Counseling Skills Final

10. A client is a fifty year old woman who is a recovering alcoholic and has recently divorced. She feels overwhelmed by anxiety about her finances. She also feels lonely and worries that she will never again have an important relationship. The helper should ____. help her to tackle all these problems before she starts drinking again prioritize the client's issues and first help her with the most painful ones prioritize the client's issues and first help her with the most difficult ones no matter the cost concentrate on the most difficult problem and be sure it is solved before moving on to the next one

prioritize the client's issues and first help her with the most painful ones

6. Helping clients discover possibilities for a better future is a task in which stage of the helping process? A. Stage IV B. Stage III C. Stage II D. Stage I

C. Stage II

2. How might a helper most challenge a client to participate in the helping process? Invite clients to own their problems and unused opportunities. Invite clients to state their problems as solvable. Invite your clients, along with you, to put aside problems that arise in the helping relationship itself so that the focus can remain on the client A and B

A and B

5. Which of the following is not a task of Skilled Helper Stage I approach to helping? A. Helping clients to appreciate fully their decision to begin the helping situation B. Helping clients to explore their concerns C. Helping clients develop new perspectives D. Helping clients to identify key issues to work on

A. Helping clients to appreciate fully their decision to begin the helping situation

7. Which of the following helping situation calls for immediacy? When a session is directionless and it seems that no progress is being made When cultural differences seem to get be getting in the way When trust seems to be an issue All of above

All of above

6. Read the following: COUNSELOR: I'd like to stop for a moment and take a look at what's happening right now between you and me. AGNES: I'm not sure what you mean. COUNSELOR: Well, our conversation today started out quite lively, and now it seems rather subdued. I've noticed that the muscles in my shoulders have become tense. I sometimes tense up that way when I feel that I might have said something wrong. It could be just me, but I sense that things are a bit strained between us right now. AGNES: (hesitating) Well, a little.... This interaction between helper and client reflects which of the following? Event focused immediacy Here and now immediacy Challenging by addressing issues that come up in the helping relationship itself All of these

All of these

3. Which of the following is not an example of a personal quality or regulator that signals that a person is prepared to benefit from the helping situation? An ability to cry when the helper mentions something that feels very sad A sense of necessity that one must do something about a problem or issue The sufficient will or effort to make changes in one's life A willingness or readiness to experience anxiety or difficulty

An ability to cry when the helper mentions something that feels very sad

10. The "action arrow" of the problem-management framework indicates that clients need to act ____. a. from the beginning of the helping process b. only at the end of the helping process c. after Stage I when the problem is understood d. after Stage II when a plan is formulated

a. from the beginning of the helping process

4. A client comes for his first session with you. He seems anxious and starts talking by saying "Yesterday I felt so nervous that I couldn't leave the house. It took every bit of strength I had to come here today." And then he stops talking. In accordance with Stage I you want to help him to tell his story. Which of the following might you do to help him to continue in the way most beneficial to him? Ask him whether anxiety and sadness characterize his life. Gently suggest that his anxiety is about meeting new people such as yourself and the more often you do it the easier it will be. Ask him to tell you more about his anxiety. Ask him what other problems he is facing.

Ask him to tell you more about his anxiety.

14. Which of the following is not true about the helping approach presented in your textbook? It can be used as a tool for mining, organizing, and evaluating concepts and techniques that work for clients, no matter what their origin It is designed to be a stand-alone approach to helping It can be incorporated within the helper's own model or approach to helping It places the client in the role of decision-maker throughout the helping process

B. It is designed to be a stand-alone approach to helping

4. The tasks of Stage I of the Skilled Helper approach, as developed by Egan, all have to do with which of the following? A. The client's past B. The client's present situation C. The client's future goals D. Integrating the client's past, present, and future

B. The client's present situation

13. In working with clients with large and complex problems, it is best for the helper to do which of the following? Tackle the entire problem head on to avoid crisis Break the problem down into manageable subproblems Refer the client to a psychiatrist for medication Identify the client as someone who can not benefit from helping

Break the problem down into manageable sub-problems

7. Robert, a high school senior, tells his helper that he wants to get into Princeton University but he knows that his grades and SAT scores are not good enough to be accepted. He says, "I think I will apply anyway. What have I got to lose?" He goes on to say that he is only going to apply to Ivy League schools because his life won't be worth living if he doesn't attend one of these prestigious schools. According to Task B of Stage II of the helping framework, Robert's helper should help Robert to ___. A. focus on issues that will make a difference B. find incentives that will promote acceptance to an Ivy League school C. choose realistic and challenging goals that are real solutions to key issues D. focus on improving his relationships with women

C. choose realistic and challenging goals that are real solutions to key issues

. All helping frameworks, models, or processes should help clients ask and answer for themselves which of the following questions? A. What does a better future look like B. How do I get there? C. How do I make it all happen? D. All of the above

D. All of the above

1. Which of the following statements is most accurate about Stage I-A of the Helping Skills Program? A. Helpers help clients to (1) tell their stories, (2) identify the most important story to begin working on it, and(3) stay focused on issues that will make a difference in their lives. B. Helpers help clients to (1) identify their problems, (2) outline solutions, and (3) create an action plan for moving forward. C. Helpers help clients to (1) tell their stories, (2) reframe their stories in order to develop new, more useful perspectives, and (3) overcome the most significant of their problems. D. Helpers help clients to (1) tell their stories, (2) reframe their stories in order to develop new, more useful perspectives, and (3) stay focused on issues that will make a difference in their lives.

D. Helpers help clients to (1) tell their stories, (2) reframe their stories in order to develop new, more useful perspectives, and (3) stay focused on issues that will make a difference in their lives

15. Which of the following, as noted in the chapter, is important to understand with regard to using helping models? A. Other helping approaches (outside the problem-management process) are not needed, as they unnecessarily complicate things. B. Helpers should have a specific model for each disorder/problem that clients are trying to manage. C. Staying current with research in the helping professions is typically pointless given the current fads and tendency to replicate ideas. D. Helpers need to share the helping process in order to help clients be in the driver's seat for making decisions.

D. Helpers need to share the helping process in order to help clients be in the driver's seat for making decisions

9. Stage III of the helping process involves helping client's ____. A. choose strategies that best fit their resources B. pull strategies together into a manageable plan C. generate possible strategies for achieving goals D. all of the above

D. all of the above

8. Helpers should choose goals that are ____. A. ambitious, so as to help the client achieve truly great things. B. modest, so that if failure occurs, the client is not devastated. C. incremental, so that the client changes in an orderly fashion. D. realistic and challenging, in order to better create solutions that are reasonable and likely to promote change.

D. realistic and challenging, in order to better create solutions that are reasonable and likely to promote change.

14. In a crisis situation, which of the following is true? Counseling is counterproductive in crisis situations First help the client manage the crisis Avoid a focus on the context that the crisis takes place The problem management framework is not designed for crises

First help the client manage the crisis

8. Which of the following is not one of Egan's methods to help clients to explore their problems and identify unexploited opportunities? Help clients search for resources Help clients talk productively about the past Help clients see every problem as an opportunity Help clients to assess their interpersonal skills

Help clients to assess their interpersonal skills

5. Which of the following is true? Helpers can learn something about themselves by being sensitive to the give and take within the helping sessions When counseling takes place in a group, the opportunity to learn about interpersonal styles is diminished. The relationship between helper and client always corrects the interpersonal problems experienced by the client A client's interpersonal style must be challenged in order for the client to grow

Helpers can learn something about themselves by being sensitive to the give-and-take within the helping sessions

9. Which of the following is not a way helpers would encourage to use the time between sessions to good advantage? Mention some homework task and ask the client to carry it out and report back. Use some agreement to move the client to some appropriate activity. Highlight painful memories for the client about her childhood and ask the client to think repeatedly about them. Wait until the client comes up with a post-session task and then help the client clarify and focus it.

Highlight painful memories for the client about her childhood and ask the client to think repeatedly about them.

2. Which of the following is not a helper's goal during Stage I-A? Establish a good rapport with the client. Help clients to become clear about the issues they face. Keep the client from acting on their problems before they are ready. Help reduce any stress the client might be feeling when beginning the helping experience.

Keep the client from acting on their problems before they are ready.

11. According to Frances, Clarkin and Perry, some clients have a history of treatment failure or often get worse in treatment. These kinds of clients might include which of the following? Clients who likely cannot improve on their own Patients with malingering or fictitious illness Clients who do not have a clinical diagnosis Couples that fight frequently

Patients with malingering or fictitious illness

7. Read the following and answer the question: CLIENT: Someone said that good things can come from evil things. What happened to my son was evil. But we'll give him all the support he needs to get through this. Though I had the same thing happen to me I kept it all in until now. It was all locked up inside. I was so ashamed and my shame became part of me. When I let it all out last week it was like throwing off a dirty cloak that I'd been wearing for years. Getting it out was so painful but now I feel so different so good. I wonder why I had to hold it in for so long. This statement by the client about the past exemplifies which of the following? That he is using his recollections to reconcile or liberate himself with his past That he is using his recollections to prepare himself for change That he is stuck in the past That he is using his recollections to make sense of the present

That he is using his recollections to reconcile or liberate himself with his past

12. In non crisis situations, a helper might first help a client with which of the following? The issues that the client sees as important and is most willing to work on The issues that the helper privately judges to be the most significant The issues that most interest the helper The issues that most closely match the helper's areas of expertise

The issues that the client sees as important and is most willing to work on

4. What does Pinsoff mean by "problem maintenance structure?" The cognitive structure that each client brings to every session The client's reluctance to change The set of factors—including personal, social, organizational, community, and political factors—that keeps clients from identifying, exploring, and doing something about their problem situations and unused opportunities The set of factors—including historical, genetic, and unconscious factors—that keeps clients from identifying, exploring, and doing something about their problems and unused opportunities

The set of factors—including personal, social, organizational, community, and political factors—that keeps clients from identifying, exploring, and doing something about their problem situations and unused opportunities

6. According to Egan which of the following is not a purpose for discussing the client's past? To prepare for action in the future To learn which problems are so deep that they cannot be addressed To make sense of the present To be reconciled to or liberated from the past

To learn which problems are so deep that they cannot be addressed

13. A client's reluctance to self-disclose most likely signals ____. a fear of dependence on the helper a general inability to share aspects of him/herself with others a sign of anti-social personality a need to control the situation

a general inability to share aspects of him/herself with others

13. Which of the following is the most important outcome of the helping process? a. Problem-managing action b. Relief from suffering c. Self-insight d. Improved communication skills

a. Problem-managing action

11. According to Egan, how would you know whether your services are working for your clients? a. At the end of your work together, directly ask the client "How successful has this experience been for you?" b. Examine the notes you took throughout the helping experience and note how the client changed from the beginning to the end c. Check on progress with the client throughout the helping process d. Ask them at the end of Stages I, II, and III

c. Check on progress with the client throughout the helping process

12. Which of the following is one reason for helpers using the Skilled Helper approach to remain flexible in its use? a. Clients who have the same issues need to be helped in the same way. b. Clients start and proceed through the helping process is more or less the same way. c. Clients engage in each stage and task of the model differently. d. In actual practice, the stages and tasks of the model occur in more or less the same way.

c. Clients engage in each stage and task of the model differently.

2. The Skilled Helper approach to helping, as developed by Egan, is all about helping ____. A. clients to manage their problems and to develop opportunities. B. helpers to develop their skills. C. clients to identify and solve their problems and to brainstorm future possibilities. D. helpers to gain the skills necessary for state licensure.

clients to manage their problems and to develop opportunities.

9. In the screening process, it is important to ____. decide whether a given problem situation is appropriate for treatment focus on how the problem can be solved, not whether it is appropriate avoid evaluating a client's readiness to change convince clients that counseling will be helpful

decide whether a given problem situation is appropriate for treatment

10. The severity of clients' presenting issues can be simply understood as the combination of ____. distress frequency and uncontrollability distress resources and uncontrollability resources frequency and predisposition resources predisposition and attitude

distress frequency and uncontrollability

15. Kelly, an accountant in her mid 30s, seeks help with a variety of concerns. She notes being unhappy in her career, having few friends, and having a potential phobia with spiders that she notes is "annoying more than anything." Her counselor notes a new approach she just learned with overcoming phobias and proposes this as an easy place to begin treatment. Based on the chapter, the counselor should ____. start with the career concerns since it was mentioned first focus on the problem that, if handled, will lead to some kind of general improvement work on the problem she feels most confident addressing work on all three problems at the same time

focus on the problem that, if handled, will lead to some kind of general improvement

5. If a client thinks that a problem is critical even though by objective standards the problem does not seem to be that bad then ____. the client cannot be helped for him or her it is critical you need to immediately apply the tasks of Stage I you are working with a severely disturbed person who has no sense of reality

for him or her it is critical

1. The term "framework" rather than model is used to describe the problem-management process because the term ____. A. model is an overused term in counseling and psychotherapy B. framework reflects a systematic but flexible, nonlinear approach C. framework promotes a strategic, efficient, and linear approach D. framework better captures the simplicity of the helping process

framework reflects a systematic but flexible, nonlinear approach

1. A primary goal of challenging is to ____. help clients gain an enduring sense of reality help clients to participate as fully as possible in the helping process bring differences between client and helper to a head to help clients see just how little they know themselves

help clients to participate as fully as possible in the helping process

11. One of the key tasks in initial meetings with clients as they are telling their story is to ____. help them clarify key issues within the story make a firm diagnosis regarding their story gauge the truthfulness of their story define a course of action within a specified timeline

help them clarify key issues within the story

8. Stage I, Task IC is about ____. helping clients to work on issues that will add value to their lives helping clients to gain insight into themselves helping clients learn from challenges helping clients to accept and celebrate their lives

helping clients to work on issues that will add value to their lives

12. In initial sessions with clients it is important to ____. provide empathy avoid linking any issues to actions or potential actions engage with the client in a business-like manner establish a timeline for completing therapy

provide empathy

3. Egan's problem management framework is focused on ____. solving problems that promote direct action by the client solving or managing problems managing problems without specifying a solution accepting that most problems are not directly solvable

solving problems that promote direct action by the client

15. When starting to explore the problem situation it is MOST important to ____. start where the client starts in telling the story avoid asking questions lead the client through the story fill in the gaps in the client's story as needed

start where the client starts in telling the story

14. Effective helpers learn to focus on clients' stories and are most able to highlight ____. how they will be able to solve the clients' problems as presented deficits in clients' coping strategies unused resources dysfunctions in clients' histories

unused resources