Deliver Flashcards
Issues with body image, interpersonal relationships, social skills, social roles, and conflict management are all age specific topics generally relevant to:
a. pre-K students.
b. elementary students.
c. middle school students.
d. high school students.
c. middle school students.
As a part of a comprehensive counseling program that addresses specified needs, counselors should include topics that are generally relevant to particular age groups. Some of these age-specific topics are:
For elementary students: Students in this age group are dealing with issues related to friendships, family roles, problem solving, social behaviors, success in school, expressing emotions, and self-esteem.
For middle school students: Middle school students are particularly embroiled in issues relating to body image, interpersonal relationships, social skills, conflict management, social roles, diversity issues, self-esteem, transitioning to a new school, and academic development.
For high school students: As students prepare to become adults, topics that are most relevant are career exploration and planning, dating protocol, intimate relationships, self-identity, assertiveness training, stress management, and time management.
Although many of these topics overlap age groups, counselors need to be cognizant of the level of development present in the particular student group or population.
Both group size and session length are primarily determined by:
a. the counselor’s judgement and capabilities.
b. the counselor’s and teachers’ schedules.
c. the participants’ individual needs and expected participation.
d. the participants’ age and developmental level.
d. the participants’ age and developmental level.
Both group size and session length are primarily determined by the age and developmental level of the participants. One of the key deciding factors is the ability of certain age groups to focus on a topic for a specific period of time. Since younger elementary children have shorter attention spans, a rule of thumb for them is to have group sessions last about 20 minutes with about 5 members in the group. Older elementary students (roughly grades 4 through 6) can meet for periods ranging from 30 to 45 minutes in groups of 7 or so. High school students will benefit from an expanded length of session, but still will fare better in smaller groups. The ideal group size for high school students is 6 to 8, meeting for 40 to 50 minutes. If a counselor feels that a particular group could extend the recommended time or group size, he or she should refer to research regarding both the topic and the group size.
Students referred into group counseling from individual counseling should sign a consent form that indicates all of the following EXCEPT that:
a. They understand the group setting.
b. They have told their parents about the group setting.
c. They are ready for the group setting.
d. They are committed to the group setting.
b. They have told their parents about the group setting.
Although some students referred to individual counseling may never participate in group counseling, others may transition from individual to group counseling. For these students, the counselor will want to make a determination of readiness based on specific criteria. He or she should then communicate to parents the recommendation and the factors that indicate the student’s readiness for group counseling. The intent, format, and expectations of the group setting should be distinguished from those of individual counseling. Counselors should refer to school policy regarding additional procedures to follow when transitioning a student in this manner. Also, students referred into group counseling from individual counseling should sign a consent form indicating their understanding of, readiness for, and commitment to the group setting.
Students exposed to which of the following are found to be more engaged, responsive, and attentive (which is particularly important in a group setting)?
a. Advanced topics
b. Diversity
c. Multisensory stimulation
d. Peer mediation
c. Multisensory stimulation
Students exposed to multisensory stimulation are found to be more engaged, responsive, and attentive. This is particularly valuable in a group setting, since one of the inherent weaknesses is the ease with which members can become distracted. Multisensory stimuli involve the mind and senses of children and adolescents, targeting multiple intelligences. This is particularly valuable in a group, which will be comprised of unique individuals with unique coping and learning styles. These stimuli provide the group with a comprehensive, experiential mode for addressing issues. Through the use of such creative and multisensory stimuli as puppets, music, drama, and movies, counselors can generate response and participation when broaching difficult topics. An added benefit is that students will forge positive associations between the topic and the creative stimuli. Various media, such as film, or puppets for younger audiences, can present a problem in a manner that may be more palatable than a lecture.
Developing a structure for which of the following requires a different focus than the others, necessitating a refocus and possibly some apprehension?
a. Screening sessions before group counseling
b. Beginning sessions of group counseling
c. Middle sessions of group counseling
d. Ending sessions of group counseling
d. Ending sessions of group counseling
Developing a structure for the closing sessions of group counseling require a different focus than the beginning or middle sessions. The closing sessions review accomplishments as a group and anticipate individual futures. There will necessarily be a refocus and possibly some apprehension. Counselors should announce the upcoming final session at least three meetings in advance. An important component in the final session or sessions is a review of the initial goals and the reminder of the achievement of those goals. Counselors should take this time to empower and encourage participants to remember their newly discovered skills and insights and apply them to future situations. Time should be allowed for participants to express feelings and for leaders or other group members to respond to those feelings.
Which of the following is most likely to benefit from group counseling?
a. A student dealing with body image issues
b. A student dealing with being bullied at school
c. A student dealing with long standing problems
d. A student dealing with a personal crisis
a. A student dealing with body image issues
Individual counseling should be chosen over group counseling when the student’s problems are severe enough that paying attention to the student takes priority over investigating or changing how the student interacts with others. When a student is in a personal crisis, if they have been bullied at school, or if the student is working with problems that are long-standing, group work will not be helpful and may even cause harm. Students struggling with issues related to trauma or current or past abuse should not be placed in groups.
What student demographic is particularly susceptible to peer association and influence?
a. Students between the ages of 4 and 7
b. Students between the ages of 8 and 10
c. Students between the ages of 11 and 13
d. Students between the ages of 14 and 17
d. Students between the ages of 14 and 17
Adolescent students between the ages of 14 and 17 are particularly susceptible to peer association and influence. Youth in this age group generally gravitate to peer groups other than their family. Often, young people join groups that are formed around a common ethnicity. Unfortunately, if some of the members of the group engage in violent or illegal activities, those who join the group often mimic this activity in order to be accepted. Consequently, students who participate in violent behavior or drug use engage in a lifestyle that leads to the decline of their physical, mental, social, spiritual, and/or economic health, which places them clearly in the at-risk category. Although counselors need to refrain from making assumptions based on associations, they nonetheless should be aware of a student’s associations, particularly as they relate to at-risk behaviors and attitudes.
Which of the following provides for continuing public education through grade 12, allocates funding for disadvantaged children, and focuses on the goal of drug-free schools and available after-school care?
a. Elementary and Secondary Education Act (ESEA)
b. National Defense Education Act (NDEA)
c. Family Educational Rights and Privacy Act (FERPA)
d. Individuals with Disabilities Education Act (IDEA)
a. Elementary and Secondary Education Act (ESEA)
Federal and state departments of education and mental health have developed the 1967 Elementary and Secondary Education Act (ESEA), which provides for continuing public education through grade 12. There is also funding allocation for disadvantaged children, focused on the goal of drug-free schools and available after-school care.
Which of the following is NOT true of suicide and suicidal thoughts?
a. Suicidal ideation is expressed in consistent ways across different cultures.
b. There is no guaranteed strategy to prevent suicide.
c. Suicide is deemed the most common cause of death for adolescents.
d. A key identifier of suicidal thoughts is having well-thought-out plans for murder or self-harm.
a. Suicidal ideation is expressed in consistent ways across different cultures.
Suicide is all too prevalent among young people and is the most common cause of death for adolescents. School counselors working with youth need to be well versed on the factors and behaviors contributing to suicides. There is no guaranteed strategy to prevent suicide and, in fact, suicide may occur despite the best efforts of the student’s support network. However, counselors should still be informed and prepared in the event of suicidal behavior. It should be noted that suicidal ideation may be expressed differently in different cultures, and therefore counselors should respond to every potential ideation seriously. Some of the common circumstances precipitating suicide are alcoholism, depression, and a sense of hopelessness or helplessness. Counselors who observe suicidal tendencies should meet with the student regularly to discuss and work on the student’s problems and state of mind.
In anticipation of campus-wide student violence, the BEST preparation strategies for counselors include both creating an intervention plan for the school and:
a. discouraging incidence of dating violence.
b. holding school-wide or community-wide presentations about the harms of alcoholism.
c. conducting individual interventions for at-risk students.
d. educating students and relevant adults about how to break the cycle of victimization.
c. conducting individual interventions for at-risk students.
Counselors should first be assured that the frequency of campus-wide student violence has declined in recent years. Nonetheless, there is always some possibility of a student or students committing violent acts that harm the campus as a whole. Unfortunately, there are not always clearly identified indicators of potential campus-wide violence. Most experts agree that this type of wide-impact violence is usually the culmination of several factors in at-risk students. The best preparation strategies for counselors include both individual interventions for at-risk students and an intervention plan for the school. On the individual level, counselors should always work with students to mitigate their violent tendencies or fantasies, regardless of whether or not they appear to pose a threat to others. On the campus-wide level, counselors can work with school officials to develop a rubric for threat assessment, as well as an intervention plan to minimize the casualties should a campus-wide event occur.
There are four basic classifications of threats of violence identified by the FBI. Which of the following is NOT one of these four?
a. Direct threats
b. Predictable threats
c. Veiled threats
d. Conditional threats
b. Predictable threats
Most of the research on the violent tendencies of students has been completed by governmental and FBI profilers and analysts. This research is made available to counselors and other educators to mitigate the possibility of future occurrences. There are four basic classifications of threats of violence identified by the FBI:
Vague threats that imply violence: The threat is implied in the terminology, but not specified. Time and place are not generally specified.
Veiled threats of violence: The terminology is more specific, but time and place are still not specified.
Conditional threats of violence: The terminology refers to violence if certain conditions are not met. A common example of this is extortion.
Direct threats of violence: These threats are clearly stated and straightforward. The terminology is in the form of a warning which specifies a target, time, and place.
The FBI has developed a four-pronged model of threat assessment. Which of the following does NOT accurately represent one of these prongs?
a. Prong 1 assesses the behavior and emotional dynamics of the individual.
b. Prong 2 assesses the circumstances of the family and home of the student.
c. Prong 3 assesses the student’s perceived marginal place in the school community.
d. Prong 4 assesses the probability of violence based on the first three prongs and student history.
d. Prong 4 assesses the probability of violence based on the first three prongs and student history.
The FBI has developed a four-pronged model of threat assessment that focuses on the specific characteristics of the student making the threats:
-Prong 1 assesses the behavior and emotional dynamics of the individual, including signs of alienation, poor anger management, poor coping skills, lack of trust, or marked changes in behavior.
-Prong 2 assesses the circumstances of the family and home of the student, including a lack of limits or monitoring, access to weapons, lack of intimacy, and/or volatile relationships within the family, particularly between the student and parents.
-Prong 3 assesses the student’s perceived marginal place in the school community, evidenced by bullying, a lack of attachment to the school, inflexibility about culture, and hierarchy among the students.
-Prong 4 assesses the student’s other connections, including peers at school, use of drugs or alcohol, and other outside activities or interests.
The acronym CAGE is used to help identify:
a. Mood disorders/depression
b. Alcohol abuse
c. Bullying and other victimization
d. Abuse/neglect in the home
b. Alcohol abuse
Although students may be hesitant to self-report or even to recognize substance abuse, counselors can facilitate this recognition and self-reporting through a series of questions. The following questions target alcohol abuse and are identified by the acronym CAGE:
C – Questions about cutting down. Ask the student if they have thought they should cut down on alcohol/substance use.
A – The annoyance factor. Ask the student if they become annoyed when people criticize their drinking.
G – The guilt factor. Ask the student if they ever feel guilty about the amount of alcohol/substance consumed.
E – Alcohol as the eye opener. Ask the student if they ever need alcohol to get going in the morning or to calm their nerves.
Counselors should also have regular access and referral to the Physician’s Desk Reference to maintain current knowledge about drugs and alcohol, including possible side effects.
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What characteristic usually defines the first stage of grief?
a. Bargaining
b. Anger
c. Denial
d. Hopelessness
c. Denial
The grief process encompasses the following five major stages:
Denial defines the first stage of the grief process. Counselors can help students identify their fears.
The second stage is usually anger, which involves indignation and questioning of why this loss was perpetrated on them. The student may argue that they did not deserve this loss.
Bargaining is generally the third stage. The student may attempt to negotiate with a higher power in an attempt to undo the loss. Bargaining is commonly accompanied by a sense of guilt that the student’s actions or inaction may have caused the event leading to the loss, and that they therefore deserved the loss.
The fourth stage is hopelessness and depression and tends to be the longest .This stage becoming less intense is usually a signal that the student is almost ready to move on to acceptance.
Acceptance is the fifth stage, in which the student adjusts to their new life circumstances.
What combination of therapies can be very effective in treating eating disorders?
a. Cognitive therapy and behavioral therapy
b. Mentalization therapy and art therapy
c. Group therapy and exposure therapy
d. Family therapy and psychodynamic therapy
a. Cognitive therapy and behavioral therapy
Eating disorders in youth commonly manifest as bulimia nervosa (BN), anorexia nervosa (AN), or both. Because both disorders result in extremely poor nutrition, and bulimia nervosa can result in esophageal injury, students who are suffering eating disorders are at risk for poor health, poor intellectual and social development, and, in some cases, death. Counselors can implement intervention strategies through a complete medical assessment and multifaceted therapeutic assessment. In particular, the combination of behavioral therapy and cognitive therapy can be very effective in treating eating disorders. Cognitive therapy can address issues of control and self-esteem, while behavioral therapy can promote healthy eating habits and discourage destructive behaviors like purging. Group therapy may also be quite helpful, and in some cases family therapy may be indicated. Medical assessment may also be indicated to ascertain if the student is in immediate physical danger from an eating disorder.