Chapter Seven Test Bank Questions
1. The first phase in the people-helping process is:
a. establishing the relationship
b. problem identification, assessment, and goal setting
c. planning of strategy and its implementation
d. evaluation and termination
2. Which of the following elements was not identified as essential in establishing the
therapeutic relationship?
a. personal warmth
b. empathy
c. clinical objectivity
d. acceptance
3. In discussing the nature of confidentiality with clients, it is important that:
a. the unconditional guarantee of confidentiality be communicated clearly.
b. statutory and logical limitations to confidentiality be understood by clients.
c. counselors promise to maintain all confidences, especially when working with
children.
d. essential that counselors not put undue pressure on clients to fully understand
such technical concepts.
4. Which of the following should be communicated to clients as part of gaining informed
consent?
a. policies regarding no-shows and cancelled appointments
b. potential risks and side effects of the counseling process
c. information about the expected number of sessions necessary for goal attainment
d. all of the above
5. Regarding the provision of information to clients regarding the qualifications of the
counselor, mental health professionals are advised to:
a. avoid such displays of professional arrogance.
b. describe one’s degrees and licenses only.
c. inform clients of the professional background that qualifies the counselor to treat
the presenting condition
d. present an Self-Disclosure Statement.
e. both (c) and (d)
6. In addition to gathering information, being able to identify the presenting problem also
allows counselors to:
a. Conceptualize clients and their presenting problem in the ecological context
b. Consolidate the problem
c. Understand how the presenting problem only impacts the client
d. All of the above
7. Which of the following provides the counselor with an accurate evaluation of the client’s
level of psychological functioning at a specific point in time?
a. psychosocial history
b. mental status exam
c. projective tests
d. systems analysis
8. The outward expression of one’s emotional state is referred to as:
a. affect
b. mood
c. feeling state
d. state of consciousness
9. The professional literature of counseling uniformly supports the practice of diagnosing by
counseling professionals.
a. true
b. false
10. 95% of professionals across the world use the International Classification of Diseases
a. True
b. False
11. The most widely diagnostic system used worldwide for classifying mental disorders is
the:
a. ICD-10
b. DSM-V
c. Dictionary of Emotional and Psychological Disorders, 14th edition
d. The Universal Catalogue of Diagnostic Terms – III
12. All mental illness diagnostics categories are listed in the ICD-10 under Section:
a. 312.00
b. F
c. MI/B
d. None of the above
13. Which of the following terms are no longer used as DSM-V diagnostic categories?
a. Mental retardation
b. Mood disorder
c. Borderline personality disorder
d. Schizophrenia
14. The DSM-V is a useful resource for all of the following except:
a. Finding data regarding the etiology of specific disorders
b. Making differential diagnoses
c. Developing detailed treatment plans
d. Identification of factors associated with specific forms of mental illness
15. The goal statement, “Joe will lose 20 pounds over the next 60 days” lacks a statement
regarding the:
a. specific behaviors that Joe is to do.
b. conditions in which the behavior is to occur.
c. direction the goal involves.
d. all of the above
e. (a) and (b) only
16. Taken together, the concise statement of presenting problems, identified goals, and
selected treatment strategies can be considered:
a. the professional disclosure statement.
b. key components of the therapeutic contract.
c. parts of the clinical record that should not be divulged to the clients.
d. too technical and potentially confusing for clients.
17. The most prevalent modality used for delivery of direct mental health services for
psychiatric treatment is:
a. individual counseling
b. group work
c. family therapy
d. consultation
18. Group experiences structured to teach knowledge and skills for the purposes of
remediation or prevention of mental illness is considered:
a. group counseling
b. group psychotherapy
c. work-related groups
d. psychoeducational groups
19. Family counseling sees the family unit:
a. as the most basic emotional unit.
b. as the most appropriate target for intervention.
c. the root cause of all forms of emotional distress.
d. all of the above
e. (a) and (b) only
20. Consultation typically involves ____ parties.
a. two
b. three
c. four
d. five
21. Often, counselors represent the interests of the client to third parties. This process an
example of:
a. case advocacy
b. class advocacy
c. unethical since it is clearly an inappropriate crossing of boundaries.
d. a form of countertransference.
22. Determining if clients are aware of who they are, what day/time it is, and where they are
is known as assessing:
a. content of thought
b. affect
c. orientation
d. perception
23. Goals statements should specify the level of performance to be present for the client to
conclude that counseling is no longer needed. Such information is referred to as the
_______ component.
a. direction
b. conditions
c. degree
d. quantity
Essay Questions
1. Identify a specific problem statement and, then, write a specific goal statement that would
serve as a suitable outcome. Be sure the goal statement contains the necessary components.
2. Identify and briefly describe the stages of people-helping process as identified in the text.
3. Describe the general process of consultation. What, specifically, are similarities and
differences between consultation and the process of counseling?
4. Identify and describe three forms of advocacy. Provide examples of how you might
integrate each type into your practice of mental health counseling.
5. What is a mental status exam? What purpose does it serve for mental health counselors?
Describe how you would go about conducting a mental status exam?
Test Bank Multiple Choice Answer Key