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Which one of the following is a key interviewer behavior when working with children?
a. Be prepared to help children focus on a single issue.
b. Allow them to play with clay or draw to expend excess energy.
c. Soften your tone when you must look down at their level.
d. Ask broad open questions to allow them room for their creative responses.
Which of the following energizes the brain and readies it for new information?
a. Amygdala
b. Hippocampus
c. Dopamine
d. Thalamus
Instructions: Listed below are several qualities related to empathy. Mark the letter that
corresponds to the qualities in the descriptions below.
a. Basic empathy
b. Subtractive empathy
c. Additive empathy
d. Positive regard
e. Respect and warmth
f. Concreteness
g. Immediacy
h. Nonjudgmental attitude
i. Authenticity and congruence
____ An absence of discrepancies and incongruity.
There are two major factors to consider as you integrate the many available theories and
identify your own personal style. They are ________ and the ________.
a. skill development; study of theory application
b. personal aptitude; practice of the microskills
c. personal authenticity; needs and styles of the client
d. interviewer education; genuineness of the client
Which of the following is a destructive consequence of not doing exercise?
a. Production of BDNF
b. Production of dopamine
c. Increased gray matter
d. Obesity
Instructions: The structure of the interview has been suggested as a valuable way to
view many types of interviews. Further, within each structure there are certain goals and
methods. In the following question(s), identify the structure of the interview as:
a. Initiating the session
b. Gathering data
c. Mutual goal setting
d. Working
e. Terminating and generalizing
____ "How are you feeling today?"
Which of the following is NOT true regarding a strength-based wellness model?
a. The model builds on the client's strengths and assets.
b. The model emphasizes the individual origin of symptoms.
c. The model leads to a more egalitarian and empathic relationship in the counseling.
d. The model places the client in the role of an active and engaged agent.
Which of the following is CORRECT regarding the skill of reflecting feelings?
a. It is probably one of the easiest skills for you to master.
b. It is probably the skill we use the most in our daily communications.
c. It is probably one of the skills that takes more time to get fully comfortable with.
d. All of the above
Effective decisions can be reached through ____.
a. cognitive processes located primarily in the executive left brain
b. a combination of cognitive decisions with emotional satisfaction
c. left and right brain coordination
d. the hippocampus energized by the amygdala
Changes in brain structure with clients learning new finger movements showed:
a. slow change if not structured in a sequential fashion.
b. rapid change because of sequential teaching.
c. clear changes in the hippocampus and the right brain.
d. executive prefrontal cortex, supplementary motor cortex, and primary motor cortex.
Two major client communication styles are presented in the:
a. Cogntive Concrete Continuum
b. Abstraction Ladder
c. Thinking Chart
d. Daily Thoughts Records
Meaning ____.
a. often is found at the more implicit level in client conversation
b. often is found at the more explicit level in client conversation
c. is the most important counseling skill
d. is favored by cognitive-behavioral therapists as it gets at deeper issues
According to the authors, feedback is least effective when:
a. it deals with one or two things at a time.
b. it is general rather than specific.
c. it is a check to ensure clear communication.
d. it is asked for by the recipient.
Which of the following represents particularly important issues for beginning
interviewers?
a. Confidentiality, power, gender and racial topics, social justice, accurate reporting
b. Competence, power, client issues and concerns, analysis and documentation
c. Competence, informed consent, confidentiality, power, social justice, diversity
d. Informed consent, client issues and concerns, social justice, accurate billing
A proficient demonstration of active listening requires the interviewer to ____.
a. listen intently and evaluate client responses to determine appropriate treatment
b. listen intently, with a nonjudgmental attitude, and clarify what clients have to say
c. listen intently and convey his/her approval and support of the client's topic
d. all of these statements demonstrate active listening
Instructions: The question(s) below require you to identify what type of focus the
responder is using in the reply to the following statement:
"I just can't believe how much fun I'm having right now. They call this an exam, but I
feel more like I'm at a party. And not only that, but I'm learning so much at the same
time. I just feel so smart and competent as I answer these questions I could just jump up
and down. My parents never told me how much fun college was going to be. The only
problem is the professor's sense of humor. Sometimes I think he got into teaching
because it was the only way he could get away with such bad jokes without having
people leave the room."
Identify the kind of focus by its letter.
a. Person focus
b. Problem / main theme focus
c. Others focus
d. Family focus
e. Mutual issues or group focus
f. Interviewer focus
g. Cultural / environmental / contextual focus
____ "Tell me a bit more about your family's reactions?"
A nonjudgmental attitude is expressed through which of the following?
a. Body language
b. Vocal qualities
c. Statements that indicate neither approval nor disapproval
d. All of the above
"What significant life events have shaped your beliefs about life?" In which of the
following constructs does this interviewer response BEST fit?
a. Paraphrase
b. Reflection of feeling
c. Reflection of meaning
d. Eliciting meaning
Instructions: The question(s) below require you to identify what type of focus the
responder is using in the reply to the following statement:
"I just can't believe how much fun I'm having right now. They call this an exam, but I
feel more like I'm at a party. And not only that, but I'm learning so much at the same
time. I just feel so smart and competent as I answer these questions I could just jump up
and down. My parents never told me how much fun college was going to be. The only
problem is the professor's sense of humor. Sometimes I think he got into teaching
because it was the only way he could get away with such bad jokes without having
people leave the room."
Identify the kind of focus by its letter.
a. Person focus
b. Problem / main theme focus
c. Others focus
d. Family focus
e. Mutual issues or group focus
f. Interviewer focus
g. Cultural / environmental / contextual focus
____ "Several people I talked to had the course last semester and felt so good during an
exam that they actually began to sing."
What do biofeedback instruments measure?
a. Cognitive functions
b. Feeling functions
c. Physiological functions
d. Your thoughts
Empathic confrontation is:
a. a direct, harsh challenge guiding clients to face hard issues.
b. a gentle skill that includes listening.
c. seeking clarification by "going against" client ideas.
d. the primary skill used by interviewers.
Which of the following statements represent an abstract / formal operational thought
statement?
a. "My child is very active physically and talks pretty fast. He can get so enthused about
something that he knocks over things. Yet, he is able to carry on a conversation and
pays attention when I read to him. I wonder why they want to label all this as ADHD."
b. "This office has not promoted any women in the last five years."
c. "I dropped my child off at school and said 'good-bye' in my native language as that is
what we speak at home. A teacher came by and told my son that he had to stop using
our language as he is now an American."
d. None of these.
Which of the following is the best definition of acculturation?
a. Giving up one's own culture and embracing a new culture.
b. Maintaining one's own culture while embracing the new.
c. The degree to which an individual has adopted the norms of behaving in a given
culture.
d. The degree to which an individual has learned how to behave in a culturally
appropriate way.
Ivey suggests that the positive asset search, wellness, and search for strengths will
increase release of:
a. dopamine.
b. serotonin.
c. acetylcholine.
d. GABA.
Instructions: Counselor responses follow. Identify what type of focus the responder is
using in the reply to the following statement.
Client: I just found that I'm pregnant. I don't know who it was, but I have an idea who it
is most likely to be. But, no one is likely to help. My family doesn't know yet and they
really deserted me last time I got in trouble. I've only talked to them a few times and we
are starting to get along again, but now ... I wonder what's going to happen. I just feel
lost.
"Vanessa, we've been working together for two weeks. Today I'm glad you can openly
express your feelings to me." With this response, how is the interviewer trying to focus
the client?
a. Client focus
b. Theme or issue focus
c. Significant others
d. Mutuality, immediacy, counselor
Effective decisions can be reached through:
a. cognitive processes located primarily in the executive left brain.
b. a combination of cognitive decisions with emotional satisfaction.
c. left and right brain coordination.
d. the hippocampus energized by the amygdala.
Level 1. Denial, The negative alpha solution. The client seems unable to accommodate
new data from the counselor or therapist. The client will fail to deal with the conflict or
contradiction, make an abrupt topic shift, or show a clearly incorrect "off-the-wall"
response.
Level 2. Partial examination, The more mature alpha solution. 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, Beta solution. 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 Beta 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, Early gamma 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. Transcendence, Full gamma solution. 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 classify each client response at one of the five
levels.
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?"
Client:
a. "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."
b. "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."
c. "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."
d. "I don't know. Engineers make the best salaries. It's really important that I do
what dad wants."
e. "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 makes sense for me. I'm
going to change my major."
Which one of the following does NOT belong in the "1-2-3" strategic model for using
influencing skills?
a. Follow an appropriate treatment plan and structure the session.
b. Listen to the client and be sure you understand where he or she is coming from and
whether they know what to expect.
c. Select a relevant influencing strategy, keep it brief, and time it appropriately to meet
client needs.
d. Observe the client response to your intervention. Check-out its usefulness.
Empathy is not just a psychological concept. It also:
a. is measurable through brain imaging.
b. is measurable through careful observation of your actions.
c. is assessed by the extensive research on microskills.
d. has become a foundation for person-center counseling.
Exploring specific alternatives and the logical positive and negative concrete
consequences of each possibility is the skill of:
a. logical consequence.
b. information/psychoeducation.
c. directives.
d. none of the above.
The client may distort his or her story and blame others unfairly in which level of the
Client Change Scale (CCS)?
a. Level 1: Denial
b. Level 2: Partial examination
c. Level 3: Acceptance and recognition, but no change
d. Level 5: Development of new constructs, patterns, or behaviors
The client enters the room and immediately starts crying. After a short time, she says,
"I'm totally upset. I can't sleep. I feel so anxious." She then starts crying again.
She is displaying a(n) ____.
a. sensorimotor emotional orientation
b. concrete emotional orientation
c. abstract / formal operational orientation
d. abstract dialectic / system orientation
