Deck 4: Essential Crisis Intervention Skills

Question 1

All of the following questions could be easily changed into an open question EXCEPT,

A)"Were you upset when you were grounded?"
B)"How many times were you pulled over for drunk driving?"
C)"Are you worried about losing your job?"
D)"Do you want to move closer to your family?"

Answer 1

B

Question 2

Reflecting back to a client the essence of something they have shared is considered a

A)summary.
B)reflection of feelings.
C)paraphrase.
D)restatement.

Answer 2

C

Question 3

To effectively paraphrase,counselors should take a client's words and

A)parrot what they have said back to them.
B)repeat back what the client has said and add on their own interpretation.
C)repeat back what they have heard in their own words and check with the client for accuracy.
D)repeat back what they have heard in their own words and allow the client to comment on the accuracy if they so choose.

Answer 3

C

Question 4

When using questions in the counseling relationship,it is best to

A)move from general (open questions)to specific (closed questions).
B)move from specific (closed questions)to general (open questions).
C)move very quickly from general (open questions)to specific (closed questions)whenever possible.
D)ask whatever question pops into your mind,whether open or closed.

Question 5

Paraphrasing is

A)a way for clients to confirm or clarify the counselors' understanding of the situation and their thoughts and feelings.
B)a mechanism to help clients focus.
C)a technique to help clients transition from one topic to another.
D)None of the above are functions of paraphrasing.

Question 6

A way for counselors to improve their ability to accurately reflect feelings is by

A)practicing identifying and naming their own emotions.
B)increasing their feeling word vocabulary.
C)noticing clients' nonverbal as well as verbal communication.
D)All of the above.

Question 7

A question with an answer already embedded in it is called a

A)why question.
B)closed question.
C)leading question.
D)open question.

Question 8

All of the following are at the bottom of the microskills hierarchy EXCEPT

A)body language.
B)questioning.
C)eye contact.
D)tone of voice.

Question 9

Counselors who develop a strong sense of accord and amity with their clients would be said to have cultivated

A)genuineness.
B)empathy.
C)rapport.
D)unconditional positive regard.

Question 10

"Why" questions do NOT usually

A)encourage clients to intellectualize their problems.
B)put clients on the defensive.
C)cause clients to rationalize their problems.
D)allow clients to explore their issues and emotions at a deeper level.

Question 11

"I don't know what to do with my life.I hate my job and everything seems so meaningless.I can barely muster the energy to get out of bed in the morning.Sometimes I just want to sleep for days." Based on this scenario from the text,which of the following is the most effective paraphrase?

A)You are having trouble finding a worthwhile reason to get up and going each day,in particular because you are unhappy with your career and are unsure what direction your life should take.Does that sound correct?
B)You can barely muster the energy to get out of bed in the morning.Is that right?
C)You don't know what to do with your life,and you hate your job,which makes you want to sleep for days.
D)All of the above.

Question 12

__________ is NOT a primary goal of the basic listening sequence?

A)Gaining an awareness of the client's presenting problem
B)Acquiring the critical facts about the client's situation
C)Recognizing the emotions the client is going through
D)Developing an interpretation of the client's issue

Question 13

Reflecting skills are NOT

A)a way to elicit the facts and specific details of an issue.
B)a form of active listening.
C)a way to display genuineness.
D)a way to prompt deeper examination of a clients' problems.

Question 14

A body position that is most likely to demonstrate interest and create comfort for the client would consist of all of the following EXCEPT

A)leaning slightly forward.
B)maintaining an open posture.
C)crossing your legs.
D)keeping a few feet of space between you and the client.

Question 15

Which of the following is an example of an open question?

A)When did you first start having trouble in your marriage?
B)What goes through your head when your spouse ignores you?
C)How many times each week do you find yourself fighting with your spouse?
D)Are you thinking about getting a divorce?

Question 16

Moderate eye contact should be used

A)to show clients who have trouble with intimacy how warmth can be expressed and established.
B)to convey empathy when a client is very stressed.
C)to show respect with clients of Asian descent.
D)All of the above.

Question 17

"I am still in shock that my husband is having an affair.I really can't believe it.I thought we had the perfect marriage.How could I have been so stupid to not see this was happening? I feel like such a fool." Based on this scenario from the text,choose the option that is NOT an example of an effective paraphrase.

A)You're upset with yourself for not recognizing that something was amiss in your marriage.Is that right?
B)You feel like a fool because you thought you had a perfect marriage.
C)It's difficult for you to come to terms with your husband's infidelity,especially because you were under the impression that everything was fine.
D)All of the above are examples of effective paraphrases.

Question 18

One of the best predictors of counseling outcomes is the

A)counselor's education.
B)counselor's level of training in a particular theoretical orientation.
C)therapeutic relationship.
D)counselor's amount of experience in the field.

Question 19

Emphasizing certain words or phrases to show understanding is called

A)reflecting.
B)verbal underlining.
C)paraphrasing.
D)rapport.

Question 20

All of the following are TRUE statements about questioning in the counseling relationship EXCEPT

A)open questions can be a vehicle to glean important information,often in more depth.
B)too many questions can confuse clients and create additional stress.
C)closed questions can give more control to the client.
D)questions can help guide and focus the client.

Question 21

A __________ summary is most commonly used at the start of a counseling session.

A)focusing
B)signal
C)planning
D)All of the above.

Question 22

The basic or core feelings we all experience as humans include each of the following EXCEPT

A)anger.
B)depression.
C)sadness.
D)fear.

Question 23

A client's willingness to go deeper into a personal story depends partly upon

A)the helper's accurate use of reflections.
B)a trustworthy and safe therapeutic relationship.
C)development of rapport.
D)All of the above.

Question 24

Reflecting feelings can

A)help the client become aware of the emotions experienced in relation to the issue at hand.
B)bring the client to higher levels of self-awareness.
C)have a positive impact on the therapeutic relationship.
D)All of the above.

Question 25

The counselor's appropriate eye contact,tone of voice,and body position refer to the specific set of microskills known as

A)empathy.
B)attending behaviors.
C)reflection of feelings.
D)rapport.

Question 26

An appropriate time to use a close-ended question would be

A)when you want to draw out the client's story.
B)during the termination phase of counseling.
C)when you want to help the client go deeper and elicit meaning.
D)to obtain concrete and factual information.

Question 27

Open questions are helpful because open questions

A)do not limit a client's answer.
B)address specific topics.
C)allow a client to refuse to answer.
D)All of the above.

Question 28

"What brings you to counseling?" or "What do you make of that?" are examples of

A)attentive statements.
B)open questions.
C)minimal encouragers.
D)open-ended leads.

Question 29

When reflecting feelings it is best to

A)put the reflection in context.
B)use the past tense.
C)use the same feeling word that the client used.
D)All of the above.

Question 30

A common mistake when attempting to paraphrase is to simply restate the client's exact words,referred to as

A)parroting.
B)imitation.
C)immediacy.
D)mirroring.

Question 31

"You have let your parents down,and this is what is difficult because their trust in you is the most important thing" would best be described as a

A)reflection of feeling.
B)reflection of meaning.
C)paraphrase.
D)summary.

Question 32

A __________ summary is frequently used at the end of a counseling session.

A)focusing
B)signal
C)planning
D)All of the above.

Question 33

Reflecting skills allow accomplishment of each of the following EXCEPT

A)a verbal way of communicating empathy.
B)a way to capture important aspects of the clients story.
C)assessment of specific facts about the clients presenting problem.
D)a way to stimulate further exploration of what the client has been experiencing.

Question 34

__________ is a distilled version of the content of the client's message that restates the facts and thoughts in different words and in a nonjudgmental way.

A)Paraphrase
B)Reflection of feeling
C)Summarizing
D)Reflection of meaning

Question 35

__________ refers to a harmonious or sympathetic relationship that starts with the initial contact and continues throughout the counseling process.

A)Warmth
B)Rapport
C)Immediacy
D)Credibility

Question 36

The text describes the microskills as atheoretical,which means

A)all counseling skills are related to specific counseling theories.
B)the skills are best used with an eclectic approach.
C)the skills are not representative of,or limited to,a specific counseling theory.
D)the client is best served by a neutral therapist.

Question 37

"I can't believe what my father did.He stole all the money from the trust fund grandmother had willed to my brother and me.I have been calling him day and night,and he will not return my calls.I might have to get a lawyer,but I don't know how I am going to afford it.Why would he do this to us?" Based on this scenario from the text,__________ is NOT a feeling you would you would identify in the client.

A)betrayal
B)vengefulness
C)hurt
D)confusion

Question 38

A __________ summary is used to help clients transition from one topic to another and can provide direction.

A)focusing
B)signal
C)planning
D)All of the above.

Question 39

Summarizing can be used to

A)signal the client to address the next topic.
B)link content or meanings across several sessions.
C)address past progress and future directions.
D)All of the above.

Question 40

When reflecting feelings,__________ occurs when the helper reflects a feeling that is more intense than the client expressed.

A)undershooting
B)overshooting
C)maximizing
D)magnifying

Question 41

Reflecting skills do NOT include

A)summarizing.
B)paraphrasing.
C)questioning.
D)reflecting feelings.

Question 42

Which of the following closed questions can most easily be changed into an open question and elicit the same information?

A)Are you angry at your mother?
B)When did the car accident occur?
C)How many times per week do you binge?
D)Are you thinking about hurting yourself?

Question 43

Summaries can help counselors accomplish all of the following EXCEPT

A)provide structure.
B)provide direction.
C)give feedback.
D)recapitulate the important themes and ideas discussed.

Question 44

How much eye contact should a counselor make with a client under most circumstances?

A)none.
B)very little.
C)moderate.
D)continuous.

Question 45

Reflecting feelings is used for all of the following purposes EXCEPT

A)encouraging further self-disclosure.
B)showing clients how to think of their problem in a new light.
C)enhancing the therapeutic relationship.
D)increasing clients' self-awareness.

Question 46

The purpose of the microskills hierarchy is NOT to

A)help counselors establish a therapeutic alliance.
B)provide a foundation of techniques for those counselors theoretically oriented toward humanistic therapy.
C)teach counselors useful skills in working with clients.
D)All of the above are goals of the microskills hierarchy.

Question 47

__________ is NOT part of the basic listening sequence.

A)Interpreting
B)Paraphrasing
C)Open and closed questioning
D)Summarizing

Question 48

Which of the following is an example of a closed question?

A)What brought you here today?
B)Tell me about what you are looking to get out of counseling.
C)What information do I need to know to understand the problems you have been having?
D)Have you been to a counselor before?

Question 49

Client: (describing his relationship with his wife)"I try and I try,but hardly ever seem to succeed.Every time I try to do what she wants,it doesn't work out.I just don't know what to do." The word that best demonstrates the client's feelings is

A)guilty.
B)angry.
C)frustrated.
D)enraged.

Question 50

Joan: (who recently failed a drug test)"I feel so bad about what happened.I know my employer and my family are disappointed in me.I just want to hide my head in the sand." Counselor: "You believe you have let your family and employer down and that they have lost their trust in you." The skill the counselor just used with Joan is called

A)summary.
B)reflection of meaning.
C)reflection of feeling.
D)open question.

Question 51

Open questions are useful in all of the following situations EXCEPT

A)to gain a deeper understanding of a client's issues.
B)to obtain very concrete information.
C)to give clients more control.
D)All of the above.

Question 52

In a crisis situation,it is best for the counselor's tone of voice to

A)match the client's.
B)be slow and unruffled.
C)be rapid and cursory.
D)sound monotone.

Question 53

"Are you thinking of killing yourself?" and "How old were you when your parents divorced," are examples of

A)open questions.
B)closed questions.
C)open and closed questions,respectively.
D)None of the above.

Question 54

Client: (describing difficulties at work)"I try,honestly,but I don't get anywhere.Working hard doesn't seem to make any difference;I am still behind" Choose the response that best demonstrates a reflection of feeling.

A)I guess you are depressed.
B)It seems you must feel that working hard does not get you anywhere.
C)It sounds like you feel discouraged about your situation at work.
D)You feel hopeless about your work situation.

Question 55

A paraphrase can be thought of as __________ a client's thoughts.

A)showing your understanding of
B)mirroring
C)clarifying
D)All of the above.

Question 56

Client: "We've tried everything.We've promised to give her things if she'll agree to stay home.We've tried to ground her.What else can I do?" Choose the response that best demonstrates a paraphrase.

A)You've tried a lot of things,but nothing has worked.
B)Well,maybe your sister could help out.
C)When did all of this begin?
D)You feel angry that your daughter will not be more sensitive to your needs.