Exam Questions Flashcards
What are 3 professional micro skills in counselling and why use them?
Summarising Reflecting Paraphrasing
Give an example of how 3 micro skills can be done well and badly
Summarising - : Good; Said at a good time; Reflects both affect components, events and what appears to be important to the client. Bad: interrupting client; way off topic; talking over client;own agenda Reflecting; Good: Gentle reflection of feeling on topic; Bad: interrupting; totally off topic; telling them what you think Paraphrasing - Good; indicate you are following; indicate keep going; timing Bad: Interrupting; talking over clients; off topic
Describe Six Ways of Building Rapport
- Warm greeting- helps client feel welcomed 2. Use clients name 3. Proximity seating 45 degree angle 4. Showing Empathy 5. Open relaxed body language 6. Appropriate eye contact
Give 2 examples of session structure that are important
Informed Consent
Taking history
Set the agenda with client (no surprises)
Review the homework
A Specific technique (have time for it)
Discuss homework and next week
What are the three goals of verbal responding?
What do you need to communicate?
- You have heard and understood their perspective/feelings
- Your empathy, acceptance, respect and caring for them as a client
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Increase the client’s self understanding by;
- focusing on major themes
- clarifying inconsistencies
- reflecting underlying feelings
- summarising major affective and cognitive concerns
Describe three of the techniques you would use to build Empathy with a client
Empathy is shown through;
Communication: the capacity to listen, pay attention, perceive and respond in a way that the fore-mentioned are obvious i.e., you have paid attention, perceived and responded appropriately, verbally and non-verbally
1. Summarizing
2.Paraphrasing
3. Reflecting
Describe the overall factor structure of the WAIS - IV
1. Verbal comprehension Index
2. Perceptual Reasoning Index
3. Working memory Index
4. Processing Speed Index
What are the Core and Supplemental Areas tested under Verbal Comprehension?
Verbal Comprehension:
Core;
- Similarities
- Vocabulary
- General Knowledge
Supplemental; Comprehension
What are the Core and Supplemental Areas tested under Perceptual Reasoning?
Perceptual Reasoning
Core;
- Block design;
- Matrix;
- Visual Puzzels
Supplemental; Pic Comprehension ; * Figure Weights
What are the Core and Supplemental Areas tested under Working Memory?
Working Memory;
Core;
- Digit Span; 123456767899
- Arithmetic (1+1=2)
Supplemental; Letter Number Sequence (Happy123)
What are the Core and Supplemental Areas tested under Processing Speed?
Processing Speed;
Core;
- Coding
- Clerical typing speed ;
- Symbol Search
- Speed of visual search
Supplemental;
- Cancellation - Measures;
- Speed of visual discrimination
What would it mean if someone had a difficulty/deficit in verbal comprehension?
- difficulty understanding instructions;
- slower to respond and
- appear to have other difficulties or
- seem defiant etc behaviour issues
What are the strengths of the WAIS- IV?
- Normative data
- Rigorous Standardisation
- Good reliability
- Stable IQ and Index Scores
- Co-Linking with other tests (e.g. WIAT)
- Well-known
What are the weaknesses of the WAIS - IV
- Concern not well linked theoretical understanding of intelligence
- Can be easy to ‘over-interpret’, particularly individual subtests
- Missing thorough exploration of executive functioning, personality, social intelligence
- Danger in labeling a child with one number: the “IQ”
- Limited application
- Use of IQ cut-offs for services and funding
- Functional abilities
What is the Mean and SD on for the Full Scale IQ (FSIQ)
Mean = 100 SD = 15
what if the Index scores are too far apart? What does this mean?
If there is a discrepancy between the index scores and it is more that 1.5 SD (23 points) from the other scores then the FSIQ lacks integrity
What are the 9 areas of History Taking?
- Presenting Problem 2. Family & Developmental History 3. Educational 4. Occupational 5. Health & treatment 6. Relationship history 7. Social 8. Substance use history 9. Forensic
Why ask about history?
Because it give you a good idea of what the problems are, were they may have come from and what you may be needing to deal with in treatment and to help develop a treatment plan
Family & Developmental History Question
- May I ask you a few questions about your childhood? 2. Where were you born? 3. Where did you grow up? 4. Did you have any serious illnesses as a young child? 5. As far as you know, did you walk and talk at the appropriate age? 6. Do you remember any significant events between the age of: 0-6?; 7-12?; 13-18?
Occupational History Questions
What sort of work do you do now? Where do you work? How long have you been there? Are you enjoying it? What did you do prior to that…for how long…then what happened?
Social History
Are you married/in a relationship? How long How would you describe your marriage/relationship? Do you have any children? How old are they? How would you describe your relationship with your children? Who lives at home with you at the moment?
What is the MSE and how can it be used
A summary of the clinicians observations and impressions of the client at the time of the interview. It can be highly descriptive and allow another clinician to develop a good impression of the client without being there. Can be used as a clinical measure of change over the course of treatment (though has subjectivity). There are some variations as to the components, Included hereafter are those most typical of an MSE.
Appearance
Apparent age Height Weight Dress – nonjudgmental descriptive terms Self-care/grooming – consider their hair, hygiene level, make-up, overall self-presentation Prominent characteristics Ethnicity
Speech
Quality - volume, pitch/tone (e.g., highness or lowness) clarity Quantity - Rate Other speech abnormalities E.g., Witzelsucht; Poverty of Speech Note if client has hearing aid, or other indication of hearing problems