The _____________________ illustrates the many therapeutic lifestyle changes
available to counselors and therapists.
a. Tree of Contemplative Practices
b. Tree of Lifestyle Changes
c. Tree of Stress Management Strategies
d. Tree of Therapeutic LifeStyle Management
“On the one hand…, and on the other hand…” This is typically used in _________.
a. reframing
b. empathic confrontation
c. psychoeducation
d. interpretation
In which of the following situations would it be MOST appropriate for a counselor to
share instruction and psychoeducation?
a. After listening carefully to your client’s account of his or her marital difficulties over
several sessions, at the third session the client asks, “Should I file for divorce?”
b. You have learned that one of your clients is having difficulty considering the best
way to care for an aging parent. The client says, “I don’t know what to do. How do I go
about exploring elder care, particularly local full-time care facilities?”
c. As a college counselor, a third year student is reconsidering her choice of majors. You
have listened carefully as she has explained the catalyst and her reasoning when she
asks, “If you were me, which major would you choose?”
d. A business manager is caught in a company downsizing effort. He is blindsided at
work with a lay-off notice. On his first visit, he seems almost in crisis when he asks, “I
have no idea what to do; what should I do?”
Logical consequences is a strategy appropriate rarely used by:
a. decisional counseling.
b. cognitive behavioral therapy.
c. person centered therapy.
d. motivational interviewing.
Which of the following is NOT one of the major approaches to counseling considered
in this book?
a. Psychodynamic Therapy
b. Cognitive Behavioral Therapy
c. Person-Centered Counseling
d. Decisional Counseling
Developing your own personal approach to interviewing and counseling involves a
multiplicity of factors. These include all of the following choices EXCEPT ____.
a. reflect on your values, meanings, and skills
b. determine your strengths and development needs
c. determine your goals
d. decide on which theory you will focus solely
Which of the following is the primary area for storage of memories?
a. Amygdala
b. Hippocampus
c. Dopamine
d. Thalamus
The reality of the story is acknowledged during __________________ 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 4: Generation of a new solution
Which of the following is TRUE about nonattention?
a. It is always inappropriate.
b. It can help a client stop repeating a story over and over.
c. It facilitates clients talking even more about their issues.
d. It encourages clients to talk about positive things.
Which one of the following INACCURATELY describes a step for using the strategy of
logical consequences?
a. Through listening, clarify that you and your client understand the situation in the
same way.
b. Use questions and brainstorming to help the client generate alternatives.
c. As the client lists positive consequences, the counselor lists negative consequences.
d. Provide a nonjudgmental summary of positive and negative consequences.
Regarding discrepancies between you and your client, which of the following is NOT
true?
a. Never hide differences you may have with your client.
b. If you sense differences, support the client by listening.
c. Note your own or the client’s discomfort with possible differences.
d. If you listen carefully, most discrepancies with your client will disappear.
Which question stem is often oriented to bringing out feelings and/or client process?
a. What
b. How
c. Why
d. Could
When the interviewer links to an earlier client comment, introduces a new frame of
reference, or the positive asset search, these are components of:
a. empathy.
b. subtractive empathy.
c. basic empathy.
d. additive empathy.
According to Sue and Sue (2013) about ____ of clients drop out after the first session.
a. 5%
b. 25%
c. 50%
d. 75%
When the interviewer paraphrases and reflects feeling to communicate that he or she
understands the client, this is:
a. empathy.
b. subtractive empathy.
c. basic empathy.
d. additive empathy.
Acknowledging feelings is:
a. another term for reflection of feeling.
b. not a recognized term associated with the microskills.
c. brief recognition of feeling before moving on with the client story.
d. reflection of feeling used mainly with adult clients.
If a client is continually talking about negative emotions, which of the following is most
true and helpful?
a. Encourage them to continue as they wish. This will empower them to make their own
decisions.
b. Work to identify strengths and positives that the client has available, thus
empowering them to face the negatives on a basis of strength.
c. Ask them to identify positive feelings in their body.
d. All of the above.
Which one of the following statements is NOT true of cultural / environmental focus?
a. Environmental context is not a legitimate focus area.
b. Environmental context is person-as-community.
c. Environmental context is the impact of how the client grew up in community.
d. Environmental context includes cultural, gender, and race impacts on client
development.
Vocal qualities mean:
a. tracking the client’s story without interruption.
b. noting what client’s discuss and what they avoid.
c. moderating your tone and speech rate to the client and the situation.
d. facing the client when you are speaking with them.
Interchangeable empathy is best defined as:
a. the interviewer interchanges responses with the client.
b. the interviewer changes roles with the client.
c. the relationship is one of equity and understanding.
d. the interviewer says back to the client what has been said accurately.
Empathic confrontation is:
a. a direct, harsh challenge guiding clients to face hard issues.
b. a complex of skills requiring observation and listening.
c. seeking clarification by “going against” client idea.
d. the primary skill used by interviewers to cause clients to see their errors.
When the interviewer reflects feeling, he or she can expect the client will ________.
a. experience their emotional state more fully
b. talk in more depth about their feelings
c. correct the interviewer’s reflection with a more accurate descriptor
d. all of the above
Paraphrasing and summarizing communicate to clients ____.
a. that it is time for the session to end
b. that the interviewer is skilled
c. that they have been listened to
d. that interviewer talk is important during the helping session
Josephine: I’ve been in this “home” for three years now. The staff doesn’t care, my
family never comes, and the food is awful.
Which is the most appropriate reflection of her implicit feelings?
a. “Josephine, you sound really angry. Is that close to what you are feeling?”
b. “Josephine, you are frustrated and angry. Is that close to what you are feeling?”
c. “Josephine, you sound really frustrated!”
d. “Josephine, I hear that you are frustrated. Underneath that, you sound lonely . . . and
angry? Is that close to what you are feeling?”
Which of the following should be included in a relapse prevention plan?
a. List of people who can be counted on for support
b. Triggers to the unwanted behaviors
c. Rewarding alternatives client can do instead of engaging in the negative behavior
d. All of the above
Reflection of meaning and exploration likely would lead to ____.
a. an increased awareness of the importance of meditation
b. the development of new neural connections in the brain
c. increase in neurons and neural connections in the specific place in the brain where we
find morality and spirituality
d. none of the above
A counselor is most likely looking for ________ and ________ when he or she suggests
to the client that creating a community genogram may be helpful.
a. “free-form” client activity; client creativity
b. client developmental history; to identify client strengths
c. detail client strengths; detail client issues
d. community of origin; present community
Which of the following are described by the authors as contextual factors that we need
to consider in client wellness assessment?
a. Control, realistic thinking, and positive humor
b. Family, neighborhood, and community
c. Use of leisure, stress management, and exercise
d. Spirituality, gender identity, and cultural identity
Mark Pope, Cherokee Nation and Past-President of the American Counseling
Association, noted all EXCEPT which of the following?
a. Counselors are now being trained fully to meet multicultural competencies.
b. We are all committed to the dignity and value of each individual.
c. Each of us is a multicultural being.
d. We need to address our own issues of prejudice.
____ “This office has not promoted any women in the last five years.”
If you practice assessing client responses with the CCS model, eventually you will be
able to make decisions automatically “on the spot” as you see how the client is
responding to you.
Ratey points out that we can train our brains for health, vibrancy, and long life.
Provide examples of encouragers, restatements, and paraphrases in response to the
following client.
Client: This past year I have been feeling more and more down. I am getting to the
point that nothing seems to make sense. Nothing is going right. My car broke down, my
boss is after me. I had an argument with my son because he wouldn’t help me with the
lawn. No matter what I do, it simply doesn’t work.
Answer:
Answer not provided.
Healthy behavior reaches down even to DNA and modifies genes in a positive fashion.
Confrontation is relevant to all clients, but it must be worded to meet individual and
cultural needs if real creativity is to occur.
____ “I went to a movie last night, we walked in and I saw my friend Jim. Then we
bought popcorn and we sat down.”
Instructions: Classify each of the following counseling leads as a paraphrase,
encourage, or reflection of feeling.
P forparaphrase
E forencourage
R forreflection of feeling
Client: I really wonder what’s going to happen to me. I find myself aging faster than I
anticipated. I simply can’t do all that I’d like to do anymore. It makes me sick just to
think of it. I’m confused and worried.
____ “Confused and worried?”
How might you go about teaching the skill of attending? Illustrate your discussion with
an example client problem such as shyness, lack of friendship, depression, or other
specific issue.
Answer:
Answer not provided.
A key task of counseling is to help the client restory past experience and develop new
memories and connections.
What are the advantages and disadvantages of the community genogram?
Answer:
Answer not provided.
According to the authors, empathic confrontation is a distinct skill that relies heavily in
influencing skills and strategies to client change.
Instructions: The five stages of a simple structure for the interview are listed below.
Following are counselor comments. Identify the skill used by the counselor in terms of
the five skills listed andalso list the Stage / Dimension of the interview most likely
represented.
Use an asterisk to indicate “any stage.”
“Could you tell me what you’d like to talk about today?”
Skill:
Stage:
Discuss Trait-and-Factor Theory’s key concepts and historical development.
Answer:
Answer not provided.
Imagine that you are a supervisor for Allen, the interviewer in Chapter 14. Using your
knowledge of the interview, what strengths and weaknesses do you observe? Be
specific and concrete in both your evaluations.
Answer:
Answer not provided.
Note the following client statement. Select what, in your opinion, are the key words.
Generate a list of opposite words. If you find client opposite constructs, note them by
underlining.
“It’s difficult for me to talk about my fears. I just get so upset when I’m put on the spot
by anyone. I feel like I’d just like to make some changes, but I’m too scared to try. I
don’t know what sense to make of it. It seems I’m a person who believes justice and
fairness are important. I try to be fair to everyone, but I don’t succeed. That’s when I get
frightened. I see myself as a little person who is trying very hard. Why are others so
unfair to me?”
Again, as you make your list of important key words/constructs, generate a list of
opposites and indicate which of the opposites are yours and which are the client’s.
Answer:
Answer not provided.
How could you demonstrate that you have intentional competence in the questioning
skill?
Answer:
Answer not provided.
Conduct a positive asset search with the same client using the basic listening sequence.
Answer:Answer not provided.
The authors believe in questions but fear overuse and the fact that they can reduce
equality in the interview.
Define your style with special attention to your own ability to engage in the several
levels of competence. How has your natural style become modified over time in this
course? What specific changes do you think you might need to be able to reach more
clients with your natural style?
Answer:
Answer not provided.