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Which of the following would be an ineffective way of managing a client's suicidal
ideation?
a. Attempt to secure a promise from the client that he or she will not try to commit
suicide.
b. Immediately hospitalize the client.
c. Be willing to communicate your caring without setting limits.
d. Recognize the limits of your competence and know when and how to refer.
Which of the following would be LEAST likely to lead to a malpractice suit?
a. Failure to obtain or document informed consent
b. Practicing beyond the scope of competency
c. Unhealthy transference relationships
d. Engaging in a bartering arrangement with a client
Contemporary theories of counseling:
a. are grounded on assumptions that are a part of Eastern culture.
b. emphasize the uniqueness of the individual, self-assertion, and ego strength.
c. focus on interdependence and losing self in the totality of the cosmos.
d. emphasizes the social and cultural facts of human existence.
The____________in a community agency are more complex and difficult to resolve
than ones pertaining to individual counseling. If a worker is not motivated, the system
may tolerate this lack of motivation. If the system violates the rights of the client
(community), then this is a real challenge to address.
a. ethical violations
b. individual violations
c. systemic ethics
d. community ethics
Samuel has been planning a two week vacation to Europe for months. He is a private
practitioner and has a caseload of clients who have dependency issues. As an ethical
practitioner, Samuel should:
a. not inform his clients until a few days before he leaves.
b. not go on vacation so as to not increase his clients' anxiety levels.
c. provide his clients with another therapist in case of need.
d. bring back a souvenir for each client to show them how important they are to him.
According to the authors, a good training program encourages students to:
a. build on their life experiences and personal strengths and provides opportunities for
expanding self-awareness.
b. emphasize skill training without consideration of personal development.
c. achieve a high enough GPA to pursue a doctorate.
d. specialize in one theory with the techniques and strategies that are unique to that
theory.
Counselors who base their practice on aspirational ethics oppose all forms of :
a. community services.
b. discrimination and oppression.
c. client support systems.
d. codes of ethics.
Direct client services focus on:
a. outreach activities.
b client advocacy.
c. consultation.
d. influencing policymakers.
Thomas has AIDS and has decided to end his life rather than continue suffering. The
counselor he is working with does not condone rational suicide. In this case, the
counselor needs to:
a. work with Thomas rather than referring him, and seek supervision and education to
assist the counselor to be more capable of working with Thomas.
b. learn as much as possible about the course of Thomas's illness.
c. explore the impact of Thomas's religious beliefs on making his decision to end his
life.
d. help Thomas seek medical treatment that will help him cope with his pain.
A client-defined sense of spirituality:
a. is not very important in therapy.
b. can be a significant avenue for connecting with the client and can be an ally in the
therapeutic change process.
c. can create difficulty in the client's therapeutic process.
d. is more important if the therapist shares a similar definition.
Legal limits of confidentiality in a group setting do NOT include which of the
following?
a. If a member poses a danger to themselves or others
b. When a counselor is working under supervision and discusses a client with the
supervisor
c. If a counselor suspects child or elder abuse
d. When mandated by a court to release information
People with chronic medical, physical, and mental disabilities represent:
a. the second largest minority and disadvantaged group in the United States.
b. the largest minority and disadvantaged group in the United States.
c. the smallest minority and disadvantaged group in the United States.
d. a diminishing minority and disadvantaged group in the United States.
With increasing numbers of problems and a greater responsibility for the mental health
needs of children and adolescents:
a. it makes sense for school counselors to be licensed to carry a concealed weapon
while on a school campus.
b. it is important to build larger juvenile detention centers to admit children and
adolescents who misbehave in school in order to lessen the chance of a major
breakdown, which could injure well-behaved children and/or adolescents.
c. school counselors must adhere to state laws and refuse to work at a school where
violence is prevalent.
d. it makes sense for schools to carefully examine ways to develop clinical supervision
programs dealing with treatment issues.
Disclosures should be given in:
a. plain language in a culturally sensitive manner and must be understandable to clients,
including minors and people with impaired cognitive functioning.
b. elevated language that will impress consumers and give them confidence in the
services they are about to receive.
c. writing that makes it unnecessary to discuss informed consent during sessions.
d. several languages since we live in a multicultural society.
In general, supervision should address trainee's personal concerns:
a. on a daily basis.
b. only to the extent that they may impede their ability to effectively work with clients.
c. when the trainee is experiencing personal difficulties.
d. never.
Which of the following is NOT true concerning therapeutic use of the DSM-5 to
diagnose clients?
a. Emphasis is on pathology, deficits, limitations, problems, and symptoms.
b. Rather than using a multiaxial system, a nonaxial documentation of diagnosis has
been created.
c. It is based on the assumption that distress in a family or social context is the result of
individual pathology.
d. It is based on a systemic approach that views the source of distress as being within
the entire system rather than on the individual.
Even if clients argue that they can do what they want with their own lives, including
taking them, therapists with suicidal clients have a legal:
a. duty to protect.
b. duty to warn.
c. privacy issue.
d. privileged communication issue.
The reason why many counselor education programs encourage or require personal
therapy for counselors in training is to engage in:
a. value imposition.
b. personal values.
c. value exploration.
d. value conflicts.
A set of knowledge and skills that are essential to the culturally skilled practitioner are
called:
a. coursework.
b. culturally appropriate strategies.
c. multicultural competencies.
d. multicultural relationship.
It is NOT ethical to refer clients:
a. when the client's issue is out of the counselor's scope of work.
b. when the client requests a referral.
c. when the client no longer advances in treatment over a long period of time.
d. based solely on a difference of values between the counselor and the client.
The following are all major types of elder abuse EXCEPT:
a. financial or material exploitation.
b. neglect and abandonment.
c. sexual, physical, and psychological abuse.
d. protection and positive treatment.
In Jennifer Keeton vs. Augusta State University, the federal appeals court:
a. upheld the decision that the university was justified in dismissing Ward for violating
provisions of the code of ethics that prohibit discrimination based on race, religion,
national origin, age, sexual orientation, gender, gender identity, disability, marital
status/partnership, language preference, or socioeconomic status.
b. upheld the right of the university to enforce standards expected of students in a
counseling program, even when a student objects on religious grounds.
c. upheld the decision that the university was not justified in dismissing Ward for
violating provisions of the code of ethics.
d. decided the university did not have the right to enforce standards expected of
students in a counseling program, even when a student objects on religious grounds.
Practitioners who argue AGAINST diagnosis:
a. claim that DSM labels stigmatize people.
b. are likely to be psychoanalytically oriented therapists.
c. often work in community mental health centers.
d. are likely to work for a managed care system.
In regards to helpers working in the community, providing services in
____________may be clinically and ethically indicated and may be most beneficial to
clients.
a. mental health offices
b. mental health institutions
c. school counselor offices
d. nontraditional settings outside the office
To qualify as a substance abuse counselor, the CACREP (2009) standards identify
specific knowledge, skills, and practices in all of the following areas EXCEPT:
a. personal substance abuse experience.
b. counseling, prevention, and intervention.
c. diversity and advocacy.
d. research and evaluation.
______________is an integral part of your professional training and is one of the ways
in which you acquire competence needed to fulfill your professional responsibilities.
a. Multiple relationships
b. Counseling
c. Supervision
d. Gender-role socialization
Graduate programs provide insufficient training in:
a. transference.
b. self-care.
c. termination.
d. countertransference.
Expulsion or suspension of members from professional associations:
a. has no effect on the member.
b. cannot be appealed.
c. is never reported in the journals of the professional associations.
d. is a major sanction.
Tanya seems to meet some of her personal needs through counseling her clients. This is
a. a win/win situation for Tanya and her clients since it is always a sign of being highly
invested in the process when counselors meet their own personal needs through their
work.
b. acceptable as long as these needs do not assume priority or get in the way of her
clients' growth.
c. never acceptable under any circumstances.
d. illegal in 42 states.
According to the authors, the first step in the process of acquiring multicultural
counseling skills in a training program should be that students:
a. become involved in a self-exploratory journey to help identify their cultural and
ethnic blind spots.
b. start a social advocacy campaign and become politically involved on campus.
c. free themselves from all racist thoughts, actions and feelings.
d. have their value system conform to an "acceptable norm."
______________is a sense of identity that stems from common ancestry, history,
nationality, religion, and race.
a. Ethnicity
b. Multiculturalism
c. Pluralism
d. Commonality
________________refers to "the fair and equitable distribution of power, resources,
and obligations in society to all people, regardless of race, gender, ability, status, sexual
orientation, and religious or spiritual background."
a. Confidentiality
b. Diversity
c. Informed consent
d. Social justice
___________________________is an effective way to assist school counselors in
maintaining and enhancing their clinical skills
development.
a. Confidentiality
b. Competence
c. Supervision
d. Liability
___________ is an organized system by which practitioners within a profession assess
one another's services.
a. Networking
b. Mentoring
c. Monitoring
d. Peer review
_____________ consists of evaluating the relevant factors in a client's life to identify
themes for further exploration.
a. Differential diagnosis
b. Psychological diagnosis
c. Assessment
d. Psychometric testing
