability to engage in a truly new way of behaving, the generation of a new ability to engage emotionally.
You will now be given a variety of counselor-client situations. The possible client responses are in random
order. Please match each client response to one of the five levels of the Client Change Scale (CCS).
Instructions: Read the following counselor-client situation and classify the following Client responses to the
appropriate level of the Client Change Scale (CSS).
Career Choice
Counselor: (To student who was referred by his engineering professor for failing grades.) John, we’ve gone
through the tests and reviewed your work history. Given all the information we’ve come up with, how do you
put it together?
a.
Level 1
b.
Level 2
c.
Level 3
d.
Level 4
e.
Level 5
QUESTION TYPE:
Matching
HAS VARIABLES:
False
PREFACE NAME:
Rater Training
DATE CREATED:
3/4/2015 4:38 AM
DATE MODIFIED:
3/4/2015 6:56 AM
QUESTION TYPE:
Matching
HAS VARIABLES:
False
PREFACE NAME:
Rater Training
DATE CREATED:
3/4/2015 4:18 AM
DATE MODIFIED:
3/4/2015 6:56 AM
22. Well, I see the results. They seem to be saying that I don’t look like an engineer and that I appear more like a
journalist or English major. And, it’s true that I haven’t done too well in math and that English courses have
given me my best grades.
ANSWER:
c
POINTS:
1
23. The tests don’t seem to make much sense. I’m going to work harder. I can’t see why they referred me here
anyway.
ANSWER:
a
POINTS:
1
24. It makes sense; I did enjoy the English courses. I guess it’s time to give myself a chance to do what I want.
My Dad wanted me to be an engineer like him. I’ve always tried to please him too much.
ANSWER:
d
POINTS:
1
25. I don’t know. Engineers make the best salaries. It’s really important that I do what Dad wants.
ANSWER:
b
POINTS:
1
26. That settles it. I’ve given Dad’s idea a good try, but I haven’t done well and I really like English better. I am
going to do what I want and what makes sense for me. I’m going to change my major.
ANSWER:
e
POINTS:
1
QUESTION TYPE:
Matching
HAS VARIABLES:
False
PREFACE NAME:
DATE MODIFIED:
32. It’s so hard for me all the time, but it’s hard for the family too. Sometimes I just cry. But lately, I find that if
I focus on the positives available to me still, I gain some peace.
ANSWER:
d
POINTS:
1
33. There really isn’t any problem. I’m sure it’s an error on the X-ray. It can’t be correct.
ANSWER:
POINTS:
1
27. I wasn’t able to get up in the morning, yet I couldn’t sleep at night, and I have all these awful thoughts. I
know I scared Mom.
ANSWER:
c
POINTS:
1
28. (Tears—no response.)
ANSWER:
a
POINTS:
1
29. I guess Mom just wanted to get rid of me.
ANSWER:
b
POINTS:
1
30. Well, when I came here I was pretty depressed and Mom was worried. But now I’m doing better. Last night
I slept through the whole night for the first time.
ANSWER:
d
POINTS:
1
31. Extreme depression—I was immobilized. Small wonder Mom brought me in. I know now that I can’t stay
home all the time and do nothing. I’m going to start getting out and being more active.
ANSWER:
e
POINTS:
1
QUESTION TYPE:
Matching
HAS VARIABLES:
False
PREFACE NAME:
DATE CREATED:
DATE MODIFIED:
ANSWER:
a
POINTS:
1
ANSWER:
c
POINTS:
1
ANSWER:
e
POINTS:
1
ANSWER:
b
POINTS:
1
34. Why me? What happened? (With anger.) It isn’t fair.
ANSWER:
b
POINTS:
1
35. I’ve been spending my time working with a cancer support group. I want to help others face this—somehow
fighting and working with others to the end makes it seem easier.
ANSWER:
e
POINTS:
1
36. I accept it. I’ve had a good life, with my share of problems for sure. Sure I don’t like it, but there’s nothing I
can do.
ANSWER:
c
POINTS:
1
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Page 11
41. Dammit, I did it again! I’m beginning to think I’m afraid to allow myself to really feel.
ANSWER:
d
POINTS:
1