Pocket Prep 3 Flashcards

1
Q

Which of the following describes the concept of conservation, according to the work of Jean Piaget?

Quantity changes because appearance changes

Quantity changes indirectly when appearance changes

Quantity does not change because appearance changes

Quantity only changes when the object is removed completely

A

Correct answer: Quantity does not change because appearance changes

Conservation, according to the work of Jean Piaget, is the knowledge by a child that quantity and volume do not necessarily change because the appearance of that object changes; in other words, it is a realistic and diagnostic assessment of the effect of physical change on an object.

This is seen as characteristic of the concrete operations stage of Jean Piaget’s model, which takes place between the ages of 7 and 12.

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2
Q

It is common for anxiety disorder and attention deficit hyperactivity disorder to occur in the same individual at the same time. This phenomenon is known as:

prodromal symptoms

contraindication

disorientation

comorbidity

A

Correct answer: comorbidity

Comorbidity refers to two illnesses occurring at the same time in the same person. It is important for counselors to be aware of which disorders tend to be comorbid, such as depression and substance abuse. While it is sometimes difficult to ascertain which disorder occurred first, counselors can work with clients to figure out whether symptoms of one disorder are worsening symptoms of the other.

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3
Q

Which of the following is the correct sequence of object loss?

Protest, despair, recovery

Protest, elation, detachment

Protest, elation, recovery

Protest, despair, detachment

A

Correct answer: Protest, despair, detachment

Object loss in the context of developmental psychology refers to the loss of a key attachment figure at a formative age. The process is said to go from protest, in which the child shows behavior rejecting the loss, to despair, in which a negative adjustment to the loss is achieved, and finally to detachment, in which a separation from other human beings is reached in some form

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4
Q

A counselor who specializes in women’s issues frequently encounters clients who find themselves exhausted from taking care of others, such as children and other family members. The counselor encourages her clients to find ways to establish a better balance between commitment to others and self-care. This concept of healthier balance is explored in which of the following?

Carol Gilligan’s In a Different Voice

Jean Baker Miller’s Toward a New Psychology of Women

Gail Sheehy’s Passages

Harriet Lerner’s The Dance of Intimacy

A

Correct answer: Harriet Lerner’s The Dance of Intimacy

In her book The Dance of Intimacy (1990), Harriet Lerner presents the idea that women need to seek to establish a healthy balance between investment in others and investment in oneself. Lerner stresses the point that relationships should be based on mutual respect and appreciation, and that women should be independent and assertive.

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5
Q

Who developed the concept of the life-career rainbow?

John Krumboltz

John Crites

John Holland

Donald Super

A

Correct answer: Donald Super

Early in his career, Super’s explanation of career development consisted of vocational development stages and vocational development tasks. In the middle part of his career, however, Super acknowledged that career development involves not only the career but variables within the individual. His life-career rainbow acknowledges the eight life roles that many people hold (homemaker, spouse, parent, worker, citizen, leisurite, student, and child) and helps people think about the work/life balance in their lives.

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6
Q

Which of the following would be the best example of a holophrase?

“I am depressed.”

“Are you my counselor?”

“Me sleep.”

“I hear voices.”

A

Correct answer: “Me sleep.”

A holophrase refers to a vocalization, commonly after the first year of life, in which only one or two words are used to communicate meaning. Holophrases generally do not adhere to rules of grammar or sentence structure and are seen as a building block to further and more robust expression in language.

The other phrases listed are either rational or delusional, not holophrases.

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7
Q

The concept of splitting in object relations means assigning “all good” or “all bad” statuses to a person depending on the circumstances. Psychologically, how does this benefit the individual who engages in splitting?

It increases anxiety by predicting behavior

It boosts self-esteem by making others predictable

It boosts self-esteem by differentiating the self from others

It reduces anxiety by predicting behavior

A

Correct answer: It reduces anxiety by predicting behavior

The mind engages in many strategies, conscious and unconscious, to preserve its homeostasis and reduce discomfort. One of these is splitting from the field of object relations. In splitting, an “all good” or “all bad” assignment is made to people based on current circumstances. In adults, it is a way of describing the personality of others that in effect reduces anxiety by predicting behavior and making it knowable. The phenomenon suggests an intolerance for the ambiguity and unpredictability of human behavior.

Splitting is not meant to increase anxiety or self-esteem.

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8
Q

When asked what she does for work, an individual replies, “I’m a psychologist.” This is an example of all of the following except which one?

Occupation

Lifestyle

Career

Job

A

Correct answer: Lifestyle

There are many career-related definitions used both in society and in the field of career counseling. “Lifestyle” refers to an individual’s general preference in regard to career, living space, family, leisure, and other factors. “Occupation” is a definable work activity, and “job” is one person in one position doing certain tasks. “Career” has several different definitions, but ranges from the series of occupations one has to all of the work roles someone engages in. A woman defining herself as a psychologist refers to her occupation, job, and career, but not necessarily to her lifestyle.

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9
Q

Which of the following is most likely to be used to treat a phobia?

Medication alone

Psychotherapy and medication

Systematic desensitization

Inpatient treatment

A

Correct answer: Systematic desensitization

Based on the work of Ivan Pavlov, systematic desensitization works on the principle of gradual exposure to the feared stimulus in some form. There are various types of systematic desensitization, and different patients may proceed at varying rates through the modality.

Psychotherapy and medication do not address the heart of the problem, which is fear of a particular stimulus. Inpatient treatment is most likely not called for, and medication alone would do nothing to address the root issue.

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10
Q

A client tells their career counselor that they are interested in having an annual salary of about $50,000, and they want to know what types of careers are currently on the rise. They have a bachelor’s degree and are not interested in going back to school. What tool might the career counselor use to help this client narrow down their search?

DOT

SIGI 3

OOH

World-of-Work map

A

Correct answer: OOH

The Occupational Outlook Handbook (OOH) is published every other year and offers information about current salaries and projected trends. This would be the best way for this particular client to narrow down their options for an occupation based on salary, educational requirements, and future job projections.

None of the remaining answer options are as effective as the OOH at narrowing down options based on the information given in this question. The World-of-Work map is a tool developed by ACT that organizes occupations based on primary tasks related to People, Data, Things, and Ideas. The Dictionary of Occupational Titles (DOT) offers summaries of about 12,000 occupations. The System of Interactive Guidance and Information (SIGI 3) is a top-of-the-line computer-assisted career guidance system that can supplement the assessments and guidance of career counselors.

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11
Q

Who is known for his belief that developmental tasks, which are the skills a person obtains through maturation, must be accomplished at each stage of growth before the next stage can successfully occur?

John Watson

Abraham Maslow

Aaron Beck

Robert Havighurst

A

Correct answer: Robert Havighurst

Robert Havighurst developed the idea that, in order to move through life successfully, individuals must master the developmental tasks of each stage of growth. These developmental tasks are those that result from physical growth, societal influences, and personal values.

Abraham Maslow is known for his hierarchy of needs, which begins with physiological needs and progresses to social and cognitive needs. John Watson was a behaviorist who believed individuals’ behaviors result from rewards and punishment. Aaron Beck was a psychiatrist who developed cognitive therapy.

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12
Q

What role do psychodynamic techniques play in Crites’ model of career counseling?

They are used as part of the assessment and inventory process

Crites does not recommended psychodynamic techniques due to their long-term nature

They are used after the problem is diagnosed to help the client interpret and understand why the problem was occurring

They are used before diagnosis takes place so the client can begin to formulate reasons why they are having problems

A

Correct answer: They are used after the problem is diagnosed to help the client interpret and understand why the problem was occurring

John Crites’ model of career counseling is a comprehensive approach that requires the counselor to diagnose the career problem using differential, dynamic, and decisional approaches. Crites also believed that once the career problem has been diagnosed, the counselor should provide client-centered counseling, psychodynamic techniques, and trait-factor and behavioral approaches. Psychodynamic techniques in career counseling may include interpretation and reflection on the client’s internal emotional experiences.

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13
Q

Which of the following is an accurate definition of confirmation bias?

Taking in information that agrees with your view and ignoring that which does not

Taking in information that agrees with your view as well as that which does not

Taking in information that agrees with your view as long as there is no evidence to the contrary

Remembering information that agrees with your view but not that which does not

A

Correct answer: Taking in information that agrees with your view and ignoring that which does not

Confirmation bias is a perceptual/judgmental phenomenon by which people tend to take in and accept information and data that agree with their point of view while ignoring those that do not. This is in keeping with the general tendency of the mind to attempt to prevent challenges to its homeostasis.

This tendency does not have to do with memory or evidence per se, except insofar as evidence is less favored when it does not agree with an established point of view.

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14
Q

Which of the following is an accurate statement per social comparison theory?

We judge our behaviors and success without comparison to others

We judge our behaviors and success by comparison to others if the comparison is favorable

We judge our behaviors and success by comparison to others

We judge our behaviors and success by comparison to others if the comparison is unfavorable

A

Correct answer: We judge our behaviors and success by comparison to others

Social comparison theory, which arose from the research of Leon Festinger, suggests that we judge our behaviors and success by comparison with others. Rather than evaluating our behavior or success with reference to our past, our current progress, or our eventual goals, we tend to compare ourselves first to what we believe about how others are doing.

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15
Q

An adult client is receiving counseling for depression and dysfunctional relationship patterns as a result of childhood trauma. During a session, the client tells her counselor that she was fired from her job two weeks before, has been unable to pay her rent, and might have to sell her car in order to buy food for her children. The counselor believes that before the client can make further progress exploring depression or trauma, the client must find another job and be more financially stable.

The counselor’s perspective is based on which of the following?

Gesell’s maturationist theory

Maslow’s Hierarchy of Needs

The behaviorism learning approach

The work of Jean Baker Miller

A

Correct answer: Maslow’s Hierarchy of Needs

Abraham Maslow, 20th century American psychologist, is known for his theory that individuals’ needs can be ranked on a pyramid, with the most important needs at the bottom. This Hierarchy of Needs places physiological and safety needs (food, shelter, medical care, etc.) at the bottom, implying that these needs must be met before higher level emotional needs (love and belonging needs, esteem needs, and self-actualization) can be met.

Gesell’s maturationist theory is based on the belief that human development is governed by an individual’s genetic composition. The behaviorism learning approach is a broad approach that views behavior as a result of reinforcement and motivation. Jean Baker Miller is known for her contributions to the field of women’s mental health.

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16
Q

In order to meet the criteria for a DSM-5 diagnosis, individuals must experience psychological dysfunction. Which of the following is the best definition of this term?

Labile emotional states that interfere with cognition

Impaired cognitive, emotional, or behavioral functioning

Confusion regarding one’s spiritual, emotional, and psychological needs

The lack of interpersonal relationships

A

Correct answer: Impaired cognitive, emotional, or behavioral functioning

Individuals whose functioning is severely impaired are said to be experiencing psychological dysfunction. While specific DSM-5 diagnoses might require that certain criteria, such as extreme mood states, are met, it is a requirement for all diagnoses that the individual experience impaired functioning as a result of the symptoms.

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17
Q

A young girl decides she wants to be a doctor when she grows up, but after reading several children’s books about doctors she tells her mother she is going to be a nurse “because doctors are boys and nurses are girls.” In what stage of vocational development is this child, according to Gottfredson?

Orientation to gender allowances

Orientation to size and power

Orientation to social valuation

Orientation to sex roles

A

Correct answer: Orientation to sex roles

Linda Gottfredson is known for her career development theory “Circumscription and Compromise.” According to Gottfredson, vocational self-concept develops in childhood and influences occupational selection. An individual progresses through four stages: orientation to size and power (ages three to five), when children think concretely and begin thinking about occupations they might like; orientation to sex roles (ages six to eight), when children learn that occupations are sex-typed and performed primarily by one sex or the other; orientation to social valuation (ages nine to 13), when children realize that occupations vary in social value and desirability; and orientation to internal unique self (ages 14 and up), when adolescents reflect on their own values and interests and use these to inform occupational decisions.

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18
Q

What is the importance of neurotransmitters in the context of counseling individuals with mood disorders?

Neurotransmitters are solely responsible for memory, so clients can remember counseling sessions and apply concepts in between sessions

Neurotransmitters are a good predictor of how good someone’s prognosis will be after receiving counseling

Neurotransmitters act as sponges to absorb the extreme emotional reactions that tend to come up in counseling sessions

Neurotransmitters directly affect a person’s mood as well as their emotional and cognitive functioning

A

Correct answer: Neurotransmitters directly affect a person’s mood as well as their emotional and cognitive functioning

Neurotransmitters, which include acetylcholine, serotonin, dopamine, and Gamma Amino Butyric Acid (GABA), are brain chemicals that affect all types of emotional, psychological, behavioral, and cognitive responses people have to their surroundings. When an individual lacks a certain neurotransmitter, they can experience symptoms such as severe depression, anxiety, emotional dysregulation, or poor cognitive performance.

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19
Q

Which of the following would be the best example of introjection as expressed in psychoanalytic family therapy?

A family begins to act like another family

A family thoughtfully examines its own structure

A wife takes on the personality traits of her husband

A child distracts from family problems with misbehavior

A

Correct answer: A wife takes on the personality traits of her husband

In psychoanalytic family therapy, the term introjection refers to roughly the same phenomenon as the defense mechanism of the same name: taking on aspects of another person within oneself. An example might be a wife taking on aspects of her husband’s personality.

The concept does not refer to a family structure or gross changes in family behavior.

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20
Q

Which of the following is generally true about persons suffering from somatic symptom disorders?

They are manufacturing symptoms and do not really experience them

They are experiencing traumatic flashbacks

They experience their symptoms as real

They are experiencing a mild form of psychosis

A

Correct answer: They experience their symptoms as real

Persons who suffer from disorders that the DSM-5 has placed in the category of somatic symptom and related disorders are not manufacturing symptoms that they do not really feel. They do experience symptoms that are real in their experience, although they do not have any medical or physical evidence to support their existence.

These people are not experiencing psychosis, and most likely the somatic symptom disorder is not a traumatic flashback.

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21
Q

Which statement is true regarding trauma- and stressor-related disorders?

Depending on the client, a wide variety of psychotherapeutic approaches may be recommended

They must be diagnosed before the age of 18

They are caused only by recurring, chronic traumatic events

A diagnosis should be automatically given to any child or adult who has experienced a traumatic event

A

Correct answer: Depending on the client, a wide variety of psychotherapeutic approaches may be recommended

Trauma- and stressor-related disorders are caused by being involved in, witnessing, or otherwise being exposed to one or more traumatic events. Reactive attachment disorder, disinhibited social engagement disorder, posttraumatic stress disorder, acute stress disorder, and adjustment disorders all fall into this category. This category of disorders is very broad, so a wide variety of psychotherapeutic approaches may be recommended.

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22
Q

What are the typically recommended treatments for bipolar disorders?

Group therapy and family counseling

Mood-stabilizing medication and psychotherapy

Relaxation training and antipsychotic medication

Interpersonal therapy and cognitive behavior therapy

A

Correct answer: Mood-stabilizing medication and psychotherapy

Bipolar and related disorders include some aspect of mania and/or hypomania, such as changes in energy and activity. Clinicians agree that a combination of mood-stabilizing medication, such as Depakote, and psychotherapy are recommended for individuals with bipolar disorder. Psychoeducation, cognitive behavioral therapy, family therapy, and interpersonal therapy are the best therapeutic options for clients with bipolar disorder.

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23
Q

What group has the highest rate of unemployment in the United States?

Hispanic females

Hispanic males

Black males

White females

A

Correct answer: Black males

Rates of unemployment often depend on the cultural/ethnic group. Black males experience the highest levels of unemployment, while white males have the lowest unemployment rates, followed by white females, Hispanic males, Hispanic females, and black females.

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24
Q

Which of the following occupations will likely have the most job openings during the next decade?

Registered nurses

College professors

Postal service clerks

Locomotive firers

A

Correct answer: Registered nurses

It is important for career counselors to keep up with workforce trends. Over the next ten years, the fastest growing occupational categories are predicted to be health care and professional occupations. Within these categories, there will be the most job openings for registered nurses, personal care aides, and retail salespersons. The slowest growing occupations will be postal service clerks, locomotive firers, and lumber workers. College professors will likely stay the same or grow slightly.

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25
Q

A college student has known for a while that she wants to be a biologist. She is currently taking classes to determine which area of biology she wants to pursue in her career. This individual is in the process of completing which vocational development task, according to Donald Super?

Specification

Stabilization

Implementation

Crystallization

A

Correct answer: Specification

Donald Super’s explanation of career development consists of vocational development stages and vocational development tasks. The vocational development tasks are crystallization (forming a vocational goal), specification (moving to a more specific career choice), implementation (entering employment), stabilization (performing a job), and consolidation (achieving status and advancing). This student is performing the task of specification, when individuals move from more general career interests to a specific vocational choice.

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26
Q

Which of the following is an accurate statement about the maturation hypothesis?

Heredity guides behavior but only when homeostasis is available

Heredity guides behavior and does so without reference to the environment

Heredity guides behavior but only when social cues are present

Heredity guides behavior but only at the right time or under the appropriate stimuli

A

Correct answer: Heredity guides behavior but only at the right time or under the appropriate stimuli

The maturation hypothesis suggests that heredity guides behavior but only at the right time or under the appropriate stimuli. For example, a baby has all of the innate resources they need to master language but will only do so when this step is developmentally possible.

The maturation hypothesis does not suggest that heredity guides behavior without reference to the environment, only when social cues are present, or only when homeostasis is available

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27
Q

Which of the following accurately reflects the general behaviorist view of phobias?

Engaging with a feared stimulus intensifies the fear

Avoiding a feared stimulus intensifies the fear

Avoiding a feared stimulus reduces the fear

Engaging with a feared stimulus is contraindicated

A

Correct answer: Avoiding a feared stimulus intensifies the fear

The behaviorist view of phobias is that they can be “unlearned” through systematic desensitization and flooding strategies. The idea behind these strategies is that avoiding a feared stimulus intensifies the fear of that stimulus. In some form or another, a behaviorist view of phobias is going to involve a degree of exposure to a feared stimulus.

Engaging with a feared stimulus may increase fear in the near term, but in the long term, it will reduce fear (in the behaviorist view

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28
Q

It is common for individuals living near each other, such as those residing in the same neighborhood or area of a city, to form romantic relationships with each other. This phenomenon is known as:

prevalence

etiology

propinquity

comorbidity

A

Correct answer: propinquity

Propinquity is often one of the main factors leading to romantic attraction between individuals. It refers to the proximity between people who live or work near each other. The propinquity effect, therefore, is the tendency for people to form relationships with others they encounter often.

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29
Q

A career counselor, who is White, is confronted by an African-American client he has been seeing for several months. The client tells the counselor she feels that he has been pointing her in a career direction based more on her race and gender than on her true abilities. What should the career counselor do first?

Listen to the client explain why she feels this way, then validate her feelings

Ask the client to leave, then call an attorney for assistance

Consult with a supervisor or colleague

Explain the reasons why this is not true

A

Correct answer: Listen to the client explain why she feels this way, then validate her feelings

Career counselors must be careful not to stereotype clients based on race, ethnicity, gender, religion, background, or any other characteristic. If a client expresses concerns that the counselor is making suggestions based on stereotypes, the counselor should be open to hearing from the client (rather than becoming defensive). The counselor can validate the client’s feelings and should self-reflect to examine whether the counselor is correct about his or her suspicions.

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30
Q

Which of the following is the best example of an encore career?

Jesse went to school to become an actor, but after graduation, he decides to pursue a career in psychology

At age 40, Karen, a psychiatrist, decides to make a career change and become a pharmacist

Kevin is employed full-time as an architect, but on the weekends takes photographs at weddings and other occasions

After 30 years working for the federal government, Sam decides to take a job at a local home improvement store

A

Correct answer: After 30 years working for the federal government, Sam decides to take a job at a local home improvement store

Encore careers refer to those times when, for different reasons, retired workers return to work. Most of the time, workers do not return to their former employer but find some other kind of employment. None of the other options refer to individuals who have retired.

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31
Q

A 20-year-old is in counseling for severe sexual and physical trauma she experienced when she was four and five years old. The client decides that she is ready to talk about the trauma with the counselor, but when details of the trauma come up during sessions, the client takes on the voice of a little girl, curls up in a ball on the floor, and acts immaturely. What is the defense mechanism this client is using to cope?

Repression

Reaction formation

Regression

Introjection

A

Correct answer: Regression

Regression is the return to a much younger psychological and emotional state due to overwhelming feelings. In this situation, the client is so overwhelmed by the feelings associated with her trauma that she retreats to a much more immature state. If skilled, the counselor can use this defense as a way of helping the client through the trauma.

Reaction formation occurs when someone expresses the opposite feeling of what he or she may actually feel. Introjection is the process of using fantasy to identify the expression of an impulse. Repression is the act of forgetting or denying an idea that creates anxiety or other uncomfortable feelings.

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32
Q

What are automatic thoughts, following the work of Beck?

Random, negative, and intrusive cognition

Chosen negative cognition in response to stress

Trauma-inflected reactive cognition

Unconscious cognition resulting in neurosis

A

Correct answer: Random, negative, and intrusive cognition

Automatic thoughts are a key principle to understand in the work of Beck and his school of cognitive therapy. Automatic thoughts are random, negative, and intrusive cognition that arises in response to the pressures of the world and a client’s experience. If unchallenged, these can drive depression and contribute to unrealistic views about the world.

In this view, automatic thoughts are not chosen, unconscious, or specifically trauma-inflected.

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33
Q

Play therapy and art therapy have which of the following advantages over other kinds of intervention for children?

They have more of a research base than other interventions

They are less difficult to reimburse

They are better at identifying psychosis in children

They are less influenced by cultural differences

A

Correct answer: They are less influenced by cultural differences

Play therapy and art therapy are specializations in which the traditional forms of therapy (where language is the dominant component) are put aside in favor of expressive modalities where children feel more comfortable. One advantage of these kinds of treatment is that they are less vulnerable to cultural differences, which may affect a more traditional therapeutic interaction in terms of language, trust, and other factors.

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34
Q

Which of the following is one practical example of fixation as it is meant in human development?

A child continues growing physically and emotionally but cognitively remains in one place

A child continues growing emotionally and cognitively but physically remains in one place

A child continues growing physically and cognitively but emotionally remains in one place

All development stops for a short time under the influence of acute stress or trauma

A

Correct answer: A child continues growing physically and cognitively but emotionally remains in one place

Sigmund Freud suggested that, as a result of traumatic experiences in certain critical and formative stages, fixation might result in human development. Though his own language about developmental stages is specific to his theory, the broader concept of fixation is a useful one when considering psychological development in early life. The general idea is that, due to unresolved stress or trauma, a child can continue growing physically and cognitively but emotionally remain in one place. In other words, a child can grow normally physically and intellectually but can emotionally remain stunted.

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35
Q

With which of the following conditions is the technique of flooding seen as most effective?

Thought disorders

Substance issues

Agoraphobia

Mood disorders

A

Correct answer: Agoraphobia

The technique of flooding comes from the behaviorist school of desensitization, whose general premise is that exposure to a feared stimulus reduces fear of that stimulus. Many such approaches are gradual, such as the technique of systematic desensitization. Flooding involves immediate exposure to the feared stimulus. This approach is seen as more effective in some circumstances than others and seems to be particularly effective in cases of agoraphobia.

Flooding is not seen as being as effective in cases of mood disorder, thought disorder, or substance issues. The technique requires a specific feared stimulus.

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36
Q

Which of the following would be the best example of morphogenesis?

A family unable to survive within the context of a divorce

A family failing to change to deal with the behavior of an individual member

A family creating its own values outside those of society

A family adapting functionally and supportively to an unexpected pregnancy

A

Correct answer: A family adapting functionally and supportively to an unexpected pregnancy

In terms of family dynamics as expressed in family therapy, morphogenesis describes the ability of the family to change. Being adaptable in the face of an unexpected situation (which would involve multiple people in the family reevaluating their roles and behavior) would be an example.

The concept does not refer to family survival, independently chosen values, or the way the family fails to change.

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37
Q

Which of the following would be the best example of morphogenesis?

A family unable to survive within the context of a divorce

A family failing to change to deal with the behavior of an individual member

A family creating its own values outside those of society

A family adapting functionally and supportively to an unexpected pregnancy

A

Correct answer: A family adapting functionally and supportively to an unexpected pregnancy

In terms of family dynamics as expressed in family therapy, morphogenesis describes the ability of the family to change. Being adaptable in the face of an unexpected situation (which would involve multiple people in the family reevaluating their roles and behavior) would be an example.

The concept does not refer to family survival, independently chosen values, or the way the family fails to change.

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38
Q

When sharing her moral beliefs with her counselor, a client states that she believes there are universal ethical principles, but she wouldn’t be afraid to go against these principles in the name of human rights such as justice or liberty. What stage of Kohlberg’s moral development is this client in?

Conventional

Postconventional

Preconventional

Self-interested

A

The client in this scenario is in postconventional moral development.

This is the highest stage of moral development in Kohlberg’s theory. People in this stage believe in universal ethical principles, such as justice and liberty. They are willing to go against laws or social norms if they believe that doing so is in the name of these principles

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39
Q

When sharing her moral beliefs with her counselor, a client states that she believes there are universal ethical principles, but she wouldn’t be afraid to go against these principles in the name of human rights such as justice or liberty. What stage of Kohlberg’s moral development is this client in?

Conventional

Postconventional

Preconventional

Self-interested

A

Correct answer: Postconventional

Lawrence Kohlberg identified three levels of moral development that relate to the relationship between the individual and society. In the first level, preconventional, individuals judge the morality of an action based on its immediate consequences and rewards. During the conventional level of moral reasoning, individuals judge morality based on the comparison of actions to society’s expectations. During the final level, postconventional, individuals realize they are separate from society and can have principles and ethics different from the greater society.

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40
Q

According to research, which of the following is true about parents who do not use or tolerate aggression in their family?

They influence other families similarly

They produce more aggressive children

They produce less aggressive children

They communicate better than other families

A

Correct answer: They produce less aggressive children

Research into parenting styles has revealed that when parents do not use or tolerate aggression in the home, the children growing up in these homes tend to be less aggressive. This research does not suggest that these families will influence other families to operate in a similar manner, nor does it suggest that communication is better in families that do not tolerate aggression.

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41
Q

Donald Super is highly regarded for his developmental approach to career counseling. All of the following are vocational development stages described by Super except which one?

Decline

Establishment

Maintenance

Crystallization

A

Correct answer: Crystallization

Super’s explanation of career development consists of vocational development stages and vocational development tasks. Vocational development stages are growth (development of capacity and interests), exploratory (tentative choices made), establishment (trial and stabilization), maintenance (adjustment process), and decline (retirement). The vocational development tasks are crystallization (forming a vocational goal), specification (moving to a more specific career choice), implementation (entering employment), stabilization (performing a job), and consolidation (achieving status and advancing).

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42
Q

A counselor employed at a shelter for women who are victims of aggressive sexual assault tells her supervisor that she has begun having nightmares recently about being raped. She also says that when she works late and leaves after dark she feels panicky, her heart races, and she feels like she is being watched. She has been having trouble focusing during sessions with women in the shelter and often feels trapped in her own office when the women are talking about being abused.

This counselor is most likely suffering from:

transference

compassion fatigue

secondary traumatic stress

a normal part of the therapeutic process

A

Correct answer: secondary traumatic stress

Counselors often provide services for individuals who are victims of various types of trauma: abuse, wars, natural disasters, terrorism, and others. Consequences for counselors who work with clients who have been traumatized include burnout, compassion fatigue, vicarious trauma and secondary traumatic stress. Secondary traumatic stress results from graphic descriptions and details of trauma reported to counselors, who may begin to experience some of the same symptoms as the client. Even though the counselor in this question is not a victim of trauma, she is experiencing physiological symptoms that would indicate otherwise. Secondary traumatic stress is relatively common but is not considered a normal part of the therapeutic process. Symptoms of compassion fatigue include a loss of empathy for and interest in the client. Transference is the redirection of the client’s feelings and beliefs onto the counselor.

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43
Q

A displaced homemaker meets with a career counselor to get help finding a job now that her children have entered adolescence. Which of the following is most likely true regarding this client?

Once she gets a job, she will relegate most of the housework and childcare to her husband or partner

She will need to develop a new skill set, as her former job skills are now obsolete

She will be unable to retire at the same time as her husband or partner

She will need help building her job-seeking skills and self-concept

A

Correct answer: She will need help building her job-seeking skills and self-concept

Career counselors sometimes encounter individuals who have been stay-at-home parents for a number of years and wish to return to the workplace. Common issues for these “displaced homemakers” include a lack of self-confidence in the job market, poor job-seeking skills, and, at times, no support system.

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44
Q

A displaced homemaker meets with a career counselor to get help finding a job now that her children have entered adolescence. Which of the following is most likely true regarding this client?

Once she gets a job, she will relegate most of the housework and childcare to her husband or partner

She will need to develop a new skill set, as her former job skills are now obsolete

She will be unable to retire at the same time as her husband or partner

She will need help building her job-seeking skills and self-concept

A

Correct answer: She will need help building her job-seeking skills and self-concept

Career counselors sometimes encounter individuals who have been stay-at-home parents for a number of years and wish to return to the workplace. Common issues for these “displaced homemakers” include a lack of self-confidence in the job market, poor job-seeking skills, and, at times, no support system.

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45
Q

After meeting with a client several times, a career counselor realizes that the client is struggling with indecisiveness that pervades not only his career decisions but his personal life as well. What should the counselor recommend to the client?

Continued assessments and inventories until career choices can be narrowed down

Continued career counseling with a different provider

Trial-and-error approach in which the client tries various careers to find which one he likes most

Personal counseling to resolve emotional and psychological issues

A

Correct answer: Personal counseling to resolve emotional and psychological issues

Sometimes, individuals struggle to make decisions about their careers because of personal problems and internal conflicts. If a career counselor notices that the client is indecisive even with lots of information, the counselor may recommend personal counseling to resolve emotional and psychological issues. Once personal counseling begins to help, career counseling may be more effective.

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46
Q

What is the resulting ego virtue for the final stage of Erikson’s eight psychosocial stages?

Hope

Wisdom

Love

Will

A

Correct answer: Wisdom

Erik Erikson is known for developing eight psychosocial stages of development throughout the lifespan. During the final stage, integrity versus despair, individuals look back on their lives and either view them as meaningful or have regrets. The resulting ego virtue is wisdom.

The resulting ego virtue for intimacy versus isolation (early adulthood) is love. The resulting ego virtue for autonomy versus shame and doubt (ages one and a half to three) is will. The resulting ego virtue for trust versus mistrust (birth to one and a half) is hope.

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47
Q

Which of the following distinguished Roe’s approach to career development from that of others?

Roe operated from a social learning approach in which career selection is heavily influenced by social experiences

Roe believed that the parent-child relationship was a central determinant in career selection

Roe focused on self-efficacy and social cognitive theory in her explanation of career selection

Roe took a developmental approach to vocation

A

Correct answer: Roe believed that the parent-child relationship was a central determinant in career selection

Ann Roe operated from a needs approach and believed that individuals choose careers to meet needs based on parental influences and early childhood experiences. However, there is not a significant base of research to support this theory.

Krumboltz, not Roe, operated from a social learning approach. As stated above, Roe had a needs-based approach, not a developmental approach. Self-efficacy is an individual’s belief that he or she is capable of performing a task and does not apply to Roe’s theory.

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48
Q

Which of the following best illustrates the concept of regression?

An adult who is self-conscious about their body begins going to the gym

A child starts to wear adult clothes and speak like an adult

An adult moves in with their parents when under stress

A child attempts to suppress thoughts about harming others

A

Correct answer: An adult moves in with their parents when under stress

The concept of regression has a strict meaning in the context of psychoanalytic defense mechanisms that is congruent with its more general definition as a broad psychological phenomenon. In both cases, a person is attempting to retreat into an earlier stage of development that is seen as less challenging and threatening. Thus, an adult who moves in with their parents when under stress may be enacting this concept by a symbolic return to childhood.

The other cases listed do not describe an attempt to regress to an earlier stage of development.

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49
Q

A middle-aged woman, employed for 20 years at a financial institution, meets with a career counselor to discuss the fact that she has not been given a promotion in 15 years. The woman is intelligent, performs excellently at her job, and gets along well with coworkers. The career counselor notices that several men, younger and less experienced than the client, have been promoted to positions above the client over the past ten years. The career counselor believes that, due to preconceived notions about women’s abilities and other constraints, the client has been overlooked for higher-paying positions with more responsibilities. This is known as the:

self-fulfilling prophecy

homemaker effect

occupational family tree

glass ceiling

A

Correct answer: glass ceiling

The “glass ceiling” refers to the idea that a collection of restraints in the workplace have historically prevented women from moving up the career ladder in organizations. These restraints include childcare duties, stereotypes of women’s cognitive abilities, and other factors.

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50
Q

Harriet believes in explaining the “why” of rules to her children. She has high expectations but is warm and nurturing. What would be the most likely outcome for this child in their functioning?

Relatively high happiness, good performance overall, high emotional regulation

Relatively high happiness, good performance overall, low emotional regulation

Relatively high happiness, poor performance overall, high emotional regulation

Relatively low happiness, poor performance overall, high emotional regulation

A

Correct answer: Relatively high happiness, good performance overall, high emotional regulation

Harriet is practicing what could be described as an authoritative parenting style: authority is present and strictly maintained but is well-explained to children. There is also a general background of warmth and nurturing. This parenting style tends to produce children who have relatively high happiness, good performance overall, and a high degree of emotional regulation.

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51
Q

What is the best way to follow up with a client after career counseling has terminated?

In whatever way the counselor and client agree upon

Mail-in surveys and telephone calls

An in-person meeting with the career counselor

A group session when several of the counselor’s clients discuss their experiences

A

Correct answer: In whatever way the counselor and client agree upon

The final stage of career counseling is implementation and follow-up. During this stage, the client takes action on the decision he or she made based on sessions with the counselor. The career counselor and the client should discuss when, how, and under what circumstances the counselor should follow up with the client. This can vary greatly depending on the situation.

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52
Q

Beginning in the 1950s and ’60s, Donald Super conceptualized career development to include specific stages and tasks. Which of the following is a common criticism of Super’s early ideas?

The stages and tasks lacked clear explanations and definitions

They neglected the role of self-concept in careers

They did not address the retirement stage of peoples’ lives

They applied mostly to white, middle-class, college-educated males

A

Correct answer: They applied mostly to white, middle-class, college-educated males

Super’s explanation of career development, which began in the 1950s, consists of vocational development stages and vocational development tasks. This model was initially focused on white, middle-class, college-educated males. Super’s theories continued to evolve, and his later ideas such as the life-career rainbow and the Archway Model tend to apply to a more diverse range of individuals.

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53
Q

In the Archway model, one of the pillars represents individual characteristics. What does the second pillar represent?

The individual’s career options

The person’s socioeconomic status, education, and intelligence

Family, the labor market, and other external factors

Religious beliefs and cultural influences

A

Correct answer: Family, the labor market, and other external factors

Donald Super developed the Archway model as a way to show the factors that influence an individual’s self-concept. One pillar represents factors within the individual, such as personality traits and interests, and the other pillar represents external factors that influence career development, such as community and the economy.

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54
Q

Which of the following is true about persons 40 and above in the US job market?

They are generally placed in more managerial and supervisory roles

They are generally viewed preferentially by employment agencies

They tend to spend less time unemployed than those under 40

They tend to spend more time unemployed than those under 40

A

Correct answer: They tend to spend more time unemployed than those under 40

The perception of age and capability is relevant to clients under financial stress, who with variable economic conditions may find themselves unemployed at the age of 40 and above. Unfortunately, there is a bias in employment agencies who view persons 40 and above as “older” and therefore less marketable to companies in search of younger talent; thus, persons 40 and above tend to spend more time unemployed than those under 40.

Persons 40 and above are not generally viewed preferentially by employment agencies, nor are they necessarily placed in more managerial and supervisory roles.

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55
Q

A counselor is performing an assessment on a 22-year-old male client who reports that he has begun hearing voices and feeling as if everyone is out to get him. He says he has difficulty sleeping at night because of these fears and sometimes the voices tell him to do harmful things, such as hurt his children. The counselor performs a risk assessment on the client and does not think that he is at immediate risk for hurting himself or others. What should the counselor do next?

Refer the client to a psychiatrist for continued evaluation of psychotic symptoms

Offer to provide supportive, insight-oriented therapy to the client

Begin educating the client about psychotic symptoms and arrange for him to attend a psychoeducational group

Invite the client’s family members in for family counseling

A

Correct answer: Refer the client to a psychiatrist for continued evaluation of psychotic symptoms

If psychotic symptoms are evident or suspected in a client, the counselor should refer the client to a psychiatrist for a full psychiatric evaluation. Psychosis can arise for a variety of reasons, and clients should be referred to a professional who can determine whether they have a psychotic disorder and if so, can prescribe medication.

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56
Q

When a counselor is conducting a mental status exam, he notes that his client smiles appropriately throughout the session and tells the therapist that he has been feeling more peaceful and happy over the past several weeks. The counselor is assessing the client’s:

mood and affect

sensorium

thought processes

appearance and behavior

A

Correct answer: mood and affect

Counselors may frequently conduct clinical interviews and can use a formal mental status exam to gather information about the client’s overall functioning. Components of the exam include appearance and behavior, mood and affect, thought processes, intellectual functioning, and sensorium. Mood and affect include the client’s facial expressions and other nonverbal expressions of emotion along with statements that reflect their feelings.

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57
Q

Which of the following is the best example of self-efficacy?

A college senior takes out a personal loan to start her own company and loses all the money in the first year

A high school graduate with mediocre grades enrolls in community college to become a nursing assistant because he believes he is capable of performing this particular career

A law school student drops out and chooses to become a paralegal assistant because she wants to begin working right away

A psychiatrist becomes trained as a clinical social worker because he feels he needs social work skills in order to best help clients

A

Correct answer: A high school graduate with mediocre grades enrolls in community college to become a nursing assistant because he believes he is capable of performing this particular career

Self-efficacy, an individual’s belief that he or she can perform some necessary task, frequently affects the career decision-making process. Even though someone with mediocre grades may not attend the best college or earn an advanced degree, when he embraces his abilities he is displaying self-efficacy. Someone who chooses a career in order to begin working right away or someone who obtains a second degree may have self-efficacy, but these are not the best examples

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58
Q

A four-year-old child likes to make up games and ask others to participate in activities he enjoys. When at home, he likes to plan out his day and make decisions about what toys he is going to play with and what television shows he is going to watch. This child is in what stage of psychosocial development?

Identity versus role confusion

Autonomy versus shame and doubt

Industry versus inferiority

Initiative versus guilt

A

Correct answer: Initiative versus guilt

Erik Erikson identified eight stages of psychosocial development; during each stage, a psychosocial task must be mastered. During the initiative versus guilt stage, which occurs in children ages three to six, children initiate activities with others, plan activities, and make up games.

During autonomy versus shame and doubt (ages one and a half to three), the child begins to assert himself and develop independence. During industry versus inferiority (ages six to 11), children are tasked with mastering social and academic skills. During identity versus role confusion (adolescence), the individual establishes social and career identities.

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59
Q

Which of the following would be the best example of a baseline behavior as expressed in behaviorism?

A person’s normal functioning after an intervention

A person’s normal functioning before an intervention

A person’s dysfunction after an intervention

A person’s improvement after an intervention

A

Correct answer: A person’s normal functioning before an intervention

A baseline behavior, in the language of behaviorism, refers to the steady state of existing, (i.e., “normal” behavior that exists before an intervention is attempted).

The concept does not refer to post-intervention status.

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60
Q

According to Beck, what is the result of a negative internal communication system?

Unreliable cognitive shift

Negative cognitive shift

Neutral cognitive shift

Positive cognitive shift

A

Correct answer: Negative cognitive shift

Aaron Beck described an internal communications system for people that can vary. In depressed persons, a negative internal communication system results in a negative cognitive shift, which could contribute to depression. This negative cognitive shift would be an overall bad outlook and would be informed by negative thoughts coming through a flawed internal communication system.

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61
Q

A dog does not like being placed in their kennel. As a reward for good behavior, the dog is allowed to spend more time outside their kennel. Which of the following reinforcement/punishment strategies is being enacted here?

Negative punishment

Negative reinforcement

Positive punishment

Positive reinforcement

A

Correct answer: Negative reinforcement

Reinforcement and punishment strategies are usually considered in four ways. Negative reinforcement is when an undesirable is removed in order to increase behavior.

Positive reinforcement would be a desirable addition in order to increase behavior. All punishment aims to reduce a behavior, either by adding something (positive) or taking something away (negative).

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62
Q

A career counselor operating from a contextual point of view would most likely work toward which of the following goals?

Encourage the individual to see themselves as separate from their environment

Assist the individual in making meaning of their own situation

Focus on the individual’s affective experiences rather than cognitive understanding

Direct the individual in how to change their environment

A

Correct answer: Assist the individual in making meaning of their own situation

Career counselors working from a contextualist viewpoint aim to assist individuals in making meaning of their own situations. These career counselors believe that career development results from constant interaction between the individual, the environment, and the dynamics between individual and environment.

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63
Q

What is the main problem with early career theories?

They were developed mostly in Europe rather than America

They often reference data from samples too large to analyze

They tend to be limited to white, college-educated males

They are generalizable only to lower-class workers

A

Correct answer: They tend to be limited to white, college-educated males

Early career theories, most of which were developed in the 1950s and 1960s, were usually developed by whites, and data were limited to young, white, middle-class males. This is clearly a problem because increasing numbers of women and multicultural workers are entering the workforce. Single-parent households and dual-earner families are also reasons to support the development of updated career theories.

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64
Q

In which age category is self-concept first stabilized?

Preschool

Birth

2 years

Adolescence

A

Correct answer: Adolescence

A person’s self-concept is defined as their perceptions and beliefs about their qualities, attributes, and traits. At birth, virtually no self-concept exists, but by 24 months, self-recognition has set in, and differentiation from others is a cognitive exercise. A preschool-aged person does not have a stable self-concept yet, but what they have is concrete and physical.

In adolescence, in light of all the influences from culture, peers, family, and the environment, a stable self-concept is first realized.

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65
Q

Which of the following statements is in alignment with anglo-conformity theory?

People from other cultures should maintain their own culture in spite of the macroculture

People from other cultures should mask their own culture within the macroculture

People from other cultures should preserve their own culture and adopt the macroculture

People from other cultures should forget their own culture and adopt the macroculture.

A

Correct answer: People from other cultures should forget their own culture and adopt the macroculture

Anglo-conformity theory suggests that people from other cultures should forget their own culture and adopt the macroculture. This is stated within the context of what those who believe in anglo-conformity theory hold to be the best option for those from other cultures.

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66
Q

A counselor has an adolescent client with severe behavioral problems, including aggression toward family members and threats of self-harm. She thinks her client needs additional services, but thinks his behaviors do not indicate the need for inpatient hospitalization. Which of the following is the least restrictive treatment environment that might be considered for this client?

A day treatment program that runs Monday through Friday and allows him to return home in the evenings

Partial hospital care

A therapeutic foster care setting

A group home for three to four adolescents

A

Correct answer: A day treatment program that runs Monday through Friday and allows him to return home in the evenings

The most restrictive environment is inpatient hospitalization, followed by residential treatment facilities, partial hospital care, group homes, and other residential options (such as therapeutic foster care for children). Less restrictive settings include intensive outpatient programs, day treatment, and outpatient services.

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67
Q

Irene was diagnosed with an intellectual disability in childhood, and her IQ was tested to be 68. Now in her 30s after on-the-job training, a subsequent test suggests that her IQ is actually higher, around 72. Which of the following statements is likely true about this change?

Both tests can be accurate

One test result must be wrong

Neither test is likely accurate

The intellectual disability diagnosis was mistaken

A

Correct answer: Both tests can be accurate

A person can be diagnosed with intellectual disability (ID) if the onset of the condition was before the age of 18 and their IQ test result is 70 or below. However, IQ as a measurable result can change over time and often does, usually in response to some kind of training. Therefore, both results can be accurate in the case at hand.

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68
Q

According to Kohlberg, which of the following levels of moral development would be governed by punishment and consequences?

Conventional

Preconventional

Post-conventional

Prostoconventional

A

Correct answer: Preconventional

Lawrence Kohlberg suggested three general levels of moral development. In the first or preconventional stage, behavior is mainly governed by consequences. In the next stage, conventional, a person is steered by a desire to conform to social rules. In the last stage, post-conventional, a person has a set of moral principles and standards.

“Protoconventional” is a fabricated term.

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69
Q

Would dialectical behavior therapy (DBT) be considered to treat someone with substance use issues? Why or why not?

No, as DBT is only useful for borderline personality disorder

Yes, as DBT helps clients work around thoughts of use

No, as DBT does not address underlying thought patterns

Yes, as DBT helps with mindfulness and impulse control

A

Correct answer: Yes, as DBT helps with mindfulness and impulse control

Marsha Linehan’s dialectical behavior therapy (DBT) was first designed for use with those diagnosed with borderline personality disorder. It is a technique that focuses on mindfulness and impulse control through skill-building. It also directly addresses problematic thoughts rather than working around them and has been useful in treating many other conditions such as substance use.

Underlying emotional thought patterns are part of what DBT addresses in attempting to build mental skills of control.

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70
Q

Counselors and other mental health professionals have many different ways of viewing human growth and development. These include qualitative or quantitative, continuous or discontinuous, and mechanistic or organismic. Which of the following is an example of organismic development?

Language development

Sexual development

Reflexive behavior

Ethical development

A

Correct answer: Ethical development

Organismic development is the belief that the individual (or other organism) is involved in the development. This can lead to change or discontinuity depending on the individual. Ethical development and moral development are both regarded as organismic development. Reflexive behavior is mechanistic development, the reduction of behavior to common elements. Language development is discontinuous development, and sexual development is qualitative development.

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71
Q

Which of the following would be a statement consistent with social exchange theory?

Positive relationships are characterized by profit

Negative relationships are characterized by profit

Negative relationships are characterized by loss

Positive relationships are characterized by loss

A

Correct answer: Positive relationships are characterized by profit

Social exchange theory characterizes human relationships as calculations between individuals. These calculations then define much about that relationship. Positive relationships, in this view, are characterized by profit accruing to the individuals in that relationship. In other words, relationships are based on what the individuals in them see as a cost-benefit analysis.

The other statements do not capture this sense of profit (in the sense of the cost-benefit analysis) being a driver of relationships.

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72
Q

What does Erik Erikson’s theory of psychosocial development suggest about a person who has passed the final stage (integrity vs. despair)?

They have become self-actualized

They are ready to die

They are happy with their previous choices

They have mastered the previous stages

A

Correct answer: They have mastered the previous stages

Erik Erikson’s psychosocial stages of development suggest a series of stepwise tests a person either passes or does not throughout their lifespan. These stages generally describe some form of successful or unsuccessful psychosocial interaction with the environment. In the last stage, integrity vs. despair, one enters a creative period after having successfully passed previous stages or becomes inwardly focused and depressed.

The passage of the final stage does not necessarily imply self-actualization, happiness with previous choices, or a readiness to die.

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73
Q

Which of the following is the best definition of systems theory in family therapy?

A family is a system composed of subordinate systems

A family is a subordinate system composed of dominant systems

A family is a system of beliefs and culture

A family is made of individuals who control systems

A

Correct answer: A family is a system composed of subordinate systems

Systems theory in family therapy refers to the status of the family as an overarching system composed of subordinate systems. All of these systems, whether they are functional or dysfunctional, are always being enacted in the life of the family. Systems theory seeks to understand, describe, and change the functioning of systems.

Individuals are not seen as controlling systems per se, and systems theory addresses structure rather than specifics about beliefs and culture.

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74
Q

A large factory is moving out of the country and is planning on terminating employment for most of its workers. As a service to these employees, a career counselor at the company meets individually with each worker to provide career assessments, help them identify possible jobs elsewhere, and assist them in networking and making connections at other companies in the area. This approach is known as:

career education

outplacement counseling

retirement counseling

hidden job counseling

A

Correct answer: outplacement counseling

Outplacement counseling is a form of career counseling offered to employees who are going to be terminated. Various components of outplacement counseling include assessment, career counseling, assistance with job-seeking skills, and help to find a new place of employment.

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75
Q

Which of the following would be a reasonable conclusion about child isolation, as per the work of Harry Harlow?

Isolation in early childhood can lead to mood disorders

Isolation in early childhood can lead to psychosis

Isolation in early childhood does not have a major effect on development

Isolation in early childhood can lead to an autistic presentation

A

Correct answer: Isolation in early childhood can lead to an autistic presentation

The work of Harry Harlow dealt extensively with the dynamics of maternal withdrawal and isolation in rhesus monkeys. Harlow found that isolation in the first period of life, when attachment and bonding are critical, led to presentations consistent with autism, such as problems with communication and forming social bonds.

Harlow’s work did not suggest that isolation in early childhood would lead to psychosis or mood disorders.

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76
Q

A client tells her career counselor that they have been diagnosed with bipolar disorder and must take medication daily to control their symptoms. How should the counselor respond?

By contacting potential employers to ask them if they would consider hiring someone with a mental illness

By assessing the client with their disability in mind, asking the client to honestly tell them what duties they do and don’t feel capable of doing

By applying motivational interviewing techniques and encouraging the client that they are capable of doing whatever they want

By assuming that the client is unable to perform most types of stressful work and should look for a less-intensive job

A

Correct answer: By assessing the client with their disability in mind, asking the client to honestly tell them what duties they do and don’t feel capable of doing

Career counselors have a responsibility to their clients to respect the clients’ desires and individual limitations. When assisting a client with a disability, a career counselor should request that the client talk openly about what duties they feel capable of doing. For example, the client in this question may need to eat a full breakfast when taking their medications, and therefore might not be able to accept a job that requires them to arrive early in the morning.

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77
Q

What is the difference between heteronomous and autonomous morality?

Heteronomous morality sees rules as absolute, and autonomous morality does not

Heteronomous morality sees rules as flexible, and autonomous morality does not

Heteronomous morality reflects the will of an individual, and autonomous morality does not

Heteronomous morality reflects the will of a group, and autonomous morality does not

A

Correct answer: Heteronomous morality sees rules as absolute, and autonomous morality does not

The moral development of human beings can be conceptualized in various ways. One description comes from the work of Jean Piaget, who classified morality in children as going through a heteronomous stage, in which rules are seen as absolute, followed by an autonomous stage in which rules are seen as having some flexibility.

The concept does not refer to the will of a group or an individual per se.

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78
Q

All of the following have made significant contributions to the field of career counseling except which one?

Linda Gottfredson

John Holland

Mark Savickas

Virginia Satir

A

Correct answer: Virginia Satir

Virginia Satir is known for her work in the field of family therapy, not career counseling. John Holland views career selection as a reflection of one’s personality and has developed several career assessment instruments. Linda Gottfredson is known for her career development theory “Circumscription and Compromise,” which focuses on children’s vocational development processes. Mark Savickas’ theory of career counseling is based on career construction theory, and he believes career counselors assist clients in making sense of their life and work.

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79
Q

Which of the following is consistent with a behaviorist view of child development?

The mind only knows social input at the beginning

The mind is a blank slate at its beginning

The mind comes equipped with substantial inferential knowledge

The mind acts on biological drives at all times

A

Correct answer: The mind is a blank slate at its beginning

In general, the behaviorist school disallows such concepts as the unconscious and devalues cognitive preconditions in the mind. To simplify, behaviorists view the mind as a blank slate before it learns anything. The focus is on conditioning and learning as definitional to development.

Behaviorists would likely disagree that any preexisting knowledge would have a substantial effect on development, if it existed at all. Social inputs, similarly, are expected to be learned later.

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80
Q

A counselor meeting with a young woman struggling with anxiety suggests that they work together to identify dysfunctional thoughts. The counselor then asks questions regarding the validity and helpfulness of those thoughts and helps the client replace those thoughts with healthy, more reasonable thoughts in order to decrease the client’s anxiety. This is an example of what type of counseling?

Multimodal therapy

Existential counseling

Feminist therapy

Cognitive behavioral counseling

A

Correct answer: Cognitive behavioral counseling

The basic principle behind cognitive behavioral counseling is that behavior, including ways of thinking, is learned and therefore can be unlearned. Goals of cognitive behavioral counseling are to identify triggers and causes for a specific behavior and the reinforcements that help continue the behavior. The counselor then helps the client think critically about his or her behaviors and finds ways to change them using alternate reinforcements and other types of conditioning.

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81
Q

Which of the following disorders is typically considered to be more ego-syntonic than ego-dystonic?

Bipolar I disorder

Obsessive-compulsive disorder

Anorexia nervosa

Panic disorder

A

Correct answer: Anorexia nervosa

Ego-dystonic behaviors are those that the individual considers unacceptable. Individuals with panic disorder, for example, feel uncomfortable with the physiological symptoms of anxiety that accompany the disorder and are therefore more likely to be motivated to change. Individuals with anorexia nervosa, however, often experience ambivalence about receiving treatment for the disorder, since the symptoms are somewhat effective at temporarily relieving anxiety about body shape and control.

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82
Q

An individual who has strong social skills, is well-respected, has empathy for others, and understands nonverbal cues is said to possess:

paradoxical knowledge

high emotional intelligence

poor cognitive abilities

propinquity

A

Correct answer: high emotional intelligence

Daniel Goleman proposed that intelligence includes not only cognitive processes, but a comprehensive knowledge of human emotions. This emotional intelligence is seen in those who understand social cues, have empathy for others, develop positive interpersonal relationships, and are self-motivated. Emotional intelligence operates separately from cognitive intelligence, which includes reasoning and thinking processes.

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83
Q

What is the relationship between the first and second stages of the career counseling process?

The second stage, providing information, is only important if the first stage, assessment, determines more information is needed

The first stage, establishing a relationship, helps progression to the second stage, developing a better understanding of the client’s problems

The second stage, assessment, cannot be completed without successful completion of the first stage, providing information

The first and second stages, establishing a relationship and assessment, are interchangeable

A

Correct answer: The first stage, establishing a relationship, helps progression to the second stage, developing a better understanding of the client’s problems

Within the career counseling process there are several steps: establishing a relationship, identifying the problem, conducting an assessment, providing information, making a decision, and implementing the plan. The first stage consists of developing trust between counselor and client, with the result being a better understanding of the problems the client has in terms of career decisions.

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84
Q

According to the work of John Bowlby, what is the most likely result of object loss?

Normal development

Psychopathology

Object replacement

Substance use

A

Correct answer: Psychopathology

According to John Bowlby’s attachment and bonding theory, the formation and status of critical attachment bonds at an early age have immense consequences for later life. In order for someone to have normal psychological development, a secure attachment figure must be present and bonded with, or the likely result is psychopathology of various kinds. Losing this key attachment figure is known as object loss.

Bowlby did not suggest that a result of object loss would be normal development, object replacement, or substance use per se.

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85
Q

“Positive Uncertainty” is a model of career decision-making associated most closely with whom?

Frank Parsons

John Crites

Mark Savickas

H B Gelatt

A

Correct answer: H B Gelatt

The later research of H B Gelatt focused on the balance between reason and intuition when making career decisions and is termed “Positive Uncertainty.” This is related to Gelatt’s earlier five-step process for making decisions about careers, which included the need to consider objective information while also attending to one’s value system.

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86
Q

Which of the following did Jean Piaget believe about his final stage (formal operational) with respect to helplessness?

Successful completion of this stage would prevent helplessness

Piaget did not address helplessness as part of his developmental theory

Most children would still feel helpless at this stage

Piaget saw helplessness as a function of family dynamics

A

Correct answer: Successful completion of this stage would prevent helplessness

Jean Piaget formulated a theory of human development that detailed certain milestones to be achieved as the brain matured and an individual’s ability to think and reason through problems in the environment improved. In his last stage, formal operational, Piaget suggested that feelings of helplessness would already have been adequately dealt with and the child would be ready for adulthood.

Piaget did not suggest that most children would still feel helpless at this stage, and he saw the phenomenon of helplessness being dealt with through developmental processes rather than family dynamics.

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87
Q

A counselor has met with a 12-year-old boy with depression for three sessions. Immediately following the third session, the boy’s father corners the counselor in the waiting room to ask her what the boy is talking about in the sessions and whether they has figured out why he is so depressed. What is the best way for the counselor to respond?

“Your son is working hard in therapy, though he and I have agreed that I won’t share details with anyone. Maybe next time you could join us at the beginning and your son can decide what he does and doesn’t want to share.”

The counselor should ask the boy what he would like to share with his father.

“Let’s set up a phone conversation and I can tell you all about it.”

“I’m sorry, I can’t tell you anything about our sessions because they are confidential.”

A

Correct answer: “Your son is working hard in therapy, though he and I have agreed that I won’t share details with anyone. Maybe next time you could join us at the beginning and your son can decide what he does and doesn’t want to share.”

Parents of children under the age of 18 have a right to know about their children’s treatment. However, counselors should take time before seeing a child to meet with the child’s parents to explain the need for confidentiality and how it might be helpful to the counseling relationship. The counselor in this question recognizes the parent’s desire to know what progress his son is making in counseling while also respecting the child’s need for privacy.

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88
Q

All of the following are personality traits often found in individuals with substance abuse problems, except which one?

Anxiety

Suicidal impulses

Strong self-concept

Feelings of social isolation

A

Correct answer: Strong self-concept

Almost half of all Americans have either a blood relative or a partner/spouse who has struggled with alcohol dependence. Substance abuse is viewed as the number one problem in the United States, and teenage drinking is closely related to suicide, sexual activity, date rape, and automobile accidents. Personality traits often found in individuals who are alcohol or substance users include a low self-concept, anxiety, underachievement, feelings of isolation and loneliness, sexual dysfunctions, fear of failure, and suicidal impulses.

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89
Q

Human growth and development can be conceptualized as either qualitative or quantitative in nature. Which of the following is an example of quantitative change?

Erikson’s stages of psychosocial development

Progression of self-concept over time

An improved score on a depression screening

Maslow’s hierarchy of needs

A

Correct answer: An improved score on a depression screening

Counselors can view human growth and development changes as qualitative or quantitative. Qualitative changes refer to changes in structure or development, such as stages of growth. Quantitative changes can be measured using changes in number, degree, or frequency for reference, such as a changed score on a mental health screening.

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90
Q

William Perry is known for developing a scheme for intellectual and ethical development. This scheme includes three categories and nine positions, ending in which of the following?

Post-commitment, when individuals realize commitment is an ongoing and evolving activity

Dualism, when there are right and wrong answers

Subjective knowledge, when there are conflicting answers

Multiplicity, when individuals must listen to their inner voices rather than society

A

Correct answer: Post-commitment, when individuals realize commitment is an ongoing and evolving activity

William Perry’s scheme was used to explain college students’ journeys through intellectual and moral development, and has evolved to apply to other groups of people as well. Perry explains that there are three categories — dualism, discovery of relativism, and commitment to relativism — and nine positions spread across these categories. The final position is sometimes called post-commitment, when individuals realize that commitments are evolving and can sometimes be contradictory.

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91
Q

Which of the following statements would likely be said by someone in the post-conventional stage of development?

“My morals are dictated by what I am punished for.”

“My morals are dictated by what I am rewarded for.”

“I have derived my own set of moral standards.”

“My morals are society’s morals.”

A

Correct answer: “I have derived my own set of moral standards.”

Lawrence Kohlberg conceptualized three stages of moral development. The first stage, preconventional, is characterized by a fear of punishment that governs behavior. The second stage, conventional, is characterized by a desire to adhere to society’s rules.

The last stage, post-conventional, is characterized by self-accepted rules that govern behavior and go above simple reward, punishment, or conformity.

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92
Q

In the adolescent years and later, what factor is most important when determining which occupation is selected?

Gender roles

Intelligence level

Self-awareness

Social valuation

A

Correct answer: Self-awareness

Linda Gottfredson, known for her career development theory “Circumscription and Compromise,” posits that vocational self-concept develops in childhood and influences occupational selection. While various tasks are typically completed before the age of 14, in the teenage years, and later, self-awareness of one’s unique characteristics helps determine occupational selection. Orientation to sex and gender roles and social valuation typically occur in latency and preadolescent years.

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93
Q

Which of the following examples would be illustrative of the concept of learned helplessness?

A person witnesses their parent being abused and does not resist abuse

A person intellectually processes abuse so that their resistance fades

A person becomes passively psychotic when abuse reaches a certain threshold

A person who has been abused many times gives up resistance to abuse

A

Correct answer: A person who has been abused many times gives up resistance to abuse

First known by this name in the work of Martin Seligman, the concept of learned helplessness refers to the way in which an individual, after experiencing many negatives without relief over a subjectively long period, ceases resistance and shows signs of depression and withdrawal. Thus, a person who has been abused many times and gives up resistance (since resistance has been demonstrated to be hopeless) is a good example of the phenomenon.

The other examples do not illustrate an individual learning to be helpless through their own experiences, and the concept does not involve psychosis.

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94
Q

Disruptive mood dysregulation disorder and premenstrual dysphoric disorder are two diagnoses new to the DSM-5. Under which DSM-5 category do both of these diagnoses fall?

Bipolar and related disorders

Anxiety disorders

Depressive disorders

Obsessive-compulsive and related disorders

A

Correct answer: Depressive disorders

According to the DSM-5, depressive disorders include major depressive disorder, persistent depressive disorder, substance/medication-induced depressive disorder, Disruptive Mood Dysregulation Disorder (DMDD), and premenstrual dysphoric disorder. The DMDD diagnosis can only be given to children up to 18 years of age and is meant to decrease the numbers of children who are diagnosed with bipolar disorder.

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95
Q

Which of the following is true about the decline of IQ in older adults?

It tends to occur at a steady pace after age 60 and affects men more than women

It tends to occur only in the last five years of life and deals mostly with verbal skills

A steady decline in IQ takes place after about age 40 in most adults

A steady decline in IQ does not affect most adults

A

Correct answer: It tends to occur only in the last five years of life and deals mostly with verbal skills

Contrary to what many believe about cognition in later life, a decline in IQ tends to occur only in the last five years of life and deals mostly with verbal skills. This phenomenon is sometimes referred to as terminal drop or terminal decline.

This decline in IQ is more relative to the person than absolute age, and there does not appear to be a breakout by gender.

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96
Q

Career counselors use a tool that organizes over 500 careers into 26 areas based on the tasks of working with people, data, things, and ideas. This graphic organizer is known as:

O*NET

the Life-Career Rainbow

SIGI 3

the World-of-Work Map

A

Correct answer: the World-of-Work Map

Career counselors often use the World-of-Work Map, a tool developed by ACT that organizes occupations based on primary tasks involving people, data, things, and ideas. The map includes 26 families of occupations, and hundreds of occupations and college majors can be identified by using ACT’s career exploration materials.

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97
Q

Which of the following describes the concept of object permanence?

An object has a continuous existence inside one’s consciousness

An object still exists if it is not in the field of view

An object does not exist if it is not in the field of view

An object has a continuous existence inside one’s unconscious

A

Correct answer: An object still exists if it is not in the field of view

Jean Piaget’s work in child development yielded the concept of object permanence: an object still exists if it is removed from the field of view. This is seen as characteristic of the earliest of Piaget’s stages of child development, the sensorimotor stage (birth to 2 years).

Object permanence is a perceptual-cognitive matter and is not as much a matter of consciousness or the unconscious.

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98
Q

Which of the following would be the best example of the concept of object permanence?

When a child thinks that an object removed from their vision still exists

When a child imagines objects have an intelligence of their own

When a child thinks that an object removed from their vision is still in their visual field

When a child conceptualizes objects as part of themselves

A

Correct answer: When a child thinks that an object removed from their vision still exists

As first described by the developmental psychologist Jean Piaget, object permanence refers to the understanding that an object still exists if it is removed from a person’s immediate vision. This is part of an overall developmental progression in which the senses and the mind work together to create an accurate conceptual model of the world.

Object permanence does not refer to a child conceptualizing objects as part of themselves or the idea that objects have an intelligence of their own.

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99
Q

A married couple with two school-aged children gets divorced, which drastically reduces the amount of conflict in the home. All of a sudden, however, the younger child starts throwing temper tantrums, whereas before he was perfectly well-behaved. What phenomenon might explain this child’s change in behavior following the divorce?

Enmeshment

Cybernetics

Permeability

Homeostasis

A

Correct answer: Homeostasis

Family counselors often see families as systems that aim to maintain homeostasis, or balance. When one change in the system takes place, it is typical for another change to take place as a way of balancing out the changed dynamics. This family system might be used to conflict, and when the conflict is taken away (due to the parents’ divorce), the child unknowingly takes it upon himself to express distress.

100
Q

The anal stage of development typically occurs during what ages?

Six to 12 years

Three to five years

Birth to 18 months

Two to three years

A

Correct answer: Two to three years

Freud describes five psychosexual stages of development: the oral stage, which lasts from birth to 18 months; the anal stage, ages two to three; the phallic stage, ages three to five; the latency stage, from age five to puberty; and the genital stage, which begins at puberty and lasts through adulthood.

101
Q

Computer programmer and chemist are examples of what type of career, according to Holland?

Conventional

Enterprising

Realistic

Investigative

A

Correct answer: Investigative

John Holland’s career theory is structural in approach, but he believes that career choice is an expression of personality. He identified six personality types that develop due to parental influences, genetic factors, and the environment. These types include realistic (explicit tasks requiring physical work, e.g., mechanic), investigative (intellectual and prefers systematic, creative activities), artistic (imaginative), social (enjoys interacting with and helping others), enterprising (prefers leadership roles), and conventional (practical and ordered). Computer programmer and chemist are examples of the investigative career style.

102
Q

What is meant by the concept of a critical period in child development?

A period of physical transformation

A socially defined period of change

A personally defined period of growth

A sensitive learning or growth period

A

Correct answer: A sensitive learning or growth period

Within child development, a critical period is one in which some process or behavior must be successfully completed, or else it is much more difficult to achieve later. Such things as language and some kinds of social learning must be completed at certain ages, or they will become much more challenging to develop at a later time.

A critical period in this context does not refer to physical transformation only, nor is the period personally or socially defined.

103
Q

Which of the following was the point of Erik Erikson’s psychosocial stages?

To aid in understanding social learning

To describe the ongoing developmental stages of society

To illustrate the role of crisis and transition in an individual’s personality

To address the neuropsychiatric continuum of development

A

Correct answer: To illustrate the role of crisis and transition in an individual’s personality

Erik Erikson identified a stage-wise development pattern in individuals characterized by conflictual transitions and whether the transition was successful. For example, in his first state of Trust vs. Mistrust (birth to 1.5 years), the conflictual transition is the most basic ability to trust others. Each individual personality navigates Erikson’s stages in a different way.

Erikson’s stages are not meant to describe the developmental stages of society, aid in understanding social learning, or address the neuropsychiatric continuum.

104
Q

In response to expressing unacceptable behaviors in class, a child is placed in isolation (“time-out”). Which of the following reinforcement/punishment schedules is at work here?

Negative reinforcement

Negative punishment

Positive punishment

Positive reinforcement

A

Correct answer: Positive punishment

Reinforcement/punishment strategies are conceptualized according to whether they add or subtract something and the goal of the intervention. In this case, a positive punishment is being applied (i.e., something is added in order to reduce a behavior).

Negative punishment would be the removal of something to reduce the behavior. All reinforcement seeks to increase behavior, either by adding something (positive reinforcement) or taking something away (negative reinforcement).

105
Q

According to John Bowlby’s attachment theory, by what age must a child develop a bond in order to lead a normal social life?

2

3

5

7

A

Correct answer: 3

John Bowlby studied attachment and bonding, developing a theory that described bonding and attachment as having survival advantages. Among other ideas, Bowlby suggested that early attachment skills and practice were essential in how later social behavior would develop.

If a person does not develop some kind of healthy bond or attachment by age 3, then they were unlikely to lead a normal social life.

106
Q

ll of the following are common conflicts experienced by dual-earner couples except:

whose job is more important should a career move be offered

unequal distribution of housework between the couple

deciding which person’s family is visited during holidays

what the couple does in their leisure time

A

Correct answer: deciding which person’s family is visited during holidays

Many people are part of a “dual-earner” couple, meaning both individuals earn an income. There are a number of common conflicts for these couples, including difficulty making time for leisure activities, deciding whose job takes precedence, tension that arises when the woman earns more than the man, and an unequal division of labor in the home. Deciding which person’s family is visited during the holidays is an issue that can arise within relationships, but not necessarily only in dual-earner families.

107
Q

Which of the following represents the difference between acculturation and assimilation?

Acculturation represents how individuals identify with a dominant culture, and assimilation refers to how much an individual is absorbed by the dominant culture

Assimilation represents how individuals identify with the dominant culture, and acculturation refers to how much an individual is absorbed by the dominant culture

Assimilation is the practice of deliberately absorbing individuals to negate their culture, and acculturation is the mediated process of cultural belonging

Assimilation and acculturation are equivalent terms

A

Correct answer: Acculturation represents how individuals identify with a dominant culture, and assimilation refers to how much an individual is absorbed by the dominant culture

When examining culture and cultural concerns, it is important to remember how individual membership in the dominant culture is achieved and maintained and with what consequences to an individual’s identity this takes place. Acculturation represents how individuals identify with a dominant culture and take on its norms and values. Assimilation refers to how much individuals are “absorbed” into a dominant culture and lose their source culture’s norms and values.

The terms are not equivalent, and there may or may not be a deliberate process at work.

108
Q

Which of the following is false about adolescent behavior in the past decade?

Fewer work for pay

Fewer have a driver’s license

Fewer are going to college

Fewer have tried alcohol

A

Correct answer: Fewer are going to college

According to research, many factors about adolescent behavior in the past decade have changed, with implications for the mental health treatment of these persons and their families. In the past decade, the percentage of adolescents who have a driver’s license, who work for pay, and who have tried alcohol have all decreased significantly.

The same is not true for the college admissions in this population.

109
Q

A student in a college counseling class performs a survey of 100 students at her school. She finds that 8% meet criteria for major depressive disorder. Which of the following statements is true about this student’s data?

There is an 8% prevalence rate of depression in the population surveyed by the student

There is an 8% incidence rate of depression in the population surveyed by the student

The prognosis for the students with depression is poor

The etiology of the students’ depression is related to the college they attend

A

Correct answer: There is an 8% prevalence rate of depression in the population surveyed by the student

Prevalence refers to how many, or what percent, of a population is affected by something. In this situation, there is an 8% prevalence rate of depression. Incidence is the number of new cases that occur within a given time frame. Prognosis is the anticipated course of a disorder, and etiology refers to the factor(s) that cause a disorder.

110
Q

A school-aged child is a member of several systems: family, school, neighborhood, and peers. Who would argue that it is important to examine all systems impacting this child?

Perry

Bronfenbrenner

Levinson

Bandura

A

Correct answer: Bronfenbrenner

Urie Bronfenbrenner is known for his ecological view of human development and his belief that it is important to examine all systems impacting an individual. A school-aged child is not only affected by his family and school, but also by his neighborhood, peers, and other groups.

Albert Bandura developed social learning theory, which combines social and cognitive factors. William Perry is known for his work in combining intellectual and ethical development. Daniel Levinson is known for his work in defining developmental tasks during major stages of life.

111
Q

Which of the following is characteristic of what Jean Piaget means by adaptation?

Forming bonds outside the family unit

Learning emotional regulation from others

Allowing new information into established ideas

Being able to learn new cognitive skills

A

Correct answer: Allowing new information into established ideas

Jean Piaget’s concept of adaptation refers to the ability of a person to allow new information into established ideas. An example might be a child understanding that all families do not match their definition of family. This process is also known as assimilation.

This concept does not refer to cognitive skill development, emotional regulation, or attachment/bonding.

112
Q

In Erikson’s theory of development, is biology or the environment more important?

Both equally

Neither

Environment

Biology

A

Correct answer: Environment

Erik Erikson’s theory of psychosocial development describes many stages throughout the lifespan in which critical tests either are or are not passed. One example is the first such stage, trust vs. mistrust, which usually takes place in an early phase of life (from birth to about 18 months). The test here is to learn to be able to invest appropriately in trusting relationships with other human beings.

Although Erikson’s theory has stages tied to certain nominal age groups, the most important factor in development is the environment—in particular the social environment—in which most of the tests take place.

Social environments and one’s ability to navigate them actually determine success in Erikson’s model, not biology.

113
Q

Which of the following would be the best example of centration, according to Piaget?

Being able to focus on one idea at a time

Focusing on the word STOP on a stop sign

Believing that objects have a life of their own

Filtering unnecessary noise

A

Correct answer: Focusing on the word STOP on a stop sign

The work of Jean Piaget focused on the stages of child development, in which the child’s mental processes, cognitive ability, and sensory operations work in concert. His concept of centration refers to a phenomenon known in the preoperational stage, in which a child concentrates on one feature of an object, such as the word STOP on a stop sign.

Centration does not refer to filtering noise, intellectual focus, or a belief that objects have a life of their own.

114
Q

At which of the following ages are people most conformist?

Late thirties

Early fifties

Early twenties

Early teens

A

Correct answer: Early teens

Conformity, when people can be expected to act most like their peers, seems to be at its strongest in humans in their early teens. This is when critical social rules around sexuality and reproduction, as well as the desire to bond with groups, are practiced and internalized.

The other age groups listed do not illustrate the level of conformity present in puberty-age development.

115
Q

After attending weekly cognitive behavioral therapy counseling sessions for 16 weeks, a client notices that her depression has lifted somewhat and she is able to enjoy life much more than she could before starting therapy. What is the best explanation for this change in mood?

Counseling has distracted the client from remembering how depressed she actually is

The client is experiencing significant denial, which will be addressed once the cognitive behavioral therapy stops

The counselor’s positive attitude has rubbed off on the client

The effects of the cognitive behavioral therapy changed the amounts of neurotransmitters in the client’s brain

A

Correct answer: The effects of the cognitive behavioral therapy changed the amounts of neurotransmitters in the client’s brain

Neurobiological research has shown that, through counseling with various techniques and approaches, the rate and amounts of neurotransmitters in the brain can change. Individuals experiencing severe depression typically lack sufficient levels of serotonin and sometimes dopamine, and through participation in cognitive behavioral therapy, the levels of these neurotransmitters can be increased, resulting in alleviation of symptoms.

116
Q

Counselors and other professionals have noted that women tend to perform lower than men on Kohlberg’s moral dilemma test. What is the most likely reason for this?

Women have different criteria than men when making moral judgments

Clinicians are not properly trained to score the test

Women lack the self-confidence to answer questions on the test honestly

Women generally have lower moral standards than men

A

Correct answer: Women have different criteria than men when making moral judgments

Since the development of Kohlberg’s moral dilemma test in the 1950s, people have questioned why women tend to score lower than men. Though there tends to be overlap between men and women on the instrument, women generally use different criteria than men when making moral judgments. Women prioritize human relationships and caring over justice and rights, which are typically more valued by men.

117
Q

A company with at least 50 employees is legally required to allow all of the following individuals (each of whom has worked full-time for the company for at least one year) to take 12 weeks of leave, except which one?

A single female employee adopts a five-year-old and wants to take two months off work to help the child get settled

A married father wishes to take 12 weeks of leave beginning the day his new son is born

A young employee, adopted at birth, just found her biological parents and wants to take leave to spend time with them

A middle-aged employee’s mother is terminally ill and the employee needs to care for her during the last weeks of her life

A

Correct answer: A young employee, adopted at birth, just found her biological parents and wants to take leave to spend time with them

The Family and Medical Leave Act (FMLA) provides up to 12 weeks of unpaid leave during a 12-month period. It may be taken by a parent with a newly biological or adopted child or by any employee to care for an immediate family member who is ill. An adult who wants to spend time with her biological parents is not eligible to take FMLA leave.

118
Q

According to Krumboltz, which of the following is most likely to be the task of the career counselor?

Challenging preconceived notions of acceptable career options

Helping the individual resolve ego-relevant crises

Working with the individual to identify a zone of acceptable career alternatives

Administering assessments to determine which career path fits the individual best

A

Correct answer: Challenging preconceived notions of acceptable career options

John Krumboltz developed the Learning Theory of Career Counseling (LTCC), based on Bandura’s social learning theory. Because learning experiences over an individual’s lifetime influence career choice, the career counselor may need to challenge the individual’s beliefs and generalizations. Career counselors may administer assessments, but this is not required from Krumboltz’s point of view. Working with the individual to identify a zone of acceptable career alternatives applies to Linda Gottfredson’s theory, and helping the individual resolve ego-relevant crises applies to Tiedeman’s model.

119
Q

A career counselor administers Holland’s Vocational Preference Inventory to a client, whose results indicate he would best be suited for a social or artistic career. Which of the following career choices falls into one of these categories?

Accountant

Salesperson

Editor

Auto mechanic

A

Correct answer: Editor

John Holland’s career theory is structural in approach, but he believes that career choice is an expression of personality. He identified six personality types that develop due to parental influences, genetic factors, and the environment. These types include realistic (explicit tasks requiring physical work, e.g., mechanic), investigative (intellectual and prefers systematic, creative activities), artistic (imaginative), social (enjoys interacting with and helping others), enterprising (prefers leadership roles), and conventional (practical and ordered). Examples of social careers are teachers and social workers, and examples of artistic careers are artists and editors. Sales personnel fall into the enterprising category, auto mechanic is the realistic style, and accountant is the conventional style.

120
Q

Which of the following was Piaget’s conclusion regarding his formal operational stage?

Most men reach this stage, but women generally do not

Most people do not really reach it

Most people navigate it successfully

Most people substitute other items for this stage

A

Correct answer: Most people do not really reach it

Jean Piaget conceptualized human development, particularly in children, as a process in which sensory capability was joined with cognition to produce milestones in one’s ability to function and navigate the environment. The last stage of his model, formal operational, is one in which a child can perform abstract reasoning and deduction to solve problems. Piaget believed that most people do not really reach this stage.

Piaget did not detail a gender disparity at this stage.

121
Q

A counselor working with a four-year-old child gives the child a small piece of candy after he completes three tasks in a row. This is an example of what type of reinforcement schedule?

Variable interval

Fixed interval

Fixed ratio

Variable ratio

A

Correct answer: Fixed ratio

There are different types of conditioning principles that counselors can be aware of when helping clients to change their behaviors. A fixed ratio schedule reinforces a certain response after a fixed number of responses. A fixed interval schedule reinforces the responses after a certain period of time, a variable interval reinforces after an average number of minutes, and a variable ratio reinforces after an average number of responses.

122
Q

A counselor working with a four-year-old child gives the child a small piece of candy after he completes three tasks in a row. This is an example of what type of reinforcement schedule?

Variable interval

Fixed interval

Fixed ratio

Variable ratio

A

Correct answer: Fixed ratio

There are different types of conditioning principles that counselors can be aware of when helping clients to change their behaviors. A fixed ratio schedule reinforces a certain response after a fixed number of responses. A fixed interval schedule reinforces the responses after a certain period of time, a variable interval reinforces after an average number of minutes, and a variable ratio reinforces after an average number of responses.

123
Q

Which of the following is true regarding contextualism?

It uses psychodynamic techniques such as interpretation

It is based on the idea that an individual cannot be separated from his or her environment

It focuses on how societal norms influence individuals’ experiences

It is the belief that individuals make decisions based on their cognitive, rather than emotional, experience

A

Correct answer: It is based on the idea that an individual cannot be separated from his or her environment

Proponents of contextualism believe that career development results from constant interaction between the individual, the environment, and the dynamics between individual and environment. Contextualists assert that individuals cannot be separated from their environments and that reality is created by individuals’ perceptions and ways of organizing information. From a contextualism standpoint, the goal of career counseling is for the individual to make sense of his or her situation.

124
Q

A counselor facilitating a group for older adults with anxiety and depression has noticed that recently one of the longtime group members, Samantha, has been reluctant to participate. Samantha frequently denies having any recent feelings of anxiety or depression when asked directly, though Samantha’s individual therapist has contacted the group counselor to let her know that she is worried Samantha’s depression is getting worse. What is the best way for the group counselor to address Samantha’s resistance?

“As a group, let’s tell Samantha what we think about her depression lately.”

“Samantha, I just don’t understand why you don’t want to talk to us anymore. It doesn’t make any sense, especially since your depression is getting worse.”

The counselor should not say anything to Samantha; she will begin to participate again when she is ready.

“Samantha, I’ve noticed that you’ve not been as talkative lately, but you seem sad. I wonder if the group could help you figure out why talking about anxiety and depression has been so difficult lately.”

A

Correct answer: “Samantha, I’ve noticed that you’ve not been as talkative lately, but you seem sad. I wonder if the group could help you figure out why talking about anxiety and depression has been so difficult lately.”

Sometimes, resistance should be met directly in a confrontational way. Confrontation does not have to be rude or disrespectful, however, and the counselor can make gentle yet firm statements about her observations. In this way, the counselor models for all the group members how to handle conflict in a helpful, non-threatening way.

125
Q

Which of the following is meant by the behaviorist principle of reciprocity in marriage?

Two individuals express feelings for each other at about the same intensity

One individual tends to behave like another over time

One individual supports another consistently in a marriage

Two individuals help each other at about the same rate over time

A

Correct answer: Two individuals help each other at about the same rate over time

In terms of behaviorist approaches to marriage therapy, reciprocity means that two individuals support each other at about the same rate over time. When there is such a stable and consistent reinforcement schedule, trust develops.

The concept does not refer to one individual supporting another per se, nor is it about the expression of feelings or the sharing of identity.

126
Q

Which of the following is meant by the behaviorist principle of reciprocity in marriage?

Two individuals express feelings for each other at about the same intensity

One individual tends to behave like another over time

One individual supports another consistently in a marriage

Two individuals help each other at about the same rate over time

A

Correct answer: Two individuals help each other at about the same rate over time

In terms of behaviorist approaches to marriage therapy, reciprocity means that two individuals support each other at about the same rate over time. When there is such a stable and consistent reinforcement schedule, trust develops.

The concept does not refer to one individual supporting another per se, nor is it about the expression of feelings or the sharing of identity.

127
Q

Gelatt’s decision-making process consists of what five steps?

Connect, motivate, maintain, terminate, evaluate

Interview, decide, maintain, motivate, terminate

Assess, de-escalate, intervene, stabilize, evaluate

Recognize, collect data, examine outcomes, attend to values, evaluate and decide

A

Correct answer: Recognize, collect data, examine outcomes, attend to values, evaluate and decide

H B Gelatt presents a five-step process for making decisions about careers: recognize the need to make a decision, collect data, examine potential outcomes, attend to your value system, and make a temporary or permanent decision. Later Gelatt research focused on the balance between reason and intuition when making career decisions.

128
Q

What did Harry Harlow believe his work with rhesus monkeys showed about human attachment?

That human bonding and attachment are conditional on circumstances

That human bonding and attachment are innate

That human bonding and attachment are environmentally cued

That human bonding and attachment are learned behavior

A

Correct answer: That human bonding and attachment are innate

Harry Harlow worked extensively with rhesus monkeys in order to learn about patterns of bonding and attachment in humans. Through his experiments in maternal deprivation and isolation, he believed that human bonding and attachment are innate and not environmentally cued, learned, or conditional on circumstances.

128
Q

What did Harry Harlow believe his work with rhesus monkeys showed about human attachment?

That human bonding and attachment are conditional on circumstances

That human bonding and attachment are innate

That human bonding and attachment are environmentally cued

That human bonding and attachment are learned behavior

A

Correct answer: That human bonding and attachment are innate

Harry Harlow worked extensively with rhesus monkeys in order to learn about patterns of bonding and attachment in humans. Through his experiments in maternal deprivation and isolation, he believed that human bonding and attachment are innate and not environmentally cued, learned, or conditional on circumstances.

129
Q

Which of the following would be the best example of the Barnum effect?

A client is undiagnosable

A client becomes psychotic in response to a diagnosis

A client accepts your diagnosis unquestioningly

A client rejects your diagnosis outright

A

Correct answer: A client accepts your diagnosis unquestioningly

The Barnum effect is named after the famous showman P. T. Barnum, who suggested that people are highly gullible and suggestible in general. The Barnum effect refers to the idea that a client may believe anything a counselor tells them due to trust, authority, rapport, or other factors.

The Barnum effect would probably not result in an outright rejection of a diagnosis or involve psychosis or an undiagnosable client.

130
Q

Which of the following is most often seen as the root of dissociative disorders?

Psychosis

Mood instability

Developmental issues

Trauma

A

Correct answer: Trauma

Dissociative disorders present issues of disconnection from self, others, and behavior. Their root is most often traumatic experiences in critical periods, when the dissociation may have been formed as an unconscious survival mechanism. The effect of trauma on the organism can be far-reaching, influencing self-concept, memory, and even motor control.

Psychosis, developmental issues, and mood instability are not usually seen as the root of dissociative disorders.

131
Q

Which of the following is most often seen as the root of dissociative disorders?

Psychosis

Mood instability

Developmental issues

Trauma

A

Correct answer: Trauma

Dissociative disorders present issues of disconnection from self, others, and behavior. Their root is most often traumatic experiences in critical periods, when the dissociation may have been formed as an unconscious survival mechanism. The effect of trauma on the organism can be far-reaching, influencing self-concept, memory, and even motor control.

Psychosis, developmental issues, and mood instability are not usually seen as the root of dissociative disorders.

132
Q

A counselor is interested in running more groups for clients who suffer from depression. Which of the following would be the best example of a goal this type of group might have?

Explore group members’ childhoods for answers to current depressive states

Learn how to talk with family members about what it is like to have depression

Decrease suicidal thoughts and self-harming behaviors

Learn how to interact with others in ways that relieve depressive symptoms

A

Correct answer: Learn how to interact with others in ways that relieve depressive symptoms

There are many goals group members may work toward, depending on the type and topic of the group. Some general goals of group counseling include learning to trust oneself and others, finding alternative ways of resolving conflict, increasing self-direction, learning more effective social skills, and making plans for changing behaviors and being held accountable. Exploring childhoods, decreasing suicidal thoughts, and learning how to talk with family members are excellent goals for individual psychotherapy. Group counseling can help those suffering from depression to learn how their interpersonal skills and moods affect others, and hopefully to learn ways of interacting with others that will alleviate depressive symptoms.

133
Q

A four-year-old child regularly becomes upset when his mother is not able to read him a bedtime story. He frequently makes comments like, “I wish Daddy was dead,” and often tells his father to go in another room so he and his mother can be alone. What is most likely true regarding this child?

It is likely that he is being abused by his father

He and his mother are enmeshed

He is showing early signs of mental illness

He is experiencing a typical Oedipal complex

A

Correct answer: He is experiencing a typical Oedipal complex

During the phallic stage (age three to five), typically-developing children tend to experience either an Oedipal complex (boys) or an Electra complex (girls). During this stage, children become attracted to the opposite-sex parent and frequently attempt to “shut out” the same-sex parent. If parents are tolerant of these attitudes and set limits with their children about what is expected, children should move smoothly out of this stage into latency.

134
Q

What do the career theories of Donald Super, Linda Gottfredson, and Eli Ginzberg have in common?

They all focus on circumscription and compromise

They all classify career development into three main periods

They all take a developmental approach

They all use the Archway model as a graphic representation of self-concept

A

Correct answer: They all take a developmental approach

Developmental theorists view career selection as something that grows and changes over time and usually goes through stages. Donald Super, Linda Gottfredson, and Eli Ginzberg are known for their career development theories. Ginzberg and his colleagues divided career development into three main periods, but Super divided it into five periods and Gottfredson into four. Super developed the Archway model later in his career to show the many factors that influence an individual’s career selection. Gottfredson’s career development theory is known as Circumscription and Compromise.

135
Q

A career counselor is interested in using a computer guidance system with numerous assessments to measure clients’ interests, values, and skills. Which of the following is the most comprehensive system?

O*NET

CHOICES

SIGI 3

Focus II

A

Correct answer: SIGI 3

There are several computer-assisted career guidance systems that can supplement the assessments and guidance of career counselors. SIGI 3 (System of Interactive Guidance and Information) is one of the top-of-the-line systems.

O*NET is a comprehensive database that categorizes occupations according to worker characteristics, amount of education and training needed, and other factors. Focus II and CHOICES are both computer-assisted career guidance systems, but they have limited assessment components.

136
Q

A counselor wants to give a client a vocational aptitude assessment. All of the following would be appropriate measures for this purpose except which one?

GRE

ASVAB

DAT

GATB

A

Correct answer: GRE

Because there are so many assessments and inventories, career counselors should be careful to recommend only those that are appropriate for individuals’ specific needs. The Graduate Record Examination (GRE) is an example of an achievement aptitude test, not vocational, and is often required for application to graduate school.

The Armed Services Vocational Aptitude Battery (ASVAB), General Aptitude Test Battery (GATB), and Differential Aptitude Test (DAT) are examples of vocational aptitude assessments.

137
Q

Multidimensional models of abnormal human behavior typically look at what four dimensions?

Thought processes, appearance, mood, and intellectual functioning

Biology, cognition, emotions, and culture

Spirituality, reactivity, passivity, and locus of control

Adaptation, functioning, etiology, and prognosis

A

Correct answer: Biology, cognition, emotions, and culture

Causal models can be one-dimensional or multidimensional. Multidimensional models typically are based on the belief that disorders are a result of a variety of interrelated factors that affect the individual’s behaviors and feelings. These models usually look at four dimensions: biology, which includes genetics and brain chemistry; cognition, which refers to how individuals learn and process information; emotions and mood; and sociocultural factors.

138
Q

Is language or paralanguage considered more accurate?

They are both considered equally accurate

Neither is considered accurate

Language

Paralanguage

A

Correct answer: Paralanguage

While language is generally understood to mean the lexical content of a message, there are many categories of messages outside explicit content. In fact, paralanguage, which refers to almost everything but the lexical content of the message, is considered to be more accurate. Paralanguage would include factors like tone, volume, speed, and silence, among many others.

139
Q

Who is typically regarded as the “Father of Guidance” and developed the trait-factor approach to career counseling?

Frank Parsons

John Krumboltz

John Holland

E. G. Williamson

A

Correct answer: Frank Parsons

Frank Parsons, also known as the “Father of Guidance,” developed the trait-factor approach to career counseling. This approach requires the career counselor to study the individual, survey the occupations, and then match the person with an occupation. The trait-factor approach was later refined by E. G. Williamson.

140
Q

John Crites’ model of career counseling includes three factors when diagnosing the career problem. What are these three components?

Dynamic, motivational, and synthesis

Analysis, collection, and synthesis

Differential, dynamic, and decisional

Synthesis, prognosis, and follow-up

A

Correct answer: Differential, dynamic, and decisional

John Crites’ model of career counseling is a comprehensive approach that requires the counselor to make three diagnoses of the problem. These diagnoses include differential (what are the problems?), dynamic (why have the problems occurred?), and decisional (how are the problems being dealt with?). Crites also believed that once the career problem has been diagnosed, the counselor should provide client-centered counseling, psychodynamic techniques, and trait-factor and behavioral approaches.

141
Q

Career counselors have the option of giving many types of assessments to help clients choose careers that match their interests and abilities. The ACT and the ITBS measure:

Personality

Achievement

Interest

Aptitude

A

Correct answer: Achievement

Because there are so many assessments and inventories, career counselors should be careful to recommend only those that are appropriate for individuals’ specific needs. The American College Test (ACT) and Iowa Test of Basic Skills (ITBS) are typically given to K–12 students and are achievement tests that measure an individual’s readiness for further education.

142
Q

Fantasy, tentative, and realistic are three stages of career development presented by:

Miller-Tiedeman

John Holland

Ann Roe

The Ginzberg Group

A

Correct answer: The Ginzberg group

Ginzberg, Ginsburg, Axelrad, and Herma (also known as The Ginzberg Group) believed occupational choice moved through three different stages: fantasy (birth to 11), tentative (11 to 17), and realistic (17 and up). The group posited that adolescent adjustment patterns play a significant role in career decision making.

143
Q

Which of the following accurately describes Beck’s cognitive triad of depression?

Feelings of worthlessness, history of failure, hopeless future

Feelings of worthlessness, personal un-achievement, hopeless future

Feelings of worthlessness, emotional lability, hopeless future

Feelings of worthlessness, negative worldview, hopeless future

A

Correct answer: Feelings of worthlessness, negative worldview, hopeless future

Aaron Beck’s cognitive triad of depression addresses the way in which individuals assess their world and the way in which this assessment shapes the client toward depressive thinking. This triad consists of feelings of personal worthlessness, a negative worldview in which the client is a victim, and a future that is seen as hopeless.

The other choices do not accurately capture this triad of poor self-concept, poor worldview, and negative future evaluation.

144
Q

Which of the following is true about the neurochemical brain responses of gambling behavior?

They are similar to those in traumatized persons

They are similar to those in anxiety disorders

They are similar to those in substance abuse

They are similar to those in depressive disorders

A

Correct answer: They are similar to those in substance abuse

As clinical research has deepened into gambling behavior, the neurochemical reward system that is implicated in substance abuse is highly similar to those in gambling and risk-taking behavior. This insight has implications for diagnosis, classification, and treatment.

This similarity does not extend to traumatized persons, depressive disorders, or anxiety disorders.

145
Q

Information-processing theories and behavioral theories fall into what broad category explaining how humans grow and develop?

Cognitive theories

Psychoanalytic theories

Humanistic theories

Learning theories

A

Correct answer: Learning theories

Learning theories include behavioral theories, social learning theories, and information-processing theories. All of these concepts attempt to explain how humans grow and develop by observing and learning behaviors and responses from others.

Cognitive theories include cognitive behavior therapy and other approaches that aim to change the individual’s thoughts. Humanistic theories are client-centered and emphasize an individual’s potential for self-growth. Psychoanalytic theories, such as ideas developed by Freud, are those that focus on the unconscious drives and feelings of individuals as the source of problematic behavior.

146
Q

According to the work of Margaret Mahler, what is symbiosis?

The way a child and a mother support each other psychologically

The way a family bonds around a child

The essential bond between a mother and a child

The relationship a child has with their environment

A

Correct answer: The essential bond between a mother and a child

According to the work of Margaret Mahler, there is a critical period of time early in a child’s development in which there is an essential bond between mother and child. Known as symbiosis, it amounts to the child being wholly dependent on and trusting of the mother. If this relationship is disrupted, the psychological consequences are dramatic and can involve psychosis.

The term does not refer to a child’s relationship with their environment, the way a child and mother support each other, or the way a family bonds around a child.

147
Q

Which term applies to the anticipated course of a disorder?

Prognosis

Etiology

Incidence

Prevalence

A

Correct answer: Prognosis

When clinicians refer to a client’s prognosis, they are referring to the likelihood that the individual will recover, stabilize, or otherwise be able to function in the future. This requires a counselor or other clinician to be familiar with the course of specific disorders and collections of behaviors along with the factors that help or hinder a person to deal with a disorder.

Etiology refers to the cause of a disorder. Prevalence is what proportion of the population has a disorder. Incidence is how many new cases occur within a given time frame.

148
Q

Generally speaking, when does stranger anxiety begin in children?

8 months

6 months

From birth

12 months

A

Correct answer: 8 months

Stranger anxiety, or the behaviors a child shows that indicate unease around unfamiliar people, tends to set in at about 8 months of age. This is in keeping with developmental theories which state that some psychological factors appear to be innate and present across human cultures and populations.

149
Q

A career counselor is meeting with a middle-aged client who has never used social media websites. What is the best piece of advice the counselor can offer her client?

Consult with the client’s children for help in setting up profiles on these websites

There is no need to set up profiles on these sites, since most employers do not use social media to search for job candidates

Develop profiles on LinkedIn, Twitter, and Facebook in the hope that employers will search for job candidates on these sites

Avoid social media websites such as Facebook in order to avoid any incriminating or embarrassing information leaking out

A

Correct answer: Develop profiles on LinkedIn, Twitter, and Facebook in the hope that employers will search for potential job candidates on these sites

Social media websites such as Facebook, LinkedIn, and Twitter are becoming increasingly useful to individuals looking for employment or career advancement. Employers often search these sites to find potential job candidates, so career counselors should recommend that clients create profiles as a way of advertising themselves.

150
Q

Which social behavior is congruent with low-context communication?

Engaging in a high level of reference to tradition

Providing a high level of nonverbal communication

Providing a low level of explicit verbal detail

Providing a high level of explicit verbal detail

A

Correct answer: Providing a high level of explicit verbal detail

Different cultures and folk groups adhere to different communicative norms. In low-context communication, the emphasis is on the verbal, lexical content of the message. A high level of detail and a relatively low level of nonverbal communication would be the norm.

High-context communication is the opposite. In these groups, factors such as respect for tradition and nonverbal communication are emphasized, with a relatively low level of lexical detail.

151
Q

Irene is a highly directive, “bossy” parent. She does not explain the “why” of household rules but maintains them through strict punishment and occasional verbal abuse.

Which of the following would characterize the trajectory of a child associated with this parenting style?

A child with extremely poor boundaries who is highly demanding

A child with good boundaries who does badly in school

A withdrawn child prone to drug abuse and antisocial behavior

A happy, outgoing child who does well in school

A

Correct answer: A withdrawn child prone to drug abuse and antisocial behavior

Parenting styles are associated with certain outcomes for the children produced by those styles. In this case, an authoritarian style is being practiced. This style is characterized by harsh punishment, poor explanation of the rules, and abuse in response to infractions. This parenting style is associated with withdrawn children who can be prone to drug and alcohol problems and exhibit antisocial behavior.

A child from this household would likely not be successful; poor boundaries are more associated with children from households practicing permissive parenting.

152
Q

In terms of family dynamics, what is the point of feedback loops?

To help the family self-correct

To establish permeable boundaries

To isolate members who are not in favor

To keep the family informed

A

Correct answer: To help the family self-correct

A family can be seen as a system that is constantly in motion and either in a state of homeostasis (relative stability) or change. As a system, the family has a function and an identity that rise above the identity of any individual member. Feedback loops are ways in which the family communicates with itself and self-corrects, generally in the interest of preserving homeostasis.

Feedback loops are not primarily about information, boundaries, or whether an individual member is in favor.

153
Q

Which of the following would best illustrate the concept of animism in child development?

A child hears the voice of a beloved cartoon character at times

A child does not understand that a person who has died cannot visit them

A child believes that the rocks in the garden have personalities

A child has a negative reaction to the loss of a pet

A

Correct answer: A child believes that the rocks in the garden have personalities

Animism as it is known in the field of child development refers to the stage of childhood in which persons believe that inanimate objects have personalities and character, even a “life” of their own. Animism can refer to any human characteristic applied to an object in the environment. Thus, a child believing that rocks in the garden have personalities is an example of animistic thinking.

Animism does not strictly refer to the hearing of imaginary voices, the misunderstanding of death, or normal grieving.

154
Q

A counselor is meeting with a client who has sought out counseling due to anxiety related to a recent divorce. The counselor asks the client to pretend that a miracle happened and then explain how she would know and what would be different. Each time the counselor meets with the client, she asks the client to rank her anxiety levels related to different situations on a scale of one to ten. This counselor is most likely using what type of counseling approach?

Solution-Focused Brief Therapy

Adlerian therapy

Narrative therapy

Reality therapy

A

Correct answer: Solution-focused brief therapy

Solution-Focused Brief Therapy (SFBT) is used to address specific problems in the moment rather than dwelling on past experiences or the history of the problem. Counselors operating from this perspective believe that the client is capable of finding solutions. Frequently used techniques of SFBT include the miracle question (what would be different if a miracle occurred in the client’s life), the exceptions questions (what things were like when the problem didn’t exist), and scaling questions (rating changes in the client’s affect, emotions, etc., from one to ten).

155
Q

By pairing a negative stimuli with positive events, a counselor successfully helps a client overcome his anxiety. This process is known as:

paradoxical intention

systematic desensitization

token economy

aversion therapy

A

Correct answer: systematic desensitization

Systematic desensitization is based on the theory of reciprocal inhibition, the belief that a person cannot be anxious and relaxed at the same time. The goal of systematic desensitization is to associate negative stimuli that cause anxiety with positive events. In this type of intervention, images that the client finds anxiety-provoking are paired with muscle relaxation and other techniques.

156
Q

According to the work of Leon Festinger, which of the following would be an approach-approach conflict?

A person has a choice between a jail sentence and a new job

A person has a choice between two different types of new car

A person does not know how to interact with positive feedback

A person has a choice between a small injury and a traffic ticket

A

Correct answer: A person has a choice between two different types of new car

Leon Festinger researched the concept of cognitive dissonance, which suggests that human beings seek to avoid internal conflict between their attitudes and their behavior. There are various types of conflict according to this theory; one is approach-approach conflict, which is the choice between two positives. Since a person cannot have both, there will still be some measure of internal conflict, such as to justify one choice over another.

Approach-approach conflict does not involve positive feedback. The other choices do not depict a choice between two desirable items.

157
Q

In 1976, Gail Sheehy wrote Passages: Predictable Crises of Adult Life. What is one of the main points of this work?

Positive relationships are essential in order for individuals to navigate stages successfully

Transitional times are when negative life events tend to occur

Transitions from one life stage to another are opportunities for growth

Everyone goes through the same transitional periods

A

Correct answer: Transitions from one life stage to another are opportunities for growth

Gail Sheehy is known for her claim that life stages are marked by transitional periods that are likely to be different for each individual. Sheehy saw these stages as opportunities for growth, because crises challenge individuals to make positive changes.

158
Q

A two-year-old boy shouts, “Car!” any time he sees a bicycle, truck, or anything else with wheels. According to Piaget, this is an example of a(n):

hallucination

schema

defense

misinterpretation

A

Correct answer: schema

Jean Piaget is known for his work studying cognitive development in children and adults. Piaget used the term “schema” to refer to mental structures that process information, perceptions, and experiences. This toddler has a schema in which all moving objects with wheels are called cars. Over time, this child will most likely accommodate his experiences so that he will be able to distinguish between cars, bicycles, and trucks, and will understand the differences between each object.

159
Q

Which of the following represents the most common profile of sexual abusers of children?

A female known to the child

A female stranger to the child

A male stranger to the child

A male known to the child

A

Correct answer: A male known to the child

The demographics of child abuse have been measured and studied. II the majority of cases, the abuser tends to be a male who is known to the child and not a stranger.

160
Q

For adolescents and children who are gender-variant, counselors should consider all of the following interventions except which one?

Family therapy

Psychopharmacology

Supportive, insight-oriented therapy

Group counseling with like-minded clients

A

Correct answer: Psychopharmacology

Gender-variant individuals are those whose behavior and gender expression does not match feminine and masculine gender norms. Often, family therapy is recommended to help these individuals navigate social interactions and their own identities. Supportive therapy and group therapy with other gender-variant individuals may help as well. Psychopharmacology is not recommended, since gender variance is not viewed as a disorder.

161
Q

Which of the following would be the best example of morphostasis as expressed by a family?

A family that handles its crises in a dysfunctional way

A family that handles its crises in a way that does not threaten stability

A family that regresses to previous patterns under pressure

A family that handles its crises in a way that enhances functioning

A

Correct answer: A family that handles its crises in a way that does not threaten stability

In terms of family dynamics as expressed in family therapy, morphostasis refers to the way in which a family is able to handle its crises in a way that does not threaten stability. The family can be said to be less amenable to change but will be resistant to shock.

The concept does not refer to enhancing function, addressing dysfunction, or handling regression.

162
Q

Which of the following is true about those who complete suicide?

The majority express their intentions to peers

The majority express their intentions to someone

Few express their intentions to someone

The majority express their intentions online

A

Correct answer: The majority express their intentions to someone

Suicide is a complicated and individualistic phenomenon, but certain common factors can be identified that can help prevent it. One key factor about suicide is that those who complete it have expressed their intentions to someone in the vast majority of cases. This may involve almost any medium and chosen other and is not necessarily expressed online or to their age peers. This expression underlies the importance of taking any such mention of suicide by a client very seriously.

163
Q

Of the following behavioral disruptions, family counseling is most often recommended for which one?

Feeding and eating disorders

Sexual dysfunctions

Sleep-wake disorders

Paraphilic disorders

A

Correct answer: Feeding and eating disorders

There are many different behavioral disruptions listed in the DSM-5 in five separate categories: feeding and eating disorders, elimination disorders, sleep-wake disorders, sexual dysfunctions, and paraphilic disorders. In addition to medical and behavioral interventions, individuals with eating disorders or elimination disorders are particularly likely to benefit from family counseling.

164
Q

A counselor has a twelve-year-old client with autism spectrum disorder. The counselor sees the client on a weekly basis to work on social skills and communication skills, such as maintaining eye contact. Which of the following statements is the most likely scenario regarding this case?

The counselor’s interventions will be minimally effective, since children with autism are usually incapable of learning social skills

Symptoms of autism did not show up in this child until recently and the counselor has been asked to provide diagnostic clarity

Psychopharmacological interventions have masked the child’s symptoms of autism, but adolescence has led to a resurgence of symptoms

The client was diagnosed with autism at a younger age and the counselor was asked to help with skill-building rather than diagnostic clarification

A

Correct answer: The client was diagnosed with autism at a younger age and the counselor was asked to help with skill-building rather than diagnostic clarification

Autism spectrum disorder is a neurodevelopmental disorder typically diagnosed in childhood. Individuals with neurodevelopmental disorders usually have contact with several medical professionals before counselors become involved, though counselors in schools and community mental health agencies may be in contact with these individuals.

Symptoms of autism typically have a biological basis and appear very early in childhood, and it is usually a medical professional rather than a counselor who diagnoses it. Medications cannot mask symptoms of autism, such as the lack of ability to understand social cues. Children with autism can learn social skills with individualized interventions that provide social scripts and models.

165
Q

Which of the following counselors’ approaches is most likely to have been influenced by the work of Savickas?

A counselor who encourages her clients to be flexible workers and to pursue freelance work when possible

A counselor who sees himself as an expert who relies heavily on inventories

A counselor who meets with clients in a group format so individuals can share their ideas with each other

A counselor who asks the client’s family for input about feasible career choices

A

Correct answer: A counselor who encourages her clients to be flexible workers and to pursue freelance work when possible

Mark Savickas is known for his postmodern approach to career counseling that is based on construction theory, which posits that individuals construct their own reality. Savickas’ approach considers the changing nature of the workplace and the move toward flexible work schedules and more freelance employment.

166
Q

What is the consensus on the age range for a typical midlife crisis?

25 to 35 years for men, about the same age for women

30 to 45 years for men, about the same age for women

45 to 50 years for men, about five years later for women

35 to 45 years for men, about five years earlier for women

A

Correct answer: 35 to 45 years for men, about five years earlier for women

The concept of midlife crisis refers to a period in which a person realizes that their life is half over and begins to adjust to that knowledge by evaluating past events. According to consensus among theorists, it tends to take place at about 35 to 45 years of age for men, and about five years earlier in women.

167
Q

Which of the following comes closest to stating the fundamental attribution error?

Circumstances are more important than personality when evaluating others

Personality is more important than circumstances when evaluating self

Personality is more important than circumstances when evaluating others

Circumstances are more important than personality when evaluating self

A

Correct answer: Personality is more important than circumstances when evaluating others

The fundamental attribution error is a phenomenon of evaluation. It suggests that when we are evaluating others, permanent and dispositional factors such as personality are more important than transitory and circumstantial factors. For example, a person who gets fired from their job is more likely to be evaluated as having that outcome due to who they are than a more circumstantial factor such as the business environment.

168
Q

A counselor meets with an adolescent client and her mother for the first time. During the session, the counselor learns that the teenager is currently serving parole for breaking into a neighbor’s home and stealing jewelry. The teenager frequently skips school, gets into fist fights with peers, and has little regard for her teachers and parents. The teenager denies any mood symptoms and admits that she smokes marijuana once in awhile, but the drug tests her parole officer orders always come back negative. Without having any more information about this client, what diagnosis might the counselor think would be most appropriate?

Cyclothymia

Intermittent explosive disorder

Conduct disorder

Pyromania

A

Correct answer: Conduct disorder

Conduct disorder is under the DSM-5 umbrella category of disruptive, impulse-control, and conduct disorders. These typically appear first in childhood or adolescence and include severe problems with emotional and/or behavioral regulation. Conduct disorder can be diagnosed when individuals meet certain criteria such as aggression toward people or animals, destruction of property, deception or theft, and/or serious violations of rules.

169
Q

A counselor wants to know what types of counseling approaches work best for adolescent depression. She gathers many studies completed over the past ten years and examines the results of the studies to answer her question. This is known as a(n):

action study

single-subject design

longitudinal study

meta-analysis

A

Correct answer: meta-analysis

Meta-analyses compare research findings across studies in order to bring together as much information as possible about a specific question. Rather than base all of her knowledge about treatment for adolescent depression on one study, this counselor is compiling research results from the past ten years to give a much better picture of what interventions are likely to work best.

170
Q

Which of the following is a diagnostic category change in the DSM-5?

Autism and Asperger’s disorder are now both autism spectrum disorder

Agoraphobia and panic disorder have been eliminated from the anxiety disorders category

Intellectual disability is now mental retardation

Neurocognitive disorders no longer exist

A

Correct answer: Autism and Asperger’s disorder are now both autism spectrum disorder

There are many categorical and philosophical changes in the DSM-5. One of these is the elimination of the Asperger’s disorder diagnosis and the inclusion of clients with these symptoms under the diagnosis of autism spectrum disorder.

In the DSM-5, mental retardation is now an intellectual disability, neurocognitive disorders include dementia and delirium, and both agoraphobia and panic disorder have been added to the anxiety disorders category.

171
Q

Find Occupations, Skills Search, and Crosswalk are three components found in which of the following?

O*NET

DOT

SIGI 3

OOH

A

Correct answer: O*NET

O*NET is a comprehensive database that categorizes occupations according to worker characteristics, amount of education and training needed, and other factors. On the website, users can search in a variety of ways, such as by specific occupation, education, basic skills, and many others.

The Dictionary of Occupational Titles (DOT) has been largely replaced by O*NET but still offers summaries of about 12,000 occupations. The Occupational Outlook Handbook (OOH) is published every other year and offers information about current salaries and projected trends. The System of Interactive Guidance and Information (SIGI 3) is a top-of-the-line computer-assisted career guidance system that can supplement the assessments and guidance of career counselors.

172
Q

Theorists from the actuarial perspective believe that the structure of the individual is the foundation from which career development occurs. What are two examples of actuarial theories?

Problem-solving and needs-based

Self-directed and conventional

Life-span and self-concept

Trait-factor and needs-based

A

Correct answer: Trait-factor and needs-based

Actuarial theorists focus on the individual’s needs, traits, interests, or other internal structure. Trait-factor and needs-based theories are two types of actuarial theories as they each focus on a specific concept (personality traits and unmet needs) to explain career selection.

173
Q

Which of the following would be the best illustration of the Premack principle?

A daughter who is not allowed to go out unless she cleans her room

A parent who insists on stricter rules than necessary

A son who is allowed to compete in sports despite having bad grades

A child who does not understand interactions outside the family

A

Correct answer: A daughter who is not allowed to go out unless she cleans her room

The Premack principle suggests that a behavior that one is not likely to engage in (a low probability behavior, or LPB) can be reinforced by a behavior that one is likely to engage in (a high probability behavior, or HPB). Thus, a daughter not allowed to go out (HPB) until she cleans her room (LPB) is an illustration of this principle.

A son allowed to compete in sports is not being reinforced according to this schedule. The Premack principle does not deal with interactions outside the family or refer to family rules per se.

174
Q

A career counselor is meeting with a client for the first time. This client, a middle-aged Asian woman, wants to speak with the counselor about her desire to get a part-time job now that her children have left for college. Which of the following is true as the counselor begins working with this client?

The counselor should be careful not to address race, since this might offend the client

The counselor should suggest only opportunities that he knows are typically pursued by Asian women

The counselor should ask questions about the client’s personal values, particularly as they pertain to cultural norms

The counselor should offer to speak with the client’s husband due to the patriarchal nature of many Asian families

A

Correct answer: The counselor should ask questions about the client’s personal values, particularly as they pertain to cultural norms

Career counselors must be sensitive to clients’ backgrounds and cultural norms. Although the client may not have any values in common with other Asian individuals, it is worthwhile for the counselor to explore the client’s personal values to guide the direction as they assist the client.

175
Q

Who developed the law that states the consequences of a behavior determine the strength of the response connection?

John Watson

B.F. Skinner

Robert Havighurst

Edward Thorndike

A

Correct answer: Edward Thorndike

Edward Thorndike developed the law of effect, which states that when a reward follows a stimulus-response connection, the connection is strengthened. Therefore, the law of effect determines the probability of a behavior being repeated based on its consequences.

Like Thorndike, John Watson and B.F. Skinner are known for their contributions to behaviorism, but they did not develop the law of effect. Robert Havighurst focused on stages of growth and the importance of individuals mastering developmental tasks before moving from one stage to the next.

176
Q

Delirium, Parkinson’s disease, and Alzheimer’s disease are all what type of disorder?

Neurocognitive

Neurodevelopmental

Disruptive

Stressor-related

A

Correct answer: Neurocognitive

Neurocognitive disorders, such as Alzheimer’s disease, and neurodevelopmental disorders, such as autism and intellectual disabilities, most likely have a biological basis. Neurocognitive disorders tend to appear later in life, while neurodevelopmental disorders begin in childhood.

177
Q

At which of the following ages does a person generally arrive at their gender identity?

2

3

5

8

A

Correct answer: 3

Developmental processes can be observed with consistency across human populations. One of these is gender identity, which in most cases proceeds with a person having arrived at a firm gender identity by the age of 3.

There are many influences on this identity, such as genetics, culture, and socialization.

178
Q

Which of the following accurately describes the conclusions of Harry Harlow’s experiments with wire and cloth monkeys?

Affection and warmth are not significant in development

Affection and warmth are more important than sustenance

Affection and warmth are matters of perception

Affection and warmth are less important than sustenance

A

Correct answer: Affection and warmth are more important than sustenance

Harry Harlow’s famous experiments dealt in part with how the development and behavior of young rhesus monkeys were affected by the presence and character of a wire monkey or a cloth monkey as a mother figure. Although the experiments were varied in their formation, one standout conclusion was that the infant rhesus monkeys seemed more interested in a cloth monkey mother (which is a more warm and affectionate figure) than a wire monkey mother, even when the wire monkey mother dispensed food and the cloth monkey did not. The conclusion seems to be that parental affection and warmth are more important in some ways than sustenance.

The experiments did not indicate that affection and warmth are matters of perception or that affection is not significant to development.

179
Q

Which of the following accurately describes the conclusions of Harry Harlow’s experiments with wire and cloth monkeys?

Affection and warmth are not significant in development

Affection and warmth are more important than sustenance

Affection and warmth are matters of perception

Affection and warmth are less important than sustenance

A

Correct answer: Affection and warmth are more important than sustenance

Harry Harlow’s famous experiments dealt in part with how the development and behavior of young rhesus monkeys were affected by the presence and character of a wire monkey or a cloth monkey as a mother figure. Although the experiments were varied in their formation, one standout conclusion was that the infant rhesus monkeys seemed more interested in a cloth monkey mother (which is a more warm and affectionate figure) than a wire monkey mother, even when the wire monkey mother dispensed food and the cloth monkey did not. The conclusion seems to be that parental affection and warmth are more important in some ways than sustenance.

The experiments did not indicate that affection and warmth are matters of perception or that affection is not significant to development.

180
Q

Which of the following is an accurate statement about neuroplasticity?

The brain changes in response to the environment

The brain has complete control over its own structure

The brain does not change past a certain age

The brain forms no new neuronal connections after childhood

A

Correct answer: The brain changes in response to the environment

Neuroplasticity is the way the brain changes in response to the environment. Research suggests that neuroplasticity is present at every age of development, and learning and other stimuli can help form new neuronal connections long after childhood.

Research does not suggest, and the notion of neuroplasticity does not support, the idea that the brain does not change past a certain age or that the brain has complete control over its own structure.

181
Q

A client tells their counselor that they think they have a drinking problem, because drinking has started to interfere with their functioning and overall quality of life. Which of the following is a physiological symptom this client might have?

Becoming violent when drunk

Sweating and shaky hands

Inability to think clearly

Inability to hold down a job

A

Correct answer: Sweating and shaky hands

Physiological symptoms refer to those that affect the physical functioning of the body. Some physiological effects of alcohol include sweaty and shaky hands, nausea, headaches, muscle aches, and fatigue.

Cognitive effects include the inability to think clearly and depressive thoughts. Behavioral effects include becoming violent when drunk, being unable to function at work, and acting differently when under the influence of alcohol.

182
Q

All of the following are learning experiences often used by career counselors operating from a self-efficacy approach, except which one?

Vicarious learning

Physiological states

Psychoanalysis

Social persuasion

A

Correct answer: Psychoanalysis

Career counselors who operate from a social cognitive perspective attempt to strengthen self-efficacy by exposing clients to learning experiences such as vicarious learning (modeling), social persuasion, personal performance accomplishments, and the client’s physiological states and reactions. Psychoanalysis is a longer-term therapeutic approach that addresses early childhood experiences and current defenses, and is not used in the self-efficacy approach.

183
Q

What type of assessment measures abilities such as language expression, motor skills, memory, and perceptual skills?

Neuropsychological

Achievement

Emotional

Projective

A

Correct answer: Neuropsychological

Neuropsychological assessments measure brain dysfunctions and abilities such as language expression, motor skills, memory, and perceptual skills. Examples of neuropsychological assessments include the Luria-Nebraska Neuropsychological Battery and the Bender Visual-Motor Gestalt Test, which is often used with children.

184
Q

According to most research, at which age is a person most afraid of death?

In childhood

In adolescence

During middle age

In later life

A

Correct answer: During middle age

According to the available research, the fear of death seems to peak in middle age in most individuals. This is coterminous with the onset of what is usually referred to as a midlife crisis, in which the consciousness of death and evaluation of one’s former life are significant factors.

Fear of death tends to be low in childhood and adolescence. Among older adults, it decreases as acceptance of death is achieved.

185
Q

According to John Holland, career choice is an expression of what?

Unmet needs

Personality

Society

The economy

A

Correct answer: Personality

John Holland’s career theory is structural in approach, but he believes that career choice is an expression of personality. He identified six personality types that develop due to parental influences, genetic factors, and the environment. These types include realistic, investigative, artistic, social, enterprising, and conventional.

186
Q

According to John Holland, career choice is an expression of what?

Unmet needs

Personality

Society

The economy

A

Correct answer: Personality

John Holland’s career theory is structural in approach, but he believes that career choice is an expression of personality. He identified six personality types that develop due to parental influences, genetic factors, and the environment. These types include realistic, investigative, artistic, social, enterprising, and conventional.

187
Q

All of the following are common purposes of a treatment plan except which one?

To help the client resolve problems

To help the client function at a higher level

To help the client receive financial assistance from insurance companies

To help the client move to the least restrictive environment if applicable

A

Correct answer: To help the client receive financial assistance from insurance companies

Treatment plans are important documents and agreements between counselor and client to ensure that all parties agree on the goals of treatment and how those goals will be reached. While some insurance companies do require treatment plans for the insured, the main purposes of a treatment plan are to help the client resolve problems, to help the client function at a higher level, and, if applicable, to help the client move to the least restrictive environment.

188
Q

Which of the following would characterize a high-context communicative culture?

A relatively low degree of nonverbal communication

A relatively high degree of nonverbal communication

A relatively low respect for tradition

A high degree of verbal detail

A

Correct answer: A relatively high degree of nonverbal communication

Cultures can be described as belonging to one of two groups with respect to their communicative norms. In high-context communicative cultures, things outside the lexical content of the message are emphasized, such as nonverbal communication and respect for tradition. The lexical context of the message is less significant in these cultures.

By contrast, low-context communicative cultures tend to emphasize the detail of the message content over other, more contextual factors.

189
Q

What is the main difference between emotion and mood?

Emotions are temporary, while moods are more persistent

Emotions are less intense than moods

Emotions are defense mechanisms that individuals use to avoid mood

Moods usually precede emotions

A

Correct answer: Emotions are temporary, while moods are more persistent

Both emotions and mood have an extremely important role in individuals’ overall psychological functioning. Emotions are usually viewed as temporary, lasting for a short period, whereas mood is more persistent over a longer period of time.

190
Q

Which of the following is true about homeostasis as it applies to families?

Homeostasis implies a rejection of patterns

Homeostasis can be good or bad

Homeostasis is a positive state of stability

Homeostasis is a negative state of stability

A

Correct answer: Homeostasis can be good or bad

The concept of homeostasis as it applies to families can indicate a good state or a bad state. Homeostasis itself is only a description meaning a steady state of functioning or equilibrium as the family attempts to preserve its cohesion. The nature of that steady state can be pathological.

Homeostasis implies holding to patterns, not rejecting them.

191
Q

Which of the following would be the best example of family enmeshment?

A family where members are overly involved with each other

A family where the members are isolated

A family in which decision-making is democratic

A family in which outsiders are welcome

A

Correct answer: A family where members are overly involved with each other

Closeness in a family is generally seen as desirable, but there are exceptions. In a family that is characterized by enmeshment, everyone is overly involved with each other, and individual autonomy decreases as the identity of the family as a whole predominates.

Enmeshment does not suggest a family where members are isolated, where decision-making is democratic, or where outsiders are welcomed.

192
Q

If a child can be said to be egocentric according to the work of Piaget, which of the following would be true?

The child believes that the world does not exist without them

The child cannot differentiate between themselves and the world

The child has an inflated view of their personal value

The child is demanding in terms of the resources of others

A

Correct answer: The child cannot differentiate between themselves and the world

According to the work of Jean Piaget, egocentrism is the state of not really knowing the differentiation between the outside world and self (i.e., living in a world that is constantly referring back to the self).

The concept does not describe an elevated self-concept, the idea that the world does not exist without oneself, or demanding behaviors.

193
Q

What is the “zone of proximal development”?

A theory of Sigmund Freud

A concept in child development

A phenomenon of social psychology

A technique in psychotherapy

A

Correct answer: A concept in child development

Lev Vygotsky suggested that cognitive development is produced by external factors and circumstances. He described a zone of proximal development that marked the difference between what a child can do on their own and what they will need help to do.

This concept does not refer to a psychotherapeutic technique, a social psychology phenomenon, or a theory of Sigmund Freud.

194
Q

Which of the following would be the best example of “splitting” in object relations?

A daughter sees her mother as “all good” or “all bad” depending on the circumstances

A man sees his wife as incapable of doing harm to anyone

A wife sees her husband as absolutely wrong in every instance

A child forms traumatic personas for different circumstances

A

Correct answer: A daughter sees her mother as “all good” or “all bad” depending on the circumstances

Splitting in the context of object relations generally refers to the way people can make significant people in their lives either all good or all bad depending on the circumstances. The assignment is not a permanent one, nor is it necessarily attached to a real aspect of the significant other’s personality. The concept as it exists in object relations does not refer to a phenomenon children engage in under traumatic circumstances.

195
Q

Some individuals who have experienced trauma, losses, and other potentially damaging events seem to cope well and function relatively normally in society. What quality do these individuals possess?

Plasticity

Resiliency

Tabula rasa

Thought blocking

A

Correct answer: Resiliency

Resiliency is the ability to adapt relatively well to situations despite exposure to adverse experiences or circumstances. This quality is seen sometimes in individuals who have been exposed to traumatic or potentially devastating events, yet manage to maintain healthy relationships and are able to function well.

Plasticity refers to the ease and smoothness that most individuals experience in moving from one developmental stage to the next. Tabula rasa is John Locke’s view that children begin as a “blank slate” who are influenced by their environments over time. Thought blocking occurs when someone with a psychiatric illness stops speaking suddenly due to feelings of anxiety surrounding the content of the conversation.

196
Q

A woman dreams of being alone in a desert where her vehicle has broken down, she has no supplies for survival, and she is alone. Which of the following would be the manifest content of the dream?

What the circumstances in the desert mean

The circumstances in the desert

The woman’s memory of being in a desert

The woman’s ideas about deserts

A

Correct answer: The circumstances in the desert

Dream analysis as described by Sigmund Freud contains two levels of content, both of which are worthy of analysis and relate to each other. The manifest content of the dream is the circumstances and “story” of the dream (in this case, the circumstances in the desert). This is a symbolic expression of the latent content of the dream, which is the unconscious meaning of the manifest content. In this case, the latent meaning might be the woman’s anxiety about not having a partner or feeling helpless in her life.

The manifest content is not the meaning of the dream or relative to the woman’s memory or ideas about real deserts.

197
Q

A career counselor usually assists clients by identifying their career-related needs problem components, formulating courses of action, prioritizing these actions, and developing plans for implementation. This counselor’s approach is based on which concept?

Psychosocial development

Cognitive information processing

Social valuation

Social cognitive theory

A

Correct answer: Cognitive information processing

Cognitive information processing was presented by Reardon, Lenz, Sampson, and Peterson (2008) as a way of approaching career problems by using a sequential procedure called CASVE. This procedure uses the skills of communication, analysis, synthesis, valuing, and execution.

198
Q

Who was a developmental psychologist known for the belief that children learn best through interactions with others?

Erik Erikson

Jean Piaget

John Bowlby

Sigmund Freud

A

Correct answer: Jean Piaget

Jean Piaget was a Swiss psychologist and developmental theorist known for his theory of cognitive development. His theory is based on the belief that children learn best through interactions with others, and it breaks down human development into sensorimotor, preoperational, concrete operational, and formal operational stages.

Sigmund Freud is best known for his development of psychoanalysis and psychoanalytic theory. John Bowlby is notable for his development of attachment theory and a focus on relationships in early childhood. Erik Erikson created the eight stages of psychosocial development, based on the idea that individuals experience specific types of tension in different stages of life.

199
Q

Which of the following accurately describes the triad of attraction between persons?

Proximity, similar education, similar values

Proximity, genetic similarity, physical attractiveness

Proximity, similar backgrounds, physical attractiveness

Proximity, physical attractiveness, similar values

A

Correct answer: Proximity, physical attractiveness, similar values

Research has shown that three factors tend to stand out when people are attracted to each other. These are proximity (literally the physical closeness of the person), physical attractiveness (though there are some variations as to what this means), and similar values.

The research does not support the idea that genetic similarity, similar backgrounds, or similar educations are as important as the three factors listed.

200
Q

In the past, the best way to find job openings was to check newspaper advertisements. Currently, what are considered the best ways to identify job openings?

Networking and regularly checking employers’ websites

Going to job fairs and sending resumes through the mail to employers

Working to build skills at one’s current job and returning to school

Sending emails and making phone calls to various companies

A

Correct answer: Networking and regularly checking employers’ websites

In the past, the best way to find job openings was to regularly check newspaper classifieds. In today’s internet-driven world, most employers list job openings on their websites rather than taking time to advertise widely. Career counselors should encourage clients to regularly check the websites of potential employers to check for possible opportunities. Networking, the process of informally making social connections with others in one’s desired field, can also be an effective way of finding employment.

201
Q

Sara is a 22-year-old woman who has just graduated from college. She does not currently have a romantic partner but would like to find someone special, get married, and have children in the next five to ten years. What stage of Erikson’s psychosocial development is Sara going through?

Intimacy versus isolation

Integrity versus despair

Industry versus inferiority

Generativity versus stagnation

A

Correct answer: Intimacy versus isolation

According to Erikson, intimacy versus isolation is a stage in early adulthood when the young adult seeks intimate relationships and is tasked with either giving up some independence or becoming lonely and isolated. Generativity versus stagnation occurs in middle adulthood when adults desire to contribute to society and produce something valuable. Integrity versus despair occurs during later adulthood when older adults view life as either meaningful or full of regrets. Industry versus inferiority occurs during latency (ages six to eleven) when children are tasked with mastering social and academic skills.

202
Q

In Kohlberg’s theory of moral development, what controls the choice of morals in the post-conventional stage?

The self

Fear of punishment

The family

Society

A

Correct answer: The self

Lawrence Kohlberg suggested three stages of moral development. The first stage, preconventional, would be characterized by a fear of punishment guiding moral choices. The second, conventional, would be characterized by an adherence to society’s standards. The last, post-conventional, means that the self is able to construct a prosocial morality of its own.

203
Q

In the view of developmental psychology, when does human psychological development begin?

Between birth and one month of age

At one month of age

At conception

At birth

A

Correct answer: At conception

Developmental psychologists deal with the array of issues and factors that influence human development from its earliest point of conception. As a baby in the womb can be affected in later behavior by the behavior and situation of the mother, prenatal development of psychology can be meaningfully addressed.

Developmental psychologists do not contend that human psychological development begins at birth or any later time.

204
Q

Which of the following is true about people’s sexual habits in older age?

Men maintain the same habits, while women do not

Women maintain the same habits, while men do not

For men and women, sexual interest drops dramatically

Men and women tend to keep the same habits as earlier in life

A

Correct answer: Men and women tend to keep the same habits as earlier in life

As men and women age, they may or may not experience a decline in sexual interest and activity. However, later interest, activity, and practice tend to be the same as earlier interest, activity, and practice. Physical and psychological factors related to aging are major influences.

This tendency to keep the same habits is not broken by gender, and sexual interest does not always drop dramatically.

205
Q

Which of the following is true about people’s sexual habits in older age?

Men maintain the same habits, while women do not

Women maintain the same habits, while men do not

For men and women, sexual interest drops dramatically

Men and women tend to keep the same habits as earlier in life

A

Correct answer: Men and women tend to keep the same habits as earlier in life

As men and women age, they may or may not experience a decline in sexual interest and activity. However, later interest, activity, and practice tend to be the same as earlier interest, activity, and practice. Physical and psychological factors related to aging are major influences.

This tendency to keep the same habits is not broken by gender, and sexual interest does not always drop dramatically.

206
Q

Since human development is cephalocaudal, which of the following statements is correct?

Development of the head happens first

Development of the legs happens first

Development of the spine happens first

Development of the upper limbs happens first

A

Correct answer: Development of the head happens first

Human development can be described as cephalocaudal, meaning that the head develops before lower regions of the body such as the legs. This is a developmental trajectory that continues into early childhood.

Cephalocaudal does not mean the legs, spine, or upper limbs develop first.

207
Q

According to Super, about how old are most individuals in the exploratory vocational development stage?

Birth–15 years

25–44 years

15–24 years

45–64 years

A

Correct answer: 15–24 years

Super’s explanation of career development consists of vocational development stages and vocational development tasks. Vocational development stages are growth (birth to age 14 or 15, development of capacity and interests), exploratory (ages 15 to 24, tentative choices made), establishment (ages 25 to 44, trial and stabilization), maintenance (ages 45 to 64, adjustment process), and decline (age 65 and up, retirement).

208
Q

All of the following are true regarding spirituality and counseling except which one?

Spirituality is a key issue for many individuals’ understanding of themselves and their relationships

To reduce the chance of an ethical dilemma occurring, counselors should avoid the topic of spirituality with clients

Conversations about spirituality with clients will likely require counselors to examine their own spiritual beliefs

Over 90 percent of the American population believes in a higher power

A

Correct answer: To reduce the chance of an ethical dilemma occurring, counselors should avoid the topic of spirituality with clients

Because over 90 percent of Americans believe in a higher power, counselors should be prepared to discuss issues of spirituality with their clients. This might require counselors to explore matters regarding their own spiritual beliefs, and counselors may have to work to familiarize themselves with a variety of spiritual issues.

209
Q

According to most career counselors, what is the first step in the career counseling process?

Assess the client’s strengths using inventories and standardized instruments

Provide information to the client about various career options

Establish a relationship with the client

Identify the client’s problem

A

Correct answer: Establish a relationship with the client

Within the career counseling process there are several steps: establishing a relationship, identifying the problem, conducting an assessment, providing information, making a decision, and implementing the plan. Career counseling is built upon the relationship between the counselor and the client, and the individual must be able to trust the counselor for the process to be most effective.

210
Q

According to the attachment work of John Bowlby, which of the following is the result of poor attachment and bonding in childhood?

Substance disorders and other impulse control issues

Conduct disorder and other forms of psychopathology

Mood disorder and other forms of dysregulation

Thought disorder and other forms of psychosis

A

Correct answer: Conduct disorder and other forms of psychopathology

The work of John Bowlby focused on the nature and importance of attachment in human beings. Among other conclusions, Bowlby suggested that if a child was poorly bonded and badly attached in the critical periods of early childhood, various forms of psychopathology would result, including conduct disorder.

Bowlby’s work did not specifically suggest thought disorder, mood disorder, or substance disorders would result from poor attachment and bonding.

211
Q

A child gets an excellent grade on their math exam and is rewarded with a gold star. Which of the following reinforcement/punishment strategies is at work here?

Negative punishment

Negative reinforcement

Positive punishment

Positive reinforcement

A

Correct answer: Positive reinforcement

Reinforcement and punishment strategies are defined by (a) whether they add or remove something and (b) whether their aim is to increase or reduce a behavior. All reinforcement seeks to increase a behavior—in this case, by adding something, making it positive reinforcement.

Negative reinforcement would be the removal of something undesirable in order to increase behavior. All punishment seeks to reduce a behavior, either by adding something (positive punishment) or taking something away (negative punishment).

212
Q

Would dialectical behavior therapy (DBT) be considered an appropriate treatment for suicidal clients? Why or why not?

No, as DBT does not address inner thought patterns that lead to suicide

Yes, as DBT helps with controlling suicidal ideation

No, as DBT is only designed for those with borderline personality disorder

Yes, as DBT was designed for suicidal clients

A

Correct answer: Yes, as DBT helps with controlling suicidal ideation

Marsha Linehan’s dialectical behavior therapy (DBT) is a mindfulness-focused treatment strategy that was first designed for use with persons diagnosed with borderline personality disorder. However, it is helpful for other conditions due to its focus on inner thought patterns and control of impulses with skill-building strategies.

DBT does help suicidal clients with various aspects of their condition, including suicidal ideation.

213
Q

According to Erikson’s psychosocial stages of development, which of the following is probably false about a person in the intimacy vs. isolation stage?

They are 33-44 years of age

They are learning to depend on others instead of depending on self

They are 23-34 years of age

They are experimenting with marriage and family

A

Correct answer: They are 35-45 years of age

Erik Erikson suggested that there were several stages of psychosocial development, each of which dealt with a different test. At about 23-34 years of age, Erikson suggested that we enter the stage of intimacy vs. isolation, in which a person is learning the balance of dependence on others versus dependence on self. One of the activities of this stage is the experimentation with marriage and family.

214
Q

A counselor tells a client that the client is only going to be as successful as they believe they can be. This is an example of:

constructivist theory

social learning theory

self-efficacy theory

psychosocial theory

A

Correct answer: self-efficacy theory

Self-efficacy theory posits that career success depends on how much an individual believes he or she can be successful. This theory states that whether a behavior will be initiated, how much energy will go into this behavior, and how persistent the individual will be are dependent on the individual’s expectations.

215
Q

Which of the following is true about career counseling?

It is more practical than career guidance and focuses on logistics

Its main focus is informing clients about the opportunities that exist and connecting these individuals with potential jobs

It tends to incorporate self-understanding and personal values into its approach

It is a dwindling field that is becoming less and less relevant

A

Correct answer: It tends to incorporate self-understanding and personal values into its approach

Career counseling focuses on the individual’s career development, paying special attention to values and attitudes. Career counseling also focuses on self-understanding in the context of decision-making. Career guidance, on the other hand, helps individuals learn what opportunities are available and typically focuses more on logistics than career counseling. Both approaches are important and relevant to finding rewarding and sustainable careers.

216
Q

Career counselors often assess the ways individuals use their free time. Which of the following theories is commonly used to determine what types of leisure activities people engage in?

Present versus future

Personal versus social

Internal versus external

Compensatory versus spillover

A

Correct answer: Compensatory versus spillover

Career counselors often classify leisure activities as either compensatory or spillover. Compensatory activities are those that are very different than those done on the job; an example might be a history professor who spends his free time rock-climbing and running marathons. Spillover activities are the same types of activities that are done on the job; an example of spillover might be a psychologist who spends her free time reading books about cognitive development.

217
Q

Which of the following accurately describes cognitive dissonance theory?

We change our beliefs to match our behaviors and enhance social acceptance

We change our behaviors to match our beliefs and reduce tension

We change our behaviors to match our beliefs and enhance social acceptance

We change our beliefs to match our behaviors to reduce tension

A

Correct answer: We change our beliefs to match our behaviors to reduce tension

Festinger’s cognitive dissonance theory suggests that when there is a difference between our beliefs and our behaviors, we will change our beliefs to match our behaviors. This is done to reduce overall tension in the mind and preserve homeostasis.

This change does not go in the other direction according to this theory, and it does not involve social acceptance.

218
Q

Circumscription and Compromise focuses on which of the following?

A person’s career as an extension of his or her personality

Career preferences as they develop in childhood

The role of social learning in career selection

The fact that people choose careers to address unmet needs

A

Correct answer: Career preferences as they develop in childhood

Linda Gottfredson is known for her career development theory “Circumscription and Compromise.” According to Gottfredson, vocational self-concept develops in childhood and influences occupation selection. An individual progresses through four stages: orientation to size and power (ages three to five), when children think concretely and begin thinking about occupations they might like; orientation to sex roles (ages six to eight), when children learn that occupations are sex-typed and performed primarily by one sex or the other; orientation to social valuation (ages nine to 13), when children realize that occupations vary in social value and desirability; and orientation to internal unique self (ages 14 and up), when adolescents reflect on their own values and interests and use these to inform occupational decisions.

219
Q

In terms of attraction, marriage, and long-term commitment, which of the following accurately describes the matching hypothesis?

We tend to match ourselves with people who we perceive as less attractive than ourselves

We tend to underrate our attractiveness with respect to the perceptions of others

We tend to overrate our attractiveness with respect to the perceptions of others

We tend to end up with people with a similar level of attractiveness to our own

A

Correct answer: We tend to end up with people with a similar level of attractiveness to our own

The matching hypothesis addresses human mating behavior as a function of our physical attractiveness. Other factors are certainly important, but taken by itself, the phenomenon of physical attractiveness seems to be the main driver in both short-term and long-term sexual behavior. The matching hypothesis asserts that human beings tend to end up in long-term relationships with people who match our level of attractiveness.

220
Q

Which of the following would be the best working definition of phenomenology as it applies to counseling?

The client’s subjective experience of events

The client’s subjective experience of relationships

The client’s perception of their mood

The client’s beliefs about others

A

Correct answer: The client’s subjective experience of events

Phenomenology as it applies to counseling refers to the client’s inner, subjective experience of events and circumstances. Since this differs dramatically from individual to individual and forms the ground of the person’s whole experience, it is a useful subject to address in counseling.

Phenomenology does not refer to the client’s perception of their mood, their beliefs, or specifically their experience of relationships.

221
Q

Which of the following would be consistent with a conventional stage of moral development?

A person whose morals are dictated by fear of punishment

A person whose morals are dictated by their desires

A person whose morals are dictated by society

A person who has arrived at their own moral code

A

Correct answer: A person whose morals are dictated by society

According to the work of Lawrence Kohlberg, there are three levels of moral development. The first stage, preconventional, is exhibited by those whose only moral governance of behavior is fear of punishment. The second stage, conventional, is exhibited by those whose moral governance is a desire to adhere to society’s rules. The final stage, post-conventional, is characterized by those who have a self-accepted moral code to follow and independently chose ethical behavior.

222
Q

A child has their toy taken from them as a result of bad behavior. Which of the following reinforcement strategies is this?

Negative punishment

Negative reinforcement

Positive punishment

Positive reinforcement

A

Correct answer: Negative punishment

There are four general ways in which reinforcement and punishment strategies are conceptualized. In a negative punishment, something is taken away in an attempt to reduce the target behavior.

Positive punishment would be the addition of something in order to reduce the behavior. Negative reinforcement and positive reinforcement both seek to increase a behavior, either by removing something (negative) or adding something (positive).

223
Q

Which of the following is a change from the DSM-IV-TR to the DSM-5?

Removal of the multiaxial system

Removal of V codes

Addition of a chapter on bipolar disorders

Addition of a Not Otherwise Specified option

A

Correct answer: Removal of the multiaxial system

The DSM-5 was published in 2013 and includes many changes to the previous version, the DSM-IV-TR. One of the most significant changes is the removal of the multiaxial classification system. Additional changes to the newest DSM include the expansion of the list of V codes, the replacement of Not Otherwise Specified with Unspecified Disorder or Other Specified Disorder, and many changes to the classification of disorders. There is a chapter on bipolar disorders in both the DSM-IV-TR and the DSM-5.

224
Q

According to research, about how many people have been exposed to alcohol dependence in their family?

Nearly 50%

Nearly 100%

Nearly 25%

Nearly 75%

A

Correct answer: Nearly 50%

The prevalence of alcohol issues in the lives of clients reflects not only their own experience but also their experience in their family of origin. These can go together, and both require clinical attention in some form.

Nearly 50% of people have been exposed to alcohol dependence in their immediate family in some form.

225
Q

Which of the following types of counseling would be best suited for a four-year-old girl struggling with severe temper tantrums and anxiety?

Play therapy

Narrative therapy

Bowenian family therapy

Group therapy

A

Correct answer: Play therapy

Play therapy is best suited for children who lack the verbal and emotional maturity to talk about their feelings. Instead, they express their feelings, act out goals, and direct their own lives through play. Counselors can then comment on the child’s play and help them organize the play to best resolve their feelings.

226
Q

The parents of a three-year-old child come to see a counselor for help with their son. He has been throwing extreme temper tantrums for the past year to the point that he will yell, scream, and sometimes hit his head on the floor. The parents report that the tantrums didn’t start out this bad but have gradually gotten worse. When the child starts having a tantrum, the parents say that they tell him to stop and try to talk to him about his feelings. If this doesn’t work, they try to ignore him until he becomes so disruptive that they hold him in a bear hug until he calms down. The parents’ unsuccessful intervention is a(n):

positive-reinforcing stimulus

example of classical conditioning

negative-reinforcing stimulus

punishment

A

Correct answer: positive-reinforcing stimulus

A positive-reinforcing stimulus is a reward that, sometimes unintentionally, maintains or increases a behavior. In this situation, the child is receiving verbal and sometimes physical attention from his parents when he throws tantrums, so he continues to throw the tantrums in order to get their attention.

A punishment, or negative-reinforcing stimulus, results in weakening or termination of the undesired behavior. Classical conditioning is the process of forming an association between two stimuli, resulting in a learned response.

227
Q

A career counselor has a positive relationship with a client they have known for several months. However, after identifying the client’s problems, conducting assessments, and helping the client obtain additional information, the client is still unable to commit to making a decision about her career. What should the career counselor do next?

Refer the client to another career counselor who may have a different, more useful, approach

Suggest the client make a decision anyway and see if it works

Terminate services with the client, as the counselor has reached beyond their scope

Work with the client to determine the underlying causes of their inability to make a decision

A

Correct answer: Work with the client to determine the underlying causes of their inability to make a decision

Though there are several steps in the career counseling process (establishing a relationship, identifying the problem, conducting an assessment, providing information, making a decision, and implementing the plan), it is common for some steps to be repeated and revisited as the counseling process moves forward. If a client is unable to make a career decision after spending significant time with a career counselor, it is likely that there are other reasons for this hesitancy, such as the presence of emotional or psychological stress. The career counselor, assuming they have a good relationship with the client, can try to explore the underlying reasons, or the counselor may refer the client for personal counseling elsewhere.

228
Q

Erik Erikson is well known for his stages of psychosocial development from birth to death. Whose explanation of career development parallels these eight stages?

Tiedeman

Gottfredson

Holland

Super

A

Correct answer: Tiedeman

For Tiedeman and his colleague O’Hara, career development and its accompanying cognitive development parallel Erikson’s stages of psychosocial development. Like Erikson, Tiedeman believed that each stage of career decision making consists of two phases, either Anticipation or Preoccupation and Implementation or Adjustment. The individual’s task is to differentiate the ego, resolve psychosocial crises, and process developmental tasks in order to successfully navigate career development.

229
Q

Which of the following is true about suicide in adolescence?

Females complete suicide more often than males

Females and males complete suicide at about the same rate

Males complete suicide more often than females

Suicide in adolescence is relatively rare

A

Correct answer: Males complete suicide more often than females

The phenomenon of suicide expresses itself differentially in males and females in adolescence, with males completing suicide more often. This is thought to be due mainly to the choice of more deadly means, which seems to be true of males across age groups.

Suicide is unfortunately not rare in adolescents; it is often the second or third leading killer of adolescents in a given year.

230
Q

Which of the following is an example of a tested interest?

A client’s former jobs consisted of being a hostess at a restaurant, a salesperson at a bookstore, and a summer camp counselor

In his free time, a client enjoys running, reading, and gardening

According to an assessment, a client’s strengths are a match with the social work profession

A client’s college major was art history

A

Correct answer: According to an assessment, a client’s strengths are a match with the social work profession

There are many types of interests individuals may have, and knowing these interests can help career counselors assist clients in finding suitable occupations and predicting occupational satisfaction. Tested interests are those measured by assessments or tests, such as an inventory that shows how a client’s strengths match those needed in the social work profession. Manifested interests are those that can be observed, such as a person’s course of study, past jobs held, and activities the person likes. Expressed interests are interests that an individual reports.

231
Q

When is marital satisfaction greatest, according to current research?

When children leave home

When children are born

In later married life

At the time of the wedding

A

Correct answer: At the time of the wedding

Many studies have arrived at the conclusion that for most couples, marital satisfaction is highest at the time of the wedding itself. Although some improvement in marital satisfaction tends to emerge when a child leaves home, for most couples the happiest time of marriage seems to be when it begins.

These studies do not say the greatest time of marital satisfaction is any other time but the wedding.

232
Q

A counselor asks their client what day it is, where he is right now, and what his name is. The counselor is gathering information for what part of the mental status exam?

Thought processes

Sensorium

Intellectual functioning

Affect

A

Correct answer: Sensorium

The mental status exam typically includes appearance and behavior, thought processes, mood and affect, intellectual functioning, and sensorium. Sensorium refers to the client’s ability to be aware of the location, the time, and their identity. If a client is not oriented to these things, the clinician should make note of it and explore reasons why.

233
Q

In the 1980s and 1990s, American society saw a drastic increase in the number of people with mental illnesses in homeless shelters and prisons. Though community mental health centers existed, there were not enough resources to serve everyone who needed treatment. This change is attributed to:

the worsening housing market and lack of support for single parents

deinstitutionalization

the stock market crash

increased numbers of people diagnosed with schizophrenia

A

Correct answer: deinstitutionalization

Deinstitutionalization refers to the process of moving individuals with severe mental illness out of residential institutions and into communities. Unfortunately, beginning in the 1980s there was an increase in homelessness and in the criminal justice system due to not enough community mental health services being available.

234
Q

Which of the following would be the best example of Bowen’s idea of triangulation?

Two parents in conflict putting their child in the middle

A family member being strategically left out of family events

A child manipulating relationships with different parents

Two family members targeting a third family member

A

Correct answer: Two parents in conflict putting their child in the middle

In the context of Bowen’s intergenerational family therapy, triangulation refers to when two parties in conflict take a third party into their relationship to act as a sort of emotional mediator, hoping this will add stability to the original relationship. One example might be two parents in conflict putting their child in the middle.

In this context, triangulation does not refer to the overt manipulation of relationships by children or the targeting or differential treatment of any individual family member.

235
Q

Which of the following would be the best example of Bowen’s idea of triangulation?

Two parents in conflict putting their child in the middle

A family member being strategically left out of family events

A child manipulating relationships with different parents

Two family members targeting a third family member

A

Correct answer: Two parents in conflict putting their child in the middle

In the context of Bowen’s intergenerational family therapy, triangulation refers to when two parties in conflict take a third party into their relationship to act as a sort of emotional mediator, hoping this will add stability to the original relationship. One example might be two parents in conflict putting their child in the middle.

In this context, triangulation does not refer to the overt manipulation of relationships by children or the targeting or differential treatment of any individual family member.

236
Q

A woman in couples’ counseling complains that her husband keeps his emotions to himself and refuses to talk about his feelings. After hearing this, the husband turns to his wife in surprise and says, “I try to tell you how I feel, but you’re the one who never wants to talk about your emotions!” The woman is most likely using which of the following defenses?

Repression

Denial

Reaction formation

Projection

A

Correct answer: Projection

Projection, a type of defense mechanism, occurs when a person attributes their own feelings and urges to another person. In this situation, the wife is so uncomfortable expressing her own feelings that she accuses her husband of not expressing his.

Denial is the inability to recognize significant factors in one’s life. Repression occurs when someone forgets as a way of coping with uncomfortable feelings. Reaction formation is when someone takes on feelings that are the opposite of what he or she actually feels.

237
Q

Which of the following is true about the stages of dying according to Kubler-Ross?

There are six stages

Stages can be skipped or repeated

Anger is the final stage

Depression is the final stage

A

Correct answer: Stages can be skipped or repeated

Kubler-Ross conceived a structural pattern of adjustment in people she observed who were dying. These are:

Denial
Anger
Bargaining
Depression
Acceptance

Kubler-Ross found that people often skip stages or repeat them before moving on to another stage. Kubler-Ross’ theory has since been extrapolated to many other areas dealing with grief and acceptance.

238
Q

A career counselor has met with a transgender client for several sessions. Standardized assessments have suggested that the client’s strengths lie in teaching, and the client tells the career counselor that she is thinking of becoming an elementary school teacher. What is the best way for the counselor to discuss the probability that the client will encounter discrimination in her future career?

The counselor should refer the client to an individual therapist who can help the client when she is discriminated against in the teaching field

The counselor should carefully point the client in the direction of a career that is more accepting of transgender employees

The counselor should gently inform the client that discrimination by some employers, particularly in teaching and caretaking professions, can be very strong and they should suggest that the client feel supported by friends and family as she plans to pursue this career
The counselor should ignore the fact that the client is transgender, as it is illegal to bring this up in career counseling

A

Correct answer: The counselor should gently inform the client that discrimination by some employers, particularly in teaching and caretaking professions, can be very strong and they should suggest that the client feel supported by friends and family as she plans to pursue this career

When working with gay, lesbian, bisexual, and transgender clients, career counselors should consider the fact that many employers still discriminate against individuals who are not heterosexual. Assuming the career counselor has a strong, positive relationship with the client in this situation, it is best to initiate a conversation about the possibility that she will encounter negative attitudes, particularly in traditional settings such as elementary schools.

239
Q

A career counselor has met with a transgender client for several sessions. Standardized assessments have suggested that the client’s strengths lie in teaching, and the client tells the career counselor that she is thinking of becoming an elementary school teacher. What is the best way for the counselor to discuss the probability that the client will encounter discrimination in her future career?

The counselor should refer the client to an individual therapist who can help the client when she is discriminated against in the teaching field

The counselor should carefully point the client in the direction of a career that is more accepting of transgender employees

The counselor should gently inform the client that discrimination by some employers, particularly in teaching and caretaking professions, can be very strong and they should suggest that the client feel supported by friends and family as she plans to pursue this career
The counselor should ignore the fact that the client is transgender, as it is illegal to bring this up in career counseling

A

Correct answer: The counselor should gently inform the client that discrimination by some employers, particularly in teaching and caretaking professions, can be very strong and they should suggest that the client feel supported by friends and family as she plans to pursue this career

When working with gay, lesbian, bisexual, and transgender clients, career counselors should consider the fact that many employers still discriminate against individuals who are not heterosexual. Assuming the career counselor has a strong, positive relationship with the client in this situation, it is best to initiate a conversation about the possibility that she will encounter negative attitudes, particularly in traditional settings such as elementary schools.

240
Q

John is a parent who believes the best approach is to be close friends with his children and to behave like an equal. Generally, John does not discipline his children and almost never tells them “no.”

Which of the following outcomes would be likely for a child from this household?

A successful child with poor boundaries and good social skills

A demanding child with good boundaries and poor social skills

A successful child with good boundaries and good social skills

A demanding child with poor boundaries and poor social skills

A

Correct answer: A demanding child with poor boundaries and poor social skills

The work of Diana Baumrind on parenting styles suggests a typology of parenting that is directly related to certain outcomes. In general, John appears to be practicing a permissive parenting style, one in which there is little expressed authority, minimal discipline, and total indulgence of the child’s desires. This parenting style is associated with children who have poor boundaries, are demanding, and have poor social skills.

241
Q

One major change in the DSM-5 is the reliance on:

ICD-10 descriptors

a multiaxial system

dimensional assessments

therapy and counseling treatments

A

Correct answer: dimensional assessments

Several changes were made to the newest version of the DSM, the DSM-5. One of these changes is the reliance on dimensional assessments rather than descriptions of disorders that are based on categories. Clients’ experiences are now assessed for severity, frequency, and duration rather than whether or not a particular symptom is present. The DSM-5 eliminated the multiaxial system and does not include extensive descriptions of different therapy modalities. ICD-10 classification codes are included in the DSM-5, but clinicians using the DSM-5 do not rely on them.

242
Q

Which of the following is true about the effect of viewing violence on children, according to current research?

Viewing violence only increases aggression in children if witnessed in vivo

Viewing violence has no effect on aggression in children

Viewing violence decreases aggression in children

Viewing violence increases aggression in children

A

Correct answer: Viewing violence increases aggression in children

The available research on the topic supports the conclusion that viewing violence increases aggression in children. This could be due to a mimic effect, in which children do what they see performed by others, or there may be social learning implications. Another possibility is that as human beings witness violence, they become more desensitized to it, and aggression resulting in violence increases.

There does not seem to be a distinction between witnessed aggression in vivo as opposed to other means.

243
Q

A mental health practitioner wants to know more about a client’s unconscious drives and emotional functioning. Which of the following psychological assessments might help the practitioner gather this type of information?

Beck Depression Inventory

Rorschach

California Psychological Inventory

WISC-IV

A

Correct answer: Rorschach

There are many psychological assessments, called projective tests, that can give counselors and other mental health practitioners additional information about clients’ unconscious drives and feelings. Projective tests include the Rorschach Inkblot test, the Thematic Apperception test, the Incomplete Sentences Blank, and others. Personality tests include the California Psychological Inventory and the Minnesota Multiphasic Personality Inventory. The WISC-IV is a measure of cognitive intelligence.

244
Q

Which of the following is an accurate overall statement about complementarity theory in relationships?

People tend to be attracted to others with the same flaws

What one person lacks, another provides

We are more responsive to those who praise us

People see the faults of others more easily

A

Correct answer: What one person lacks, another provides

There are many ways to view how human beings form and maintain relationships. One such view is complementarity theory, which suggests that one personality can make up what another personality lacks in terms of strengths and that weaknesses are similarly balanced by strengths in a partner or significant other.

Social exchange theory does not deal with the perception of faults, our responsiveness based on positive feedback, or the similarity of flaws.

245
Q

Clients with dissociative disorders along with depression, anxiety, and/or substance use are at highest risk for:

personality disorders

self-injurious and suicidal behavior

divorce

psychotic symptoms

A

Correct answer: self-injurious and suicidal behavior

Clients with dissociative disorders are those who experience disruptions in the normal integration of behavior, consciousness, identity, memory, body representation, and motor control. Dissociative disorders are common in individuals who have experienced trauma. They are often comorbid with depression, anxiety, and substance use, as well as suicidal and self-injurious behavior.