COUC 667 Quizzes
If a counselor is uncertain of a diagnosis, the counselor may indicate the following at the end of the written diagnosis.
(F32.2) Major depressive disorder, Single episode, moderate (Provisional Diagnosis)
FC Which one of the following is the approach to Christian counseling that Tan uses in the textbook?
Christianity integrates psychology approach
Miguel is working with a client who is very verbal. What might he try to control the client's verbal output? Use psychoeducationDirectly tell the client to be quiet Progressively ask more closed questions All of the above
Only a and c
FC True or False. According to Dr. Jones' podcast, as a counselor-in-training, it is ethically appropriate to apply more than one theory in the case conceptualization process.
False
If you develop a DSM diagnosis for client, it always indicates a need to treat according the authors of the DSM -5.
False
True or False. According to Switzer and Rubin, the DSM-5 was developed to capture normal developmental distress as a diagnosable mental disorder.
False
True or False. According to Switzer and Rubin, treatment planning is not a theory driven process.
False
True or False. One of Tan's basic principles of Christian counseling is to avoid making disciples.
False
True or False. There is a "one size fits all" to growing in Christ or practicing Christian Spirituality.
False
True or False. When diagnosing neurodevelopmental disorders, Schwitzer and Rubin state you cannot diagnosis an adult with autism because this particular DSM-5 class is for children and adolescents.
False
Miguel is working with a client who is very verbal. What might he try to control the client's verbal output?
Only a and c Psychoeducation Progressively ask more closed questions
True or False. When writing up a diagnostic impression, it is important to offer the DSM-5 criteria as well as the assessment data supporting how that criteria was met.
True
FC The qualities of the Christian counselor are intrinsically important. Some of the qualities that a Christian counselor needs to have are:
love, wisdom, and knowledge of God's word
Which of these is an example of gentle assumption?
"When was the last time when you had thoughts about suicide?"
Judgment refers to:
Adaptive decision-making
FC If a therapist can provide an accurate case formulation/case conceptualization for the client will often experience:
All of the above
The evaluation of speech during a mental status exam can have implications for which of the following? Client thought process and content Possible disturbances in brain functioning The possibility of drug or alcohol useAll of the aboveNone of the above
All of the above
When thinking of spiritual warfare, Tan favors which two spiritual disciplines?
Scripture and prayer
Which of the following is not a diagnosable disorder according to the DSM-5
Sex addiction
The Latina/o concept of Charlar refers to:
Small talk
The 2ndstep in the inverted pyramid method (IPM) is?
Thematic Groupings.
Which one of these is not a Christian counseling integration view noted by Tan?
Theophostic
The 3rd step of the inverted pyramid method (IPM) is?
Theoretical inferences
Which of the following is most true about questions?
They give the counselor more control regarding the direction of the interview.
When comparing consultation vs supervision, consultation is ________?
Time-limited and generally specic to a particular client
A clarification response is used to:
To check on and make clear for yourself and the client precisely what was said
True or false, the DSM-5 classification system is theory neutral according to Switzer and Rubin.
True
Open questions usually begin with ________ or ___________.
What; how
Silence should be avoided in the following circumstances:
When the client appears to be confused.
A reflection of feeling response is also referred to as:
Empathy
The DSM-5 criteria has 4 parts according to Schwitzer and Rubin. Which ONE of the following is incorrect? Client's mood, behaviors, thoughts Frequency of the problems Severity of the problem Etiology of the problem
Etiology of the problem
True or false. Case conceptualization is not a part of clinical documentation.
False
Which one of the following would define "necessity" goal?
Develop a goal aimed to reducing the active risk of client's harm.
Which of the following is NOT associated with the assessment of client intelligence?
Congeniality
An absence of emotion in clients is referred to as:
Flat affect
A Christian counselor is working with a client to overcome painful memories via prayer. Tan would consider this approach as
Inner-healing prayer
In the context of other mental disorders _____________ has long been known to increase suicide risk. More recent data indicates this problem is also an independent risk factor.
Insomnia
Which of these is a feeling validation?
"It's okay to feel sad about losing your mother. That's perfectly normal."
What would be a good strategy to begin directively exploring a client's personal history?
"Tell me about one of your earliest childhood memories."
Which of the following statements about risk factors is true?
An absence of risk factors and warning signs in individual clients is no guarantee of safety from suicidal impulses.
In the text, summarization is dened as:
An expanded paraphrase
During the 2nd step of the inverted pyramid method (IPM), the counselor will
Apply the areas of function and dysfunction in grouping the clinical problems.
Before offering to share a case conceptualization, therapists should:
Ask the client's permission
Confabulation presents a problem in which part of a mental status examination?
Assessment of remote memory
The goal of a feeling validation is to:
Convey to the client whether you think his or her emotional responses are appropriate.
Which one of the following would be an "improvement" goal for treatment planning?
Develop a goal around improvement of emotional regulations to cope with mood swinging associated with bipolar disorder.
Which one of the following would be a "potentiality" goal for treatment planning?
Develop a goal to use psychodynamic theory to addresses the underlying personality structure of dependent personality disorder.
For people admitted to the hospital because of a mental disorder, the period of time __________ discharge carries increased suicide risk.
Directly after
When working with a client who is not a believer in Christ, which integration approach is supported by Tan?
Implicit
FC What is the difference between step 2 and step 3 of the inverted pyramid method (IPM)?
In step 3, the counselor uses a theory to develop themes but in step 2 the counselor will use 1 of the 4 logical clinical approaches
Which of the following statements is NOT true about paraphrasing?
It involves overstating the feelings expressed by the client.
Which statement is true when applied to studying humans?
It is not possible to have complete objectivity or complete emotional neutrality.
Tan based his understanding of the fruit of the Spirit on Galatians 5:22-23 which of the following would be fruit of the Spirit (click all that apply)?
Joy Peace Self-control
When thinking of Christian integration, which of the following are considered potential concerns (click all that apply)? Lacking clinical competency in integration and application Only focusing on religious or spiritual goals Adapting a secular intervention to a biblical worldview Misuse of the spiritual disciplines
Lacking clinical competency in integration and application Only focusing on religious or spiritual goals Misuse of the spiritual disciplines
Which one of the following is NOT a part of treatment planning according to Switzer and Rubin?
Limited to no outcome measurements necessary
When a client discloses a painful memory, the best thing a therapist can do is:
Listen well and empathize.
Anhedonia refers to:
Loss of interest and pleasure in usually enjoyable activities
Which of the following is true of "Evangelical Christian Spirituality" (click all that apply)? Maturing of the believer to become more like Christ. Bible-centered Denominational traditions are paramount Importance of spiritual disciplines
Maturing of the believer to become more like Christ. Bible-centered Importance of spiritual disciplines
The second step in the inverted pyramid in the case conceptualization process is ____________?
Organize the client concerns into a meaningful pattern.
_______________ memory refers to events, information, and people from the distant past, and ______________ memory refers to events, information, and people from the past week or so.
Remote; recent
Which of the following are considered "red ags" according to Schwitzer and Rubin and would need to be priority in treatment (click all that apply)?
Schizophrenia disorder Schizoaffective disorder
True or False Switzer and Rubin advocate for the use of theory in the treatment (tx) plan process?
True
When using reflection of feeling, emotional accuracy is your ultimate goal. However, if you miss the emotional target, it's better to miss with a(n) ________________ .
Understatement
Which ONE of the following, when working with a client, would evidence the implicit work of the Holy Spirit according to Tan? Direct healing of client Discernment by the counselor, gaining wisdom Expression of client worth by counselor Flash prayers
WRONG Discernment by the counselor, gaining wisdom
Which of the following areas should the therapist explore when evaluating the client's interpersonal style and personality? Vocational preference Client's readiness for change Evaluation of mental status The current situation None of the above
WRONG Evaluation of mental status
Tan believes the Bible, when applied to counseling, a Christian counselor needs to have which of the following? (click all that apply) Sound exegesis and hermeneutics A basic knowledge of Scripture and theology Engagement in the spiritual disciplines Making clients disciples.
WRONG I chose all
Switzer and Rubin note which of the following as limitations to the DSM-5
limited scope and limited purpose
Suicide intent is usually evaluated __________ a suicide attempt.
Following
"It must be tough hearing your parents argue with each other every night" is what type of question?
Indirect
The DSM-5 organizes personality clusters by ________ and _________.
Intrapsychic, interpersonal
Verbal tracking:
Involves sticking closely with client speech content.
An awareness of a client's representational system will assist you in which nondirective listening technique?
The sensory-based paraphrase
The work of the Holy Spirit can be described in 3 broad ways according to Tan
The truth given, gifts given, and fruit evident in the believer
What is the primary goal of confrontation?
To help clients perceive themselves and reality more clearly
Which one of the following was used to support the use of Scripture in counseling for Tan?
2 Timothy 3:16
FC The DSM-5 is broken down into _____ classes according to Schwitzer and Rubin?
20
The DSM-5 is broken down into _____ classes according to Schwitzer and Rubin?
20
Which of the following accurately describes "diagnosis" according to Schwitzer and Rubin?
A clinical process where a counselor describes the client's problem.
The opening statement of the therapist should consist of:
A direct inquiry into the client's concerns.
The opening stage of the interview may be best described as:
A nondirective or unstructured interview stage lasting about ve to eight minutes
The clinical interview involves a sequential or organized set of interactions between clinician and client. It should be:
A relatively smooth and continuous process.
Schwitzer and Rubin offered the following as benets of DSM-5 except one.
A theory driven method to conceptualize a client's presenting problems.
Click all of the following which are true about treatment planning according to Switzer and Rubin.
A treatment plan is action oriented A treatment plan provides a road map to recovery A treatment plan must have measures in place to monitor change
Tan's focus on which of the following Code of Ethics as a guide for a Christian Counselor?
AACC
"Euphoric," "labile," and "blunted" are words used to describe:
Affect range
Which of the following statements are true according to Tan (click all that apply)? All human beings have sinned and are fallen people. Problem feelings are always driven by problem behavior and problematic thinking. At times emotional pain may not be attributed to a person's sinful actions. The dark night of the soul is a spiritual aspect of emotional pain.
All human beings have sinned and are fallen people. At times emotional pain may not be attributed to a person's sinful actions. The dark night of the soul is a spiritual aspect of emotional pain.
According to Tan, which of the following are types of prayer? Petitionary Inner Healing Meditative All of the Above
All of the above
Letting clients struggle with an unstructured opening may be important because: All of the above.None of the above—you should not let clients struggle.It allows you to see how much help clients need in expressing themselves. It allows you to evaluate their coping skills. It allows clients to recover from a faltering start and demonstrate their ability to express themselves.
All of the above
The evaluation of speech during a mental status exam can have implications for which of the following? Possible disturbances in brain functioning None of the aboveAll of the aboveThe possibility of drug or alcohol use Client thought process and content
All of the above
Putting the client at ease is an integral part of the therapist's job. Using small talk is one way to accomplish this. Safe and nonjudgmental subjects to talk about with adults include all of the following EXCEPT: Recent news events Sporting eventsClothing they are wearing The weather All of the above are safe topics to broach with adults.
All of the above are safe topics to broach with adults.
When writing an intake report, therapists must consider all of following dimensions, EXCEPT: Keeping the report confidential. Writing clearly and concisely. Choosing the structure and content of the report. Sharing the report with the client. All of the above must be considered.
All of the above must be considered.
When writing an intake report, therapists must consider all of following dimensions, EXCEPT: Writing clearly and concisely.Choosing the structure and content of the report. Keeping the report condential.All of the above must be considered.Sharing the report with the client.
All of the above must be considered.
When writing an intake report, therapists must consider all of following dimensions, EXCEPT: Writing clearly and concisely.Sharing the report with the client.Choosing the structure and content of the report. Keeping the report condential.All of the above must be considered.
All of the above must be considered.
During the introduction stage, clients should be informed of everything EXCEPT which of the following? The length of the sessionYour credentialsThe limits of condentialityThe purpose of the interviewAll of these are part of the introduction stage.
All of these are part of the introduction stage.
During the introduction stage, clients should be informed of everything EXCEPT which of the following?
All of these are part of the introduction stage. The length of the sessionY our credentials The limits of condentiality The purpose of the interview
When developing a treatment plan which is the first step according to Switzer and Rubin?
Behavioral definitions of problems.
In which stage would a therapist do the most work to facilitate client change?
Body
Proxemics and kinesics are terms associated with:
Body language.
After several client problems have been identified, which is the best way for a therapist to decide which problem to deal with first?
Choose the problem the client identifies as his or her main concern.
Which of the following are true according to Switzer and Rubin on Case Conceptualization (click all that apply)? Case Conceptualization is between diagnosis and treatment planning. Case conceptualization is different from diagnosis in that it is for "understanding" the client's needs. Case conceptualization is not necessary for client goal development. Case conceptualization is a bridge to "practice."
Case Conceptualization is between diagnosis and treatment planning. Case conceptualization is different from diagnosis in that it is for "understanding" the client's needs. Case conceptualization is a bridge to "practice."
After several client problems have been identied, which is the best way for a therapist to decide which problem to deal with rst?
Choose the problem the client identies as his or her main concern.
What is meant by the statement: "You cannot not communicate?"
Communication is always happening
Dr. Jay says to her client: "On one hand, you say you have compassion for your child, but on the other hand you continue to put her out in the hall where you force her to stand for three or more hours. How do you put that together?" What type of therapist technique is Dr. Jay using?
Confrontation
After a client has expressed his or her main reasons for seeking counseling, what could a therapist ask to begin a transition of the interview to personal history?
Could you tell me a bit about your life growing up or your parents?
Which of the following statements about predicting suicide is the most true?
Death by suicide is essentially impossible to predict
Progress monitoring has been shown to:
Decrease treatment failure rates
The nal step, according to Switzer and Rubin, in the DSM-5 diagnostic process is ____________?
Determine impact on functioning
Which of the following are suicide "risk factors" found in the SAFE-T?
Discharge from care Hoplessness
An approach to diagnosis advocated by Switzer and Rubin is to rst focus on _________, then examine the client for ______________.
Disruptions in thoughts, problems with mood or anxiety
Olin wants to offer reassurance to a client during the closing stage. Which statement is NOT recommended?
Don't worry; I'm sure I can help you.
_____________________ integration is a more overt approach that directly and systematically deals with spiritual and religious matters in counseling.
Explicit
Besides the DSM-5 criteria, speciers, and subtypes, it is important to also examine and offer the following when appropriate (click all that apply).
General medical conditions, e.g., G47.33 obstructive Sleep Apnea Psychosocial problem, e.g., Z62.820 parent-child relational problem Environmental problem, e.g., Z59.5 extreme poverty
The goal of interpretive reection of feeling is to:
Go deeper and uncover emotions that clients may be only partially aware of.
FC Which of the following are considered "gifts" of the spirit according to Tan (click all that apply)?
Healing Wisdom
If a client begins crying while talking about her terminally ill son, what could the therapist conclude?
Her affect is appropriate with respect to her speech content.
FC Which of the following are suicide "risk factors" found in the SAFE-T?
Hopelessness Discharge from Care
Joan wants to ask a question to bring out the client's thoughts and feelings about a particular issue. Her best option would be to ask a question beginning with:
How
Which of the following, according to Tan, are implications to holding to biblical anthropology (click all that apply)? Human are a fallen being because of sin Humans are dualistic (body and soul) Holistic view of people (e. g., body, mind, emotions, soul, and social) Salvation is the key to any healing
Human are a fallen being because of sin Humans are dualistic (body and soul) Holistic view of people (e. g., body, mind, emotions, soul, and social)
Clarice's supervisor tells her to use fewer questions and more paraphrasing. When Clarice asks, "Why?" her supervisor says:
I'm worried that you're leading so much that your client won't be spontaneous.
A therapist asks Hazel if she has any idea what might be causing her panic attacks, and Hazel states that she doesn't really know but maybe her new kitten has something to do with it. Hazel can be said to have poor:
Insight
According to Shea, clinical interviews have an inherent sequence. The stages of this sequence include:
Introduction, opening, body, closing, termination.
FC According to Tan, which of the following are types of prayer (click all that apply):
Inward
Which of the following statements is NOT true about reframing?
It is often used by psychoanalysts to uncover unconscious conicts.
How would you describe this therapist statement? "How about since you're here, we try out working together today and then toward the end of our time together I'll check back in with you and you can be the judge of whether this might be helpful or not?
It's an invitation for collaboration.
You should be careful when you use Why questions in an interview because: They can make the client defensive.The client's personal motivation is none of your business. They often elicit very intellectual responses.All of the above are true.
Only A and C are true
Carlos meets with a new client. The client is unshaven. Which of the following is a reasonable hypothesis for Carlos to make?
More information is needed before Carlos can make a reasonable hypothesis
Excessive head nods, making too much or too little eye contact, overuse of mirroring, and constantly saying "Uh-huh" are all examples of what?
Negative attending behavior
Obtaining a verbal or written contract from a suicidal client should be done within the context of which of the following? Private practice settings A medical setting Residential treatment Hospitalization None of the above, no-suicide contracts are not considered appropriate.
None of the above, no-suicide contracts are not considered appropriate.
What is the simplest form of a trial interpretation?
Noticing a repeating pattern
You should be careful when you use Why questions in an interview because: Only A and C are true.The client's personal motivation is none of your business. They can make the client defensive.They often elicit very intellectual responses.
Only A and C are true
Tan believes the Bible, when applied to counseling, a Christian counselor needs to have which of the following? (click all that apply)
Partial 1 point out of 2???? Sound exegesis and hermeneutics A basic knowledge of Scripture and theology Making clients disciples.
When considering the use of spiritually based interventions with a client, e.g., prayer, which of the following would the Christian counselor need to assess (click all that apply)? Am I competent in using this spiritual intervention? Is my understanding of the spiritual interventions (e.g., meditation) align with my client's understanding? Is the use of this spiritual intervention bypassing a more appropriate secular intervention? Does this align with my secular theory.
Partial 1.33/2 Am I competent in using this spiritual intervention? Is my understanding of the spiritual interventions (e.g., meditation) align with my client's understanding?
Which of the following represent a descriptive-diagnostic approach (click all that apply)? Anxiety reactions in interpersonal situations Personality dependence Major depressive disorder A pattern of almost lifelong depressive symptoms associated with seeing and experiencing race and gender discrimination.
Partial 1/2 Major Depressive Disorder
Which of the following are outcome measurements (click all that apply)? Parent report of increased prosocial activities by child Client report of decrease in number of days feeling "sad." Beck Depression inventory score reduced by 8 points from baseline Counselor report of maladaptive automatic thoughts
Partial I chose Parent report of increased prosocial activities by child Client report of decrease in number of days feeling "sad." Beck Depression inventory score reduced by 8 points from baseline
Flashbacks are a core symptom of:
Post -traumatic stress disorder
Clients who resist speaking openly and are resistant to direct questioning are referred to as having:
Poverty of speech
FC Which of the following would be considered "spiritual disciplines" that a counselor can apply to their life or as an intervention when working with a client (click all that apply)?
Prayer Solitude Confession
Which of the following would be considered "Christian-"spiritual disciplines" that a counselor can apply to their life or as an intervention when working with a client (click all that apply)? Prayer Yoga Solitude Confession
Prayer Solitude Confession
The inverted Pyramid Method (IPM) first step is which of the following?
Problem identification
Which one of these theories may be better adapted to implicit integreation according to Tan?
Psychodynamic
Which of the following is NOT one of the four categories of attending behavior?
Reflection of feeling
True or False. When attempting Christian integration with a secular theory (e.g., CBT, DBT, existentialism, feminism), the Christian counselor needs to evaluate the secular theory principles against Scriptural truths before applying.
True
Which one of the following is an example of clinical targets approach?
Self-doubting thoughts and fears of humiliation
Which suicide intervention approach is based on the idea that many suicidal clients really desires to eradicate the feelings of intolerable pain rather than to eradicate the self? Hospitalization
Separating the psychic pain from the self
Which of the following psychiatric medication types has been identified as contributing to suicidality?
Serotonin Specific Reuptake Inhibitors
What are the two factors, according to Switzer and Rubin driving the development of interventions?
Service delivery type and psychotherapeutic approac
What are the two factors, according to Switzer and Rubin driving the development of interventions?
Service delivery type and psychotherapeutic approach
FC The Bible when applied to life, counseling, needs which of the following? (click all that apply)
Sound exegesis and hermeneutics 2. A basic knowledge of Scripture and theology
"Pacing the client" refers to:
Speaking in a similar volume and tone to the client.
Granello suggests there is a two-tiered clinical approach when treating suicidal clients. They are _______ and _______.
Stabilization and address underlying factors
Stan is obviously angry. His counselor wants to use a reection of feeling. Which of the following is the best example of a reection of feeling?
Stan, you look and sound angry
Foley and Sharf identied ve important parts of a clinical interview; they include all of the following EXCEPT:
Structuring and determining outcomes.
Foley and Sharf identified five important parts of a clinical interview; they include all of the following EXCEPT:
Structuring and determining outcomes.
"Can you tell me more about your relationship with your brother?" is what type of question?
Swing
What's the purpose of an interpretation?
To help something unconscious become conscious
According to a biblical view of humans (biblical anthropology), the ultimate purpose to life, according to Tan, is
To know God and enjoy him forever
True or False, At times a client may be experiencing both a mental illness and influence of the demonic
True
True or False. Christian counseling and psychotherapy is defined as Christ centered, biblically based, and Spirit led according to Tan.
True
True or False. The 2nd step of the inverted pyramid model is based on "rational clinical judgement" as opposed to step 3 of the IPM which is "theoretically-based" according to Schwitzer and Rubin?
True
Which of the following (click all that apply) are aspects of a treatment (tx) plan according to Switzer and Rubin?
Use a behaviorally based definition of the problems. The tx goals are specific and measurable.
FC Which of the following (click all that apply) are aspects of a treatment (tx) plan according to Switzer and Rubin?
Use a behaviorally-based definition of the problems. Outcome measurements help the counselor know when each goal has been reached.
If a counselor is working with a client who desires to have prayer, Scripture, fasting, meditation integrated the counselor needs?
Verbal and written consent ideally
Which ONE of the following is an ethic that focuses on the character of the counselor?
Virtue Ethics
Which one of the following is not a part of Case conceptualization? A clinical process to describe the presenting client presentation. A clinical process to identify the main cause of the problem. A clinical process using a theoretical orientation to interpret the client's presentation. A clinical process to evaluate and organize the clinical observations.
WRONG A clinical process to identify the main cause of the problem.
Which one of the following is not a part of Case conceptualization? A clinical process to describe the presenting client presentation.A clinical process to evaluate and organize the clinical observations. A clinical process to identify the main cause of the problem. A clinical process using a theoretical orientation to interpret the client's presentation.
WRONG A clinical process to identify the main cause of the problem.
Which of the following is an example of areas of function/dysfunction approach? posttraumatic stresses and symptoms Posttraumatic stress disorder A pattern of posttraumatic symptoms and post-traumatic symptoms associated with seeing, and being resigned to, being physically and sexually abused as her assigned role in life. Long-standing hyperactivity, inattention, excessive emotionality, and attention-seeking, all of which deflect intimate relationships and defeat job success.
WRONG Long-standing hyperactivity, inattention, excessive emotionality, and attention-seeking, all of which deflect intimate relationships and defeat job success.
Which of the following are suicide "risk factors" found in the SAFE-T? Which of the following are suicide "risk factors" found in the SAFE-T? Discharge from care HoplessnessLethalityResponsibility to children
WRONG Responsibility to children
Psychoanalysts say that timing is most important when using which of the following listening techniques? Interpretation Sensory-based paraphrase Silence Feeling validation Timing is equally important for all of the above techniques.
WRONG Timing is equally important for all of the above techniques.
If the client says: "I always feel anxious in the grocery store," and the therapist responds with: "Is it only in the grocery store that you feel anxious or do you feel that way in other places as well?" what technique is the therapist using?
WRONG none of the above
Mickey wants to use an interpretive reection of feeling. What would you tell him he needs to do rst?
Wait until he has rapport, has listened well, and has evidence
The DSM-5 is ____________ type of classication system?
criterion-referenced
___________________ integration is a more subtle approach to counseling than ____________ integration which actively uses prayer and scripture during a session based on client consent.
implicit, explicit
When conducting a clinical interview, the counselor needs to have which of the following to arrive at a DSM-5 diagnosis, according to Switzer and Rubin, for the diagnostic criteria and features.
inclusion criteria, exclusion criteria, durations of symptoms, frequency of symptoms, symptoms severity