Deck 16: Burnout, vicarious Traumatization, and Compassion Fatigue

Question 1

Burnout is a cross-cultural phenomenon,and has causes that are common across cultures.​

Answer 1

True

Question 2

Organizational cultures that have high power distance between bosses and subordinates have high burnout rates.​

Answer 2

True

Question 3

The term burnout comes from mental patients who were burned out physically and mentally.​

Answer 3

True

Question 4

The first stage of burnout is Enthusiasm.​

Question 5

Vicarious traumatization is to compassion fatigue as countertransference is to burnout.​

Question 6

Highly motivated human service workers are generally immune to burnout.​

Question 7

Vicarious traumatization occurs when the worker begins to see significant others in his or her own life as resembling those who have traumatized the client.​

Question 8

Stress occurs when there is a substantial imbalance between the demands of the environment and the capabilities of the worker and is always negative in its outcome.​

Question 9

Compassion satisfaction can be an extremely effective buffer against burnout.​

Question 10

Burnout equally affects both individuals and institutions.​

Question 11

Burnout and stress are synonymous.​

Question 12

Organizations should be assessed for burnout along with individuals.​

Question 13

While important for effective intervention,consultation and supervision have little to do with stopping burnout.​

Question 14

Human service workers who do crisis work experience negative effects more than other types of human service workers.​

Question 15

Burnout may lead to both personal and professional growth.​

Question 16

Burnout encompasses not only the work setting,but also all other environments of the individual.​

Question 17

Pearlman and Saakvitne believe that,contrary to universal admonitions against countertransference,it is a necessary evil when working with trauma victims.​

Question 18

"Deadwood" is a term given to workers who cope with personal burnout by moving into management positions.​

Question 19

The Maslach Burnout Inventory is an excellent tool for examining stress points and problems in an organization.​

Question 20

Being over-involved in client problems may cause crisis workers to attempt dramatic cures on impossible cases and become panic stricken when plans go awry.​

Question 21

Burnout may have which of the following consequences,except ____________ .

A)behavioral
B)​interpersonal
C)​financial
D)spiritual

Question 22

A critical component in treating burnout is:​

A)satiation.
B)​substitution.
C)​revitalization.
D)positive reinforcement.

Question 23

Burnout may be characterized by what levels?​

A)Person,place,and time
B)​Worker,institution,and environment
C)​Trait,state,and activity
D)Past,present,and future

Question 24

The chronological stages of burnout are:​

A)zealotry,assuredness,doubt,anxiety.
B)​romanticism,idealism,pragmatism,realism.
C)​industry,lethargy,condemnation,purposelessness.
D)enthusiasm,stagnation,frustration,apathy.

Question 25

One of the critical issues of intervention with a burned-out worker is the ethical issue of keeping the worker's clients from harm.​

Question 26

Selye's General Adaption Syndrome means that:​

A)overstimulation and excessive wear of target organs leads to stress-related dysfunction and disease.
B)​the organism adapts to stressors and compensates through increased output of endocrine,neurological,and neuroendocrine systems.
C)​the person reframes stressors and overcomes the noxious stimulus.
D)a clinical relaxation technique is used to diminish stress.

Question 27

Burnout-proofing an agency is almost impossible to do.​

Question 28

When an assessment of the client indicates he or she is burned out,the worker should:​

A)find out what has happened in the past that caused the problem.
B)​take a directive approach until the client has some equilibrium restored.
C)​use an assessment device to see if burnout really is present or if something else is wrong.
D)take a passive-accepting approach and let the client cathart.

Question 29

One of the major causes of burnout for human service workers is:​

A)dealing with large amounts of paperwork.
B)​working with uncooperative staff.
C)​ambiguous job roles.
D)loss of control over decision-making about clients.

Question 30

High use of the uncertainty avoidance principle and high power distance would mean that:​

A)there was high potential for burnout.
B)​there was low potential for burnout.
C)​there was high potential for vicarious traumatization.
D)there was high potential for compassion fatigue.

Question 31

One of the initial assessments the worker should make in a case of burnout is degree of:​

A)stress.
B)​anger.
C)​commitment.
D)lethality.

Question 32

Of the following statements about burnout,which is not true?​

A)It is event rather than process-oriented.
B)​It varies in severity and duration.
C)​It is infectious.
D)It has no known specific personality traits.

Question 33

Support groups within the institution:​

A)use social events to take the stress out of work.
B)​are readily available if one takes the time to find them.
C)​function to provide both technical and emotional support.
D)spend an equal amount of time discussing personal and workplace problems.

Question 34

Having fun is a critical part of burnout-proofing oneself.​

Question 35

An effective way of counteracting burnout would be to:​

A)promote devotion to more leisure time activities.
B)​confront the problem with specific work tasks.
C)​teach better coping skills.
D)shift jobs.

Question 36

Burnout means that:​

A)the person is stressed out by the job.
B)​the person doesn't know how to handle stress.
C)​there are no buffers to ease unrelenting job stress.
D)the organization is healthy and emotionally safe for employees.

Question 37

So far work environment and its relationship to burnout have been difficult to measure in any reliable way.​

Question 38

The assessment device(s)used to ascertain the degree of burnout in an agency might be:​

A)the 16 Personality Factor.
B)​the California Psychological Inventory.
C)​Moos' Work Environment Scale.
D)the Compassion Fatigue Self-Test.

Question 39

Private practitioners suffer burnout:​

A)despite their low-demand schedules.
B)​partially due to working in extreme isolation.
C)​from dealing with more difficult cases.
D)because they enjoy the challenges of building a business.

Question 40

The Professional Quality of Life Scale (ProQOL)measures compassion satisfaction along with compassion fatigue and burnout and is particularly designed for first responders such as EMTs.​

Question 41

Of the following,which is not a building block for burnout?​

A)Role ambiguity
B)​Incompetence
C)​Inconsequentiality
D)Isolation

Question 42

If you were using the Professional Quality of Life Scale (ProQOL)you would not be assessing for:​

A)compassion satisfaction.
B)​compassion fatigue.
C)​burnout.
D)organizational support.

Question 43

Vicarious traumatization and compassion fatigue:​

A)are the result of the worker allowing clients to become dependent.
B)​are the inability of the worker to engage in leisure time activities.
C)​result from accumulated experiences across therapies and clients.
D)typically have an immediate onset in the face of an overwhelming catastrophe in which the worker has little time for proper rest,eats poorly,and is faced with dozens of clients in need of immediate assistance with little hope of obtaining help for them.

Question 44

Golembiewski's phase model of burnout proposes that:​

A)vicarious traumatization leads to compassion fatigue and then burnout.
B)​depersonalization occurs first,sense of personal accomplishment diminishes,then emotional exhaustion occurs.
C)​personality factors weaken,maladaptive traits predominate,stress occurs,burnout happens.
D)bureaucracy predominates,services are impaired,workers are frustrated,apathy occurs.

Question 45

You are the supervisor of several teams of crisis workers covering a large geographical region.Discuss a plan to prevent worker burnout.​

Question 46

In the case of Jane,the worker uses an eclectic BASIC IDS approach because:​

A)the ID suffers most when compassion fatigue occurs.
B)​no component of Jane's life is immune from burnout,it has become so pervasive.
C)​it is psychoanalytic in nature and will get at unconscious motivators of burnout.
D)she is suicidal and her Id is erupting out of control with no superego to govern it.

Question 47

The "who told you?" technique is used on Jane by the worker to:​

A)point out how she deludes herself.
B)​give her a rationale for starting new behaviors that lead to compassion satisfaction.
C)​as a way of safely projecting her anger onto significant others through the countertransference phenomenon.
D)All of the answers are good reasons the technique is used.

Question 48

Social support systems can provide:​

A)material support and a sense of belonging.
B)​ways for burned out workers to avoid change.
C)​organizations with informal snitches to keep track of malcontents.
D)maximum support if they have a home based component.

Question 49

Countertransference is the:​

A)attributing traits and behaviors of significant others and events in the worker's past to the client.
B)​attributing traits and behaviors of significant others and events in the client's past to the worker.
C)​instigating agent of acute traumatic stress disorder.
D)displacement and externalization of negative feelings onto significant others in the life of the crisis worker.

Question 50

Explain the difference between vicarious traumatization,countertransference,and burnout.​

Question 51

Many of the myths that engender burnout are supported by what Albert Ellis calls the _____________ thoughts people tell themselves about their work.​

A)unhealthy
B)​self-actualizing
C)​demeaning
D)conflicted

Question 52

Vicarious traumatization and compassion fatigue are endemic to crisis work because:​

A)many crisis workers have severe transference issues before they ever get in the work due to their own trauma.
B)​crisis workers get addicted to the adrenaline high of traumatic dilemmas and won't walk away when they need to.
C)​it is easy to "catch" the awful symptoms clients have.
D)it is a compensatory behavior for burned-out workers.

Question 53

Why does compassion satisfaction appear to be a buffer against burnout?​