Deck 2: Safety and Self-Care in Crisis Situations

Question 1

During the initial impact of a crisis,

A)mental health providers beginning treatment planning.
B)mental health providers work independently of the crisis team.
C)critical needs such as shelter and food are addressed first.
D)triage is not important.

Answer 1

C

Question 2

The majority of stalking cases involve

A)female inpatient clients.
B)male inpatient clients.
C)female outpatient clients.
D)male outpatient clients.

Answer 2

D

Question 3

A high risk suicidal client suddenly jumps up and runs from a counselor's office.The counselor should

A)call law enforcement.
B)run after the client and try to stop the client.
C)call the nearest emergency room and ask them to be on the lookout for the client.
D)call the client to schedule another appointment for follow up.

Answer 3

A

Question 4

Counselors who become aware of unresolved issues should seek consultation,supervision and

A)reimbursement.
B)licensure.
C)personal counseling.
D)reactive interface.

Question 5

Counselor James has unresolved grief about his mother's untimely death at a young age from breast cancer.His new client has come to counseling for help with facing her diagnosis of breast cancer.James begins to cry during the intake session.This is an example of

A)consultation.
B)countertransference.
C)transference.
D)resolution therapy.

Question 6

The most dangerous setting for counseling practice is a

A)university counseling center.
B)sole practitioner in a multipurpose building.
C)counseling agency.
D)sole practitioner practicing in his or her own home.

Question 7

In addition to self-checkins for mental health monitoring,counselors should also

A)ask clients for feedback regarding their performance.
B)conceal stress so that they can continue to be role models.
C)disclose their concerns to clients.
D)debrief with colleagues.

Question 8

It is __________ to engage in restorative practices.

A)to our monetary benefit
B)our ethical obligation
C)futile
D)an indicator of impairment

Question 9

Disconnected counselors have high levels of client

A)adjustment.
B)esteem.
C)purpose.
D)devaluation.

Question 10

Rapport building in cross cultural counseling may be hindered by

A)sensitivity.
B)distrust of government agencies.
C)collaboration with community leaders.
D)resources and aid.

Question 11

Regarding in-home counseling.All of the following are true EXCEPT that

A)in-home services should be conducted alone.
B)counselors should call their agency before and after the in-home appointment.
C)counselors should familiarize themselves with the community and environment.
D)if a counselor feels uneasy,the counselor should leave the premises.

Question 12

Which of the following referral scenarios represents the greatest potential danger to a sole practitioner?

A)A client calls after finding your name on an online listing.
B)A lawyer you know refers a client to you.
C)A former client refers her neighbor to you.
D)A psychiatrist refers a client to you.

Question 13

While burnout is a response to occupational stress,vicarious trauma involves a personal __________ reaction to a client's experience.

A)behavioral
B)affective
C)cognitive
D)emotional

Question 14

__________ occurs when counselors exhaust themselves both physically and emotionally over time.

A)Resiliency
B)Compassion empathy
C)Burnout
D)Vicarious trauma

Question 15

Counselors working with clients at high risk for violence should do all of the following EXCEPT

A)secure wall framed items,such as pictures and diplomas,to the wall.
B)display family photos in a prominent place.
C)avoid wearing ties and scarves.
D)install a safety alarm.

Question 16

Self-assessment is the process whereby counselors

A)underestimate best practice.
B)react emotionally to challenges.
C)monitor their reactions,behaviors and feelings.
D)reject internal process.

Question 17

Secondary traumatic stress refers to

A)the ability to cope with primary trauma.
B)behaviors and emotions resulting from trauma stories.
C)cognitive burnout.
D)stress emphasis.

Question 18

__________ involves a changed worldview and sense of self as a result of work with trauma clients.

A)Burnout
B)Secondary traumatic stress
C)Compassion fatigue
D)Vicarious trauma

Question 19

A sole practitioner who experiences fear or intuitive red flags when screening a new client via phone should

A)not discriminate and take on the client.
B)seek counseling for anxiety.
C)decline to see the client.
D)see the client but sit near a door for an escape route.

Question 20

Crisis intervention can lead to stress and burnout due to

A)the emotionally charged environment.
B)client resiliency.
C)counselor resiliency.
D)wellness training.

Question 21

Counselor well-being is dependent upon __________ to engage in self-care.

A)external pressure
B)enforced requirements
C)intentional choices
D)professional organizations

Question 22

__________ occurs when counselors experience affirming thoughts,feelings and beliefs after hearing about clients' adaptation to difficulties.

A)Vicarious resiliency
B)Internal stress
C)Vicarious trauma
D)Empowerment burnout

Question 23

All of the following are examples of vicarious trauma prevention EXCEPT

A)peer supervision.
B)training and education on trauma work.
C)overtime to gain experience working with trauma clients.
D)spirituality.

Question 24

Counselors working with __________ must be especially intentional about self-care.

A)the elderly
B)adolescents
C)a wide spectrum of client issues
D)trauma clients

Question 25

The capacity of clients to deal with trauma and restore their lives was found to be __________ to counselors.

A)empowering
B)overwhelming
C)insignificant
D)detrimental