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__________ are personalized notions that are triggered by particular stimuli that lead to emotional responses. Role confusion Empathy Automatic thoughts Evidence-based practice - ANSWER-Automatic thoughts __________ is a process of presenting basic information about a group to potential group participants to assist them in deciding whether to enter the group and how to participate in it. Moral ethics Ethical decision making Informed consent Professional ethics - ANSWER-Informed consent __________ stress understanding the subjective world of the client and tap existing resources for change within the individual. Psychodynamic approaches Experiential and relationship-oriented approaches Cognitive behavioral approaches Postmodern approaches - ANSWER-Postmodern approaches ___________ is a developmentally informed process that provides useful feedback during one's training and throughout one's professional career. Formative assessment Summative assessment Developmentally-informed assessment Technique assessment - ANSWER-Formative assessment ___________ percent of scores fall within one standard deviations of a normal bell curve. 55 68 95 99 - ANSWER- ____________ examines the relationship between independent variables that are categorical and multiple dependent variables? ANOVA T-test Chi Square Analysis
MANOVA - ANSWER-MANOVA
____________ statutes determine and govern professional practice. Certification Licensure Registration Accreditation - ANSWER-Licensure _______________ can be incurred when the actions of the supervisors are the cause for harm in clients. Breach of confidentiality Breach of informed consent Direct liability Vicarious liability - ANSWER-Direct liability _________________ to give informed consent means that the client has the ability to make rational decisions. Comprehension of information Voluntariness Capacity Willingness - ANSWER-Capacity "Issues that you attack or object to in others are issues you have not fully acknowledged in yourself," could be considered a thesis statement of object relations theory. True False - ANSWER-True A 13-year-old contacts an MFT for therapy to address the 13-year-old's drinking and self-injury behavior. The MFT: Can offer services to this child without parental consent. Cannot offer services to this child. Cannot offer services to this child without a parent's consent. Cannot offer services to this child without both parents' consent - ANSWER-Can offer services to this child without parental consent. A behavior in which a group counselor addresses issues by setting an example of himself or herself is known as: Exemplary leadership Patterning Leading by example Modeling - ANSWER-Modeling A bereaved couple share their feelings of loss after the drowning of their 4- year old son. The therapist feels compelled to share her own experience when she lost her son 5 years ago. Hearing about this family's experience has stirred up old memories that she feels she needs to let out. Should she disclose her similar situation to them and why?
offer your friend the names of at least three other skilled therapists, and do not see the client yourself - ANSWER-offer your friend the names of at least three other skilled therapists, and do not see the client yourself A concern when selecting an appropriate instrument is the level of difficulty. If an instrument is too difficult and a vast majority of scores fall at the bottom or low end. This instrument has a concern with________ Demand characteristics Floor effects Ceiling effects Learning - ANSWER-Floor effects A couple asks an MFT for assistance in preparing their 17-year-old daughter for her college interviews. The MFT should: -Agree to do so only if it fits with the parents' current course of therapy. -Agree to do so only if the parents are willing to pay additional charges. -Refuse to do so because the preparation work might come up in one of the interviews, violating confidentiality. -Refuse to do so b/c such a service is outside the MFT's scope of practice. - ANSWER- Refuse to do so b/c such a service is outside the MFT's scope of practice. A former client calls and asks you to send her file to her new therapist in Iowa. You: -Copy down the new therapist's address, and send the file, as you have verbal consent from your client. -Contact the new therapist directly, and ask the therapist to have the client complete a release of information form. -Send the file with verbal consent, and have the client send written consent later. -Request the client fax or mail you a signed release of information. - ANSWER-Request the client fax or mail you a signed release of information. A hypomanic episode refers to A prolonged but less severe form of a manic episode that is easily treated A manic episode without hallucinations or delusions A manic episode that occurs without any depressive episodes A shorter and less severe form of a manic episode with less impairment in functioning - ANSWER-A shorter and less severe form of a manic episode with less impairment in functioning A person who is physiologically dependent on a drug will experience: -tolerance to the effects of the drug. -withdrawal symptoms if the drug is withdrawn. -Psychological craving -All of the above - ANSWER-All of the above A possible challenge of of the co-leadership model is: Differences in power and privilege among leaders
Increased burnout Counter-transference Competition - ANSWER-Competition A researcher may be interested in the relationship between age and income level. However, a third variable (gender) may be actually causing the relationship. This is called? -Demand characteristics -Spurious relationship -External validity -Social desirability - ANSWER-Spurious relationship A sincere interest in the welfare of others is essential in a group leader. Your main job in the group is to help members get what they are coming for, not to get in their way. This describes: Presence Willingness to model Goodwill, genuineness, and caring Openness - ANSWER-Goodwill, genuineness, and caring A single mother brings her 10-year-old daughter in for therapy. The mother tells you she and the father divorced a year ago, and she will consent for you to see the daughter alone. You should: -Have the parent sign a consent form and begin treatment. -Have both parents sign a consent form and begin treatment. -Ask the mother about the divorce agreement to establish whether she can consent on her own for the child to enter treatment. Then document what the mother shared. -Since the therapy is likely to be related to the divorce, parental consent is not necessary. Have the child sign a consent form and begin treatment. - ANSWER-Ask the mother about the divorce agreement to establish whether she can consent on her own for the child to enter treatment. Then document what the mother shared. A t-test is appropriate to use when you have _________ -Multiple independent variables -One independent variable with 3 or more levels -One independent variable with 2 or more dependent variables -None the of above - ANSWER-None the of above A technique to locate more participants, by asking individuals who already meet the criteria for the study, to recommend other participants is called________? Purposive sampling Snowballing Recommended sampling Judgment sampling - ANSWER-Snowballing
-Detriangulated from dysfunctional family triangles; emotionally cut off from dysfunctional family members; resistant to dysfunctional societal forces -Emotionally cut off from dysfunctional family members; have low anxiety; detriangulated from dysfunctional family triangles -Differentiated; integrating split objects; in good emotional contact with their family of origin -Differentiated; have low anxiety; in good emotional contact with their family of origin - ANSWER-Differentiated; have low anxiety; in good emotional contact with their family of origin According to California Law, the suggested length of time to maintain client records after the end of treatment is: One year Five years Seven years Ten years - ANSWER-Seven years According to experiential family therapy, what is the main characteristic of a healthy family environment? -The freedom for each family member to be themselves -Healthy conflict resolution and problem-solving skills -A fair, democratic system of punishments and rewards -A flexible family structure - ANSWER-The freedom for each family member to be themselves According to McIntosh, which of the following are privileges enjoyed by white Americans? a. Having your language spoken in most major airports throughout the world. b. Knowing that when asking to a "person in charge," you will most likely be speaking to a person of your race. c. Never being asked to speak for people of your race. d. All of the above. - ANSWER-d. All of the above. According to Object Relations theory, most difficulties we encounter are truly difficulties of: Other people Our environment Ourselves Biological predispositions - ANSWER-Ourselves According to Object Relations, the tendency to blame others for possessing attributes that you're not comfortable with in yourself is: Projective Identification Splitting Repressed schemas Unbalancing - ANSWER-Projective Identification
According to structural family therapy, what is the main component of a healthy family? a. Having clear boundaries between subsystems b. Unresolved emotional issues being transmitted across generational boundaries c. An absence of enmeshment d. Having a family structure that responds appropriately to the developmental needs of each family member - ANSWER-d. Having a family structure that responds appropriately to the developmental needs of each family member According to the definition of personality disorder, only individuals who show ________ patterns of maladaptive behavior should be diagnosed with a personality disorder. -suicidal -the most severe -relatively permanent -highly variable - ANSWER-relatively permanent According to the DSM 5, there is a bereavement exclusion criterion for a major depressive episode that lasts less than 2 months -following the death of a loved one -bereavement exclusion is omitted as depressive symptoms associated with bereavement respond to the same psychosocial and medication treatments -bereavement exclusion is omitted because bereavement is recognized as a severe psychosocial stressor that is not time dependent -there is an exclusion criterion for a major depressive episode as the symptoms are similar but different - ANSWER-bereavement exclusion is omitted because bereavement is recognized as a severe psychosocial stressor that is not time dependent According to the experiential approach, human beings are essentially: Good and growth-oriented Conflicted and indifferent about growth Blank slates and vulnerable to exploitation Bad and motivated by punishment and reward - ANSWER-Good and growth-oriented According to the oft-used quote in the book, "True love between a parent and a child __________." -Grows towards separation -Looks more like a battle -Can no truer love be found - ANSWER-Grows towards separation After experiencing sexual harassment from her boss, Elana starts drinking. This can be seen as: Layered trauma Type II trauma Asymptomatic behavior
Alex is extremely impressed with himself. Although he has only achieved a moderate amount of success, he thinks of himself as being uniquely special and deserving of the best of everything. Alex fantasizes frequently about great wealth and fame and does not really pay much attention to other people except to note how they react to him. Alex would most likely be diagnosed with ________ personality disorder. antisocial histrionic narcissistic dependent - ANSWER-narcissistic All of the following are accurate statements about the prevalence of mood disorders in children and adolescents EXCEPT bipolar disorder is often misdiagnosed in children major depressive disorder in adolescents is primarily a female disorder rates of attempted suicide decrease during adolescence. adolescents with bipolar disorder may become aggressive, impulsive, sexually provocative, and accident-prone. - ANSWER-rates of attempted suicide decrease during adolescence. All of the following are reasons for the underutilization of mental health services by minority groups EXCEPT? biased nature of the services child care issues transportation challenges lack of motivation - ANSWER-lack of motivation All theoretical models of MFT use the following to help clients reach their goals: a. Emotional Regulation b Cognitive Reframing c. Behavioral Shifts d. All of the above - ANSWER-d. All of the above Ambiguity and lack of a structured approach in groups often lead to: More freedom of expression A leader among the counselees who emerges and challenges authority Anxiety Positive advice - ANSWER-Anxiety An African-American woman was interacting with her child in a domestic abuse shelter when she is over-heard saying to her child, "Keep touching that and I'm going to whoop you." The social worker that heard this statement should: -immediately report the mother to Child Protective Services. -tell the mother that she will be evicted from the shelter if she continues to talk to her child that way. -recognize that what constitutes abuse in one culture may not be viewed as abuse in another culture and is not reportable until it is determined that the child is in danger.
-remove the child from the mother's care until the mother can learn how to talk to her child with respect. - ANSWER-recognize that what constitutes abuse in one culture may not be viewed as abuse in another culture and is not reportable until it is determined that the child is in danger. An example of having potential conflict between legal and ethical standards pertains to breaking confidentiality of a client who: -confides that they have abused their child. -has given written consent. -is a threat to self or others. -is HIV-positive by warning third party. - ANSWER-is HIV-positive by warning third party. An example of having potential conflict between legal and ethical standards pertains to breaking confidentiality of a client who: -confides that they have abused their child. -has given written consent. -is a threat to self or others. -is HIV-positive by warning third party. - ANSWER-is HIV-positive by warning third party. An important factor to be aware of when terminating a group is the leaders' own history with Relapse Decompensation Loss Repression - ANSWER-Loss ANOVA measures _____________ independent variables and _________ dependent variables Categorical; Categorical Categorical; Continuous Continuous; Categorical Continuous; Continuous - ANSWER-Categorical; Continuous Anthony states: "Since the accident left me paralyzed, I'm unable to walk. Imagine what it's like being a productive worker one day and being at home confined to a wheelchair now!" Which of the following is an appropriate reaction of the counselor utilizing the principle of clarifying? -"Anthony, you really sound as if you are at wit's end." -"You seem to sound angry and frustrated at not being able to work anymore. This is a normal reaction to someone in your situation." -"A lot has changed Anthony. You've been injured and can no longer work. We'll help you get better." -"Anthony, not only have you been severely injured. You are now left paralyzed. Your life has been altered in many ways, and I sense the frustration which you are feeling." - ANSWER-"Anthony, not only have you been severely injured. You are now left
Jose and Sofia are unconsciously questioning their religious beliefs. Sandra is projecting onto her parents her anger over her parents' refusal to acculturate into the dominant culture. Sandra has developed a symptom in order to help Jose and Sofia avoid issues in their marriage. Jose and Sofia are uncomfortable with their own unfulfilled libidinal impulses, so they project them onto Sandra and then punish her for acting on them. - ANSWER-Jose and Sofia are uncomfortable with their own unfulfilled libidinal impulses, so they project them onto Sandra and then punish her for acting on them. As soon as she could, Nadia moved away from her family and avoided contact with them - she claimed they were too "smothering." She hoped to form deeper and more meaningful relationships on her own as an adult, but was finding true emotional intimacy to be more difficult to establish than she planned. Which Bowenian concept best explains Nadia's situation? -Differentiation -Societal Emotional Process -Emotional Triangles -Emotional Cutoff - ANSWER-Emotional Cutoff Asking group members to pair up with those of their choosing for self-disclosure exercises is: A bad idea: It leads to over-dependency A bad idea: It can lead to projection and transference A good idea: It lowers the level of perceived threat A good idea: Cohesive groups can then become smaller, tighter groups that will then meet exclusively on their own in future sessions - ANSWER-A good idea: It lowers the level of perceived threat Asking members how they _______________ with conflict within a group is a recommended means to assist in dealing with it when, and if, it arises. promise to deal predict how they would deal neglect to deal as a child used to deal - ANSWER-predict how they would deal At a clothing store, you see the only cashier on duty is a client of yours. You should: Ask the cashier whether she would like you to leave the store. Leave the store. Make your purchases as you normally would. Ask whether the store offers a "therapist's discount." - ANSWER-Make your purchases as you normally would. Authorization forms should have all of the following information EXCEPT: Information regarding to.... purpose of the requested use or disclosure of information.
routine use or disclosures of information such as billing. expiration date or expiration event. potential re-disclosures by receiving party. All of the above should be included. - ANSWER-All of the above should be included. Bob and Leslie pride themselves on being involved parents. Mary, their 10 year old daughter, has practically never left their side since she was born - she slept in their room until 5, they've never gone on a vacation without Mary, and they don't let her play at friend's houses. They come to therapy concerned about her refusal to attend middle school. Which term best describes the boundaries between Mary and her parents? a. Resistant b. Triangulated c. Enmeshed d. Rigid - ANSWER-c. Enmeshed Children from what racial/ethnic groups are most likely to describe stress reactions in more physical terms (e.g., headaches, stomachaches, nausea, nondescript aches and pains)? -Asian and Hispanic -Caucasian and African American -Hispanic and Caucasian -Caucasian and Asian - ANSWER-Asian and Hispanic Collecting data directly from members about their group experience is a significant part of developing: -empirically-based research. -practice-based evidence. -empirically-based evidence. -practice-based research. - ANSWER-practice-based evidence. Conjoint child-parent sessions: Are never a good idea Are always a good idea May be important in order to address family issues Are essential to therapy - ANSWER-May be important in order to address family issues Counselors ____________ when they use their skills in helping clients challenge institutional barriers that impede their personal, social, academic, or career goals. are solving problems function as advocates are working outside their scope of competence are going above and beyond their role requirements - ANSWER-function as advocates Counselors would NOT work well with diverse populations if they: -are open to being challenged and tested. -are flexible in applying theories to specific situations.
This is an example of victimization and child abuse - ANSWER-This is an example of Type II trauma and Developmental Trauma DSM criteria of panic attacks include all the following symptoms EXCEPT sweating. Fear of losing control or going crazy. trembling or shaking. migraine headaches. - ANSWER-migraine headaches. DSM-5 personality disorders are grouped into three clusters. Which of the following most accurately represents the three clusters? Odd or eccentric; dangerous or inconsistent; shy, uncommunicative, or withdrawn Shy, uncommunicative, or withdrawn; anxious or fearful; dangerous or inconsistent Shy or withdrawn; dramatic, emotional, or erratic; bizarre or thought-disordered Odd or eccentric; dramatic, emotional, or erratic; anxious or fearful - ANSWER-Odd or eccentric; dramatic, emotional, or erratic; anxious or fearful Due to oppression and discrimination that many diverse members of counseling groups have faced, it is recommended that the group be a place where the subject of ___________________ can be openly explored. civil rights hatred revenge imbalance of power - ANSWER-imbalance of power Edward is a 21-year old student who is currently seeking help to relieve some of his trauma-related symptoms. During his first session of mastering skills, his therapist taught him relaxation and affective modulation techniques. After the session, he said that he was unsure of what being relaxed would accomplish. Why? He was probably just being anxious again B and C The therapist skipped the first phase of PRACTICE He may have not done them correctly - ANSWER-The therapist skipped the first phase of PRACTICE Elena, your client of two years, has just received the news that she is losing her insurance coverage; however, she recently had a breakthrough in therapy and needs to continue working on her issues. As an ethical therapist, you should: -refer her to a community mental health center where she can get services at a low cost. -determine new payment terms so Elena can continue working with you. -terminate therapy and give Elena some good book references so she can work through her issues on her own. -terminate therapy and encourage Elena to look in the Yellow Pages for a new therapist who will accept a sliding scale arrangement. - ANSWER-determine new payment terms so Elena can continue working with you.
Elisha has been in therapy for a few months and has gone through completed trauma narrative phase of treatment with his mother. His uncle the man that abused him for many years has just contacted the family. The therapist impression is that Jack seems to have regressed. What is the next best step for the therapist to treat Jack? Continue to enhance safety Stop treatment and refer out for a medication evaluation Recommend to his mother that for now he should stop seeing his uncle B & C - ANSWER-B & C Emil couldn't bear to return home to more of Sandra's nagging about his needing time to unwind, so he decided to not leave work until just before bedtime - again. Which of the following reflects a strategic hypothesis for Emil's situation? a. Emil's first-order rules about conflict-resolution contribute to a dysfunctional interactional cycle b. Sandra is projecting her split sense of self onto Emil, who is in turn interjecting her projection c. Emil's lack of differentiation from his family of origin is leading to being emotionally cutoff from his wife d. Emil's attempted solution is contributing to the problem - ANSWER-d. Emil's attempted solution is contributing to the problem Evana feels like she is a failure at therapy. She is upset because she feels she's had a set way back. After a stressful event happened, she had a reaction to it. The therapist should: Reassure Evana Reassure Evana and work on her relaxation skills Reassure Evana and rework her emotion regulation skills Reassure Evana and help her reconnect with her social networ - ANSWER-Reassure Evana and rework her emotion regulation skills Expressing secondary emotions in an intimate relationship tends to create _________ in the relationship. Select one: a. Secure attachment b. Emotional closeness c. Emotional distance d. Anxious attachment - ANSWER-c. Emotional distance Expressions of primary emotion tend to elicit _____________ from other people. a. Nurturing responses b. Punitive responses c. Aloof responses d. Frustrated responses - ANSWER-a. Nurturing responses Expulsion or suspension of members from professional associations: -has no effect on the member.
c. Benign d. Secondary - ANSWER-d. Secondary Gisele has acquired her 3,000 hours of experience for licensure as an MFT in California. To whom does she send her license application? Board of Psychology Board of Health Professions Board of Marriage and Family Therapist Examiners Board of Behavioral Sciences - ANSWER-Board of Behavioral Sciences Group work often provides the potential to further a _________ agenda: presidential social justice intercontinental international - ANSWER-social justice Harper and Hoopes discuss intimacy, dependency, and accountability, the three domains of the "affirmation triangle." People experience problems when they are shamed on one or more of these domains. What are the likely attributes of a person who grew up with accountability but no intimacy or dependency? To survive in a world they perceive as frightening with harsh rules to which they must always conform To function through blind conformity and fear of authority To have poor self discipline and impulse control Both A and B - ANSWER-Both A and B HIPAA is ...: A part of CAMFT Code of Ethics protecting client privacy. A CA state law protecting client privacy. A federal law protecting client privacy. All of the above. - ANSWER-A federal law protecting client privacy. How does motivational theory pertain to suicide interviewing? It explains how change and suicide happen. It sheds light on suicide pre-contemplation. It motivates clients to commit suicide It helps the therapist hone their questions. - ANSWER-It sheds light on suicide pre- contemplation. If a behavior persists over time, it is maintained by: a. Equifinality b. A feedback loop c. Positive feedback d. Cybernetics - ANSWER-b. A feedback loop
If a researcher sets his/her alpha level at .01 and has an obtained p value of .023 the researcher should _________ -Reject the null hypothesis -Accept the null hypothesis -Likely has committed a Type I error -Note that they have a finding of a 1 unit increase on Y a .023 increase on X - ANSWER-Accept the null hypothesis If an instrument measures consistently the correct construct but does not measure what it was designed to measure, the instrument is: Neither reliable or valid Has validity but not reliability Has reliability but not validity Has reliability and validity - ANSWER-Has reliability but not validity If you were raised by parents who were largely uninvolved and permissive, what patterns will you likely exhibit when your adult attachment relationships are insecure? a. Clingy, "hunting" behavior b. Becoming distant and aloof c. You won't notice when the relationship has become insecure d. Caring and warm nurturing - ANSWER-b. Becoming distant and aloof Ignoring evidence of peer misconduct is: self-preserving. ethical. an ethical violation. illegal, but not unethical. - ANSWER-an ethical violation. Illness anxiety disorder is also known as (and previously listed in the DSM as): -Fictitious disorder -Illness psychosis -Hypochondriasis -Dissociation. - ANSWER-Hypochondriasis In a college counseling center group Isabella continually refers to "Kyle" in what often proves to be lengthy tangents regarding her college years. The name itself evokes a high degree of passion. The group leader can/should: Cut off the conversation as being irrelevant Ask the Isabella politely to return to the "here and now" Ask the Isabella how this person relates to present issues Ask the Isabella to break confidentiality to allow a deeper understanding of any discuss personal aspects of Kyle - ANSWER-Ask the Isabella how this person relates to present issues In a SOAP note, client statements about recent events would be in the ___ section. Subjective
