Engagement
Name the stage of change:
An individual who goes to counseling and attends meetings but often thinks of using again or may even relapse at times.
Action
Which of the following is a cognitive-based therapy, developed by Ellis, which is designed to confront a client's irrational thinking? a. Adlerian Therapy b. Client-Centered Therapy c. Rational-Emotive Therapy d. Reality Therapy
C: Rational emotive behavior therapy (REBT) is a type of therapy introduced by Albert Ellis in the 1950s. It’s an approach that helps you identify irrational beliefs and negative thought patterns that may lead to emotional or behavioral issues.
Stages of Change
Name the stage of change:
An individual who decides to stop abusing substances and plans to attend counseling, AA, NA, or a formal treatment program.
Preparation
. What is a counselor’s most important task as a group leader? a. Help build group cohesion b. Dismantle subgroups c. Deal with relapse d. Manage conflicts
. A: The most important task for a group leader is to help build group cohesion. As the group process develops the other tasks will fall into place if cohesion has been encouraged.
Effective communication occurs in groups when: a. Message receivers hear "you" messages. b. Message receivers do not speak. c. Message senders use third-person pronouns. d. Message senders use "I" messages.
. D: An “I” message or “I” statement is a style of communication that focuses on the feelings or beliefs of the speaker rather than thoughts and characteristics that the speaker attributes to the listener.
A key factor for counselors is that in counseling relationship, the counselor has differential power. One of the best safeguards is: a. To be alert to and understand the power relationship b. To utilize the differential power to motivate the client c. To realize the importance of this power in client interventions d. To use differential power to get the client to try new behaviors
A: The power differential is the inherently greater power and influences that helping professionals have as compared to the people they help. Understanding both the value and the many impacts of the power differential is the core of ethical awareness.
Which stage of change is indicated:
An individual who has received a citation for driving while intoxicated and vows that next time she will not drive when drinking. She is aware of the consequences but makes no commitment to stop drinking, just to not drive after drinking.
Contemplation
Denial is a defense mechanism that utilizes parts of our personality to override a belief. Which is most likely used for individuals to continue drinking or drugging? a. The id b. The ego c. The superego
A: The id unconsciously controls our pain center. It is a principle part of personality and a main role is to avoid pain and obtain pleasure.
What is re-framing? a. Re-framing is utilized when after a relapse, while in treatment, the client and counselor feels the treatment plan needs to be revised b. The second page of third generation of a genogram c. A reestablishment of the power of a group d. A counselor's different perception of a situation that a client is facing
D: Re-framing is a verbal description, of a situation that a client is facing. Often due to anxiety or mental exhaustion a client reaches a point, unable to move farther. Reframing sometimes helps the client see more opportunities.
Name one core principal of motivational interviewing
Partnership
Acceptance
Compassion
Evocation
You have assessed your client and determined that they have an alcohol use disorder. They insist that the reason they drink is because of their spouse’s behavior. Your initial objective should be to help them: a. Get their spouse into counseling with them b. Take responsibility for their behavior c. Develop a more positive perception of themselves d. Effect a behavioral intervention
B: Recovery begins when the addict takes responsibility for their situation and decides to improve things.
The goal of Al-Anon is: a. To provide group and individual therapy for family members of alcoholics b. To provide a fellowship and support for individuals in relationships with alcoholics c. To educate family members of their risk of becoming alcoholics d. To provide families of alcoholics with the intervention necessary to prevent their substance abuse
B: Al-Anon has but one purpose: to help families of alcoholics. By practicing the Twelve Steps of AA, by encouraging and understanding alcoholic relatives, and by welcoming and giving comfort to families of alcoholics.
The tendency of the family to try and maintain balance is called: a. Equilibrium b. Stability c. Homeostasis d. Accommodation
C: The concept of homeostasis means that the family system seeks to maintain its customary organization and functioning over time. It tends to resist change.
Which of these element words would not be dealt with in Gestalt therapy? a. Rage b. Unresolved grief c. Resentments d. Childhood issues
C: Gestalt therapy is increasing a person's awareness, freedom, and self-direction. It's a form of therapy that focuses on the present moment rather than past experiences. Gestalt therapy is based on the idea that people are influenced by their present environment.
. A client says to you, "I am getting to like you very much and I'd like us to get a lot closer." You should first: a. Terminate the client's treatment and seek supervision b. Talk openly about transference issues c. Reciprocate your true feelings, but only if you are attracted to them d. Refer the client to another professional
. B: Some types of feelings which can be attributed to transference include: feelings of platonic or familial love, negative feelings such as anger or bitterness, romantic or sexual attraction. It is important to recognize transference as and when it occurs in order for the feelings to be brought into the open.
Clients coming in for treatment carry with them both helpful and harmful expectations. Which of the following is a harmful client expectation? a. "This counselor is a stranger, but maybe I can learn to trust her." b. "My counselor will direct me to do what I need to do, and everything will be OK." c. "My counselor will be a resource that I can use to resolve my problems." d. "The counselor's main concern and responsibility is to help me achieve my goals and objectives."
B: A good counselor will help tap into strengths and resilience, and empowerment. Client expectations about counseling are widely believed to influence the therapy process and outcome.
Which Family Role is being described:
Over-responsible and self-sufficient they are often perfectionistic, are over-achievers and look very good - on the outside. The parents look to this child to prove that they are good parents and good people. Their goal in life is to achieve "success", however that has been defined by the family; they must always be "brave and strong”.
The Hero
To be effective, counselor interventions must match the client's stage of readiness. Which of these instruments can be used to signal a client's willingness to change? a. The SADS Persons Scale b. Treatment Eagerness Stage c. Prevention Severity Index d. Family Tree Questionnaire 13. What response answers the qu
. B: The Treatment Eagerness Stage is designed to access a client’s willingness to make the positive changes necessary to recover. This instrument examines the numbers of thoughts and efforts to attempt to change behavior.
What therapy approach uses them empty chair? a. Person-centered Therapy b. Existential Therapy c. Gestalt Therapy d. Cognitive Behavioral Therapy
C: A key method used in Gestalt therapy is the Empty Chair Technique. This simple approach is designed to allow you to work through interpersonal or internal conflict. It helps you see the situation from a different perspective and gain insight into your feelings and behaviors.
Which of the following statements is NOT a reason for why it is necessary for a client to agree with a problem statement? a. It will enhance the corporation of client’s efforts to achieve treatment goals. b. The compliant cannot be made that problem statements are not suitable for the client’s situation. c. It will ensure that client and counselor are in accord with problem to be addressed d. It does not matter. Problem statements are selected by a counselor from a list of problem statement provided by the administration of the center.
D: The problem statement should be individualized by both the counselor and the client.
. One of the counselor's tasks is to guide the client in relating and communicating in specific terms, rather than in general or abstract terms. That characteristic or ability is called: a. Confrontation b. Immediacy c. Potency d. Concreteness
D: Focused on facts and feelings of relevant concerns of the client
Name strategies to elicit change talk
asking for elaboration, asking for examples, looking back, looking forward, querying extreme thoughts, measuring clients’ confidence in their ability to successfully change behaviors, and exploring goals and values.
Name 2 of the 4 processes of motivational intervviewing.
Engaging, which is the relational foundation ● Focusing, which identifies an agenda and change goals ● Evoking, which uses MI core skills and strategies to move toward a specific change goal ● Planning, which is the bridge to behavior change
A client with a cocaine use disorder admits being fired from his job for absenteeism, losing his home and car by defaulting on his loans, and associating only with peers who use cocaine. He states that he does not require residential treatment because his problem is not serious enough. He further states that he has lost his house and car because his wife didn't work enough hours. Which defense mechanisms is this client displaying?
. B: Denial – the refusal to accept factual information or reality. A person with substance use disorder may believe they are truthful through blocking unwanted events from their minds, so they don’t have to deal with their emotional impact. Minimization – the substance using person may act like things/actions are being blown out of proportion or exaggerating. They may say things like "it's not that bad" or "people do way more than I do." Rationalization - providing good reasons for the use of drugs or alcohol, instead of the real and true reasons. It is used to defend oneself against feelings of guilt, as well as to protect oneself against criticism and maintain self-respect.