Treatment Planning

Question 1

nonmaleficence

Answer 1

avoiding harm

Question 2

autonomy

Answer 2

respecting the client’s right to self-determination

Question 3

justice

Answer 3

treating individuals fairly

Question 4

fidelity

Answer 4

honoring commitments

Question 5

veracity

Answer 5

being honest and truthful

Question 6

Rational emotive behavior therapy (REBT) is based on:

Answer 6

the belief that the way we interpret events, not the actual events themselves, is most important.

Question 7

5 parts of Rational Emotive Behavioral Therapy (REBT):

Answer 7

REBT involves five parts: an action (A) that occurs externally from the individual; a belief (B) that is a form of self-verbalization; a consequent affect (C) that can be rational or irrational; disputing (D) the irrational belief that leads to the behavior; and an effect (E), the change in the self-verbalization.

Question 8

Needs Assessment:

Answer 8

is an important element of program planning, as it defines the differences between what currently exists and what is needed or desired to change the situation.

Question 9

How are needs assessments conducted?

Answer 9

Needs assessments can be conducted through questionnaires, surveys, interviews, focus groups, or other methods. Random sampling should be used when possible in order to obtain an accurate representation of needs.

Question 10

How many division in the American Counseling Association (ACA)?

Answer 10

The American Counseling Association (ACA) consists of 20 divisions.

Question 11

Salvador Minuchin :

Answer 11

is best known for his development of structural family therapy, which is concerned with the transactional patterns between family members. The structure of these transactional patterns is the focus of family therapy, as the therapist attempts to change the patterns in orderto redefine boundaries and restructure the family system.

Question 12

Privileged Communication:

Answer 12

is a legal term that refers to the fact that in a court of law the counselor does not have to reveal what the client said during counseling sessions.

Question 13

In what instances are counselors obligated to break privileged communications?

Answer 13

obligated to break privileged communication in several situations, including times when the client is a danger to himself or others, when child abuse or neglect is suspected, when a client asks that counseling records be released, when a lawsuit is filed against the counselor, when involuntary hospitalization is considered, when supervision of the counselor is taking place, or when the counselor’s records are subpoenaed by a judge.

Question 14

Steps in programming planning:

Answer 14

Essential steps in program planning, in order, are conceptualization, which includes examining broader systems, establishing a philosophy, and assessing needs; development of goals and objectives of the program; implementation; and evaluation of the program, including whether goals and objectives were met.

Question 15

Warning Signs Suicide:

Answer 15

signs of suicide, including previous attempts, verbal threats of suicide, having a plan in place and access to fatal means, depression and hopelessness, giving belongings away, and a history of drug or alcohol abuse

Question 16

If a client is in imminent danger or suicide?

Answer 16

Counselors who determine that clients are an imminent danger to themselves (or others) are obligated to protect the client. The counselor in this question should advise the client to seek emergency treatment at a hospital or crisis center; if the client refuses to seek treatment then the counselor may be required to obtain an involuntary commitment.

Question 17

Why assign diagnostic codes to client?

Answer 17

counselors often assign diagnostic codes in order to guide intervention and treatment and to better conceptualize the client’s symptoms.

Counselors should never assign diagnostic codes to obtain reimbursement from insurance companies or to give clients a reason to continue with counseling.

Diagnostic codes simply classify collections of symptoms, but often don’t clearly explain why clients are experiencing the symptoms.

Question 18

Transactional Analysis:

Answer 18

Eric Berne is the founder of transactional analysis, which is based on the idea that a life script develops in clients’ childhoods and influences a lifetime of behaviors. The goal of transactional analysis is to recognize ego state functioning and analyze one’s own transactions with others.

Question 19

Who came up with transactional analysis?

Answer 19

Eric Berne

Question 20

What is transactional analysis?

Answer 20

idea that a life script develops in clients’ childhoods and influences a lifetime of behaviors.

Question 21

Goal of transactional analysis?

Answer 21

is to recognize ego state functioning and analyze one’s own transactions with others.

Question 22

Gestalt therapy:

Answer 22

is a client-centered approach to psychotherapy that helps clients focus on the present and understand what is really happening in their lives right now, rather than what they may perceive to be happening based on past experience

Question 23

Existential therapy:

Answer 23

is a unique form of psychotherapy that looks to explore difficulties from a philosophical perspective. Focusing on the human condition as a whole,existential therapyhighlights our capacities and encourages us to take responsibility for our successes

Question 24

Narrative therapy:

Answer 24

is a form of psychotherapy that seeks to help patients identify their values and the skills associated with them. It provides the patient with knowledge of their ability to live these values so they can effectively confront current and future problems.

Question 25

The Family Educational Rights and Privacy Act of 1974 (FERPA), also known as the Buckley Amendment:

Answer 25

was created with the intent of protecting the privacy of students. FERPA allows students age 18 and older to access information in their educational records, not necessarily their counseling records. FERPA also allows parents of students under age 18 to access educational records.

Question 26

William Glasser

Answer 26

developed reality therapy

Question 27

Reality Therapy:

Answer 27

William Glasser

asserts that individuals are in charge of their own lives and therefore determine their own fate.

Question 28

Reality Therapy Genetic Needs:

Answer 28

William Glasser

five genetically based needs: survival, love and belonging, power or achievement, freedom or independence, and fun. Taking responsibility is a key concept of reality therapy.

Question 29

Adventure-based counseling:

Answer 29

designed for children and adults. This type of counseling consists of an experiential set of outdoor activities such as challenge courses, hiking, camping, and other activities designed for individuals or groups. The goals of adventure-based counseling include increased self-awareness and self-confidence, improved communication skills, and camaraderie.

Question 30

Under the ___ Act, mental health services are treated the same as medical services.

Answer 30

Affordable Care Act (2010)

Question 31

Agoraphobia (ag-uh-ruh-FOE-be-uh):

Answer 31

is a type of anxiety disorder in which you fear and avoid places or situations that might cause you to panic and make you feel trapped, helpless or embarrassed. You fear an actual or anticipated situation, such as using public transportation, being in open or enclosed spaces, standing in line, or being in a crowd.

Question 32

What is the fastest growing area of counseling?

Answer 32

Disaster mental health

Question 33

What is disaster mental heatlh?

Answer 33

is an area of counseling that requires counselors to have specific skills and training to appropriately address disasters, trauma, and crises. In 2010, the ACA developed a category of programs titled Disaster Mental Health, and CACREP now includes standards for disaster, trauma, and crisis counseling.

Question 34

EMDR (Eye Movement Desensitization and Reprocessing):

Answer 34

is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences. Repeated studies show that by using EMDR therapy people can experience the benefits of psychotherapy that once took years to make a difference.

Eye movement desensitization and reprocessing (EMDR) is used to help a client access painful and traumatic memories through eye movements similar to those in REM sleep cycles. There is a growing base of evidence-based research that EMDR can have positive results for those who have had traumatic experiences.

Question 35

The Mental Health Parity and Addiction Equity Act:

Answer 35

The Mental Health Parity and Addiction Equity Act was passed as an attempt at providing the same level of coverage to individuals with mental health issues as to those with medical issues. This legislation applies only to private sector health plans that cover 50 or more employees, along with state and local government plans.

Question 36

Arnold Lazarus’ multimodal therapy:

Answer 36

is an eclectic approach based on behaviorism. There are seven interactive modalities used in multimodal therapy, which can be remembered by using the acronym BASIC ID. These include behaviors (B), affective responses (A), sensations (S), images (I), cognitions (C), interpersonal relationships (I), and drugs and biology (D). Counselors operating from this approach typically use anxiety-management techniques, biofeedback, relaxation training, and other behaviorally based interventions.

Question 37

Chi Sigma Iota:

Answer 37

the Counseling Academic and Professional Honor Society International, aims to promote scholarship, research, professionalism, and excellence in counseling. Chi Sigma Iota also tries to promote the development of leaders in the field of counseling. Chi Sigma Iota does not provide mediation when an ethical conflict arises.

Question 38

Structuring:

Answer 38

In order to convey messages clearly to clients and to create a safe, secure space for them to share during sessions, counselors should define the nature, limits, and goals of the counseling process.

Question 39

Counselors are mandated reporters:

Answer 39

meaning that they are legally required to report any suspicion or allegation of abuse of children under the age of 18. This includes physical abuse, sexual abuse, emotional abuse, verbal abuse, or neglect. Some states also require counselors and other professionals to report when abuse of elders or individuals with disabilities is suspected.

Question 40

Dialectical behavioral therapy (DBT):

Answer 40

assists clients in learning ways to regulate their emotions and thoughts by identifying the triggers that lead to undesired behaviors. There are four DBT modules that include a variety of skills: mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation.

Question 41

Logotherapy:

Answer 41

is a therapeutic approach that is based on the idea that clients’ primary motivation is to find meaning in life.

Question 42

TRICARE:

Answer 42

is the health insurance provider for United States Armed Forces personnel, retirees, and their dependents. Individuals who are covered by TRICARE are permitted to seek services from a TRICARE Certified Mental Health Counselor. Other counselors can provide services to individuals covered by TRICARE, but only if they practice under a TRICARE-authorized physician.

***They must get a physician referral before seeing a counselor who is not a TRICARE Certified Mental Health Counselor

Question 43

The purpose of setting goals in counseling is :

Answer 43

that goals give direction, something for the counselor and client to work towards. Goals help to motivate the client to move from the problem to the resolution. Goals help to educate the client to learn new coping skills and responses to life. Goals also serve an evaluative purpose to help the counselor determine if counseling interventions are effective. Goals are also an essential part of treatment planning.

Question 44

Most common reason addicts relapse?

Answer 44

Stress is the most common reason addicts relapse and is interconnected with hunger, anger, loneliness and tiredness (H.A.L.T.).

Question 45

S.M.A.R.T Goals:

Answer 45

(S)pecific: what do you want?; (M)easurable: How will you know when you’ve reached your goal?; (A)chievable: Is it in your power to reach your goal?; (R)ealistic: Can you realistically achieve your goal?; (T)ime-sensitive: When exactly do you want to accomplish your goal?

Question 46

Resilience factors:

Answer 46

protect the individual against the negative effects of daily stressors, which is an important part of goal attainment. Resilience factors can be developed and include traits like self-compassion, grit, mindfulness, and optimism, among others.

Question 47

Clients who do not receive follow-up care:

Answer 47

are at greater risk of negative outcomes including homelessness, substance abuse, violence, and suicide

Question 48

Identification phase:

Answer 48

the counselor and client are figuring out what the client wants to work on. At times, clients may still have their guard up and the counselor will help them lower their guard by gently testing their boundaries.

Question 49

Orientation phase:

Answer 49

the client and counselor are building rapport.

Question 50

Exploration phase:

Answer 50

as clients look inward and learn to reframe positive experience, they will eventually begin to have a healthy mindset.

The exploration phase can be painful for clients as they are recalling negative and hurtful experiences. By the end of this phase, a client has learned to reframe their thoughts and experiences and will feel stronger.

Question 51

Treatment Plan:

Answer 51

is a written approach to counseling treatment that has been discussed, identified and agreed upon between the client and the counselor. The treatment plan should include the client’s presenting problem, their goals for therapy, the therapeutic methods or interventions to be used and time estimate of the length of time or number of sessions that are predicted to be needed.

Question 52

James Marcia - Identity Foreclosure:

Answer 52

there is commitment, but no exploration and the adolescent often follows another person’s strong commitment to a choice.

Question 53

James Marcia - Identity Moratorium:

Answer 53

there is active exploration, but no commitment.

Question 54

James Marcia - Identity Achievement:

Answer 54

there is an exploration of choices and a commitment after exploration.

Question 55

The first goal of reality therapy is:

Answer 55

to help the client to become psychologically strong and rational. A strong and rational person is one that is autonomous and behaves responsibly toward self and others. Reality therapy focuses on the present, eliminates punishment and does not include formal assessment.

Question 56

James Marcia - Identity-Diffusion:

Answer 56

status is a status that characterizes those who have neither explored the options, nor made a commitment to an identity.

Question 57

What do you do when a client is seeing another counselor?

Answer 57

The ACA Code of Ethics states that “When counselors learn that their clients are in a professional relationship with another mental health professional, they request release from clients to inform the other professionals and strive to establish positive and collaborative professional relationships.” The counselors should determine their opinion of what is best for the client, communicate this to the client, and allow the client to make the decision about her care

Question 58

A counselor can terminate the counseling relationship when?

Answer 58

The ACA Code of Ethics notes that a counselor may terminate treatment when in jeopardy of harm by a client or by someone with whom a client is in a relationship.

Question 59

Strong Interest Inventory is:

Answer 59

a type of educational and career guidance tool designed to assess the individual’s interest and preferences and match them with a variety of careers and or occupations based upon narrowing options and identifying the most compatible career and occupations in order to assist in the career decision-making process and possibly increase the potential for success in those identified careers

Question 60

A psychological report is:

Answer 60

a summary of a client’s assessment results that is written for the benefit of other professionals that may be involved in the client’s care including any sources of referral for additional or the continuation of care. A psychological report will contain information regarding the demographic and background information of a client, any behavioral observations, test results and interpretations, recommendations and a summary.

Question 61

Indications that counseling have been helpful:

Answer 61

The client will report that he or she is successfully meeting the goals that were identified and agreed upon in counseling. The client will also have a change in his or her perspective and begin to see things differently. The client will begin to take responsibility for their own problems and blame others less. The client will also have gained an awareness of his or her own behaviors, emotions and thinking. The client will also have learned new and healthier ways to cope with old problems and behaviors. The client will also learn to develop healthier and satisfying relationships with him or herself and others.