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Counseling Exam > Diagnostic Alerts > Flashcards

Diagnostic Alerts Flashcards

When you see the following word what should you be thinking?

1
Q

OBSESSIVE

A

Medical examination
Delirium
Drug withdrawal

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2
Q

PREMARITAL

A

Expectations
Hidden agendas
Family history
Disengagement and enmeshment

Explore the couple’s expectations about marriage and beliefs. Probe for “hidden agendas” of which the clients may or may not be aware.
Family histories and levels of disengagement and enmeshment can be explored.

Communication skills can be assessed and improved.

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3
Q

SEPARATION INDIVIDUATION

A

Mahler Object Relations Theory

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4
Q

VIOLENCE

A

Police involvement
Legal involvement
Safety for victim
The counselor assesses the potential for violence, and notifies the authorities if threatened.

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5
Q

FLASHBACK
NIGHTMARE
HYPERVIGILANT
TRAUMA

A

PTSD

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6
Q

RAPID CHANGE IN SITUATION

A

Crisis Intervention

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7
Q

DISABLED

A

Support systems

Piaget

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8
Q

DUTY TO WARN

A

When your client poses a danger to another, the law enforcement should be contacted, as well as the person who is in danger.

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9
Q

TESTING

A

The counselor uses appropriate and valid assessment instruments for which there has been adequate training.
Ethics (adequate instruction, cultural sensitivity, etc.) testing is taken into consideration.

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10
Q

SENIORS

A

Abuse (physical, emotional, criminal)
Support systems

Health

Finance
Probe in respect to abuse (physical, emotional, criminal).
Examine their support systems.

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11
Q

CRISIS INTERVENTIONS

A

The facilitation of catharsis often begins in crisis interventions.
The counselor helps the client in crisis to focus on the problem.

The goal of crisis intervention is usually to help the person reach the level of functioning they had before the crisis.

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12
Q

ALCOHOLISM

A

Medical referral

Therapy to increase responsible behavior

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13
Q

GRAVELY ILL OR DISABLED

A

Referral for physical/mental exam and perhaps hospitalization clients that are disabled or that are seriously ill.

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14
Q

DEALING WITH BELIEFS

A

Cognitive Theory

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15
Q

REFERRAL

A

Establish rapport with client
Written release from the client
It is best to establish rapport and the client’s trust before making a referral.
A written release from the client that you can refer the client is necessary before your contact another professional.

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16
Q

META MESSAGE

A

The meaning that comes through between the lines; determined by the relationship, context, the timing and the purpose.

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17
Q

SUBSTANCE ABUSE

A 
Symptoms of addition
Duration
Physical addition
Look for symptoms of addiction.
Ask for background information such as frequency of use.

Consider physiological dependence. Is hospitalization necessary?

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18
Q

ACTIVE LISTENING

A

Client-Centered Theory

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19
Q

INFORMED CONSENT

A

Before engaging a counselor, clients should understand (via verbal and/or written communication) their rights regarding confidentiality, risks, counseling procedures, and treatment goals.
The client should know their rights concerning termination and leaving therapy.

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20
Q

ANOREXIA

A

A medical referral and medical adjunct care is essential with anorexia.
A personal and family history should be taken.

Clients with anorexia usually have a problem with, and need to, increase their sense of self-worth.

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21
Q

CHILD DEVELOPMENTAL ISSUES

A

Age appropriateness of behaviors is a consideration with children.
Behaviors are compared to developmental stages, Piaget and Kohlberg.

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22
Q

UNIVERSAL PRECAUTIONS

A

AIDS

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23
Q

GRIEF

A

Related to any loss, people, places or things.
Kubler-Ross grief stages include Denial, anger, bargaining, depression, and acceptance.

Always evaluate the client for any potential suicide.

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24
Q

ETHNIC

A

Be aware of ethnic stereotypes and culture-specific values.
THE MORE THE COUNSELOR KNOWS ABOUT THE CLIENT’S CULTURE, THE EASIER IT WILL BE TO PERCEIVE THE WORLD FROM THE CLIENT’S PERSPECTIVE.

SOMETIMES IT IS ADVISABLE TO REFER THE CLIENT TO ANOTHER COUNSELOR WITH A MORE SIMILAR CULTURE.

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25
Q

RUNAWAY

A

With a runaway, the counselor explores the reasons for running away.
What kind of relationship does the child have with the parents/guardian?

Has there been abuse?

Reasons
Abuse
Relationships with parents

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26
Q

RELIGION

A

Spiritual beliefs determine behavior

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27
Q

WEIGHT

A

Self-concept
Physical examination

Danger to life

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28
Q

FIRST REFERRAL IS AN MD

A

Anxiety Disorders

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29
Q

DIVORCE

A

In a divorce, the needs of both the children and the parents should be considered.

Consideration of parents AND children
Grief

Behavioral limits

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30
Q

FUNCTIONAL COMMUNITY

A

Contiguous services rendered in a community or health care services

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31
Q

LITHIUM

A

Bipolar

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32
Q

TIME LIMITED

RESOLUTION HAPPENS IN LESS THAN 6 WEEKS

A

Crisis Intervention

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33
Q

EMPHASIS ON CLIENT

34
Q

DEPRESSION

A

Cognitive therapy
Substance abuse
Cognitive Behavioral therapy
Suicide

35
Q

COUPLES

A

Premarital counseling explores the stated and previously unstated reasons for marrying.
Note the couple’s communication patterns and any associated dysfunctions.

Issues related to families of origin include the levels of differentiation each person demonstrates.

36
Q

WORKING WITH GROUPS OR NEIGHBORS

ENABLING OR EMPOWERING

A

Community Organizer

37
Q

DEVELOP

A

Piaget
Kohlberg

Psychosexual stages

38
Q

SPECIFICITY
SUCCESSIVE APPROXIMATIONS
MODELING
PERFORMANCE

A

Social Learning Theory

39
Q

NATURE VS. NURTURE

A

Endogenous vs. environmental

40
Q

SUICIDE

A 
Plan
Means
Assess the suicidality of the client.
Does the client have a plan and the means?
Isolation
41
Q

PRIMARY PROCESS

42
Q

INTERMITTENT PUNISHMENT

A

Extinction

43
Q

ADOLESCENT

A

Who is the legal parent
School, family, and friends
Adolescent clients warrant the evaluation of school records, peer groups, and age appropriateness of behaviors.
Their family interactions are significant, especially their experiences of being parented.
Age appropriate behavior

44
Q

SINGLE PARENT

A

Support group
Coping skills
Work, family, social responsibilities

45
Q

MEDIATION

A

Collaboration

Contracting

46
Q

PSYCHODRAMA
SKILLFUL FRUSTRATION
DREAM WORK EMPTY CHAIR

A

Gestalt Therapy

47
Q

SUMMARY AND EVALUATION

A

Termination

48
Q

SEXUALITY

A

Intimacy concerns
Family history
Explore intimacy issues.
Cognitive-behavioral techniques including Masters and Johnson’s sensate focus exercises.

49
Q

PRIVILEGE

A

Generally, adults hold privilege regarding counseling information, except in the case of possible danger to self or others.
Children do not have a legal right to privilege, but counselors should work out some type of agreement as to the kinds of information will be divulged to parents or school.

50
Q

ALCOHOLISM

A

Calls for a medical referral.

Counseling goals

51
Q

EMANCIPATION

A

A child becomes emancipated upon getting married (with parental consent) or joining the military.
The emancipated child is in charge of his/her finances and legal affairs, and willingly lives apart from the parents.

52
Q

OBS

A

What appears to be a personality disorder could be OBS. Organic Brain Syndrome may involve unusual affect, amnesia, dementia, delusions, hallucinations, and delirium.
Also consider withdrawal from substances may be related to OBS.

53
Q

BORDERLINE

A

Supportive

54
Q

SPEED
EFFECTIVENESS
TIME LIMITED
AND REALITY FOCUSED

A

Short-Term Therapy

55
Q

FAMILIES

A

Family therapy often focuses on communication, roles, and rules, as they relate to the family structure/family system.
Therapy can be multigenerational.

56
Q

ABUSE

A

Take steps to protect the client.
Inform client of community resources.
Potential for more abuse
Protection of abused

57
Q 
HAZARDOUS EVENT
VULNERABLE STATE
PRECIPITATING FACTOR
ACTIVE CRISIS STATE
INDIVIDUAL REINTEGRATES AND REACHES EQUILIBRIUM
A

Crisis Intervention

58
Q

LEGISLATION

POLICY STATUTES

59
Q

DEPRESSION

A

What is the possibility of substance abuse and/or suicidality.
Is the client grieving?

60
Q

RELIGION

A

The counselor should be aware that the client’s religious beliefs may be determining behavior.

61
Q

TOKEN ECONOMY

A

Behavior modification

62
Q

GROUP THERAPY

A

Take all issues to the group for resolution

63
Q

FATIGUE

A

Physical examination

Depression

64
Q

SINGLE PARENTS

A

Consider support groups for single parents.

Evaluate and improve coping skills concerning family, work and social responsibilities.

65
Q

SHORT-TERM TREATMENT

A

Brief Therapy

66
Q

GAY ISSUES

A

Gay clients might need to deal with family secrets, family and/or social support, adjustment, and identity.
Suicidality has a higher rate among gays than the general population.

67
Q

ALLOCATING RESOURCES
PLANNING PROCEDURES
WRITING POLICY

A

Planner or Policy writer

68
Q

DRIVES AND DEFENSES

A

Psychodynamic

69
Q

AIMED AT CHANGING HOMOSEXUAL ORIENTATION TO HETEROSEXUAL

A

Reparative Therapy

70
Q

HOMEOSTASIS

A

Family Therapy

71
Q

PARENTING

A

Parenting issues frequently revolved around communication skills and methods of child discipline.
Exploration of each spouses childhood clarifies parental interjections and reason for current beliefs and expectations regarding parenting.

72
Q

CO-DEPENDENT

A

Co-dependents are frequently angry about the behaviors of significant others.
This anger might be openly expressed or masked by depression or care taking behaviors.

73
Q

INDIVIDUATE

DIFFERENTIATE

A

Object Relations Theory

74
Q

BOUNDARIES BETWEEN SYSTEMS

A

Family Therapy/Family Systems

75
Q

2 YEARS OLD

A

Separation Anxiety

76
Q

ASSESSMENT

A

Cultural considerations

Ethics

77
Q

ADJUSTMENT DISORDER

A

When a case includes social or work impairment, an adjustment disorder should be considered. Also, when a client is reacting to a stressor in a maladaptive manner, this could be due to an adjustment disorder.

78
Q

CHILDREN

A

Evaluate interacting with family

Play therapy

79
Q

EATING DISORDER

A

Referral for medical exam and adjunct nutritional therapy is imperative with eating disorders.

80
Q

IMMIGRANTS

A

Ecological Systems Perspective

81
Q

MEDICAL CONDITION

Counseling Exam (3 decks)

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