_______________ uses assessment to understand the client’s pattern of thinking and to
identify selfdefeating beliefs.
a. Feminist therapy
b. Cognitive-behavioral approaches
c. Behavior therapy
d. Systemic therapies
Which of the following is NOTidentified in the text as a guideline for counselors using
the telephone?
a. Exercise caution in discussing confidential or privileged information with anyone
over the telephone and especially when employing digital and mobile technologies.
b. Set firm boundaries with clients from the beginning and address matters such as
avoiding interruptions and privacy.
c. After addressing the ethical guidelines and ensuring absolute privacy, counselors may
speak to their clients as freely as they desire without fear that their conversations will be
used in legal proceedings.
d. Disclose the limits of confidentiality with clients if wireless telephones are used.
Kenneth is involved in a specialized professional process that involves sharing expertise
with others in the helping professions so they can better serve their own clients. He is
functioning in the role of a:
a. therapist.
b. consultant.
c. paraprofessional.
d. broker.
An African-American woman was interacting with her child in a domestic abuse shelter
when she is over-heard saying to her child, “Keep touching that and I’m going to whoop
you.” The social worker that heard this statement should:
a. immediately report the mother to Child Protective Services.
b. tell the mother that she will be evicted from the shelter if she continues to talk to her
child that way.
c. recognize that what constitutes abuse in one culture may not be viewed as abuse in
another culture and is not reportable until it is determined that the child is in danger.
d. remove the child from the mother’s care until the mother can learn how to talk to her
child with respect.
_____________ is critical to prevent potential problems in a professional program. If
properly informed about what a program entails, there is less chance students will have
a legitimate grievance over their rights being violated.
a. Trust
b. Self-disclosure
c. Informed consent
d. Acknowledging diversity
_______________includes factors such as culture, religion, race, ability, age, gender,
sexual orientation, education, and socioeconomic level.
a. Cultural empathy
b. Diversity
c. Stereotypes
d. Racism
Practitioners can help expand their awareness and clarify their values in dealing with
the challenges of their work through:
a. reading and reflecting on the standards.
b. meditation and relaxation.
c. years of experience.
d. reading self-help books.
Ethical guidelines regarding confidentiality require that counselors do NOT:
a. allow clerical assistants to handle confidential information.
b. use client records to consult with experts or peers.
c. use client case studies to teach or write books, even when their clients’ identities are
disguised.
d. disclose client information unless there is clear and imminent danger to the client or
others or when legal requirements demand that confidential information be revealed.
Ongoing self-care is an essential part of a therapist’s professional competence and:
a. legal requirements.
b. personal wellness program.
c. social justice.
d. client autonomy.
The clinical interview serves all of the following purposes EXCEPT:
a. providing information on a client’s presenting problems.
b. giving glimpses of historical factors that may be contributing to the client’s condition.
c. providing a framework for making a differential diagnosis to determine whether an
individual suffers from a particular mental disorder.
d. providing the actual outcome of treatment.
The authors of this text view referrals:
a. as the best option when they face a clash of values with their clients.
b. as a moral imperative.
c. as the last resort.
d. as a need for the therapeutic relationship.
________________is the failure to render professional services or to exercise the
degree of skill that is ordinarily expected of other professionals in a similar situation.
a. Risk management
b. Standard of care
c. Malpractice
d. Informed consent
Therapists who work with violent and suicidal clients:
a. are less likely to experience burnout or impairments.
b. will not feel the effects of stress if they do not experience countertransference.
c. are particularly vulnerable to stress.
d. are more likely to see a positive outcome in therapy.
Natalie is a marital therapist who believes that marriage is a sacred institution. She is
dedicated to preserving marital relationships whenever possible. She is working with a
couple who is attempting to resolve their problems even though they have also
considered the possibility of divorce. One could expect that she:
a. would set her values aside and work with any decision that her clients chose to make
about their marriage.
b. would place the primary focus on helping each person examine what is the best
course of action for themselves.
c. might let it be known that she believes in the preservation of marriage and would
urge the couple to work on their issues.
d. would consider divorce as a viable option if the couple is unhappy with their
relationship.
Counselors who have unresolved personal conflicts:
a. need to recognize that their problems may interfere with their effectiveness and
refrain from activities that would harm a client.
b. must resolve all their difficulties before counseling others.
c. are quite effective because they know how difficult it is to resolve problems.
d. need to repress anxiety-provoking issues in their own lives before becoming effective
counselors.
It is illegal and unethical for a therapist to disclose confidential information when:
a. the client consents to disclosure.
b. there is a duty to warn or to protect third parties.
c. an emergency exists.
d. an employer requests disclosure to determine the mental status of an employee
without their consent.
________________statutes determine and govern professional practice. a. Certification
b. Licensure
c. Registration
d. Accreditation
Mentors often balance a multiplicity of roles. Which of the following would NOT be
considered one of these roles?
a. Teacher and counselor
b. Role model
c. Guide and friend
d. Partner
Which of the following statements is most accurate?
a. Spirituality and religion tend to fluctuate in importance to Americans.
b. Freud believed that religious faith was important in the lives of his patients, which
stemmed from his own strong religious beliefs.
c. Counselors must understand their own spiritual/religious beliefs (or lack thereof) if
they hope to gain an in- depth appreciation of the beliefs of their clients.
d. When clients are searching for meaning in life, it is appropriate for therapists to
strongly suggest they seek religion as an answer.
The highest standards of thinking and a professional’s willingness to reflect on the
effects their interventions may have on the welfare of their clients describes what kind
of ethics?
a. Mandatory ethics
b. Principle ethics
c. Aspirational ethics
d. Positive ethics
_______________-is designed to encourage reporting of any suspected cases of child,
elder, or dependent adult abuse; thus, therapists are advised to err on the side of
reporting in uncertain circumstances.
a. Reportable abuse
b. Dependent abuse
c. Elder abuse
d. Mandatory reporting
Which of the following is a sex-biased response to problems presented in couples’
therapy?
a. Assuming that remaining married may not be the best choice for a woman
b. Demonstrating equal interest in both the woman’s career and the man’s career
c. Encouraging couples to accept the fact that child rearing is primarily the
responsibility of the mother
d. Having the same reaction to a woman’s extramarital affair as a man’s affair
When a counselor works in a managed care system, client’s goals need to be:
a. long-term and all encompassing.
b. aimed at character reconstruction.
c. geared toward the client gaining insight into his or her problems and movement
toward self-actualization.
d. highly specific, limited to reduction of problematic symptoms, and often aimed at
teaching coping skills.
Effective supervisors understand that:
a. the supervisory relationship is key to the effectiveness of supervision as well as to the
personal development of the supervisee.
b. supervision is not as important as people think. It is the supervisees’ past that makes
the difference.
c. supervisees may be nervous, but it is not their responsibility to help them work
through the nerves to become a better therapist.
d. they are competent to supervise trainees in all areas of counseling whether they have
experience or not.
An ethical issue arises when:
a. a new client temporarily experiences a period of dependence on the counselor.
b. counselors encourage clients to come up with solutions to problems with minimal
help from the counselor.
c. a client develops an unhealthy dependence on their counselor and the counselor deals
with it therapeutically, without blaming the client.
d. counselors encourage and promote dependence on the part of their clients.
It is an ethical, and sometimes legal, obligation of therapists to be mindful that a
medical evaluation is many times indicated. Which of the following is NOT a reason to
refer for a medical evaluation?
a. Dementia
b. Schizophrenia
c. Manic-depression
d. Marital discord
Which of the following statements is NOTaccurate?
a. Supervisors are ultimately responsible, both ethically and legally, for the actions of
their trainees.
b. Supervisors should not supervise more trainees than they can responsibly manage at
one time.
c. Supervisors are not expected to maintain records pertaining to their work with
supervisees.
d. It is essential that supervisors are familiar with the caseloads of their supervisees.
__________________extends the duty to warn in California to a foreseeable,
identifiable person who might be near the intended victim when the threat is carried out
and thus might also be in danger.
a. Bradley Center v. Wessner
b. Jablonski v. United States
c. Tarasoff v. University of California Board of Regents
d. Hedlund v. Superior Court
In the case of domestic violence, clinicians agree that conducting couples therapy while
there is ongoing domestic violence:
a. presents a potential danger to the abused and is unethical.
b. is a clinically sound idea.
c. is about as effective as conducting couples therapy when abuse is not occurring.
d. is illegal, but not unethical.
Which of the following is NOTincluded in the guidelines for competence in diversity
issues?
a. Group counselors strive to increase their awareness of their own multicultural
identity and how their race, ethnicity, socioeconomic class, migration status, ability,
age, gender identity and expression, sexual orientation, and religion and
spirituality are influenced by their life experiences and histories.
b. Group counselors are committed to acquiring specific knowledge and information
about the life experiences, cultural heritage, and sociopolitical background of group
members who have experienced violence, trauma, and any form of oppression.
c. Group counselors do not consider the impact of adverse social, environmental, and
political factors in assessing problems and designing interventions.
d. Group counselors increase their awareness of how myths, stereotypes, and
assumptions they learned by living in society influence their work in facilitating groups.
______________ views psychological and relational problems as arising from within
the individual’s present environment and the intergenerational family system.
a. Family consultation
b. Informed consent
c. A “no secrets” policy
d. Systems theory
Registry is generally a voluntary listing of individuals who use a title or provide a
service. _____________ represents the least degree of regulation of professional
practice.
a. Certification
b. Licensure
c. Registration
d. Accreditation