Chapter 7. Reflection of Feeling Flashcards

1
Q

Social emotions include

a. embarrassment.	
b. guilt.	
c. pride.	
d. all of these.
A

d. all of these.

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2
Q

Six primary emotions, in terms of facial expression and language, have been validated throughout the world in all cultures. These primary emotions are

a. mad, annoyed, angry, furious, embarrassed, and proud.	
b. sad, mad, glad, scared, disgust, and surprise.	
c. happy, joyous, excited, nervous, annoyed, and ecstatic.	
d. surprise, disgust, caring, guilt, discouraged, and proud.
A

b. sad, mad, glad, scared, disgust, and surprise.

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3
Q

Research suggests that positive emotions produce patterns of thought that are

a. creative.	
b. integrative.	
c. open to new information.	
d. all of these.
A

d. all of these.

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4
Q

There is a distinctive difference between paraphrasing and reflection of feeling. Paraphrase is solely ________ and reflection of feeling is concerned with ________.

a. content / emotion	
b. emotion / content	
c. content / observations	
d. observations / emotion
A

a. content / emotion

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5
Q

The first step in eliciting and reflecting feelings is to recognize key emotional words expressed by the client. Which of the following is NOT an emotional word?

a. angry	
b. excited	
c. joy	
d. considerate
A

d. considerate

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6
Q

Acknowledging feelings

a. is another term for reflection of feeling.	
b. is not a recognized term associated with the microskills.	
c. is brief recognition of feeling before moving on with the client story.	
d. is reflection of feeling used mainly with adult clients.
A

c. is brief recognition of feeling before moving on with the client story.

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7
Q

We grow best and become most resilient when we focus on what we __________ do.

a. can	
b. should	
c. must	
d. want to
A

a. can

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8
Q

Which of the following correctly details the techniques of reflecting feelings?

a. sentence stem, feeling label, content summary, past tense, checkout	
b. feeling label, context/brief paraphrase, sentence content, past tense, checkout	
c. sentence stem, feeling label, context/brief paraphrase, appropriate tense, checkout	
d. feeling label, context/brief paraphrase, appropriate tense, checkout, closing
A

c. sentence stem, feeling label, context/brief paraphrase, appropriate tense, checkout

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9
Q

When the counselor reflects feeling, he or she can expect the client will

a. experience their emotional state more fully.	
b. talk in more depth about their feelings.	
c. correct the counselor's reflection with a more accurate descriptor.	
d. do all of the above.
A

d. do all of the above.

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10
Q

Your client says, “Since my mother was diagnosed with cancer, I’ve been really worried and concerned. She just doesn’t look as well as she did before; she needs a lot more rest.” Which of the following counselor responses indicates reflection of feeling?

a. Your mother has cancer and she needs more rest.	
b. You seem really worried and concerned about your mother.	
c. Your mother looks well, but she needs more rest.	
d. Umm, tell me more.
A

b. You seem really worried and concerned about your mother.

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11
Q

Paraphrasing is concerned with feeding back the key points of what a client has said. Reflection of feeling, in contrast, involves:

a. observing emotions
b. naming emotions
c. repeating emotions back to the client
d. helping clients become more effective

A

d. helping clients become more effective

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12
Q

Which of the following is a common quality of both paraphrasing and reflection of feeling?

a. They are both included in feedback to the client.
b. They may be found together in the same statement.
c. They are both used in interviews.
d. All of the above.

A

d. All of the above.

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13
Q

The first task in eliciting and reflecting feelings is to _________ key emotional words expressed by the
client.

a. recognize
b. paraphrase
c. reflect
d. confront

A

a. recognize

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14
Q

The most immediate and potentially powerful tense for a reflection of feeling is:

a. past tense.
b. present tense.
c. future tense.
d. all tenses have equal power

A

b. present tense.

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15
Q

What should you do when the feelings of the client are not fully understandable and seem confused?

a. Ignore the feeling until you understand fully what the client is saying.
b. Paraphrase and summarize what you have heard.
c. Reflect the feelings as you have heard them, but include a checkout for accuracy.
d. All of the above.

A

c. Reflect the feelings as you have heard them, but include a checkout for accuracy.

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16
Q

Nonverbal indications of a client who is deeply emotional may most often include:

a. rapid breathing, speech hesitations, and facial flushing.
b. relaxed body posture concealing deeper feelings.
c. focusing on a single topic to the exclusion of all others.
d. all of the above.

A

a. rapid breathing, speech hesitations, and facial flushing.

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17
Q

Josephine:” I’ve been in this “home” for three years now. The staff doesn’t care, my family never
comes, and the food is awful.” Which is the most appropriate reflection of her implicit feelings?

a. “Josephine, you sound really angry. Is that close to what you are feeling?”
b. “Josephine, you are frustrated and angry. Is that close to what you are feeling?”
c. “Josephine, you sound really frustrated!”
d. “Josephine, I hear that you are frustrated. Underneath that, you sound lonely . . . and
angry? Is that close to what you are feeling?”

A

d. “Josephine, I hear that you are frustrated. Underneath that, you sound lonely . . . and
angry? Is that close to what you are feeling?”

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18
Q

“I feel really terrible. My folks have divorced. They have moved apart and I don’t know where to live.” Which would be a reflection of feeling in response to this client?

a. “You’re really confused.”
b. “Really terrible?”
c. “Sounds like you’re really upset and are confused as to what to do next.”
d. “Looks like you have had a bad experience. I can see that it would be tough deciding what
to do next.”

A

c. “Sounds like you’re really upset and are confused as to what to do next.”

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19
Q

Barry: (Jiggling his feet and shuffling restlessly) I can’t get the scene from the World Trade Center
bombing off my mind. It keeps coming up in my dreams again and again. I don’t understand what’s going on. Which is the most appropriate response?

a. “You seem to be anxious right now. Could you tell me more about your story and what’s
happening for you?”
b. “You seem to be anxious right now? Is that close?”
c. “The lack of sleep is really frustrating you.”
d. “You wonder what is going on?”

A

a. “You seem to be anxious right now. Could you tell me more about your story and what’s
happening for you?”

20
Q

Feelings are so important in the counseling process that you should:

a. reflect every feeling you observe as it comes along.
b. only reflect those feelings that are directly apparent.
c. avoid reflecting discrepant feelings.
d. none of the above.

A

d. none of the above.

21
Q

Which of the following is basic to empathic understanding?

a. Warmth
b. Appropriate smiling
c. Showing that you respect and care for your client
d. All of the above

A

d. All of the above

22
Q

Which of the following is CORRECT regarding the skill of reflecting feelings?

a. It is probably one of the easiest skills for you to master.
b. It is probably the skill we use the most in our daily communications.
c. It is probably one of the skills that takes more time to get fully comfortable with.
d. All of the above

A

c. It is probably one of the skills that takes more time to get fully comfortable with.

23
Q

Which of the following will NOT help you practice reflection of feeling?

a. Combine reflection of feeling with paraphrasing.
b. Become aware of and competent in each of the microskills
c. Focus on integrating reflection of feeling with questioning, encouraging and paraphrasing.
d. Use the skill as frequently as possible, and gradually integrate the microskills naturally
into your personal style.

A

c. Focus on integrating reflection of feeling with questioning, encouraging and paraphrasing.

24
Q

Which of the following is the emotional center of the brain?

a. Right brain
b. Limbic system
c. Left brain
d. Hippocampus

A

b. Limbic system

25
Q

Sorting out mixed feelings is best done, according to the authors, by:

a. using the exact words of the client.
b. paraphrasing feelings clearly, encouraging, and then summarizing.
c. noting ambivalent words such as “confusion” and discovering underlying deeper feelings
through questioning and reflection of feeling.
d. carefully bringing out additional specifics of the client’s emotional world

A

c. noting ambivalent words such as “confusion” and discovering underlying deeper feelings
through questioning and reflection of feeling.

26
Q

____________ clients may demonstrate a general tension and increased breathing rate, averted eyes or raised eyebrows, furrowed brow, biting the lips, crossed arms, or anxious playing with fingers.

a. Sad
b. Mad
c. Scared
d. Disgusted

A

c. Scared

27
Q

____________ clients may demonstrate an upright body position, frowning, and a louder or forced vocal tone; the mouth and jaws may be tense and lips tightened, fists clenched or the palms down.

a. Sad
b. Mad
c. Scared
d. Disgusted

A

b. Mad

28
Q

____________ clients may demonstrate a mouth curved down and upper eyelids droop. A raise of the inner brows. Their body may slump or the shoulders drop, while vocal tone may be soft and speech rate slow.

a. Sad
b. Mad
c. Scared
d. Disgusted

A

a. Sad

29
Q

____________ clients may demonstrate a wrinkled nose and upper lip raised and pursed.

a. Sad
b. Mad
c. Scared
d. Disgusted

A

d. Disgusted

30
Q

Assuming you have sufficient trust, you might try ___________ to help a client increase emotional expression, you might try:

a. commenting on their nonverbals
b. asking them to repeat emotionally loaded words
c. holding back for an interview or two and avoiding the issue
d. both a and b

A

d. both a and b

31
Q

Which of the following may NOT help clients slow down and regain control of their emotions?

a. Join clients where they are
b. Pace clients appropriately
c. Gestalt exercises
d. All of the above

A

d. All of the above

32
Q

Which of the following would be a possible way to help clients increase emotional expression?

a. “What are you feeling right now at this moment?”
b. “Pay attention to the feelings in your body.”
c. “Would you go back and say that again?”
d. All of the above

A

d. All of the above

33
Q

Which of the following might be useful to help clients decrease emotional expression?

a. “Let’s stop for a moment and breathe deeply.”
b. “Would you say that again?”
c. “Pay attention to the feelings in your body.”
d. All of the above

A

a. “Let’s stop for a moment and breathe deeply.”

34
Q

Choose the FALSE statement regarding positive and negative emotions.

a. Positive emotions make everything OK for client’s negative issues.
b. Do not minimize difficult emotions by too quickly focusing on the positive.
c. Identifying positive feelings helps balance the focus on negative emotion.
d. A wellness assessment provides positive emotions to draw on when needed.

A

a. Positive emotions make everything OK for client’s negative issues.

35
Q

If a client is continually talking about negative emotions, which of the following is most true and
helpful?

a. Encourage them to continue as they wish. This will empower them to make their own decisions.
b. Work to identify strengths and positives that the client has available, thus empowering
them to face the negatives on a basis of strength.
c. Ask them to identify positive feelings in their body.
d. All of the above.

A

b. Work to identify strengths and positives that the client has available, thus empowering
them to face the negatives on a basis of strength.

36
Q

Which one of the following is an example of a suggestion to help clients focus more on positive
emotions?

a. Watch a comedy on TV or at the movies.
b. Volunteer at their church or for their favorite charity.
c. Going out with friend.
d. All of the above.

A

d. All of the above.

37
Q

Which of the following represents a potential limitation of reflection of feeling?

a. Not all clients will appreciate your comments on their feelings.
b. Empathic reflection can have a confrontational quality to some clients.
c. Timing is particularly important with reflection of feeling.
d. All of the above

A

d. All of the above

38
Q

The client enters the room and immediately starts crying. After a short time, she says, “I’m totally
upset. I can’t sleep. I feel so anxious.” She then starts crying again. She is displaying a(n) ____.

a. sensorimotor emotional orientation
b. concrete emotional orientation
c. abstract / formal operational orientation
d. abstract dialectic / system orientation

A

a. sensorimotor emotional orientation

39
Q

“I see the situation differently each time I look at it. It’s so sad and I feel so badly that I lost my friend in the accident and I worry that I didn’t do more to help. At the same time, I treasure the memories and feel so glad to have shared the world, even in this short time. Providence sends us so many different things.” The client is displaying a(n) ____.

a. sensorimotor emotional orientation
b. concrete emotional orientation
c. abstract / formal operational orientation
d. abstract dialectic / system orientation

A

d. abstract dialectic / system orientation

40
Q

Client: Yes, somehow it just doesn’t seem fair. I’ve taken care of myself, worked hard and my spouse
just says I’m angry and bitter. It hurts.

. ____ “You feel hurt that your spouse says that.”

Reflection, paraphrase, encourager

A

Reflection

41
Q

Client: Yes, somehow it just doesn’t seem fair. I’ve taken care of myself, worked hard and my spouse just says I’m angry and bitter. It hurts.

____ “The situation isn’t fair after you’ve worked so hard to do right.”

Reflection, paraphrase, encourager

A

Paraphrase

42
Q

Client: Yes, somehow it just doesn’t seem fair. I’ve taken care of myself, worked hard and my spouse
just says I’m angry and bitter. It hurts.

____ “It hurts.”

Reflection, paraphrase, encourager

A

Encourager

43
Q

Client: If it were just my arthritis, I think I could deal with it, but I didn’t expect to have muscle spasms and leg cramps so bad I can’t walk as well. I feel totally useless.

____ “Having more than one physical issue complicates things a good deal.”

Reflection, paraphrase, encourager

A

Paraphrase

44
Q

Client: If it were just my arthritis, I think I could deal with it, but I didn’t expect to have muscle spasms
and leg cramps so bad I can’t walk as well. I feel totally useless.

____ “You can’t walk?”

Reflection, paraphrase, encourager

A

Encourager

45
Q

Client: If it were just my arthritis, I think I could deal with it, but I didn’t expect to have muscle spasms and leg cramps so bad I can’t walk as well. I feel totally useless

____ “I hear you saying you are very discouraged and hurting right now. Am I hearing you correctly?”

Reflection, paraphrase, encourager

A

Reflection