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Sometimes, the initial level of intervention does not resolve a client's crisis. The effects
of the crisis can linger, and vestiges much be worked through. This is where
__________ becomes necessary.
a. first-order intervention
b. second-order intervention
c. psychological first aid
d. scientific intervention
Which of the following is a recommended suggestion for deriving the maximum benefit
from fieldwork and supervision?
a. Limit yourself to one kind of population in order to gain expertise in that area.
b. Try to make the agency fit your needs and expectations.
c. Recognize that your training has totally prepared you for the fieldwork experience.
d. Make connections in the community. Learn how to use community resources and
how to draw on support systems beyond the field placement site.
Which of the following statements is FALSE as it applies to managed care?
a. Managed care appears to be alive and well.
b. Managed care presents both ethical and legal issues for professional practice.
c. Practitioners employed by managed care units are exempt from malpractice suits if
clients claim that they did not receive the standard of care they required.
d. Because managed care providers take an active role in treatment planning, client
confidentiality is compromised.
The practice of bartering psychotherapy for either goods or services
a. is considered unethical by virtually all the ethical codes.
b. has the potential for conflicts.
c. is generally an illegal practice.
d. is always an attempt of the therapist to control the client.
Perhaps the most important type of self-disclosure is that which
a. focuses on the relationship between you and your client.
b. involves telling the client detailed stories about your personal past and present
problems.
c. concerns issues that you have effectively processed.
d. relate to the client's issues.
Which of the following is NOT a way to prevent malpractice suits?
a. Make use of informed-consent procedures.
b. Takevacation without providing coverage for emergencies.
c. Carefully document a client's treatment plan.
d. Do not barter services, except in cases where this is the cultural norm.
Yang, a Southeast Asian student, has come to the college counseling center to explore
career options. As the counselor presents career options, Yang makes little eye contact
and does not actively respond to the many alternatives placed before him. It is safe to
assume that Yang
a. is in disagreement with the manner in which the counselor is presenting optional
career choices.
b. does not understand what is being said since English is his second language.
c. is resistant to the ideas being presented.
d. may not be using direct eye contact because in his culture it is considered
disrespectful.
Helpers who participate in social and political activism are carrying out which of the
following roles?
a. Outreach
b. Client advocacy
c. Paraprofessional intervention
d. Preventive education
Today, helpers are encouraged to become_____ to reform social systems and ameliorate
unnecessary suffering.
a. political candidates
b. environmental change agents
c. environmental activists
d. political activists
__________ is a collaborative effort that is part of the interaction between client and
helper and is a process that beginswith the initial sessions and continues until the
professional relationship ends.
a. Diagnosis
b. Brief interventions
c. Assessment
d. An investigation
Lois, a first-year intern, is assigned the case of a male client who discloses that he is
confused about his sexuality and is plagued with feelings of guilt because his wife of 10
years has no idea about his confusion. He reveals that he is tempted to be unfaithful to
his wife in order to explore his sexuality. Overwhelmed and uncomfortable, Lois truly
does not know how to proceed. It would be best if Lois would
a. remain non-judgmental and deny her discomfort.
b. share her negative reactions about homosexuality and attempt to persuade the client
to reconsider his options.
c. meet with the client's wife to let her know what is going on.
d. let the client know that she is very new in this work, is uncertain about how to
proceed, and would like to either work with him under close supervision, or refer him to
another counselor.
Simply having feelings toward a client
a. automatically means that the helper is having countertransference reactions.
b. may be an indicator that the helper is feeling deep empathy and compassion for the
client.
c. indicates that a referral may be in order.
d. is dysfunctional and creates problems in the counseling process that need to be
addressed.
__________ can be evoked by the helper's reactions to highly charged political issues.
a. Resistance
b. Self-doubt
c. Political transference
d. Political countertransference
Codes of ethics deal _____with setting appropriate boundaries, recognizing potential
conflicts of interest, and taking steps to manage multiple relationships.
a. specifically and extensively
b. minimally and ineffectively
c. increasingly, but insufficiently
d. unrealistically
Dual/multiple relationships are generally discouraged because
a. these relationships are also illegal.
b. such relationships always impair professional judgment.
c. there is a danger of exploiting the client.
d. clients often misuse their power in the transference relationship.
__________ can be operationally defined as the working alliance between counselor
and client that takes the personal dynamics of the counselor and client into
consideration alongside the dynamics of the cultures of both of those individuals.
a. Multicultural counseling
b. Diversity
c. Political countertransference
d. Cultural tunnel vision
Under managed care programs, termination of therapy is generally the result of
a. company policy.
b. the client's decision.
c. the professional judgment of the therapist.
d. a collaborative process between the therapist and client.
What is an accepted ethical guideline in terms of having social and personal
relationships with clients?
a. Therapists are advised to avoid dual relationships when harmful to the client;
however, certain multiple relationshipscan not be avoided.
b. Friendships with clients always have positive results in counseling.
c. Counseling a friend is beneficial to both people involved.
d. Any form of social relationships with clients always damages the therapeutic
relationship.
Being an integrated person
a. is an ideal to strive for that is almost never achieved.
b. means that you recognize the many and varied aspects of your being and accept both
positive and negative sides.
c. was a goal that many people tried to achieve in the 1970's, but is no longer
considered realistic.
d. is a concept that is only applicable to those who embrace integrative theories of
counseling.
Impaired practitioners experience all ofthe following EXCEPT
a. have lost the ability to resolve stressful events.
b. contribute to the suffering of the client rather than alleviating it.
c. do not experience burnout and fragmentation.
d. are ethically bound to recognize and deal with their impairment.
Under a managed care system, confidentiality
a. can be assured to clients.
b. is compromised.
c. is handled no differently than in the fee-for-service approach.
d. can be promised to adults, but not to minors.
Stacey and Jim have been struggling as a couple ever since Stacey was promoted at
work and given a substantial salary increase. They come to therapy with the goal of
deciding whether to remain a couple or break up. As their couples therapist, it would be
best if you
a. assist them in exploring and evaluating cultural messages they received about
gender-role expectations.
b. facilitate their awareness in order to tell them what decision to make.
c. use your expertise to offer them advice about the decision they should make.
d. not worry about the history and impact of gender stereotyping.
In light of recent court cases, there is a duty to report when all of the following are true
EXCEPT
a. the client isnot violent.
b. there is a chance that the client might harm him- or herself.
c. child abuse or neglect is imminent.
d. a vulnerable adult is at risk.
To retain your vitality as a person and as a professional, you must first realize that
a. you can easily find another job if the one you have is draining you of energy.
b. all jobs usually lead to burnout, so complaining only makes matters worse.
c. there are limits to your ability to give to others.
d. a positive attitude at work will protect you from experiencing any job-related stress.
The Association for Lesbian, Gay, Bisexual and Transgender Issues in Counseling
(ALGBTIC) has developed a set of specific competencies. The main purpose of these
competencies is
a. to help trainees examine their personal biases and values regarding lesbian, gay,
bisexual, and transgender individuals.
b. to persuade trainees to abandon their religious beliefs since most religions frown
upon homosexuality.
c. to empower LGBT clients to become competent advocates for LGBT issues.
d. to train clinicians who identify themselves as LGBT to counsel heterosexual clients.
Which of the following is NOT mentioned in the text as a guideline for dealing with
end-of-life issues?
a. Assess your clients' capacity to make reasoned decisions about their health care.
b. Determine the degree to which clients' decisions are congruent with their cultural and
spiritual values.
c. Avoid including clients' significant others in the counseling process to ensure that the
client's decision is not influenced by them.
d. Keep risk-management-oriented notes.
__________ is/are brief and common place daily verbal, behavioral, or environmental
indignities, whether intentional or unintentional, that communication hostile,
derogatory, or negative racial slights and insults.
a. Cultural tunnel vision
b. Racial microaggressions
c. Diversity
d. Assertiveness
Not all practitioners have the same areas of interest and expertise. When working in
community intervention, practitioners should possess all of the following EXCEPT
a. have the ability to connect with the community whether or not they have the ability to
connect community members with each other.
b. are familiar with resources within the community.
c. have a basic knowledge of the cultural background of their clients.
d. are able to alter the types of strategies and services they use with clients.
Which of the following is true concerning co-leaders in group work?
a. When co-leaders have differences in leadership style, they will not be able to work
cooperatively.
b. Co-leaders need to make a commitment to meet regularly before and after each
session.
c. A disadvantage of co-leading is that it can facilitate an awareness of
countertransference that emerges within the group.
d. A cohesive group will not be affected by incompatible co-leaders.
John seeks your help because his wife has threatened to leave him if he doesn"t improve
his communication. He tells you that he is a loner and that his wife knew that when she
married him. John claims that their marriage is fine and is there only to appease his
wife. An INEFFECTIVEway to deal with John would be to
a. challenge his attitude, in order to break down his defenses and look at the part he is
playing in the breakdown of the relationship.
b. ask John how he is being affected by his wife's problems, which may lead to
problems that he wants to deny.
c. direct your questioning to how John felt when he approached the office for the
counseling session.
d. ask John what areas he thinks that his wife needs help with.
