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Sections

1. Professional Practice and Ethics
2. Intake, Assessment, and Diagnosis
3. Areas of Clinical Focus
4. Treatment Planning
5. Counselling Skills and Interventions
6. Core Counselling Attributes

Section 1: Professional Practice and Ethics

1.1) The degree to which a test measures what it is supposed to measure is called:

1. integrity
2. reliability
3. standardization
4. validity

Answers are locked. Please click here to buy them. 1.2) If the results of a test show scores that plot out to be positively skewed, you would find:

1. equal numbers of low and high scores
2. low scores only
3. more high scores than low scores
4. more low scores than high scores

Answers are locked. Please click here to buy them. 1.3) John scores 83/100 on a test. Marisa fails to show up for the test and receives the minimum score of 0/100. What type of scale is the test using?

1. Interval
2. Nominal
3. Ordinal
4. Ratio

Answers are locked. Please click here to buy them. 1.4) Which of these is a client right?

1. The right of a guarantee of a specific outcome
2. The right to ask about the counsellor's qualifications
3. The right to contact the counselor at any time
4. The right to refuse payment for services rendered

Answers are locked. Please click here to buy them. 1.5) A counselor has made an error in a client's clinical record. The counselor should:

1. append the record with the correct information
2. cross out the inaccurate information several times so it is no longer readable
3. destroy the original record and rewrite it with the correct information
4. keep the record as is and do nothing

Answers are locked. Please click here to buy them. 1.6) A client tells you that his coworkers regularly steal money from the cash register. What is the best action to take?

1. Advise the client of possible actions he could take
2. Tell the owner of the business what is happening
3. Tell the police
4. Terminate the client

Answers are locked. Please click here to buy them. 1.7) Which of these statements about counseling charges is true?

1. Clients should be told the cost of counseling before counseling begins
2. Counselors must accept insurance
3. Long-term clients should pay a reduced rate
4. Once the price for counseling is agreed on, it must never change

Answers are locked. Please click here to buy them. 1.8) A counselor works employed at a county agency and also runs her own private practice. She sends clients with good insurance from the county agency to her private practice. This counselor is:

1. acting unethically
2. engaging in a dual relationship
3. following the standard procedure
4. practicing beyond her scope of practice

Answers are locked. Please click here to buy them. 1.9) The duty to warn conflicts with a client's right to:

1. confidentiality
2. informed consent
3. non-discrimination
4. safety

Answers are locked. Please click here to buy them. 1.10) Informed consent would give the client the right to know which of the following?

1. The counselor's fees
2. The counselor's home address
3. The counselor's religion
4. The counselor's sexual orientation

Answers are locked. Please click here to buy them. 1.11) Which of these would be a valid reason for a counselor to refuse to treat a client?

1. The client has a drug addiction
2. The client is already seeing another counselor
3. The client is the counselor's nephew
4. The client wants to meet only once a month

Answers are locked. Please click here to buy them. 1.12) What should you do if a client sends you a friend request to your personal Facebook account?

1. Accept the request and send the client a thank you message
2. Accept the request but add the client to your Facebook restricted list
3. Decline the request
4. Only accept if you are sure the client is okay with it

Answers are locked. Please click here to buy them. 1.13) As a counselor, what is the best defense against lawsuits?

1. Following standards of practice
2. Letting the client guide the sessions
3. Putting the client's needs before your own needs
4. Using questionnaires to diagnose the client

Answers are locked. Please click here to buy them. 1.14) A client says he is going to shoot up a school. Your main concern should be:

1. avoiding a lawsuit
2. maintaining confidentiality
3. protecting the public
4. staying within ethical considerations

Answers are locked. Please click here to buy them. 1.15) In which of these situations can a counselor break confidentiality?

1. When a client has died and a family member wants to know what happened
2. When a client reports having occassional thoughts about suicide
3. When the counselor receives a court order
4. When the counselor's supervisor wants to know about the client

Answers are locked. Please click here to buy them. 1.16) A situation where multiple roles exist between a counselor and a client is called a:

1. dual relationship
2. multiple-role situation
3. multiplex relationship
4. variable-role situation

Answers are locked. Please click here to buy them. 1.17) Which law protects the privacy of counseling records?

1. Americans with Disabilities Act (ADA)
2. Health Insurance Portability and Accountability Act (HIPAA)
3. Medicaid
4. Occupational Safety and Health Act (OSHA)

Answers are locked. Please click here to buy them. 1.18) Which of the following best describes informed consent?

1. Developing a structure that allows for everyone's ideas to be heard
2. Having members decide upon all the activities of the group
3. Having members sign a contract before joining the group
4. Telling members about the nature and purpose of the group

Answers are locked. Please click here to buy them. 1.19) The highest level of confidentiality is found in:

1. directed groups
2. heterogeneous groups
3. homogeneous groups
4. individual counseling

Answers are locked. Please click here to buy them. 1.20) What is the reliability coefficient of a perfectly reliable test?

1. 0
2. 1
3. 5
4. 100

Answers are locked. Please click here to buy them. 1.21) Which term means the extent to which measurements agree with the true value?

1. Accuracy
2. Precision
3. Reliability
4. Reproducibility

Answers are locked. Please click here to buy them. 1.22) Precision indicates the:

1. closeness of a result to the first standard deviation
2. closeness of a result to the median value
3. closeness of a result to the true value
4. repeatability or reproducibility of a procedure

Answers are locked. Please click here to buy them. 1.23) Data is reliable when:

1. it answers the research question
2. it relates to the issue being studied
3. repeated measurements give similar values
4. the instrument measurements are precise

Answers are locked. Please click here to buy them. 1.24) A scale that has "excellent", "very good", "good", "fair", and "poor" as variables is an example of which scale of measurement?

1. Interval
2. Nominal
3. Ordinal
4. Ratio

Answers are locked. Please click here to buy them. 1.25) In the SOAP note of problem‐oriented medical records, what does the letter “S” stand for?

1. Saved
2. Subjective
3. Summary
4. Systematic

Answers are locked. Please click here to buy them. 1.26) What term means scrambling sensitive data into a secret code to prevent unauthorized access?

1. Authentication
2. Confidentiality
3. Encryption
4. Transmission

Answers are locked. Please click here to buy them. 1.27) The 4 D's of medical negligence are duty, dereliction, direct causation, and:

1. damages
2. danger
3. denial
4. doctor

Answers are locked. Please click here to buy them. 1.28) Which law requires safeguards when sending health information by email?

1. CAN-SPAM Act
2. Health Insurance Portability and Accountability Act (HIPAA)
3. Occupational Safety and Health Act (OSHA)
4. Privacy Act

Answers are locked. Please click here to buy them. 1.29) Who is COBRA insurance for?

1. Disabled people
2. Members of the military
3. People with low incomes
4. Unemployed people

Answers are locked. Please click here to buy them. 1.30) An arrangement where the patient pays for part of their medical expenses and the insurer pays for the rest is called a:

1. co-pay
2. deductible
3. modifier
4. premium

Answers are locked. Please click here to buy them. 1.31) Which part of Medicare covers outpatient mental health services?

1. Part A
2. Part B
3. Part C
4. Part D

Answers are locked. Please click here to buy them. 1.32) Which form is used to submit a Medicare claim?

1. CMS 1500
2. Form 1040
3. Form 4506-T
4. W-4

Answers are locked. Please click here to buy them.

Section 2: Intake, Assessment, and Diagnosis

2.1) Which book is a manual of mental disorders?

1. DSM
2. HCPCS
3. ICD-10
4. PCS

Answers are locked. Please click here to buy them. 2.2) In mental health, "affect" is the patient's:

1. ability to affect the emotions of other people
2. capacity to experience emotion
3. emotional state
4. expression of emotion

Answers are locked. Please click here to buy them. 2.3) A man says, "My boss made me really angry today. But I didn't tell him how angry I was. Instead, I went home and took my anger out on my wife." Which defense mechanism did the man use?

1. Displacement
2. Projection
3. Reaction formation
4. Sublimation

Answers are locked. Please click here to buy them. 2.4) In the DSM-V, how many symptoms of substance use indicate a mild substance use disorder?

1. 1–2
2. 2–3
3. 3–4
4. 4–5

Answers are locked. Please click here to buy them. 2.5) According to ______ theory, individuals often act in inappropriate ways to get the love they need, to feel they are loving others, and to feel they have self-worth.

1. REBT
2. existential
3. person-centered
4. reality

Answers are locked. Please click here to buy them. 2.6) Which of these is a goal of an initial interview?

1. Getting the client to reveal deeply personal or traumatic information
2. Identifying the client's goals and expectations
3. Making a diagnosis
4. Resolving the client's problems

Answers are locked. Please click here to buy them. 2.7) What is the final stage of Kohlberg's stages of moral development?

1. Law and order
2. Obedience and punishment
3. Social contract
4. Universal ethical principles

Answers are locked. Please click here to buy them. 2.8) Which scale measures the extent to which an individual has the will and ability to modify how they are perceived by others?

1. Clinical global impression
2. Marlowe–Crowne social desirability scale
3. Self-monitoring scale
4. Spann-Fischer codependency scale

Answers are locked. Please click here to buy them. 2.9) What does the Gollin figure test assess?

1. Language ability
2. Short-term memory
3. Sustained attention
4. Visual perception

Answers are locked. Please click here to buy them. 2.10) The Rorschach test, Thematic Apperception Test (TAT), and Rotter's Incomplete Sentences Blank are all:

1. observational tests
2. projective tests
3. rating scales
4. standardized personality tests

Answers are locked. Please click here to buy them. 2.11) Which of the following is a new category introduced in DSM-5?

1. Mood disorders
2. Neurodevelopmental disorders
3. Psychotic disorders
4. Somatic symptom disorders

Answers are locked. Please click here to buy them. 2.12) A client is focused on a detail taken out of context and he is ignoring other more important matters of the situation. Which of the following cognitive distortions is the client demonstrating?

1. Arbitrary inference
2. Overgeneralization
3. Polarized thinking
4. Selective abstraction

Answers are locked. Please click here to buy them. 2.13) You have a 17-year-old male client with schizophrenia. Which tool could be used to obtain information from the client's parents about their experiences of coping with their son's illness?

1. Camberwell Assessment of Need
2. KGV Symptom Scale
3. Relative Assessment Interview
4. Social Functioning Scale

Answers are locked. Please click here to buy them. 2.14) What are V codes in the DSM?

1. Mental disorders due to a general medical condition not elsewhere classified
2. Other conditions that may be a focus of clinical attention
3. Other disorders of infancy, childhood, or adolescence
4. Sexual and gender identity disorders

Answers are locked. Please click here to buy them. 2.15) The Wisconsin Card Sorting Test is used to assess deficits in:

1. executive function
2. language ability
3. short-term memory
4. visual perception

Answers are locked. Please click here to buy them. 2.16) PSYRATS is a tool to assess:

1. attention and hyperactivity
2. depression and anxiety
3. hallucinations and delusions
4. mood and behavior

Answers are locked. Please click here to buy them. 2.17) One of the major criticisms of projective tests is that they:

1. are too structured
2. are too subjective
3. have too many questions
4. take too much time to administer

Answers are locked. Please click here to buy them. 2.18) Which of these best defines reaction formation?

1. Assigning your own unacceptable feelings to others
2. Expressing the opposite of your true feelings
3. Justifying an unwanted behavior with logic
4. Pushing unwanted thoughts or feelings into the unconscious

Answers are locked. Please click here to buy them. 2.19) Which type of survey requires the respondent to choose which of two statements appeals to them the most?

1. Ipsative
2. Likert
3. Normative
4. Qualitative

Answers are locked. Please click here to buy them. 2.20) A client tells you that he has been feeling depressed for the last six months. He has no idea what is causing the depression. There have been no changes in his life that may have been the cause. He has just simply started feeling depressed. The first step should be to:

1. begin cognitive behavioral therapy
2. perform a psychosocial assessment
3. refer the client for a physical examination
4. start him on an exercise promotion program

Answers are locked. Please click here to buy them. 2.21) Before starting treatment, a counselor must:

1. arrive at a formal diagnosis
2. identify the client's problem
3. make all necessary referrals
4. obtain any previous treatment records

Answers are locked. Please click here to buy them. 2.22) The main goal of which type of therapy is to find meaning in life?

1. Existential
2. Rational-emotive
3. Reality
4. Transactional analysis

Answers are locked. Please click here to buy them. 2.23) A client has a phobia of snakes. In the first session, the client talks about snakes. In the second session, he looks at pictures of snakes. In the third session, he holds a toy snake and starts to discuss a plan to hold a real snake. What type of therapy is this?

1. Exposure therapy
2. Imagination therapy
3. Narrative adjustment
4. REBT

Answers are locked. Please click here to buy them. 2.24) The CAGE questionnaire is used to help diagnose which health problem?

1. Alcoholism
2. Post-natal depression
3. Schizophrenia
4. Sleeping disorders

Answers are locked. Please click here to buy them. 2.25) The biopsychosocial model is based on systems theory. This means the model claims:

1. a country's health system should be based on universal principles
2. any disease can be attributed to just one cause
3. counseling works best when modalities are broken up into separate systems
4. health is a result of interactions between various systems

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Section 3: Areas of Clinical Focus

3.1) In which mental health condition does a person binge eat and then force themselves to vomit?

1. Anorexia nervosa
2. Bulimia nervosa
3. Conversion disorder
4. Hypochondriasis

Answers are locked. Please click here to buy them. 3.2) Cluster C personality disorders are focused on:

1. anxiety
2. attachment
3. egocentrism
4. paranoia

Answers are locked. Please click here to buy them. 3.3) Which learning difficulty mainly causes problems with reading, writing, and spelling?

1. Apraxia
2. Bradykinesis
3. Dyslexia
4. Neurasthenia

Answers are locked. Please click here to buy them. 3.4) A 44-year-old woman has been a stay-at-home mom for the past five years. Her husband was providing her with the financial means to support herself but recently they went through a divorce and now she has to find a job. What term best describes this woman?

1. Displaced homemaker
2. Reentry woman
3. Reintegrating woman
4. Unretired worker

Answers are locked. Please click here to buy them. 3.5) What is the term for the tendency of family systems to resist change?

1. Equivalence
2. Flexibility
3. Homeostasis
4. Predictive stability

Answers are locked. Please click here to buy them. 3.6) A woman makes less than men for doing the same job. This is an example of:

1. gender wage discrimination
2. meritocracy
3. performance-based pay
4. the halo effect

Answers are locked. Please click here to buy them. 3.7) A client says she has episodes of difficulty breathing and chest pain. She says she feels intense fear during these episodes as if she might die. She has been to emergency rooms but the doctors can never find anything physically wrong with her. What is the most likely diagnosis?

1. Hypochondria
2. PTSD
3. Panic disorder
4. Somatoform disorder

Answers are locked. Please click here to buy them. 3.8) Teleology is the belief that everything has a:

1. beginning
2. cause
3. cost
4. purpose

Answers are locked. Please click here to buy them. 3.9) In which stage of Super's four stages of career development does a person choose a career and begin to build a reputation and competence?

1. Establishment
2. Exploratory
3. Growth
4. Maintenance

Answers are locked. Please click here to buy them. 3.10) What is the basic conflict in the final stage of Erikson's psychosocial stages?

1. Autonomy vs. shame
2. Identity vs. confusion
3. Integrity vs. despair
4. Intimacy vs. isolation

Answers are locked. Please click here to buy them. 3.11) Ostracizing others from a group is what type of bullying?

1. Physical
2. Prejudicial
3. Relational
4. Verbal

Answers are locked. Please click here to buy them. 3.12) According to Havighurst, which of these is a development task of adolescence?

1. Acquiring a set of values to guide behavior
2. Learning the foundations of reading
3. Recognizing what society deems as masculine or feminine social roles
4. Taking on civic responsibility

Answers are locked. Please click here to buy them. 3.13) In Super's stages of career development, what age range is the Establishment phase?

1. 0–14
2. 15–24
3. 25–44
4. 45–64

Answers are locked. Please click here to buy them. 3.14) Which type of delusional disorder is common in paranoid schizophrenia?

1. Delusion of grandeur
2. Delusion of guilt
3. Delusion of persecution
4. Nihilistic delusion

Answers are locked. Please click here to buy them. 3.15) Which of the following is the sequence of stages in Freud's theory of personality development?

1. Genital, anal, phallic, oral, latency
2. Latency, phallic, oral, anal, genital
3. Oral, anal, phallic, latency, genital
4. Oral, genital, latency, anal, phallic

Answers are locked. Please click here to buy them. 3.16) Which theory states that more probable behaviors will reinforce less probable behaviors?

1. Bandura's social learning theory
2. Maslow's hierarchy of needs
3. The Premack principle
4. The Zeigarnik effect

Answers are locked. Please click here to buy them. 3.17) Which of Piaget's four stages of development apply to children aged 7 to 11?

1. Concrete operational stage
2. Formal operational stage
3. Preoperational stage
4. Sensorimotor stage

Answers are locked. Please click here to buy them. 3.18) Which of these people best meets the definition of a dislocated worker?

1. A man who has lost his job because of company downsizing
2. A woman who is forced to move to a new city due to her job
3. A woman who is seeking employment after being a homemaker for several years
4. An immigrant who was an engineer in his own country but can only find a job as a fast-food worker in America

Answers are locked. Please click here to buy them. 3.19) Suicide is most often related to:

1. death of a relative
2. depression
3. divorce
4. drug use

Answers are locked. Please click here to buy them. 3.20) Children most commonly imitate:

1. how a parent behaves
2. what a parent asks them to do
3. what a parent does not do
4. what a parent wants them to do

Answers are locked. Please click here to buy them. 3.21) Which theory states that a person chooses their career based on their interaction with their parents?

1. Holland
2. Roe
3. Super
4. Tiedeman

Answers are locked. Please click here to buy them. 3.22) Which mental disorder is characterized by hallucinations, delusions, and disorganized thinking?

1. Avoidant personality disorder
2. Bipolar disorder
3. PTSD
4. Schizophrenia

Answers are locked. Please click here to buy them. 3.23) Ted’s mother tells Ted to do his homework. When Ted asks why, his mother responds, “Because I said so.” The mother's response is representative of which parenting style?

1. Authoritarian
2. Authoritative
3. Permissive
4. Uninvolved

Answers are locked. Please click here to buy them. 3.24) A man is dieting to lose weight. One night he finds a piece of cake in the fridge and eats it. Then he starts eating whatever else he can find in the fridge and cupboards, justifying his actions with, “I already messed up my diet by eating a piece of cake, which makes me a failure, so I might as eat whatever I want." What kind of thinking trap has the man fallen into?

1. All-or-nothing thinking
2. Catastrophizing
3. Emotional reasoning
4. Mind reading

Answers are locked. Please click here to buy them. 3.25) According to Erikson's theory of psychosocial development, when an individual fails to develop a strong sense of identity, the individual will have trouble developing:

1. autonomy
2. initiative
3. integrity
4. intimacy

Answers are locked. Please click here to buy them. 3.26) What is the term for a child taking on parental responsibility for their siblings or their parents?

1. Disequilibrium
2. Enmeshment
3. Parentification
4. Triangulation

Answers are locked. Please click here to buy them. 3.27) Bulimia is often associated with:

1. depression
2. extroversion
3. narcissism
4. schizophrenia

Answers are locked. Please click here to buy them. 3.28) What are the three stages of Ginzberg's career development theory?

1. Exploration, delineation, crystallization
2. Exploration, establishment, decline
3. Fantasy, tentative, realistic
4. Initiation, cementation, mastery

Answers are locked. Please click here to buy them. 3.29) In Bronfenbrenner’s ecological systems theory, cultural values and economic conditions are part of which system?

1. Exosystem
2. Macrosystem
3. Mesosystem
4. Microsystem

Answers are locked. Please click here to buy them. 3.30) Which parenting style is linked with the best child outcomes?

1. Authoritarian
2. Authoritative
3. Neglectful
4. Permissive

Answers are locked. Please click here to buy them. 3.31) Which discipline technique allows children to learn from their own mistakes?

1. Natural consequences
2. Positive reinforcement
3. Redirection
4. Time-out

Answers are locked. Please click here to buy them. 3.32) You have a 22-year-old client who says her uncle abused her when she was eight years old. She begs you not to tell anyone. What should you do?

1. Agree not to tell anyone
2. Report the abuse to the proper authorities
3. Speak to the uncle to get his version of events
4. Try your best to convince her to go to the authorities

Answers are locked. Please click here to buy them. 3.33) A client says her dad sexually abused her as a child. She then says her younger sister is still living with her dad. You ask if there is a possibility her dad is currently abusing her sister but she suddenly clams up and refuses to talk. What should you do?

1. Call the sexual abuse hotline and tell them about the possibility of sexual abuse
2. Do nothing because of patient confidentiality
3. Schedule a session with the father and his two daughters
4. Terminate the patient relationship

Answers are locked. Please click here to buy them. 3.34) A couple sees a counselor for sex counseling. The man complains that he has little to no desire for sexual activity. Before the counselor agrees to treat the couple, the counselor should refer the man to:

1. a physical examination
2. career counseling
3. psychodynamic therapy
4. sensate focus exercises

Answers are locked. Please click here to buy them. 3.35) Sarah is a 35-year-old woman who has been experiencing a wide range of symptoms. Over the past few years, she has visited numerous doctors and specialists for her symptoms, which include chronic pain, gastrointestinal issues, and neurological complaints. Sarah has difficulty maintaining her job due to frequent absences. Her relationships with family and friends are strained as they struggle to understand the extent of her distress, sometimes doubting the severity of her experiences. She often feels frustrated and misunderstood. What is the most likely diagnosis?

1. Major depression with psychotic features
2. Process addiction
3. Schizophrenia
4. Somatic symptom disorder

Answers are locked. Please click here to buy them. 3.36) The Vineland Adaptive Behavior Scales is often used in combination with:

1. a norm-referenced developmental scale
2. a standardized IQ test
3. a vocational preference assessment
4. the Personality Factor Questionnaire

Answers are locked. Please click here to buy them. 3.37) An 8-year-old child is having difficulties at school. Which test can be used to determine if the child has intellectual disability? may have been inappropriately assigned to a class for the mentally retarded. What test should be done to reevaluate the child?

1. Hamilton rating scale
2. Rosenberg scale
3. Stanford-Binet scale
4. UCLA scale

Answers are locked. Please click here to buy them. 3.38) Mahler's theory of development focuses on a child's relationship with:

1. his father
2. his mother
3. his siblings
4. society

Answers are locked. Please click here to buy them. 3.39) Which of the following is a diagnostic criterion for anorexia nervosa in DSM-V?

1. Excessive exercise
2. Intense fear of gaining weight
3. Recurrent episodes of binge eating
4. Self-induced vomiting

Answers are locked. Please click here to buy them. 3.40) Which cognitive technique would instruct a person suffering from insomnia to try staying awake at night for as long as possible?

1. Confrontation
2. Paradoxical intention
3. Sleep restriction therapy
4. Systematic desensitization

Answers are locked. Please click here to buy them. 3.41) What is the aim of psychoanalysis?

1. To gain greater awareness of the world
2. To identify unconscious thoughts and feelings
3. To increase personal responsibility
4. To learn skills to cope in everyday life

Answers are locked. Please click here to buy them. 3.42) For which of these reasons is play therapy used with children?

1. All children like to play
2. More research has been done in this area than in any other intervention
3. Parents might feel threatened by other interventions
4. Play is the normal way children express themselves

Answers are locked. Please click here to buy them. 3.43) Linda is a smart student but she often puts off doing her schoolwork, leading to failing grades. Her counselor helps her by setting short, clear goals and making Linda track her time use. This approach to solving Linda's issue is what type of therapy?

1. Behavioral
2. Existential
3. Gestalt
4. Psychodynamic

Answers are locked. Please click here to buy them. 3.44) Sensate focus exercises are used to treat which type of anxiety?

1. Perinatal anxiety
2. Separation anxiety
3. Sexual performance anxiety
4. Social anxiety

Answers are locked. Please click here to buy them. 3.45) Flooding is a technique used in which type of therapy?

1. Adlerian
2. Exposure
3. Psychodynamic
4. Reality

Answers are locked. Please click here to buy them. 3.46) A teenage girl refuses to do her homework so her parents take her phone away. What type of operant conditioning is this?

1. Negative punishment
2. Negative reinforcement
3. Positive punishment
4. Positive reinforcement

Answers are locked. Please click here to buy them. 3.47) What of these is a technique that can help the client deal with the death of a spouse?

1. Empty-chair
2. Joining
3. Rolfing
4. Sweatshirt

Answers are locked. Please click here to buy them. 3.48) You are counseling a wife and husband in couple's counseling. The husband has a lot to say about his wife's shortcomings and dominates the session, while his wife remains quiet and passive. The more assertive the husband gets, the more submissive his wife becomes. What kind of communication pattern is this an example of?

1. Co-dependent
2. Complementary
3. Solipsistic
4. Symmetrical

Answers are locked. Please click here to buy them. 3.49) What is the normal body mass index range?

1. 16.5–23.9
2. 17.5–24.9
3. 18.5–24.9
4. 19.5–25.9

Answers are locked. Please click here to buy them.

Section 4: Treatment Planning

4.1) In nonpurging bulimia nervosa, which of these is a compensatory behavior for binging?

1. Fasting
2. Misuse of edemas
3. Misuse of laxatives
4. Self-induced vomiting

Answers are locked. Please click here to buy them. 4.2) Which of these is a valid reason for a counselor terminating a client immediately, without a termination process?

1. The client has threatened the counselor
2. The counselor no longer possesses the competence to meet the client’s needs
3. The counselor's son has started dating the client
4. The treatment is not benefiting the client

Answers are locked. Please click here to buy them. 4.3) The termination process serves to:

1. allow clients to review their progress
2. signal to clients that they are cured
3. review the client's mistakes
4. discourage clients from becoming dependent on therapy

Answers are locked. Please click here to buy them. 4.4) The projection of a client's unconscious feelings onto their counselor is called:

1. transference
2. transmission
3. transmittal
4. transposition

Answers are locked. Please click here to buy them. 4.5) Which of these barriers to counseling is attitudinal rather than structural?

1. "I can handle the problem on my own"
2. "I don't have time to go to appointments"
3. "It takes too long to get an appointment"
4. "My health insurance doesn't cover counseling"

Answers are locked. Please click here to buy them. 4.6) Which type of treatment provides long-term care 24/7 in a home-like environment?

1. Day
2. Inpatient
3. Outpatient
4. Residential

Answers are locked. Please click here to buy them. 4.7) Which of these would NOT be in a treatment plan?

1. The client's demographic information
2. The client's presenting concerns
3. The receipts from the client's insurance company
4. The treatment contract

Answers are locked. Please click here to buy them. 4.8) Who needs to sign the treatment contract?

1. The client and a lawyer
2. The client and the insurance company
3. The counselor and the client
4. The counselor and the insurance company

Answers are locked. Please click here to buy them. 4.9) When collaborating with a client on treatment goals, it is important to:

1. avoid goals that are difficult for the client
2. ensure the goals are therapist-driven
3. establish goals consistent with the client's needs
4. focus solely on long-term goals to provide a clear direction for therapy

Answers are locked. Please click here to buy them. 4.10) Which type of leader would most likely cause group members to become dependent on the leader?

1. Authoritarian
2. Authoritative
3. Permissive
4. Uninvolved

Answers are locked. Please click here to buy them. 4.11) A client says his wife is always nagging him about his drinking and calling him an alcoholic. The counselor says it sounds like his wife cares about him, even though she expresses it in a way that annoys him. The counselor used which strategy?

1. Pointing out a discrepancy
2. Reflection
3. Reframing
4. Shifting focus

Answers are locked. Please click here to buy them. 4.12) Which of these is a good way to engage a client in their treatment plan?

1. Set overly optimistic expectations of progress
2. Emphasize the therapist's authority
3. Highlight the client's failures
4. Work together with the client to set goals

Answers are locked. Please click here to buy them. 4.13) The disappearance of behavior previously learned by association with another event is called:

1. discrimination
2. elimination
3. extinction
4. punishment

Answers are locked. Please click here to buy them. 4.14) In group counseling, what is a group with revolving membership?

1. A group where members must renew their membership on a periodic basis
2. A group where members must take turns to attend sessions
3. A group where members sit in a circle and take turns to speak
4. A group where people can join or leave at any time

Answers are locked. Please click here to buy them. 4.15) A client has a social anxiety disorder. You suggest gradual exposure therapy. However, the client is scared of this idea. How should you proceed?

1. Assure the client they have nothing to be afraid of
2. Explore why the client is scared of gradual exposure therapy
3. Reassure the client by telling them about your expertise in this type of therapy
4. Suggest a referral to a doctor

Answers are locked. Please click here to buy them. 4.16) Which acronym is used to remember the first four kinds of change talk?

1. AUEC (Awareness, Understanding, Engagement, Commitment)
2. DARE (Desire, Awareness, Reinforcement, Expression)
3. DARN (Desire, Ability, Reasons, Need)
4. MART (Measurable, Actionable, Responsible, Timely)

Answers are locked. Please click here to buy them. 4.17) Polster believed that which three stages of change must occur for individuals to move forward in the therapeutic process?

1. Define, connect, apply
2. Discovery, accommodation, assimilation
3. Show interest, build relationships, establish trust
4. Understanding, networking, adaptation

Answers are locked. Please click here to buy them. 4.18) What is eye-movement desensitization and reprocessing (EMDR) therapy used to treat?

1. Anxiety
2. Insomnia
3. Panic disorder
4. Trauma

Answers are locked. Please click here to buy them. 4.19) A client is in counseling for an alcohol use disorder. The counselor asks, “On a scale of 0 to 10, how confident are you that you could stop drinking if you decided to?” The client responds, "5." Which question should the counselor ask next to help the client move forward?

1. "Don't you feel ashamed about that?"
2. "How can you get to a 10?"
3. "How can you get to a 6?"
4. "What would happen if you ever fell to a 1?"

Answers are locked. Please click here to buy them. 4.20) What is the goal of rational emotive behavior therapy (REBT)?

1. Changing irrational beliefs to more realistic beliefs
2. Empowering clients to rewrite their stories in a more positive way
3. Improving relationships through better communication skills
4. Resolving conflicts within a family

Answers are locked. Please click here to buy them. 4.21) A patient is admitted to a hospital. She stays in the hospital for two days. What is the term for this patient?

1. Care patient
2. Home patient
3. Inpatient
4. Outpatient

Answers are locked. Please click here to buy them.

Section 5: Counselling Skills and Interventions

5.1) What are the three roles in the Drama Triangle?

1. Doer, Follower, and Observer
2. Leader, Follower, and Outsider
3. Planner, Supporter, and Critic
4. Victim, Rescuer, and Persecutor

Answers are locked. Please click here to buy them. 5.2) Which term in family dynamics means the opposite of enmeshment?

1. Detachment
2. Disengagement
3. Disentanglement
4. Triangulation

Answers are locked. Please click here to buy them. 5.3) Which quadrant of the Johari window is information that is known to the individual but not others?

1. Blind
2. Hidden
3. Open
4. Unknown

Answers are locked. Please click here to buy them. 5.4) Which of the following is an example of extrinsic motivation?

1. A child who finishes his homework because he was promised candy
2. A child who reads a book because they are interested in the subject matter
3. A man who goes to work because he finds his job meaningful
4. A woman who exercises because she enjoys it

Answers are locked. Please click here to buy them. 5.5) What are the four stages of Clark's model of psychological safety?

1. Biological, basic processes, person, and sociocultural
2. Dependence, counter-dependence, independence, interdependence
3. Inclusion, learner, contributor, and challenger
4. Individual, interpersonal, organization, and community population

Answers are locked. Please click here to buy them. 5.6) Using motivation from 'within' is known as ______________ motivation.

1. idealistic
2. inside
3. interior
4. intrinsic

Answers are locked. Please click here to buy them. 5.7) A counselor is providing group counseling to a group of African American men who have substance abuse issues. The counselor focuses the first group session on asking the members about their culture and how their substance abuse fits into their culture. This counselor has behaved:

1. ethically, since he tried to find out more information about the population was working with
2. unethically, since he assumed that their African American culture was the reason for their substance abuse
3. unethically, since he focused on their culture instead of their substance abuse issues
4. unethically, since he ignored the individual issues

Answers are locked. Please click here to buy them. 5.8) The five needs in Maslow's hierarchy, from bottom to top, are:

1. Physiological, Safety, Belonging, Esteem, Self-actualization
2. Physiological, Safety, Belonging, Self-actualization, Esteem
3. Safety, Physiological, Esteem, Belonging, Self-actualization
4. Safety, Physiological, Self-actualization, Belonging, Esteem

Answers are locked. Please click here to buy them. 5.9) Which model posits that individuals move through six stages of change (pre-contemplation, contemplation, preparation, action, maintenance, and termination)?

1. Change model
2. Progression model
3. Rubicon model
4. Transtheoretical model

Answers are locked. Please click here to buy them. 5.10) A client asks you why they should comply with the treatment plan. You should say:

1. "Because I have the qualifications and experience to know what is best."
2. "The treatment plan addresses your unique needs and goals."
3. "What would people think if they knew you refused treatment?"
4. "You won't get better if you don't follow the plan."

Answers are locked. Please click here to buy them. 5.11) What is the term for a group of people who are similar ages, have similar problems, and have similar personalities?

1. Androgynous group
2. Endogenous group
3. Heterogeneous group
4. Homogeneous group

Answers are locked. Please click here to buy them. 5.12) A client says he is struggling to find a job. You ask where he has applied to. The client says he has asked for a job at a couple of convenience stores. Which of these responses would be most appropriate for a reality therapist?

1. "How does this affect your subjective reality?"
2. "It sounds like no one wants to help you. That must be frustrating."
3. "It sounds like you expect to find a job too easily."
4. "Where else could you look for a job?"

Answers are locked. Please click here to buy them. 5.13) Which type of therapy focuses on a person's present life rather than delving into their past experiences?

1. Behavioral
2. Gestalt
3. Psychoanalysis
4. Psychodynamic

Answers are locked. Please click here to buy them. 5.14) In which stage of group counseling are members most likely to become defensive and act out?

1. Final
2. Initial
3. Transition
4. Working

Answers are locked. Please click here to buy them. 5.15) In an individual counseling session, a client says he thinks his girlfriend is stealing money from his wallet. The counselor tells the client to confront his girlfriend about this. The counselor's statement is called a(n):

1. affirmation
2. assertion
3. directive
4. predication

Answers are locked. Please click here to buy them. 5.16) What is the main goal of reality therapy?

1. To help clients find ways of fulfill their needs
2. To make clients aware of their subjective reality
3. To make clients realise their unconscious bias
4. To teach clients ways to fear and self-doubt

Answers are locked. Please click here to buy them. 5.17) In which type of therapy does the therapist use logical arguments to challenge a client's unrealistic beliefs or expectations?

1. Aversive conditioning
2. Client-centered therapy
3. Existential therapy
4. Rational-emotive behavior therapy

Answers are locked. Please click here to buy them. 5.18) In a group counseling session, all the group members have been contributing to the discussion except for Simon, who has been quiet for the whole session. Greg notices this and says, "Why don't we hear Simon's ideas? We haven’t heard from Simon yet." What type of maintenance role is Greg performing?

1. Encourager
2. Gate-keeper
3. Help-seeker
4. Orienter

Answers are locked. Please click here to buy them. 5.19) Group members are most likely to quit the group when they are:

1. intelligent
2. interested
3. sympathetic
4. unmotivated

Answers are locked. Please click here to buy them. 5.20) Pointing out an inconsistency between what a client is saying and how they are acting is an example of which counseling technique?

1. Clarification
2. Confrontation
3. Reflection
4. Summarization

Answers are locked. Please click here to buy them. 5.21) What does the C stand for in the ABC model of rational-emotive behavior therapy?

1. Catharsis
2. Cognitions
3. Consequences
4. the external event

Answers are locked. Please click here to buy them. 5.22) Which of the following is an advantage of group counseling over individual counseling?

1. Cost-effectiveness
2. High confidentiality
3. Less occurrence of judgment
4. The counselor can focus on individual needs

Answers are locked. Please click here to buy them. 5.23) What are the three ego states in transactional analysis?

1. Adaptable, casual, and fixed
2. Child, parent, and adult
3. Conscious, subconscious, and unconscious
4. Id, ego, and superego

Answers are locked. Please click here to buy them. 5.24) “Spitting in the soup” is a technique used in which type of therapy?

1. Adlerian therapy
2. Psychoanalysis
3. Rational-emotive therapy
4. Reality therapy

Answers are locked. Please click here to buy them. 5.25) What are Yalom's four stages of group development?

1. Beginning, struggle, progress, and end
2. Forming, norming, storming, and performing
3. Initial, transition, working, and termination
4. Orientation, conflict, cohesion, and termination

Answers are locked. Please click here to buy them. 5.26) Which Adlerian therapy technique helps clients learn to notice when they are performing behaviors they wish to change?

1. Catching oneself
2. Modeling
3. Paradoxical intention
4. The question

Answers are locked. Please click here to buy them. 5.27) What is "the Question" in Adlerian therapy?

1. "What is the worst that could happen?"
2. "What makes you different to other people?"
3. “How would your life be different if you didn't have these problems?”
4. “What do you need to do to pursue your this positive thoughts?

Answers are locked. Please click here to buy them. 5.28) What does "blocking" refer to in group counseling?

1. Group members refusing to a group member talk
2. Group members refusing to remember a repressed collective memory
3. Group members trying to block the group's progress
4. The leader stopping a member from talking

Answers are locked. Please click here to buy them. 5.29) Which type of therapy dissuades the client from doing a certain habit by associating the habit with a negative experience, such as a disgusting taste or painful sensation?

1. Adlerian therapy
2. Aversion therapy
3. Existential therapy
4. Mindfulness

Answers are locked. Please click here to buy them. 5.30) A client feels conflicted because they like smoking even though they know it is harmful to their health. This is an example of:

1. belief disconfirmation
2. cognitive dissonance
3. effort justification
4. forced compliance

Answers are locked. Please click here to buy them. 5.31) Which form of therapy most uses a philosophical perspective?

1. Adlerian
2. Existential
3. Gestalt
4. Reality

Answers are locked. Please click here to buy them. 5.32) “Making the rounds” is a technique of which type of therapy?

1. Adlerian
2. Client-centered
3. Gestalt
4. Psychoanalysis

Answers are locked. Please click here to buy them. 5.33) A divorce is what kind of crisis?

1. Adventitious
2. Developmental
3. Existential
4. Situational

Answers are locked. Please click here to buy them. 5.34) Resistance, transference, and defense mechanisms are essential concepts in which type of therapy?

1. Alderian
2. Attachment
3. Existential
4. Psychoanalytic

Answers are locked. Please click here to buy them. 5.35) Which type of counselling group is designed to teach members about specific issues and ways of coping with these issues?

1. Gesalt
2. Psychodynamic
3. Psychoeducational
4. Structured

Answers are locked. Please click here to buy them. 5.36) In Caplan's classification of counseling groups, which type of group deals with the most severe problems?

1. Homogeneous
2. Primary
3. Secondary
4. Tertiary

Answers are locked. Please click here to buy them. 5.37) In a family counseling session, a mother and her teenage son gang up on the father. What is the term for this pathological relationship structure?

1. Codependency
2. Enmeshment
3. Intrafamilial coercion
4. Perverse triangle

Answers are locked. Please click here to buy them. 5.38) In a family counseling session, Linda agrees to stop nagging so much if Mike agrees to spend more time with the children. Which negotiation strategy has been used here?

1. Clarification
2. Non-blaming
3. Positive reinforcement
4. Quid pro quo

Answers are locked. Please click here to buy them. 5.39) If group members struggle for dominance and are confrontational and insubordinate toward the group leader, the group is most likely in which stage of group development?

1. Screening
2. Termination
3. Transition
4. Working

Answers are locked. Please click here to buy them. 5.40) The stop-start technique is a treatment for which sexual dysfunction?

1. Hypoactive sexual desire disorder
2. Premature ejaculation
3. Sexual aversion disorder
4. Vaginismus

Answers are locked. Please click here to buy them. 5.41) Which type of leader operates in a hands-off way and leaves group members to make their own decisions?

1. Authoritarian
2. Authoritative
3. Democratic
4. Laissez-faire

Answers are locked. Please click here to buy them. 5.42) The bond of confidence and mutual understanding established between a therapist and client is called the:

1. Johari window
2. therapeutic alliance
3. therapeutic window
4. window of opportunity

Answers are locked. Please click here to buy them. 5.43) In a group counseling session, Linda says, "It's hard to come home after work to a house of screaming kids. It makes me want to drink." Lisa says, "I know how you feel." The group leader says, "It seems Linda and Lisa both feel triggered to drink by their children. Does anyone else have this problem?" What skill did the group leader use?

1. Feedback
2. Linking
3. Modeling
4. Processing

Answers are locked. Please click here to buy them. 5.44) In what type of group counseling intervention does the counselor work with individuals within the group instead of the group as a whole?

1. Horizonal
2. Primary
3. Tertiary
4. Vertical

Answers are locked. Please click here to buy them.

Section 6: Core Counselling Attributes

6.1) What is the term for a person who was assigned male at birth and now identifies exclusively as female?

1. Non-binary man
2. Non-binary woman
3. Trans man
4. Trans woman

Answers are locked. Please click here to buy them. 6.2) Which term means consistency between internal feelings and external behavior?

1. Attunement
2. Congruence
3. Empathy
4. Responding

Answers are locked. Please click here to buy them. 6.3) The ability to share someone else's feelings or experiences by imagining what it would be like to be in that person's situation is called:

1. compassion
2. empathy
3. relatability
4. sympathy

Answers are locked. Please click here to buy them. 6.4) Which of the following is an element of verbal communication?

1. Body language
2. Eye contact
3. Facial expression
4. Intonation

Answers are locked. Please click here to buy them. 6.5) Which of these is an example of passive-aggressive behavior?

1. Changing the subject when uncomfortable topics arise
2. Complaining about someone behind their back
3. Sighing and tutting instead of saying what's wrong
4. Using veiled threats to control a person's behavior

Answers are locked. Please click here to buy them. 6.6) Which of the following terms is offensive to the LGBT community?

1. Hermaphrodite
2. Trannie
3. Transgendered
4. Transvestite

Answers are locked. Please click here to buy them. 6.7) When you are actively listening, where should you look?

1. At the clock
2. At the person speaking
3. At the work in front of you
4. At your notes

Answers are locked. Please click here to buy them. 6.8) What is unconditional positive regard?

1. Accepting someone regardless of their thoughts, feelings, or actions
2. Agreeing with everything someone says
3. Always smiling and looking cheerful, even if you feel depressed
4. The tendency to focus on the positive aspects of life instead of the negatives

Answers are locked. Please click here to buy them. 6.9) When you suspect someone might be trans-identified, how do you know which pronoun to use?

1. Ask a family member of the person
2. Ask the person what pronouns they prefer
3. Decide based on a person’s appearance
4. Use the pronoun of the person’s biological gender

Answers are locked. Please click here to buy them. 6.10) A counselor is running a couple's counseling session with a young couple. The girlfriend says she wants to break up with her boyfriend. The boyfriend says, “If you break up with me, I will kill myself.” What type of attempt to deal with the conflict has the boyfriend used?

1. Emotional blackmail
2. Inappropriate use of power
3. Passive aggression
4. Verbal aggression

Answers are locked. Please click here to buy them. 6.11) It is especially important to use warm, supportive, empathic, and non-confrontational interventions when clients are in which stage?

1. Contemplation
2. Maintenance
3. Preparation
4. Termination

Answers are locked. Please click here to buy them. 6.12) In your first session with a new client, the client says, "My wife made me come here. She thinks I have a drug problem, but I don't." What should you say?

1. "If you cannot tell me about your problems, I will have to cancel the session."
2. "It sounds like you might have a drug problem."
3. "Maybe you should listen to your wife."
4. “You seem angry that your wife has made you come here."

Answers are locked. Please click here to buy them. 6.13) A client says she feels despair every day and she struggles to get through normal day-to-day activities. The counselor says, "I understand how you feel. Your life must be really hard right now." The counselor has expressed:

1. congruence
2. empathy
3. genuineness
4. openness

Answers are locked. Please click here to buy them. 6.14) Which of Yalom's group therapeutic factors is about members discovering they all share similar experiences?

1. Altruism
2. Catharsis
3. Imitative behavior
4. Universality

Answers are locked. Please click here to buy them. 6.15) A 16-year-old girl is seeing a high school counselor for depression. The girl tells the counselor that her parents are going through a divorce. She says her mom is trying to take full custody of the family. The counselor reacts to this information aggressively, telling his client that all the problems in the world are because of adults, and to never trust any adult. The counselor then apologises and says that his own parents divorced just as he was starting high school. What type of reaction did the counselor show?

1. Counter-transference
2. Role suction
3. Struggle for control
4. Transference

Answers are locked. Please click here to buy them. 6.16) What type of question is "What would you like to discuss during the session this week?"

1. Ambiguous
2. Closed
3. Mixed
4. Open

Answers are locked. Please click here to buy them. 6.17) To understand the rationale for your client's behaviors, your questions should begin with:

1. could
2. how
3. what
4. why

Answers are locked. Please click here to buy them. 6.18) What is empathic attunement?

1. Affirming the client's feelings of disappointment, rejection, or shame
2. Enhancing a client's empathy by helping the client to understand their emotions
3. Setting the emotional tone for the counseling session
4. Understanding the client's emotional experience

Answers are locked. Please click here to buy them. 6.19) Which of these is an example of unconditional positive regard?

1. A counselor teaching her client how to practice mindfulness
2. A mother who loves her son no matter what he does
3. A teacher asking a student why he is crying
4. A worker who admits he made a mistake

Answers are locked. Please click here to buy them. 6.20) Which counseling attribute is about being honest and transparent with clients?

1. Attending
2. Congruence
3. Empathy
4. Genuineness

Answers are locked. Please click here to buy them. 6.21) A counselor can demonstrate sensitivity to gender orientation issues by:

1. assuming that all clients have similar views on gender orientation
2. avoiding discussions about gender unless the client brings it up
3. following a standard approach to counseling irrespective of the client's gender orientation
4. using gender-inclusive language

Answers are locked. Please click here to buy them. 6.22) Cultural sensitivity:

1. allows the counselor to apply the same techniques to clients from any culture
2. encourages clients to adopt the counselor's cultural perspective
3. helps strengthen the therapeutic alliance
4. is mandated by international counseling associations

Answers are locked. Please click here to buy them. 6.23) According to Carl Rogers, what are the three most important attributes counselors need?

1. Awareness of self and impact on clients, empathic attunement, and genuineness
2. Congruence, unconditional positive regard, and accurate empathic understanding
3. Respect and acceptance for diversity, listening skills, and reflecting skills
4. Sensitivity, conflict tolerance and resolution, and non-judgmental stance

Answers are locked. Please click here to buy them. 6.24) Which of these best defines self-awareness?

1. Being able to tune in to the feelings of others
2. Being aware of the environment around you
3. Being aware of your own body
4. Being aware of your own thoughts and feelings

Answers are locked. Please click here to buy them. 6.25) A counselor needs self-awareness to:

1. guarantee the structure of the counseling sessions
2. increase their knowledge base
3. prevent their personal issues from influencing their practice
4. promote their visibility in the community

Answers are locked. Please click here to buy them. 6.26) In a couples counseling session, a husband and wife are having a heated argument. Both the husband and wife try to draw the counselor to their side of the argument. However, the counselor remains neutral and is careful not to take a side. The counselor is showing:

1. confidentiality
2. genuineness
3. impartiality
4. trust

Answers are locked. Please click here to buy them. 6.27) The phrase "I'll accept you as you are" exemplifies which counselor attribute?

1. Empathic attunement
2. Empathic responding
3. Genuineness
4. Universal positive regard

Answers are locked. Please click here to buy them. 6.28) A client is a slow thinker and needs lots of time to think of a reply. The counselor adapts to this by talking slowly. What kind of empathic attunement has the counselor shown?

1. Affective
2. Cognitive
3. Developmental
4. Rhythmic

Answers are locked. Please click here to buy them. 6.29) Phrases like "It sounds like you're feeling..." and "I see that you're upset about..." are examples of:

1. a non-judgmental stance
2. empathic attunement
3. empathic responding
4. positive regard

Answers are locked. Please click here to buy them.

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