Pocket Prep Mock Exam Flashcards
What is “proxemics”?
The study of dementia
The study of personal space
The study of body image
The study of affiliation
Correct answer: The study of personal space
Proxemics refers to the study of personal space, specifically that which is experienced in relationship to other people. One’s notion of personal space is defined by culture, temperament, climate, and other factors; it is significant in counseling due to its implications for communication and comfort in client relationships.
The term does not refer to a study of body image, dementia, or affiliation.
What is “proxemics”?
The study of dementia
The study of personal space
The study of body image
The study of affiliation
Correct answer: The study of personal space
Proxemics refers to the study of personal space, specifically that which is experienced in relationship to other people. One’s notion of personal space is defined by culture, temperament, climate, and other factors; it is significant in counseling due to its implications for communication and comfort in client relationships.
The term does not refer to a study of body image, dementia, or affiliation.
According to research, which of the following is the most effective way to get two groups to reduce their conflict?
Get the two groups to coordinate on a common goal
Demand the two groups to adhere to a common set of rules
Get the two groups to negotiate their differences
Favor one group’s interests over the other
Correct answer: Get the two groups to coordinate on a common goal
According to the well-known Robbers’ Cave Experiment, two distinct groups of boys reduced their conflict by being provided with a common, or superordinate goal.
The other strategies listed would not be as effective in reducing conflict between groups.
In terms of family therapy, what is an “irrelevant distractor”?
An old issue brought up to derail therapy
A communicative role
A false argument
A negative feedback loop
Correct answer: A communicative role
Virginia Satir, as a part of experimental conjoint family therapy, offered terminology for various roles that do not serve the purpose of addressing family issues when they are present. One of these is the “irrelevant distractor,” who, when the family system is under stress, will resort to the strategy of using irrelevant information to block progress. The term applies to the person and not the material of their distracting behavior.
Which of the following does emotional intelligence (EQ) refer to?
Hearing, understanding, comprehension
Presence, charisma, focus
Perception, minuteness, precision
Empathy, impulse control, motivation
Correct answer: Empathy, impulse control, motivation
Emotional Intelligence (EQ) is a different way of looking at intelligence that concentrates on more affective issues such as empathy, impulse control, and motivation. EQ is often cited as an alternative to what is seen as the more cognitive aspects of intelligence regularly measured with assessments of IQ.
Which of the following are considered psychotherapy notes?
Clinical impressions
Test results
Prognosis overall
Medication changes
Correct answer: Clinical impressions
Psychotherapy notes form a special class of clinical documentation. They are to be kept separate from the rest of the clinical record, and contain items such as therapeutic conversations, clinical impressions, and analysis.
Other items, such as medication changes, overall prognosis, and results of testing are not considered psychotherapy notes.
Which of the following contexts is necessary for a biopsychosocial interview?
Cultural context
Historical context
Agency context
Treatment context
Correct answer: Cultural context
A biopsychosocial interview will contain many elements of assessment, aimed at establishing as full a picture as possible of the client’s situation. A biopsychosocial interview must contain the cultural context in which the client exists as a guide to culturally-informed treatment.
The other contexts are fabricated terms for the purposes of this question.
Is a client able to provide informed consent if they have a guardian?
Yes, independently
No, they are excluded from consent processes
No, they cannot provide informed consent
Yes, through their guardian
Correct answer: Yes, through their guardian
The presence of a guardian who acts on behalf of a client means that the client provides informed consent through their representative. However, assent should also be gained in such an instance, which is the client’s own approval.
When would advice-giving be most appropriate as an intervention?
In meeting with new clients
With long-established clients
When clients are in crisis
With depressed clients
Correct answer: When clients are in crisis
Advice-giving is controversial in counseling, with some saying it is never appropriate and others saying it has its uses. There seems to be a better use for advice-giving when clients are in crisis and there is limited time for the real exploration of feelings. In circumstances where insight therapy relying on exploration of one’s emotions is important, advice-giving would be less recommended.
When would advice-giving be most appropriate as an intervention?
In meeting with new clients
With long-established clients
When clients are in crisis
With depressed clients
Correct answer: When clients are in crisis
Advice-giving is controversial in counseling, with some saying it is never appropriate and others saying it has its uses. There seems to be a better use for advice-giving when clients are in crisis and there is limited time for the real exploration of feelings. In circumstances where insight therapy relying on exploration of one’s emotions is important, advice-giving would be less recommended.
To which of the following does congruence refer in therapeutic contexts?
When clients present for the real purpose they desire
When expertise is sufficient to the case
When external and internal states match
When counselors express sympathy
Correct answer: When external and internal states match
Congruence in therapeutic contexts refers to the ability of the counselor to present the client with a unified personality of helping; in other words, the client should always feel that the counselor’s external presentation matches their internal state.
The concept does not refer to expertise, client presentation, or sympathy.
Which of the following best defines a group process?
The characteristics of group members
The way in which group material is handled
The content of the group work
The goals of the group
Correct answer: The way in which group material is handled
In group work, a process refers to the way in which group material is handled, such as what to do with the input group members give to the group.
A process in this context would not refer to group work content per se, the goals of the group, or the characteristics of group members.
Which of the following best defines a group process?
The characteristics of group members
The way in which group material is handled
The content of the group work
The goals of the group
Correct answer: The way in which group material is handled
In group work, a process refers to the way in which group material is handled, such as what to do with the input group members give to the group.
A process in this context would not refer to group work content per se, the goals of the group, or the characteristics of group members.
What is the technique of “blocking” used for in group therapy?
Keeping the group concentrated on more than just one member
Keeping the group concentrated on the group work
Preventing challenging material from being discussed
Preventing undesirable clients from staying in group
Correct answer: Keeping the group concentrated on the group work
“Blocking” in a group context is designed to help keep the group concentrated on the group work. What is being “blocked” are distractions, gossip, or harmful behavior.
The point is not to suppress what could be productive engagement with challenging material, controlling group membership, or accurately distributing group focus.
A counselor trained in motivational interviewing is helping a person with a substance use problem navigate their desire to change. Which of the following techniques would this counselor be most likely to use?
Evoking
Persuasion
Confrontation
Advice-giving
Correct answer: Evoking
Motivational interviewing is a departure from more traditional interviewing or motivational techniques in that it puts the emphasis on the client to come up with the energy and some of the structure of their desired change.
A counselor trained in motivational interviewing would be unlikely to try to persuade, confront, or give advice to a client; rather, they would evoke the client’s own desire and motivation for change.
Does EMDR require eye movement to be effective in treating conditions caused by trauma?
No, eye movement is not required
In cases of war trauma, eye movement is not required
Yes, eye movement is required
In cases of war trauma, eye movement is required
Correct answer: No, eye movement is not required
Suprisingly, it has been found that, in treating some kinds of conditions caused by trauma, eye movement desensitization and reprocessing therapy (EMDR), does not always need the eye movement component to be effective.
Which of the following specifically refers to reinforcing small behaviors that approximate the larger and more desirable behavior sets?
Systematic desensitization
Shaping
Classical conditioning
Operant conditioning
Correct answer: Shaping
Shaping refers to the technique of reinforcing small behaviors that approximate the larger and more desirable behavior sets that are the eventual goal.
Operant conditioning refers to the general technique of consequencing behavior. Classical conditioning refers to the general technique of pairing things together. Systematic desensitization is the technique of managing response to a feared stimulus by staged exposure.
According to Diana Baumrind’s typology of parenting styles, which kind of children will Permissive Passive Indulgent parents produce?
Good social skills, scholastic success, positive outlook on life
Poor social skills, demanding, drug and alcohol abuse
Good social skills, demanding, positive outlook on life
Poor social skills, scholastic success, quiet and withdrawn
Correct answer: Poor social skills, demanding, drug and alcohol abuse
According to Diana Baumrind’s typology of parenting styles, the Permissive Passive Indulgent parent has a low level of control over the parental situation and is easily manipulated. This style of parent rarely says no, is reluctant to apply punishment, and seeks to be seen as the child’s friend. This style of parenting tends to produce children that have poor social skills, can be very demanding, and that often engage in drug and alcohol abuse.
In your initial interview with a client, you consider assigning a V-Code. What does a V-Code represent?
Physical illness
Malingering
Other factors relevant to treatment
Psychosomatic illness
Correct answer: Other factors relevant to treatment
In diagnosis, a V-Code is sometimes used to illustrate a situation or condition that the diagnostician believes is significant to the course of treatment, such as psychosocial issues.
V-Codes are not used to indicate psychosomatic illness, malingering, or physical illness.
What is transference?
Traumatic outcomes related to expressed emotions
Extraneous feelings brought into the therapeutic relationship by the client
Old emotional content revealed dramatically during therapy
Extraneous feelings brought into the therapeutic relationship by the therapist
Correct answer: Extraneous feelings brought into the therapeutic relationship by the client
Transference refers to the way clients sometimes “transfer” feelings from other relationships into the therapeutic setting. These feelings can take many forms, whether hostility or attraction or something else.
Transference does not refer to old emotional content or traumatic outcomes per se.
o which of the following does codependency refer?
The phenomenon of two people being addicted to each other
The phenomenon of being addicted to an addicted person
The phenomenon of two people being addicted to the same substance
The phenomenon of being addicted to a substance
Correct answer: The phenomenon of being addicted to an addicted person
Though the term can refer to various aspects of relational dynamics in substance abuse, the concept of codependency essentially refers to one person being “addicted” to caregiving, supporting, or otherwise engaging in an unhealthy relationship of support for a person who is experiencing substance use issues.
The term does not refer to two people being addicted to the same substance, though this does sometimes occur in codependent scenarios.
s the Mental Status Exam (MSE) an aptitude test?
No, as it is arbitrary
No, as it does not indicate potential
Yes, as it addresses sensorium
Yes, as it indicates mental function
Correct answer: No, as it does not indicate potential
The Mental Status Exam (MSE) is a tool used to quickly assess a client’s overall level of orientation and mental function. It is not an aptitude test, even though it addresses overall mental function and status of the sensorium.
The MSE is not an arbitrary tool, as it has established method and coverage areas.
If a counselor’s responses are about equal to the client’s in terms of empathy, what kind of empathy is this?
Congruent empathy
Negative empathy
Basic empathy
Null empathy
Correct answer: Basic empathy
Allen E. Ivey suggests that basic empathy is that style of empathy that neither adds nor subtracts from a client’s awareness and understanding. It demonstrates a basic level of understanding and feeling the client experiences.
The other terms are fabricated.
Why might a closed therapeutic group lack members?
It does not address a desirable area
It is designed to “shed” members
It does not allow new members to join
It is not diverse enough
Correct answer: It does not allow new members to join
A closed therapeutic group tends to lose members more than an open group. A closed group, by definition, either does not admit new members or admits them slowly, while an open group is always open to new membership.
A closed group strategy is not expressly designed to “shed” members, and member loss is likely more due to the nature of closed groups than other causes.