Question 1

The second counseling session with a client generally increases more anxiety in the therapist then the first session (intake) because&#10;A) the intake session is more structured.&#10;B) the second session is intended to solve the client's major problem.&#10;C) most people don't come back for the second session.&#10;D) the counselor is hearing the client's information for the second time.

Accepted Answer

The intake session is typically more structured, involving assessments and information gathering, which can provide a framework that reduces anxiety for the therapist. In contrast, the second session often involves delving deeper into the client's issues without the same level of structure, potentially increasing anxiety for the therapist.

Question 2

When the counselor is listening for times when the client was successful in solving the problem, she is listening for .&#10;A) positive exceptions to the problem.&#10;B) common denominators.&#10;C) outcome goals.&#10;D) causes of the problem.

Accepted Answer

When the counselor is listening for times when the client was successful in solving the problem, they are listening for positive exceptions to the problem. This means that they are trying to identify times when the client has been able to successfully overcome the problem or achieve their desired outcome, in order to build on these successes and help the client develop strategies for future success. Common denominators may also be important in identifying patterns or factors that contribute to success, but they are not the primary focus when specifically listening for success stories. Outcome goals and causes of the problem may also be important to address in counseling, but they are not as directly related to identifying past successes.

Question 3

When you (counselor) give a homework assignment and the client says, &#34;I don't want to do that. I'm overloaded with work as it is,&#34; the best option from those below would be to&#10;A) insist that the client do the homework.&#10;B) refuse to see the client until he does it.&#10;C) just let it go for the time being.&#10;D) use a paradoxical intention by telling the client that whatever he does, he should not do the homework.

Accepted Answer

It is important to acknowledge the client's current workload and stress level. Pushing the client to complete the homework may create more resistance and harm the therapeutic relationship. Allowing the client to take a break from homework and revisiting it at a later time may be a more productive approach.

Question 4

Silence in counseling is useful in all of the following instances except&#10;A) when it allows the client to think more about her response.&#10;B) when it gives the counselor time to process what has been said.&#10;C) when it gives the client time to remember pertinent information.&#10;D) when the client does not know how to do self-reflection.

Accepted Answer

Silence may be useful in all of the other instances listed, but it is not useful when the client does not know how to do self-reflection. In this case, the counselor may need to offer guidance or ask reflective questions in order to facilitate the client's self-reflection.

Question 5

Some mistakes that counselors make in the early counseling session are&#10;A) focusing on change too fast.&#10;B) asking too many questions.&#10;C) focusing on their own performance rather than the client.&#10;D) all of the above.

Accepted Answer

All three choices are potential mistakes that counselors can make in the early counseling session. It is important for counselors to pace themselves and not focus too much on change too fast, but rather build a rapport and understanding with the client first. Asking too many questions can also come across as invasive and overwhelming for the client. Finally, it is important for counselors to not focus on their own performance but rather prioritize the needs and well-being of the client.

Question 6

The counselor statement, &#34;Many people who have lost a loved one feel guilty about not doing more for the dying person.&#34; is called&#10;A) sympathizing.&#10;B) emphasizing.&#10;C) normalizing.&#10;D) rectifying.

Accepted Answer

The counselor's statement is normalizing the feeling of guilt that many people experience when losing a loved one. Normalizing is the process of helping someone understand that their experience or reaction is common and expected.

Question 7

Which of the following counselor response is appropriate?&#10;A) &#34;A person is never given more than she can handle.&#34;&#10;B) &#34;You are young and will learn to love again.&#34;&#10;C) &#34;He's a flower in the garden of heaven.&#34;&#10;D) silence.

Accepted Answer

Silence can be an appropriate response in counseling as it gives the client space to process their feelings and thoughts. It can be a powerful tool for reflection and allows the client to lead the conversation. The other options may minimize the client's feelings or impose the counselor's beliefs.

Question 8

Which of the following counselor responses is the best?&#10;A) &#34;How does that make you feel?&#34;&#10;B) &#34;It seems like your mom is narcissistic.&#34;&#10;C) &#34;I know how you feel.&#34;&#10;D) &#34;I can see that you are feeling some emotion about that.&#34;

Accepted Answer

The best choice is D, "I can see that you are feeling some emotion about that." This response validates the client's feelings without assuming or diagnosing anything. It also allows the client to further elaborate on their emotions without prompting or leading them in a specific direction. A and C are common pitfalls in counseling, as they can be dismissive or assumptive. B is inappropriate, as counselors should not diagnose clients without proper training and qualifications.

Question 9

In a counseling session, the cure for intellectualization is&#10;A) abstraction.&#10;B) empathy.&#10;C) sympathy.&#10;D) elaboration.

Accepted Answer

The cure for intellectualization is empathy. Intellectualization is a defense mechanism in which the patient focuses on analyzing and rationalizing their emotions rather than actually experiencing them. Empathy, which involves understanding and sharing the patient's emotional experience, can help them move past this defense mechanism and deal with their emotions in a more authentic way. Abstraction and elaboration may only serve to reinforce intellectualization, while sympathy involves showing pity rather than truly connecting with the patient.

Question 10

When a counselor is in doubt about what to do in a session, she should focus on&#10;A) the past.&#10;B) feelings.&#10;C) problem solving.&#10;D) mild confrontation.

Accepted Answer

When a counselor is in doubt about what to do in a session, focusing on feelings is the best choice. This can help the counselor better understand the client's emotional experience and allow for exploration of underlying issues that may be affecting their current situation. Additionally, focusing on feelings can help build rapport and trust between the counselor and client, which is essential for effective counseling.

Deck 7: Dealing With Difficult Situations