COUNSELING FINAL EXAM

Which of these are the four stages of the helping relationship?

 

A.) Rapport and Relationship, Assessment and Goal Setting, Strategies and interventions, closure and followup

 

B.) Rationale, Assessment, Intervention, Homework

 

C.) Hope, help, how to behave, what to expect

 

D.) Activating Event, Belief, Consequence, Dispute

ANSER: A

My partner will not do his share. He just plays video games while I am cooking and cleaning. I ask him to help and he just puts me off.  I am so frustrated.

What is the first issue you will have to deal with, with this client?

A.) anger

B.) communication

C.) perfectionism

D.) ownership

ANSWER: D

Your client insists that they "find their partner intolerable".  You ask their partner to attend the session and they refused.  What skill is indicated at this point?

A.) Paraphrase

B.) Summarization

C.) Clarification

 D.) Reflection

ANSWER: C

Your client says they are "disheartened". How strong an emotion are they expressing?

A.) Moderate

B.) This is not an emotion

C.) Intense

 D.) Mild

ANSWER: A

Your client is a young man who is having trouble getting a job and does not understand why he is not being hired for a professional position.  He often comes to session with his hair uncombed, his clothing with odors and unshaved.  You tell him his is unkempt. This violates the rules for giving feedback. Which of these a better response according to the Here and now rule.

 

A.) You appearance communicates disrepect

B.) The way you are dressed today is not professional

 C.) Today like everyday you come to your appointments without showering.

D.) You are telling the interviewer you will not be bothered to treat the job as important

ANSWER: B

You give the following rationale for REBT to a client who is depressed after loosing their home in a fire.

"I suggest we use REBT. REBT helps you identify the activating event that connects to your feelings because of what you believe about that event. We then go on to dispute  those beliefs  which will effect a change in your feelings. Are you willing to give this a try?

What is missing in this rationale?

 

A.) Permission

B.) Purpose

C.) Explanation

D.) Description

ANSWER: B

Which of the following symptoms is one for which a medical referral is most crucial?

 

A.) neck tension

B.ringing in the ears

C.) stomach trouble

 D.) back pain

ANSWER: B

I am such a mess. Perhaps you should refer me to someone else.

 

A.) shame

B.) self image

C.) test of trust

 D.) false guilt

ANSWER: C

When you say to a new client, "There is a body of research on this issue which suggest that Stress Inoculation Training brings relief to your problem" which goal for the first session are you addressing?

 

A.) Help

B.) What to expect

C.) How to behave

D.) Hope

ANSWER: D

Your client is a young man who is having trouble getting a job and does not understand why he is not being hired for a professional position. He often comes to session with his hair uncombed, his clothing with odors and unshaved. You tell him his is unkempt. This violates the rules for giving feedback. Which of these a better response according to the More or Less rule.

 

A.) Your appearance today is unprofessional

 B.) You are unprofessional

C.) Have you ever considered showering more often?

 D.) You could be more professional in your appearance if you would shower before the interview.

ANSWER: D

I have been getting behind in my school work. I have been missing about 3 assignments per week. Overall I have missed about 20 assignments. I am going to meet with my professors and tell them I will be all caught up by next week.

What issue will you raise first with this client?

 

A.) ownership

B.) planning

C.) shaping

D.) goal setting

ANSWER: C

Your client says, "I am so afraid I am going to die. I have a fever and a cough."

You respond, "You feel vulnerable and out of control" this response focuses on which aspect of empathy?

 

A.) Deficit

B.) Feeling

C.) Content

D.) Action

ANSWER: A

When you discuss with your client how often you will meet, you are discussing?

 

A.) Business aspects of the relationship

B.) The transition Question

C.) Rapport and Relationship

D.) Possible interventions

ANSWER: A

A client says to you, "I just cannot grasp what you are saying. It makes not sense to me." Their modality is likely

 

A.) Mix

B.) Auditory

C.) Kinesthetic

D.) Visual

ANSWER: C

A client comes to you and says they are sad. They just lost their job due to the downturn in the economy. Thinking of this from an REBT perspective, feeling sad is what?

 

A.) Consequence

B.) Belief

C.) Dispute

D.) Activating Event or Adversity

E.) Effect the change

ANSWER A

After the rationale, for most techniques the next step is:

 

A.) Getting permission

 B.) Role playing

 C.) Role reversal

 D.) assessment

ANSWER D

Your teenage client what happened to his lip (it is clearly been bitten and has large scab on it) says, "It was really cool.  My friend was driving so fast.  We were flying.  He was running down the road at 90 miles an hour not stopping at any stop signs. He just missed getting hit by a semi.  He is a great driver.

Which skill is indicated?

 

A.) information Giving

B.) Confrontation

C.) Closed Probe

D.) Interpretation

ANSWER B

The composite modeling strategy includes many kinds of modeling. If you are trying to increase the number of positive feelings a father has for a difficult child you would choose which kind?

 

Self Modeling

 

Symbolic Modeing

 

Cogntive Modeling

 

Emotive Imagery

 

Covert Modeling

 

Participant Modeling

EMOTIVE IMAGERY

You have a couple for a client. Several years ago, the wife sent some provocative texts to a former partner she had dated in college. The couple has discussed this many times.  The husband say, "I just cannot get this out of my mind". What is the issue that needs to be addressed here?

 

forgiveness

 

ownership

 

immediacy

 

shaping

FORGIVENESS

Your client has anger issues. One symptom on which you want to work is he grits his teeth when he is angry. What strategy is most appropriate for this single symptom?

 

Systematic Desensitization

Cognitive Replacement

 

Stress Inoculation Training

 

Reframing

 

Problem Solving

 

Composite Modeling Strategy

 

Antecedent Control

 

Muscle Relaxation

 

Self management

MUSCLE RELAXATION

Your client has been talking for about 20 minutes and is repeating themselves for the third time without adding any new information. What listening skill will you use at this point to move things along?

 

Paraphrase

 

Clarification

 

Summarization

 

Reflection

SUMMARIZATION

Which is the best hierarchy item for a client afraid of spiders?

 Client must get a hammer from the basement. Client sees a spider in the corner and carefully walks to the far side to pick up the hammer

Client is trapped in a room by a gunman and forced to allow large spiders to crawl on him.

 

Client is covered with thousands of spiders

 

client is asked to picture a rare Africn Spider they have never seen before.

Client must get a hammer from the basement. Client sees a spider in the corner and carefully walks to the far side to pick up the hammer

You discuss with your client the importance of committing time and energy to the problem,  choosing by reason, devising solutions and working for a large long-term benefit. You are using what strategy?

 

Self management

 

Problem Solving

 

Stress Inoculation Training

 

Composite Modeling Strategy

PROBLEM SOLVING

Your client is afraid of being locked in the office alone after hours and not being able to get out. The treatment of choice for this is>

 

Systematic Desensitization

 

Muscle Relaxation

 

Composite Modeling Strategy

 

Stress Inoculation Training

 

Cognitive Replacement

 

Reframing

 

Antecedent Control

SYSTEMATIC DESENSITIZATION

In which phase of the composite modeling strategy is "sandwiching" used?

 

Assessment

 

Intervention

 

Rationale

 

Homework

INTERVENTION

Your client reports that they are feeling "glum". What feeling category are they expressing?

 

Anger

 

Fear

 

Confusion

 

Sadness

 

Conflict

 

Happiness and Joy

 

Love

SADNESS

What is the best response dimension to measure for a client who is reluctant to participate in a conversation and so his contributions are completely out of context because the conversation has moved on by the time he says something.

 

Duration

 

Intensity

 

Latency

 

Frequency

 

Occurance

LATENCY

Your client is overwhelmed by their feelings. The doubt themselves and are blaming everyone in sight. There are multiple conflicts in their relationships. They hate their job and their finances are a mess.  What meta-strategy will you choose for this client?

 

Stress Inoculation Training

 

Antecedent Control

 

Muscle Relaxation

 

Composite Modeling Strategy

 

Problem Solving

 

Cognitive Replacement

 

Reframing

 

Systematic Desensitization

 

Self management

PROBLEM SOLVING

Your client has be evasive about his homework. You have made a specific plan for him to practice with his spouse 4 times this week and you are unsure he is going to do it.

What skill is appropriate?

 

information Giving

 

Closed Probe

 

Interpretation

 

Open Probe

CLOSED PROBE

Your client is trying to loose weight. They often find themselves sitting on the couch watching video and wanting something to eat. They go into the kitchen find a bag of some high fat high salt snack, they bring it back to the couch and before they realize what has happened they have eaten the entire bag. Where is the best place from the list below to break this chain?

 

When watching video

 

When they want something to eat

 

Before sitting on the couch

 

when they go into the kitchen

 

Buy only healthy snacks at the store

BYU ONLY HEALTHY SNACKS

Your client wants to become a college professor because he enjoys reading and would like having lots of relaxed time to discuss intellectual issues with smart kids. What skill is needed here?

 

Interpretation

 

Closed Probe

 

Confrontation

 

Open Probe

 

information Giving

INFORMATION GIVING