According to the text, why are available mental health resources underused in some
communities?
a. People may be unaware of their existence.
b. People may feel a social stigma attached to seeking professional help.
c. People may perceive that these resources are not intended for them because the
services are administered in a culturally insensitive way.
d. People may harbor the attitude that they should be able to solve their own problems.
e. All of the above.
The importance of multicultural competence for group psychotherapists has emerged as
a(n)
A.option, but not a necessity.
B.ethical imperative.
C.lower priority than it used to be.
D.reason to extend training programs by an extra year.
Andy is in a grief group and seems ‘stuck” in his sorrow over the death of his father.
The leader realizes that Andy needs to work on this issue even though the group is
coming to a close. He believes that Andy could best benefit by a technique that will
allow him to openly express his emotions. In this case, the group leader should make an
ethical decision to:
A.introduce the technique even though there is no chance to process after group.
B.recognize the potential adverse effects of techniques used to elicit emotions and take
precautions to ensure that there is time to process.
C.persuade Andy to participate in the technique even if he seems reluctant, since it is
essential to express grief openly.
D.both a and c
Cultural issues affect which of the following aspects of the counseling process?
a. Only the initial interactions with clients when counselors need to assess how their
clients are similar to and different from them
b. All aspects of the counseling process
c. No aspects of the counseling process unless one is specifically practicing from a
multicultural framework.
d. Only the termination phase, since clients may approach endings in ways that are
consistent with their culture.
There are many advantages to the co-leader model for groups. All below are true
EXCEPT for which statement:
a. Co-leaders can complement and balance each other.
b. Co-leaders can share the responsibilities of group.
c. It is essential that co-leaders always share the same perceptions or interpretations.
d. The choice of a co-leader is crucial to effective group functioning.
Therapists who work with children and adolescents must:
a. often function as advocates for their under-age clients.
b. know the laws of their state.
c. struggle with dealing with confidentiality issues.
d. be willing to seek consultation in difficult ethical and legal situations.
e. all of the above
Which of the practitioners described below would not be an effective family therapist?
A.One who demonstrates acceptance, interest, and caring
B.One who works in patterns
C.One who downplays the influence of diversity
D.One who is assertive and confident
The following is true in regards to group ethics:
a. As a rule, group leaders should conduct only those types of groups for which they
have been trained.
b. The legal concept of privileged communication applies in group settings the same as
it applies to individual sessions.
c. Group leaders are not obliged to inform psychiatric hospital patients that they are
documenting group sessions.
d. Parents and guardians have the legal right to all communications that have occurred
in groups for minors.
Melanie is planning to meet with her new supervisee, John. With regard to informed
consent, she should
a. present informed consent material to John both orally and in writing.
b. ensure that John carries out with his clients an informed consent process prior to
beginning a counseling relationship.
c. be aware that informed consent applies only to the counselor/client relationship and
not the supervisor/supervisee relationship.
d. both a and b.
Transference is sometimes referred to as the “unreal” relationship in therapy. This
implies that:
a. transference is merely a figment in the client’s imagination.
b. clients project onto their therapists past feelings or attitudes they had toward
significant people in their lives.
c. therapy is an artificial relationship.
d. transference is not an important issue in therapy.
The term ____________________ is associated with a racial or ethnic group as well as
with gender, religion, economic status, nationality, physical capacity or handicap, or
sexual orientation.
a. culture
b. ethnicity
c. minority group
d. multicultural
e. ethnic-sensitive practice
The existing ethics codes of the various professional organizations:
a. do not sufficiently address the complexity of ethical issues consultants encounter.
b. provide clear directions for consultants.
c. address multicultural issues in consultation.
d. specifically state that consultants are expected to establish a written contract with
consultees prior to beginning consultation.
Marty believes that premarital sex is morally wrong. He has an agenda to convince his
single clients to avoid having sexual intercourse before they are married. This is
referred to as
a. value imposition
b. good sense
c. value exploration
d. duty to protect
Which of the following is NOT listed as a form of countertransference?
a. development of sexual or romantic feelings
b. being overprotective with clients
c. the need for constant reinforcement and approval
d. having genuine empathy for clients
e. compulsive advice giving
Group leaders need to attend to
A.their own individual development.
B.their development as a co-leading team.
C.the development of the group they are facilitating.
D.All of the choices.
Which of the following actions is inappropriate when a counselor thinks that he or she
is unqualified to work with a particular client?
a. avoid initiating the counseling relationship
b. terminate the relationship
c. suggest appropriate alternatives
d. provide a referral
e. continue to counsel the client if he or she does not want a referral
Jolene tells her counselor that she is depressed about the break-up of her relationship
and “just wishes she could go to sleep and never wake up.” In this case, the counselor
needs to:
A.immediately commit Jolene to a psychiatric facility.
B.assess if Jolene is suicidal and intervene if necessary.
C.recognize that her statement is only a “cry for help” and should not be taken
seriously.
D.see if there is any chance for reconciliation.
Practicing counseling without an explicit theoretical rationale is somewhat like
A.driving a car with a GPS device.
B.trying to sail a boat without a rudder.
C.flying a plane without a co-pilot.
D.taking a train ride.
The family systems perspective is grounded on the assumption that a client’s
problematic behavior may be:
a. an individual problem that needs to be resolved before the family can meet in a
group.
b. the issue that is keeping the family in crisis.
c. a symptom of dysfunctional patterns handed down across generations.
d. a result of the individual’s maladjustment and psychosocial development.
Informed consent of parents or guardians may not be legally required when a minor is
seeking counseling for:
a. dangerous drugs or narcotics.
b. sexually transmitted diseases.
c. pregnancy and birth control.
d. all of the above
The process of systemic change can be defined as
a. increasing personal awareness and making better choices for oneself.
b. increasing public awareness, affecting public policy, and influencing legislation.
c. an impossible and futile goal.
d. replacing one system or method with a new and improved system or method, which
is relatively easy to do.
Competence in working with couples and families only comes with
A.a graduate course in family systems therapy.
B.fully resolving one’s own family-of-origin issues.
C.years of training and supervision.
D.natural ability to think systemically.
A cross-cultural counselor who perceives reality exclusively through the filters of his or
her own life experiences is said to be culturally:
a. immersed.
b. ignorant.
c. encapsulated.
d. biased.
Laws regarding confidentiality in school counseling:
A.are exactly the same as laws regarding confidentiality in private practice settings.
B.require counselors to make their personal records available and disclose the substance
of confidential counseling sessions to parents.
C.a and b
D.None of the choices
Regarding counseling with children and adolescents, informed consent of parents or
guardians may not be legally required when a minor is seeking counseling for:
A.dangerous drugs or narcotics.
B.sexually transmitted diseases.
C.pregnancy and birth control.
D.All of the choices
Direct client services focus on:
a. outreach activities.
b. client advocacy.
c. consultation.
d. influencing policymakers.
Autonomyrefers to
A.the promotion of self-determination.
B.the freedom of clients to be self-governing within their social and cultural
framework.
C.the act of increasing client dependency.
D.both a and b.
Counselors who work with couples and families can practice more ethically if they are
aware of
a. the cultural history.
b. the effects of heterosexism.
c. the impact of gender stereotyping.
d. all of the above.
To the extent that counselors are focused on the values of ______________________
and ______________________ to variations among groups and individuals, they are at
risk for practicing unethically.
A.the dominant culture; insensitive
B.oppressed minority groups; sensitive
C.clients living alternative lifestyles; attuned
D.people of color; sensitive
What is/are the reason(s) for the underutilization of mental health services by minority
groups?
A.biased nature of the services
B.child care issues
C.transportation challenges
D.All of the choices
E.b and c