Counseling and Helping Relationships

Integrative psychotherapies focus on three approaches: theoretical integration, technical eclecticism, and a common factors orientation. Select the correct choice for the theorists for the above three in sequential order.

All of the following are goals for Gestalt therapy except:

A basic assumption of Rational-Emotional Behavior therapy is that humans:

In Reality therapy, insight is:

Which of the following statements is not true according to the tenets of Adlerian therapy?

To conceptualize a client’s presenting issue and to customize a therapy relationship, client characteristics are essential. Clients who have little support from other people are likely to benefit from:

Theoretically and clinically consultation is what type of relationship?

Clients and counselors interact with computers and software technology to track changes during therapy. All of the following are benefits of this self-help monitoring technology except:

Clients lacking funds or who choose to avoid counseling centers choosing instead session-to-session on- site counseling for depression, generalized anxiety disorder, panic disorder, agoraphobic disorder, and social anxiety disorder can access:

Eels et al. (2014) identified eight reasons to consider computer assistance in psychotherapy. Five of eight reasons include cost, efficiency, increase access to treatment, suited for delivery of psychoeducation, and delivery of technical components of evidence-based therapies. Which one of the four is not one of the remaining three reasons?

Counselor characteristics that cut across all therapies are referred to as common factors. Although there are several specific factors several of them fall into a larger category. All of the following are common categories for those common factors except:

The interview strategy that uses the acronym OARS is:

A 52-year-old male presented with a marital issue. He expressed that he is no longer a good spouse. When asked to provide some examples he was unable to provide any detail or example of behaviors that were out of the normal for couple’s interactions. Adjustment disorder was the diagnosis, and the counselor recommended six sessions of cognitive behavioral therapy. What intervention from the limited information would be appropriate for session work?

One way in which a counselor can assess client improvement is to:

Evidence-based practices suggest that clients demonstrating low resistance tend to get better when there are signs of:

Which technique(s) is most often used in person-centered therapy?

Treatment of suicide ideation and attempts as well as self-injurious behaviors has shifted from a negative framework (desire to die) to a positive framework (desire to live). The positive framework is a protective- based intervention. This approach interviews the client for all of the following except:

Considering the survivor is safe after a disaster there are psychological tasks to be performed by the first responder. Reports from several disaster follow-ups highlight for a responder which psychological task is considered to be the most important for survivors?

The therapist expects which one of the following to take place in the initial phase of counseling?

In psychoanalysis, Freud utilized which technique to explore the unconscious minds of his patients?

Pushing unacceptable reality or painful material into unconscious:

Reverting to a less-mature state:

attributing to others qualities or traits that are unacceptable to his/her own ego

deal with anxiety by closing his/her eyes

directing energy toward another

manufacturing "good" reasons to explain a bruised ego

assuming abusing parents' way of handling

masking perceived weakness or developing positive traits to make up for limitations

redirecting sexual energy into creative behaviors

The following communication takes place between a 14-year-old female and her mother. The 14-year-old indicated she would like to join a volunteer organization such as Habitat. The mother replied that the daughter does not do enough work around the home and doesn’t know how to work. This is an example of:

A counseling agency was experiencing some employees experiencing physical and emotional stress and statements of over-burdened work. The workers have had an unusual number of sick days, requests for vacations, health problems such as high blood pressure, and conflicts with other employees. The manager is considering bringing in a consultant and should consider which type of intervention?

The literature indicates that greater than 50% of the clients who are likely to benefit from counseling avoid seeking mental health services. In many of those instances of individuals avoiding counseling might be explained by:

Which one of the counselor responses is an example of empathy?

Client: I am so tired of his nagging and telling me I am a selfish person. It makes me so upset when he compares me to women he says are more mature.

Counselor: You ____________________

The study of nonverbal behavior that relates to the personal space in which an individual feels comfortable speaking to others is called:

Discrepancy is one of the four guiding principles for effective interviewing and treatment. The counselor attempts to develop discrepancy through?

Motivational interviewing rolls with resistance and does not confront the client. A technique that MI interviewers use to roll resistance and to avoid an argument is?

All are strategies to roll with resistance when the intervention suggested by the counselor is incompatible with the client’s level of recognition except to:

All of the following treatment modalities for children and adolescents met ‘probably efficacious’ treatments for self-injurious thoughts and behaviors (SITBs) except:

To ensure that counselors may hospitalize a client with suicide ideation and those who have attempted suicide, without securing the cooperation of other mental health providers, counselors need access to what commitment document?

In planning a treatment program for a family, a system-oriented counselor would use an intervention that focuses on:

A structural family therapist’s task is to join the family. There are four ways to join the family. In addition to tracking, accommodating, and mimesis. What is the other method?

A family of four requested family counseling at a local counseling agency. The parents’ presenting concern is the well-being of their adolescent daughter who is failing in school. The family composition is a father, stepmother, nine-year-old daughter, and 16-year-old daughter. First, one of the co-therapists completes a genogram. During this process, it becomes evident that there are no clear boundaries between family members and that the father allies with his daughter whenever there is a conflict with his wife. In this stepfamily, who is most likely the scapegoat?

A male, 17-year-old student, and a community counselor met for an evaluation. A faxed report was placed in the prospective client’s folder and presented to the counselor. The report included reports from two instructors who shared similar stories suspecting that the student was overly anxious. The student did not desire recognition of any form, rarely if ever would raise his hand to answer or ask a question. When he was called on his face would redden or flush and he made obvious attempts to swallow. On one occasion he became upset and left the classroom. His parents, when contacted by the school counseling center, signed a release-of-information form and were provided the client rights form. This form indicated that the center might find it necessary, at times, to include personality tests. The counselor decided it was important to administer a personality test to determine if personality features might exist. When it became known a personality test was to be administered, the parents immediately called the counseling center demanding to see the test results. The appropriate action by the center or counselor is to:

A family of four self-referred because the parents felt that they may have caused some harm to their five- year-old son who has been striking matches, hurting the family pets, and often is found awakening the newborn baby. He is doing this with sharp objects and pinching, causing the baby pain and crying. The counselor might consider which of the following to address the stated concern:

A clergy member referred a church couple for marital counseling. The stated concern quickly expanded beyond a lack of patience for each other to spending little time together and blaming (selfish behaviors). The female reported that they feel taken advantage of by the demands placed on them by the husband’s siblings. It seems that the husband will not stand up to his brothers and demand that they take equal responsibility in caring for their parents. The parents call the husband frequently and he will drop whatever he is doing and respond to their call. His wife does not appreciate this intrusion and it has caused friction and a lack of intimacy to the point they have neglected to respond to each other with tenderness in the form of hugs, holding hands, and loving affirmations. The counselor’s best course of action would be to: