NCE Exam Prep Practice Exam 7/5 Flashcards
During informed consent the counselor needs to accomplish all but which of the following?
Goals for the therapeutic process
Credentials of the counselor
Exceptions to confidentiality
The risks that are inherent to the counseling process:
Credentials of the counselor
The major factor to consider in selecting group members is:
The degree to which the prospective member likes the leader
Whether they are dependent or independent personalities:
Whether they will contribute to the group or whether they will be counterproductive.
The degree to which the group leader likes the person:
Whether they will contribute to the group or whether they will be counterproductive.
Rachel, a 16-year-old, is brought to therapy by her parents due to academic underperformance and irritability. During the assessment, you suspect ADHD. What should be included in her treatment plan?
Comprehensive assessment for ADHD, involving parents and teachers.
Encouragement to improve study habits.
Comprehensive assessment for ADHD, involving parents and teachers.
(A comprehensive assessment for ADHD involving parents and teachers is essential before considering medication. Immediate medication is premature without a thorough assessment. Family therapy and improving study habits can be valuable but should be considered after an accurate diagnosis.)
Melissa, a 22-year-old woman, is struggling with self-esteem issues and body dysmorphic disorder. What should be included in her treatment plan?
Identifying and challenging distorted thoughts about appearance.
What is the purpose of conducting ongoing assessments during the course of therapy?
To ensure that the client’s treatment plan remains relevant and effective.
In treatment planning, what is the primary purpose of setting clear and measurable goals?
To provide a roadmap for therapy and evaluate progress.
Jolie has been seeing you weekly for counseling for two years. During the time Jolie has shown marked improvement in terms of depression and ineffective decision-making. Case notes for the last six months reflect a pattern of Jolie updating you on her work and dating relationships. Then, the two of you discuss various decisions, actions that she is considering. Jolie signals no intent to terminate counseling. In terms of the issue of termination, Jolie‘s case suggests
Countertransference in the form of mirroring
Client dependence.
Treating the client benignly
client dependence.
Michael, a 30-year-old man, has obsessive-compulsive disorder (OCD) with debilitating rituals. What is a primary focus in his treatment plan?
Administering medication to reduce symptoms.
Gradual exposure and response prevention (ERP).
Gradual exposure and response prevention (ERP).
(For OCD, a primary focus is gradual exposure and response prevention (ERP) therapy to reduce compulsive behaviors. While identifying underlying causes is valuable, ERP often takes precedence. Medication can complement therapy. Encouraging avoidance is counterproductive to ERP.)
According to Benne and Sheats, group task roles move the group toward their goals and include all of the following EXCEPT:
Opinion giver
Gate Keeper
Initiator
Orienteer
Gate Keeper
(not a role that directly moves the group toward its goals. Instead, a gatekeeper is responsible for ensuring that all group members have an opportunity to participate and share their ideas. They facilitate open communication within the group and help manage the flow of information and contributions. While gatekeepers play an important role in maintaining group dynamics, they don’t directly drive the group toward its goals like initiators, opinion givers, and orienteers do.)
Which of the following components is NOT typically included in a comprehensive treatment plan?
Medication dosage
Stuart’s behavioral marital therapy makes use of a precounseling inventory that includes all of the following EXCEPT:
caring days
a pleasure index
a genogram
contracts
a genogram.
Ohlsen describes twelve factors for group therapeutic potential that include
self-disclosure, identity strength, responsibility for others.
competence, commitment, readiness for change, productive tension.
security, safety, decreased aggression, motivation
focusing, withdrawing, coming together, isolating
competence, commitment, readiness for change, productive tension.
(These factors are indeed described by Ohlsen as part of the therapeutic potential of group therapy. Competence relates to the group members’ skills and abilities, commitment to their engagement, readiness for change in their behaviors or attitudes, and the presence of productive tension, which can drive growth and change within the group. These factors contribute to the effectiveness of group therapy.)
According to Corey, an effective group leader takes several factors into consideration in preparing a group. All of the following are important processes in group preparation EXCEPT:
A pre-group meeting about expectations
Minimizing problem-solving members
Not setting goals until issues arise
Finding an appropriate meeting place
Not setting goals until issues arise
Which of the following ethical principles should guide a mental health provider when creating a treatment plan?
Boundary violations
Confidentiality
Dual relationships
self-disclosure
Confidentiality
(Confidentiality is a fundamental ethical principle that should guide the creation and implementation of treatment plans. The others are ethical concerns)
When a 7-year-old second grader transfers into the area and is placed in Mrs. Perry‘s classroom, he is disruptive, blurts out answers before questions have been fully asked, gets out of his seat without permission, intrudes into other children‘s activities, and often loses materials and school supplies. Mrs. Perry asks to meet with the school counselor about this child after reading his file from the former school in which the same behaviors have been observed and documented. The counselor should consider a possible diagnosis of
conduct disorder
attention-deficit/hyperactivity disorder
Oppositional disorder
Avoidant disorder
attention-deficit/hyperactivity disorder.
(a neurodevelopmental disorder characterized by persistent patterns of inattention and/or hyperactivity-impulsivity that interfere with daily functioning or development)
