Deck 7: Reflecting Feelings: a Foundation of Client Experience

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Question
The effective salesperson:

A)wisely ignores the feelings of her or his clients.
B)carefully observes the emotions so he or she can optimize sales.
C)will note the feelings of clients and may regularly reflect them back.
D)none of the above.
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Question
Accurately reflecting feeling results in:

A)bringing out the richness of the client's emotional world.
B)helping clients sort out complex feelings and thoughts.
C)grounding the counselor and client in basic experience.
D)all of the above.
Question
If a ____________ is inaccurate, it provides the client with an opportunity to correct the counselor.If a questioning tone of voice is used, the client may elaborate further.

A)paraphrase
B)reflection of feeling
C)summary
D)all of the above
Question
Nonverbal indications of a client who is deeply emotional may most often include:

A)rapid breathing, speech hesitations, and facial flushing.
B)relaxed body posture concealing deeper feelings.
C)focusing on a single topic to the exclusion of all others.
D)all of the above.
Question
Which of the following is NOT an emotional word?

A)Angry
B)Excited
C)Joy
D)Considerate
Question
Barry: (Jiggling his feet and shuffling restlessly) I can't get the scene from the World Trade Center bombing off my mind.It keeps coming up in my dreams again and again.I don't understand what's going on. Which is the most appropriate response?

A)"You seem to be anxious right now.Could you tell me more about your story and what's happening for you?"
B)"You seem to be anxious right now? Is that close?"
C)"The lack of sleep is really frustrating you."
D)"You wonder what is going on?"
Question
The check-out is important because:

A)it provides the client room to clarify things that the interviewer may have missed.
B)it tends to clarify what the client has been saying.
C)if the counselor is wrong, the client can come back and restate the issue more clearly.
D)all of the above.
Question
When the interviewer reflects feeling, he or she can expect the client will ________.

A)experience their emotional state more fully
B)talk in more depth about their feelings
C)correct the interviewer's reflection with a more accurate descriptor
D)all of the above
Question
Josephine: I've been in this "home" for three years now.The staff doesn't care, my family never comes, and the food is awful. Which is the most appropriate reflection of her implicit feelings?

A)"Josephine, you sound really angry.Is that close to what you are feeling?"
B)"Josephine, you are frustrated and angry.Is that close to what you are feeling?"
C)"Josephine, you sound really frustrated!"
D)"Josephine, I hear that you are frustrated.Underneath that, you sound lonely ...and angry? Is that close to what you are feeling?"
Question
When the counselor intentionally uses a(n)_________________, he or she can expect the client will feel heard.They will tend to go on further and not repeat the same story again.

A)encourager/restatement
B)paraphrase
C)reflection of feeling
D)confrontation
Question
"I feel really terrible.My folks have divorced.They have moved apart and I don't know where to live." Which would be a reflection of feeling in response to this client?

A)"You're really confused."
B)"Really terrible?"
C)"Sounds like you're really upset and are confused as to what to do next."
D)"Looks like you have had a bad experience.I can see that it would be tough deciding what to do next."
Question
In order to reflect feeling, the interviewer must first identify the presenting emotion.Which of the following is NOT a method to identify feelings?

A)Match one of the primary emotions to client behavior.
B)With a closed question, ask the client to supply the missing feeling word.
C)Ask an open question: "How do you feel about that?"
D)Name the feeling expressed implicitly by client behaviors.
Question
Which of the following is a common quality of both paraphrasing and reflection of feeling?

A)They are both included in feedback to the client.
B)They may be found together in the same statement.
C)They are both used in interviews.
D)All of the above.
Question
Paraphrasing is concerned with feeding back the key points of what a client has said.Reflection of feeling, in contrast, involves:

A)observing emotions.
B)naming emotions.
C)repeating emotions back to the client.
D)helping clients become more effective.
Question
There is a distinctive difference between paraphrasing and reflection of feeling.Paraphrase focuses on ________ and reflection of feeling is concerned with ________.

A)content; emotion
B)emotion; content
C)content; observations
D)observations; emotion
Question
What should you do when the feelings of the client are not fully understandable and seem confused?

A)Ignore the feeling until you understand fully what the client is saying.
B)Paraphrase and summarize what you have heard.
C)Reflect the feelings as you have heard them, but include a checkout for accuracy.
D)All of the above.
Question
The first task in eliciting and reflecting feelings is to _________ key emotional words expressed by the client.

A)recognize
B)paraphrase
C)reflect
D)confront
Question
Which of the following correctly details the techniques of reflecting feelings?

A)Sentence stem, feeling label, content summary, past tense, check-out
B)Feeling label, brief context, sentence content, tense, check-out
C)Sentence stem, feeling label, brief context, tense, check-out
D)Feeling label, brief context, tense, check-out, closing
Question
We can thank _____________ for the term "reflection of feeling."

A)Miller
B)Rogers
C)Ellis
D)Beck
Question
The most immediate and potentially powerful tense for a reflection of feeling is:

A)past tense.
B)present tense.
C)future tense.
D)all tenses have equal power.
Question
Social emotions include:

A)embarrassment.
B)guilt.
C)pride.
D)all of the above.
Question
Feelings are so important in the counseling process that you should:

A)reflect every feeling you observe as it comes along.
B)only reflect those feelings that are directly apparent.
C)avoid reflecting discrepant feelings.
D)none of the above.
Question
____________ clients may demonstrate a general tension and increased breathing rate, averted eyes or raised eyebrows, furrowed brow, biting the lips, crossed arms, or anxious playing with fingers.

A)Sad
B)Mad
C)Scared
D)Disgusted
Question
When a client feels anger, the ________ energizes the limbic HPA axis, and hormones lead to a faster heartbeat, higher blood pressure, breathing changes, and muscular tension.

A)TAP
B)amygdala
C)pituitary gland
D)all of the above
Question
____________ clients may demonstrate a mouth curved down and upper eyelids droop.A raise of the inner brows.Their body may slump or the shoulders drop, while vocal tone may be soft and speech rate slow.

A)Sad
B)Mad
C)Scared
D)Disgusted
Question
Assuming you have sufficient trust, you might try ___________ to help a client increase emotional expression, you might try:

A)commenting on their nonverbals
B)asking them to repeat emotionally loaded words
C)holding back for an interview or two and avoiding the issue
D)both a and b
Question
Sorting out mixed feelings is best done, according to the authors, by:

A)using the exact words of the client.
B)paraphrasing feelings clearly, encouraging, and then summarizing.
C)noting ambivalent words such as "confusion" and discovering underlying deeper feelings through questioning and reflection of feeling.
D)carefully bringing out additional specifics of the client's emotional world.
Question
Which of the following is the emotional center of the brain?

A)Right brain
B)Limbic system
C)Left brain
D)Hippocampus
Question
____________ clients may demonstrate a wrinkled nose and upper lip raised and pursed.

A)Sad
B)Mad
C)Scared
D)Disgusted
Question
Which of the following is basic to empathic understanding?

A)Warmth
B)Appropriate smiling
C)Showing that you respect and care for your client
D)All of the above
Question
____________ clients may demonstrate an upright body position, frowning, and a louder or forced vocal tone; the mouth and jaws may be tense and lips tightened, fists clenched or the palms down.

A)Sad
B)Mad
C)Scared
D)Disgusted
Question
The following primary emotions, in terms of facial expression and language, have been validated throughout the world in all cultures.These primary emotions are ________.

A)mad, annoyed, angry, contempt, surprised, and furious
B)sad, mad, glad, surprised, contempt, and scared
C)happy, joyous, excited, nervous, contempt, and surprised
D)surprised, disgusted, caring, guilt, obstinate, and contempt
Question
Your warmth may be described as the __________ that holds empathy and the possibility of positive change together.

A)engine
B)glue
C)thought
D)all of the above
Question
Which of the following may NOT help clients slow down and regain control of their emotions?

A)Join clients where they are
B)Pace clients appropriately
C)Gestalt exercises
D)All of the above
Question
Which of the following is CORRECT regarding the skill of reflecting feelings?

A)It is probably one of the easiest skills for you to master.
B)It is probably the skill we use the most in our daily communications.
C)It is probably one of the skills that takes more time to get fully comfortable with.
D)All of the above
Question
The positive, happy emotions are located primarily in the:

A)HPT.
B)TAH.
C)TAP.
D)PAT.
Question
Which of the following will NOT help you practice reflection of feeling?

A)Combine reflection of feeling with paraphrasing.
B)Become aware of and competent in each of the microskills
C)Focus on integrating reflection of feeling with questioning, encouraging and paraphrasing.
D)Use the skill as frequently as possible, and gradually integrate the microskills naturally into your personal style.
Question
Which of the following might be useful to help clients decrease emotional expression?

A)"Let's stop for a moment and breathe deeply."
B)"Would you say that again?"
C)"Pay attention to the feelings in your body."
D)All of the above
Question
Which of the following would be a possible way to help clients increase emotional expression?

A)"What are you feeling right now at this moment?"
B)"Pay attention to the feelings in your body."
C)"Would you go back and say that again?"
D)All of the above
Question
Client: Since my mother was diagnosed with cancer, I've been really worried and concerned.She just doesn't look as well as she did before; she needs a lot more rest. Which of the following interviewer responses is reflection of feeling?

A)"Your mother has cancer and she needs more rest."
B)"You seem really worried and concerned about your mother."
C)"Your mother looks well, but she needs more rest."
D)"Umm, tell me more."
Question
If a client is continually talking about negative emotions, which of the following is most true and helpful?

A)Encourage them to continue as they wish.This will empower them to make their own decisions.
B)Work to identify strengths and positives that the client has available, thus empowering them to face the negatives on a basis of strength.
C)Ask them to identify positive feelings in their body.
D)All of the above.
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless. ____ Having more than one physical issue complicates things a good deal.<div style=padding-top: 35px> Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless.
____ "Having more than one physical issue complicates things a good deal."
Question
Which of the following represents a potential limitation of reflection of feeling?

A)Not all clients will appreciate your comments on their feelings.
B)Empathic reflection can have a confrontational quality to some clients.
C)Timing is particularly important with reflection of feeling.
D)All of the above.
Question
"I see the situation differently each time I look at it.It's so sad and I feel so badly that I lost my friend in the accident and I worry that I didn't do more to help.At the same time, I treasure the memories and feel so glad to have shared the world, even in this short time.Providence sends us so many different things." The client is displaying a(n) ____.

A)sensorimotor emotional orientation
B)concrete emotional orientation
C)abstract / formal operational orientation
D)abstract dialectic / system orientation
Question
Choose the FALSE statement regarding positive and negative emotions.

A)Positive emotions make everything OK for client's negative issues.
B)Do not minimize difficult emotions by too quickly focusing on the positive.
C)Identifying positive feelings helps balance the focus on negative emotion.
D)A wellness assessment provides positive emotions to draw on when needed.
Question
The client enters the room and immediately starts crying.After a short time, she says, "I'm totally upset.I can't sleep.I feel so anxious." She then starts crying again. She is displaying a(n) ____.

A)sensorimotor emotional orientation
B)concrete emotional orientation
C)abstract / formal operational orientation
D)abstract dialectic / system orientation
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless. ____ You can't walk?<div style=padding-top: 35px> Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless.
____ "You can't walk?"
Question
Research suggests that positive emotions produce patterns of thought that are:

A)flexible.
B)creative.
C)integrative.
D)all of the above.
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried. ____ You are wondering how to cope with the changes that age is bringing to you.<div style=padding-top: 35px> Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried.
____ "You are wondering how to cope with the changes that age is bringing to you."
Question
With some clients, the brief acknowledgment of ____ may be more appropriate.

A)encouragement
B)paraphrase
C)feeling
D)summary
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts. ____ The situation isn't fair after you've worked so hard to do right.<div style=padding-top: 35px> Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts.
____ "The situation isn't fair after you've worked so hard to do right."
Question
When a client is depressed, you can expect less brain activity in the:

A)prefrontal cortex.
B)limbic system.
C)right brain and amygdala.
D)hippocampus.
Question
Acknowledging feelings is:

A)another term for reflection of feeling.
B)not a recognized term associated with the microskills.
C)brief recognition of feeling before moving on with the client story.
D)reflection of feeling used mainly with adult clients.
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless. ____ I hear you saying you are very discouraged and hurting right now.Am I hearing you correctly?<div style=padding-top: 35px> Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless.
____ "I hear you saying you are very discouraged and hurting right now.Am I hearing you correctly?"
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts. ____ You feel hurt that your spouse says that.<div style=padding-top: 35px> Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts.
____ "You feel hurt that your spouse says that."
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts. ____ It hurts.<div style=padding-top: 35px> Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts.
____ "It hurts."
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Silent crying<div style=padding-top: 35px>
____ Silent crying
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried. ____ Confused and worried?<div style=padding-top: 35px> Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried.
____ "Confused and worried?"
Question
Which one of the following is an example of a suggestion to help clients focus more on positive emotions?

A)Watch a comedy on TV or at the movies.
B)Volunteer at their church or for their favorite charity.
C)Going out with friend.
D)All of the above.
Question
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried. ____ You're confused and worried over the changes that come with age.<div style=padding-top: 35px> Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried.
____ "You're confused and worried over the changes that come with age."
Question
Social emotions are built on primary emotions and are learned in family and cultural context.
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Perhaps my sadness is representative of my family and cultural background.We gave so much attention to getting along that I have real trouble in dealing with conflict.None of us ever argued.<div style=padding-top: 35px>
____ "Perhaps my sadness is representative of my family and cultural background.We gave so much attention to getting along that I have real trouble in dealing with conflict.None of us ever argued."
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ As I think about it, my religion has always been and always will be a real comfort to me.<div style=padding-top: 35px>
____ "As I think about it, my religion has always been and always will be a real comfort to me."
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Spirituality is vital in my culture.I have gained so much from my family's observing all the Holy laws and rituals.I gain great comfort from my surroundings.<div style=padding-top: 35px>
____ "Spirituality is vital in my culture.I have gained so much from my family's observing all the Holy laws and rituals.I gain great comfort from my surroundings."
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Last night, we had a family ritual.The first thing we did was to sit down and pray together.I got a real feeling of comfort just in being there.<div style=padding-top: 35px>
____ "Last night, we had a family ritual.The first thing we did was to sit down and pray together.I got a real feeling of comfort just in being there."
Question
Counselors and therapists can observe and identify unspoken feelings expressed through client nonverbal behavior.
Question
Feelings guide our cognitive decisions.
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ I feel sad because my friend and I had a serious argument.<div style=padding-top: 35px>
____ "I feel sad because my friend and I had a serious argument."
Question
Reflecting feelings is central to every helping professional.
Question
Feelings are physical and mental.
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ I was walking down the hall in the high school and this group came up to me and called me a filthy name (insert in your own mind, what might be said).I just came out as gay.I feel really angry about it.Well, as I think about it, it is good that I can get angry.In the past, I used to hide who I was.Perhaps I can feel a little better about myself as I allowed myself to get angry.<div style=padding-top: 35px>
____ "I was walking down the hall in the high school and this group came up to me and called me a filthy name (insert in your own mind, what might be said).I just came out as gay.I feel really angry about it.Well, as I think about it, it is good that I can get angry.In the past, I used to hide who I was.Perhaps I can feel a little better about myself as I allowed myself to get angry."
Question
If your client can begin from a positive base of emotion, they may be better able to cope with negative issues.
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Angry eyes, blazing with fire, DAMN!!<div style=padding-top: 35px>
____ Angry eyes, blazing with fire, "DAMN!!"
Question
Microexpressions are fleeting expressions of concealed emotion.
Question
The critical distinction between paraphrasing and reflection of feelings is the emphasis on content and emotion.
Question
Change that happens without warmth and empathy is more effective and lasts a longer time.
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ As I reflect on it, I think I am sad in many such situations.Loss and difficulties between people really trouble me.<div style=padding-top: 35px>
____ "As I reflect on it, I think I am sad in many such situations.Loss and difficulties between people really trouble me."
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ The spirit is in me and I experience it right now as a warm, protective feeling near my heart.<div style=padding-top: 35px>
____ "The spirit is in me and I experience it right now as a warm, protective feeling near my heart."
Question
Reflections of feeling in the past tense tend to be more useful for reflecting feeling.
Question
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ This school really makes it hard for gays and lesbians to be themselves.It upsets me and makes me angry, but I also know that I've got to deal with the system as it is if I am ever going to help it change.Those who fear me are perhaps the ones who need the most help.<div style=padding-top: 35px>
____ "This school really makes it hard for gays and lesbians to be themselves.It upsets me and makes me angry, but I also know that I've got to deal with the system as it is if I am ever going to help it change.Those who fear me are perhaps the ones who need the most help."
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Deck 7: Reflecting Feelings: a Foundation of Client Experience
1
The effective salesperson:

A)wisely ignores the feelings of her or his clients.
B)carefully observes the emotions so he or she can optimize sales.
C)will note the feelings of clients and may regularly reflect them back.
D)none of the above.
B
2
Accurately reflecting feeling results in:

A)bringing out the richness of the client's emotional world.
B)helping clients sort out complex feelings and thoughts.
C)grounding the counselor and client in basic experience.
D)all of the above.
D
3
If a ____________ is inaccurate, it provides the client with an opportunity to correct the counselor.If a questioning tone of voice is used, the client may elaborate further.

A)paraphrase
B)reflection of feeling
C)summary
D)all of the above
D
4
Nonverbal indications of a client who is deeply emotional may most often include:

A)rapid breathing, speech hesitations, and facial flushing.
B)relaxed body posture concealing deeper feelings.
C)focusing on a single topic to the exclusion of all others.
D)all of the above.
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5
Which of the following is NOT an emotional word?

A)Angry
B)Excited
C)Joy
D)Considerate
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6
Barry: (Jiggling his feet and shuffling restlessly) I can't get the scene from the World Trade Center bombing off my mind.It keeps coming up in my dreams again and again.I don't understand what's going on. Which is the most appropriate response?

A)"You seem to be anxious right now.Could you tell me more about your story and what's happening for you?"
B)"You seem to be anxious right now? Is that close?"
C)"The lack of sleep is really frustrating you."
D)"You wonder what is going on?"
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7
The check-out is important because:

A)it provides the client room to clarify things that the interviewer may have missed.
B)it tends to clarify what the client has been saying.
C)if the counselor is wrong, the client can come back and restate the issue more clearly.
D)all of the above.
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8
When the interviewer reflects feeling, he or she can expect the client will ________.

A)experience their emotional state more fully
B)talk in more depth about their feelings
C)correct the interviewer's reflection with a more accurate descriptor
D)all of the above
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9
Josephine: I've been in this "home" for three years now.The staff doesn't care, my family never comes, and the food is awful. Which is the most appropriate reflection of her implicit feelings?

A)"Josephine, you sound really angry.Is that close to what you are feeling?"
B)"Josephine, you are frustrated and angry.Is that close to what you are feeling?"
C)"Josephine, you sound really frustrated!"
D)"Josephine, I hear that you are frustrated.Underneath that, you sound lonely ...and angry? Is that close to what you are feeling?"
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10
When the counselor intentionally uses a(n)_________________, he or she can expect the client will feel heard.They will tend to go on further and not repeat the same story again.

A)encourager/restatement
B)paraphrase
C)reflection of feeling
D)confrontation
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11
"I feel really terrible.My folks have divorced.They have moved apart and I don't know where to live." Which would be a reflection of feeling in response to this client?

A)"You're really confused."
B)"Really terrible?"
C)"Sounds like you're really upset and are confused as to what to do next."
D)"Looks like you have had a bad experience.I can see that it would be tough deciding what to do next."
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12
In order to reflect feeling, the interviewer must first identify the presenting emotion.Which of the following is NOT a method to identify feelings?

A)Match one of the primary emotions to client behavior.
B)With a closed question, ask the client to supply the missing feeling word.
C)Ask an open question: "How do you feel about that?"
D)Name the feeling expressed implicitly by client behaviors.
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13
Which of the following is a common quality of both paraphrasing and reflection of feeling?

A)They are both included in feedback to the client.
B)They may be found together in the same statement.
C)They are both used in interviews.
D)All of the above.
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14
Paraphrasing is concerned with feeding back the key points of what a client has said.Reflection of feeling, in contrast, involves:

A)observing emotions.
B)naming emotions.
C)repeating emotions back to the client.
D)helping clients become more effective.
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15
There is a distinctive difference between paraphrasing and reflection of feeling.Paraphrase focuses on ________ and reflection of feeling is concerned with ________.

A)content; emotion
B)emotion; content
C)content; observations
D)observations; emotion
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16
What should you do when the feelings of the client are not fully understandable and seem confused?

A)Ignore the feeling until you understand fully what the client is saying.
B)Paraphrase and summarize what you have heard.
C)Reflect the feelings as you have heard them, but include a checkout for accuracy.
D)All of the above.
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17
The first task in eliciting and reflecting feelings is to _________ key emotional words expressed by the client.

A)recognize
B)paraphrase
C)reflect
D)confront
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18
Which of the following correctly details the techniques of reflecting feelings?

A)Sentence stem, feeling label, content summary, past tense, check-out
B)Feeling label, brief context, sentence content, tense, check-out
C)Sentence stem, feeling label, brief context, tense, check-out
D)Feeling label, brief context, tense, check-out, closing
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19
We can thank _____________ for the term "reflection of feeling."

A)Miller
B)Rogers
C)Ellis
D)Beck
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20
The most immediate and potentially powerful tense for a reflection of feeling is:

A)past tense.
B)present tense.
C)future tense.
D)all tenses have equal power.
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21
Social emotions include:

A)embarrassment.
B)guilt.
C)pride.
D)all of the above.
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22
Feelings are so important in the counseling process that you should:

A)reflect every feeling you observe as it comes along.
B)only reflect those feelings that are directly apparent.
C)avoid reflecting discrepant feelings.
D)none of the above.
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23
____________ clients may demonstrate a general tension and increased breathing rate, averted eyes or raised eyebrows, furrowed brow, biting the lips, crossed arms, or anxious playing with fingers.

A)Sad
B)Mad
C)Scared
D)Disgusted
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24
When a client feels anger, the ________ energizes the limbic HPA axis, and hormones lead to a faster heartbeat, higher blood pressure, breathing changes, and muscular tension.

A)TAP
B)amygdala
C)pituitary gland
D)all of the above
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25
____________ clients may demonstrate a mouth curved down and upper eyelids droop.A raise of the inner brows.Their body may slump or the shoulders drop, while vocal tone may be soft and speech rate slow.

A)Sad
B)Mad
C)Scared
D)Disgusted
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26
Assuming you have sufficient trust, you might try ___________ to help a client increase emotional expression, you might try:

A)commenting on their nonverbals
B)asking them to repeat emotionally loaded words
C)holding back for an interview or two and avoiding the issue
D)both a and b
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27
Sorting out mixed feelings is best done, according to the authors, by:

A)using the exact words of the client.
B)paraphrasing feelings clearly, encouraging, and then summarizing.
C)noting ambivalent words such as "confusion" and discovering underlying deeper feelings through questioning and reflection of feeling.
D)carefully bringing out additional specifics of the client's emotional world.
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28
Which of the following is the emotional center of the brain?

A)Right brain
B)Limbic system
C)Left brain
D)Hippocampus
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29
____________ clients may demonstrate a wrinkled nose and upper lip raised and pursed.

A)Sad
B)Mad
C)Scared
D)Disgusted
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30
Which of the following is basic to empathic understanding?

A)Warmth
B)Appropriate smiling
C)Showing that you respect and care for your client
D)All of the above
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31
____________ clients may demonstrate an upright body position, frowning, and a louder or forced vocal tone; the mouth and jaws may be tense and lips tightened, fists clenched or the palms down.

A)Sad
B)Mad
C)Scared
D)Disgusted
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32
The following primary emotions, in terms of facial expression and language, have been validated throughout the world in all cultures.These primary emotions are ________.

A)mad, annoyed, angry, contempt, surprised, and furious
B)sad, mad, glad, surprised, contempt, and scared
C)happy, joyous, excited, nervous, contempt, and surprised
D)surprised, disgusted, caring, guilt, obstinate, and contempt
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33
Your warmth may be described as the __________ that holds empathy and the possibility of positive change together.

A)engine
B)glue
C)thought
D)all of the above
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34
Which of the following may NOT help clients slow down and regain control of their emotions?

A)Join clients where they are
B)Pace clients appropriately
C)Gestalt exercises
D)All of the above
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35
Which of the following is CORRECT regarding the skill of reflecting feelings?

A)It is probably one of the easiest skills for you to master.
B)It is probably the skill we use the most in our daily communications.
C)It is probably one of the skills that takes more time to get fully comfortable with.
D)All of the above
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36
The positive, happy emotions are located primarily in the:

A)HPT.
B)TAH.
C)TAP.
D)PAT.
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37
Which of the following will NOT help you practice reflection of feeling?

A)Combine reflection of feeling with paraphrasing.
B)Become aware of and competent in each of the microskills
C)Focus on integrating reflection of feeling with questioning, encouraging and paraphrasing.
D)Use the skill as frequently as possible, and gradually integrate the microskills naturally into your personal style.
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38
Which of the following might be useful to help clients decrease emotional expression?

A)"Let's stop for a moment and breathe deeply."
B)"Would you say that again?"
C)"Pay attention to the feelings in your body."
D)All of the above
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39
Which of the following would be a possible way to help clients increase emotional expression?

A)"What are you feeling right now at this moment?"
B)"Pay attention to the feelings in your body."
C)"Would you go back and say that again?"
D)All of the above
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40
Client: Since my mother was diagnosed with cancer, I've been really worried and concerned.She just doesn't look as well as she did before; she needs a lot more rest. Which of the following interviewer responses is reflection of feeling?

A)"Your mother has cancer and she needs more rest."
B)"You seem really worried and concerned about your mother."
C)"Your mother looks well, but she needs more rest."
D)"Umm, tell me more."
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41
If a client is continually talking about negative emotions, which of the following is most true and helpful?

A)Encourage them to continue as they wish.This will empower them to make their own decisions.
B)Work to identify strengths and positives that the client has available, thus empowering them to face the negatives on a basis of strength.
C)Ask them to identify positive feelings in their body.
D)All of the above.
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42
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless. ____ Having more than one physical issue complicates things a good deal. Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless.
____ "Having more than one physical issue complicates things a good deal."
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43
Which of the following represents a potential limitation of reflection of feeling?

A)Not all clients will appreciate your comments on their feelings.
B)Empathic reflection can have a confrontational quality to some clients.
C)Timing is particularly important with reflection of feeling.
D)All of the above.
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44
"I see the situation differently each time I look at it.It's so sad and I feel so badly that I lost my friend in the accident and I worry that I didn't do more to help.At the same time, I treasure the memories and feel so glad to have shared the world, even in this short time.Providence sends us so many different things." The client is displaying a(n) ____.

A)sensorimotor emotional orientation
B)concrete emotional orientation
C)abstract / formal operational orientation
D)abstract dialectic / system orientation
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45
Choose the FALSE statement regarding positive and negative emotions.

A)Positive emotions make everything OK for client's negative issues.
B)Do not minimize difficult emotions by too quickly focusing on the positive.
C)Identifying positive feelings helps balance the focus on negative emotion.
D)A wellness assessment provides positive emotions to draw on when needed.
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46
The client enters the room and immediately starts crying.After a short time, she says, "I'm totally upset.I can't sleep.I feel so anxious." She then starts crying again. She is displaying a(n) ____.

A)sensorimotor emotional orientation
B)concrete emotional orientation
C)abstract / formal operational orientation
D)abstract dialectic / system orientation
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47
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless. ____ You can't walk? Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless.
____ "You can't walk?"
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48
Research suggests that positive emotions produce patterns of thought that are:

A)flexible.
B)creative.
C)integrative.
D)all of the above.
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49
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried. ____ You are wondering how to cope with the changes that age is bringing to you. Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried.
____ "You are wondering how to cope with the changes that age is bringing to you."
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50
With some clients, the brief acknowledgment of ____ may be more appropriate.

A)encouragement
B)paraphrase
C)feeling
D)summary
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51
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts. ____ The situation isn't fair after you've worked so hard to do right. Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts.
____ "The situation isn't fair after you've worked so hard to do right."
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52
When a client is depressed, you can expect less brain activity in the:

A)prefrontal cortex.
B)limbic system.
C)right brain and amygdala.
D)hippocampus.
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53
Acknowledging feelings is:

A)another term for reflection of feeling.
B)not a recognized term associated with the microskills.
C)brief recognition of feeling before moving on with the client story.
D)reflection of feeling used mainly with adult clients.
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54
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless. ____ I hear you saying you are very discouraged and hurting right now.Am I hearing you correctly? Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so bad I can't walk as well.I feel totally useless.
____ "I hear you saying you are very discouraged and hurting right now.Am I hearing you correctly?"
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55
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts. ____ You feel hurt that your spouse says that. Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts.
____ "You feel hurt that your spouse says that."
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56
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts. ____ It hurts. Client: Yes, somehow it just doesn't seem fair.I've taken care of myself, worked hard and my spouse just says I'm angry and bitter.It hurts.
____ "It hurts."
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57
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Silent crying
____ Silent crying
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58
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried. ____ Confused and worried? Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried.
____ "Confused and worried?"
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59
Which one of the following is an example of a suggestion to help clients focus more on positive emotions?

A)Watch a comedy on TV or at the movies.
B)Volunteer at their church or for their favorite charity.
C)Going out with friend.
D)All of the above.
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60
Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.   Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried. ____ You're confused and worried over the changes that come with age. Client: I really wonder what's going to happen to me.I find myself aging faster than I anticipated.I simply can't do all that I'd like to do anymore.It makes me sick just to think of it.I'm confused and worried.
____ "You're confused and worried over the changes that come with age."
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61
Social emotions are built on primary emotions and are learned in family and cultural context.
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62
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Perhaps my sadness is representative of my family and cultural background.We gave so much attention to getting along that I have real trouble in dealing with conflict.None of us ever argued.
____ "Perhaps my sadness is representative of my family and cultural background.We gave so much attention to getting along that I have real trouble in dealing with conflict.None of us ever argued."
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63
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ As I think about it, my religion has always been and always will be a real comfort to me.
____ "As I think about it, my religion has always been and always will be a real comfort to me."
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64
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Spirituality is vital in my culture.I have gained so much from my family's observing all the Holy laws and rituals.I gain great comfort from my surroundings.
____ "Spirituality is vital in my culture.I have gained so much from my family's observing all the Holy laws and rituals.I gain great comfort from my surroundings."
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65
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Last night, we had a family ritual.The first thing we did was to sit down and pray together.I got a real feeling of comfort just in being there.
____ "Last night, we had a family ritual.The first thing we did was to sit down and pray together.I got a real feeling of comfort just in being there."
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66
Counselors and therapists can observe and identify unspoken feelings expressed through client nonverbal behavior.
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67
Feelings guide our cognitive decisions.
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68
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ I feel sad because my friend and I had a serious argument.
____ "I feel sad because my friend and I had a serious argument."
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69
Reflecting feelings is central to every helping professional.
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70
Feelings are physical and mental.
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71
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ I was walking down the hall in the high school and this group came up to me and called me a filthy name (insert in your own mind, what might be said).I just came out as gay.I feel really angry about it.Well, as I think about it, it is good that I can get angry.In the past, I used to hide who I was.Perhaps I can feel a little better about myself as I allowed myself to get angry.
____ "I was walking down the hall in the high school and this group came up to me and called me a filthy name (insert in your own mind, what might be said).I just came out as gay.I feel really angry about it.Well, as I think about it, it is good that I can get angry.In the past, I used to hide who I was.Perhaps I can feel a little better about myself as I allowed myself to get angry."
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72
If your client can begin from a positive base of emotion, they may be better able to cope with negative issues.
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73
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ Angry eyes, blazing with fire, DAMN!!
____ Angry eyes, blazing with fire, "DAMN!!"
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74
Microexpressions are fleeting expressions of concealed emotion.
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75
The critical distinction between paraphrasing and reflection of feelings is the emphasis on content and emotion.
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76
Change that happens without warmth and empathy is more effective and lasts a longer time.
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77
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ As I reflect on it, I think I am sad in many such situations.Loss and difficulties between people really trouble me.
____ "As I reflect on it, I think I am sad in many such situations.Loss and difficulties between people really trouble me."
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78
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ The spirit is in me and I experience it right now as a warm, protective feeling near my heart.
____ "The spirit is in me and I experience it right now as a warm, protective feeling near my heart."
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79
Reflections of feeling in the past tense tend to be more useful for reflecting feeling.
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80
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?
Instructions: Which of the following client emotional presentations are sensorimotor, concrete, formal operational, or dialectic / systemic?   ____ This school really makes it hard for gays and lesbians to be themselves.It upsets me and makes me angry, but I also know that I've got to deal with the system as it is if I am ever going to help it change.Those who fear me are perhaps the ones who need the most help.
____ "This school really makes it hard for gays and lesbians to be themselves.It upsets me and makes me angry, but I also know that I've got to deal with the system as it is if I am ever going to help it change.Those who fear me are perhaps the ones who need the most help."
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