Question 1

Confrontation
A)is the strongest way to promote client change
B)is an effective way for counsellors to deal with their own personal feelings
C)has no place in professional counselling
D)has the potential to deepen trust in relationships
E)interferes with the important goal of keeping the counselling relationship pleasant

Accepted Answer

Confrontation, when done appropriately and respectfully, has the potential to deepen trust in relationships between the client and counsellor. It allows the client to understand their behaviors and beliefs, and to see the impact those behaviors and beliefs can have on themselves and others. As a result, the client may be more motivated to make changes. However, confrontation should always be done in a way that is respectful and client-centered, rather than aggressive or judgmental.

Question 2

When clients reach the defensive phase (escalating toward violence),the best response is:
A)calm them with a gentle touch
B)set realistic and enforceable limits
C)use a commanding voice tone establish control
D)avoid compromise as this demonstrates weakness and will lead to further demands
E)none of the above

Accepted Answer

When clients reach the defensive phase and are escalating toward violence, it is important to set realistic and enforceable limits to maintain boundaries and prevent the situation from escalating further. Calming them with a gentle touch or using a commanding voice tone may not be effective and may actually escalate the situation further. Avoiding compromise may also worsen the situation. Therefore, setting realistic and enforceable limits is the best response.

Question 3

Which of the following may be a sign of resistance?
A)uncooperative behaviour
B)hostility
C)not showing up for an appointment
D)changing the subject
E)all of the above

Accepted Answer

All of the above behaviors may be signs of resistance. Uncooperative behavior, hostility, not showing up for an appointment, and changing the subject can all indicate a resistance to the topic or the person attempting to address it.

Question 4

The term psychological reactance describes how
A)problem behaviours may increase if a person believes that his or her personal freedom is threatened
B)people react to violence
C)defense mechanism impact behaviour
D)chemical changes affect brain functioning
E)counsellors have a tendency to avoid dealing with anger

Accepted Answer

Psychological reactance refers to the idea that people may react negatively or increase their problem behaviors if they perceive that their personal freedom or autonomy is threatened. This can occur in response to a variety of situations, such as when someone feels pressured to conform to social norms or rules, or when they are told they cannot do something they want to do. It is important for counselors and other professionals to be aware of this phenomenon and to approach clients with sensitivity to their need for choice and autonomy.

Question 5

Which of the following is the best predictor of potential violence?
A)command hallucinations
B)social and personal stress events
C)head injury or organic brain disease
D)history of violent behaviour
E)schizophrenia

Accepted Answer

A history of violent behavior is the best predictor of potential violence. People who have a history of violent behavior are more likely to be violent in the future than those who do not. Other factors such as command hallucinations, social/personal stress events, head injury or organic brain disease, and schizophrenia may increase the risk of violence, but they are not as strong predictors as a history of violent behavior.

Question 6

When dealing with clients who make veiled reference to what they might do,Gavin de Becker suggests that counsellors
A)ignore the reference
B)change the subject
C)ask the client to be specific about their intentions
D)notify the police
E)let the client know that you will not tolerate such statements

Accepted Answer

It is important to address any veiled references to potential harm or violent behavior in order to assess the level of risk posed to the client or others. Asking the client to be specific about their intentions can help to clarify the situation and allow the counselor to make appropriate referrals or take necessary action to ensure safety. Ignoring or changing the subject may not address the underlying concerns or potential risks, while notifying the police may not be necessary or feasible without more specific information. Letting the client know that such statements are not tolerated may also be appropriate, but should not be the only response if there are concerns about safety or harm.

Question 7

Which of the following counsellor behaviours will tend to increase client resistance?
A)immediacy
B)self-disclosure
C)attempting to persuade the client to change
D)contracting
E)core conditions

Accepted Answer

Attempting to persuade the client to change can increase client resistance as it makes them feel like the counsellor is trying to control them or their actions. It is important for the counsellor to explore the client's own motivation and reasons for change instead of imposing their own beliefs or agenda. The other options such as immediacy, self-disclosure, contracting, and core conditions are not necessarily counterproductive and can be helpful in certain situations.

Question 8

Which of the following statements is true?
A)setting limits violates the trust of the counselling relationship
B)failure to set limits can lead to acting-out behaviour
C)angry clients rarely respond to limit setting
D)it is usually better to state the limit with clear negative consequence
E)limit setting exposes counsellors to significant risk

Accepted Answer

Failure to set limits can lead to acting-out behavior because clients may take advantage of an overly permissive counseling relationship. Setting limits is an essential part of establishing boundaries and creating a safe and effective counseling relationship. The other statements are not true.

Question 9

What is the meaning of the term resistance?

Accepted Answer

The answer of What is the meaning of the term...

Question 10

What responses tend to increase resistance?

Accepted Answer

The answer of What responses tend to increase resistance?...

Question 11

What responses tend to decrease resistance?

Accepted Answer

The answer of What responses tend to decrease resistance?...

Question 12

Which of the following is true?
A)age is not a factor in predicting violence
B)alcohol lessens inhibitions and is associated with increased violence
C)LSD and glue sniffing lessen the risk of violence
D)the highest risk age and gender for violence is men from 40 to 49 years of age
E)anger is a dangerous emotion

Accepted Answer

Studies have shown that alcohol consumption is associated with increased violence due to its ability to lower inhibitions and impair judgment. The other choices are incorrect: A) age is a factor in predicting violence, as younger individuals are more likely to engage in violent behavior; C) LSD and glue sniffing are associated with an increased risk of violence; D) while men are generally more likely to engage in violent behavior, the highest risk age range for violence varies by location and context; E) anger can be a normal and even healthy emotion when expressed appropriately, and is not necessarily dangerous on its own.

Question 13

During the anxiety phase (escalating toward violence)client warning signs include
A)increased agitation
B)acting out behaviour
C)threats
D)displays of weapons
E)all of the above

Accepted Answer

The answer of During the anxiety phase (escalating toward violence)client...

Question 14

Resistance may originate because of
A)problems in the counselling relationship
B)failure of the client to perceive a problem
C)belief that taking help is a sign of weakness
D)fear of change
E)all of the above

Accepted Answer

Resistance can stem from various sources, including problems in the counselling relationship, a failure on the part of the client to recognize that they have a problem or need help, a belief that seeking help is an admission of weakness, and fear of change. Therefore, all the options listed above are correct.

Question 15

When dealing with potentially violent clients,compromise
A)should be avoided
B)is neither possible,nor desirable
C)sets up a pattern whereby clients get what they want through threat
D)makes it harder to set limits at a later date
E)may help clients find a way to retain their dignity

Accepted Answer

Compromise may help violent clients retain their dignity and avoid escalating the situation. It is important to prioritize safety and set clear boundaries, but finding a solution that both parties can agree on can help de-escalate the situation and prevent future conflict.

Question 16

Describe the different types of confrontation.

Accepted Answer

The answer of Describe the different types of confrontation....

Question 17

Critical incident debriefing is a tool
A)for interviewing and counselling potentially suicidal clients
B)used to systematically record the reasons for a violent event
C)that has been found to be helpful for people who have been traumatized
D)that evaluate a client's potential for violence
E)used during the tension reduction phase to help clients understand the reasons for their violent behaviour

Accepted Answer

Critical incident debriefing is a structured group or individual process that aims to support people who have been traumatized by a critical incident, such as a violent event or natural disaster. It provides a safe and supportive environment for individuals to express their thoughts, feelings, and reactions to the event, helping them to process their experience and reduce the risk of long-term psychological distress. It is not used for evaluating potential violence, interviewing or counseling potentially suicidal clients, systematically recording reasons for a violent event, or helping clients understand the reasons for their violent behavior.

Question 18

Which of the following statements is true?
A)mental illness is a strong predictor for violence
B)clients who are violent are likely to have a mental disorder
C)recent research has made it easy to predict who will become violent
D)violence arises from a complex mix of psychological,social,biological,and physiological factors
E)past behaviour is of little value in predicting who might become violent

Accepted Answer

Research has shown that violence arises from a complex mix of psychological, social, biological, and physiological factors. Mental illness on its own is not a strong predictor of violence, and individuals who are violent do not necessarily have a mental disorder. While there is ongoing research in the field, at present there is no single factor or set of factors that accurately predict who will become violent. Past behavior is also a key indicator in assessing potential for future violent behavior.

Question 19

Which of the following is true?
A)some resistance is normal and perhaps desirable
B)resistance signals that there are problems in the counselling relationship
C)resistance is a serious impediment to counselling success
D)resistance is rare if counselling routines are followed properly
E)resistance signals a need to refer the client to a different counsellor

Accepted Answer

Some resistance is normal and perhaps desirable in the counselling process as it can indicate that the client is engaging with the therapeutic process and exploring their thoughts and feelings. However, if the resistance is excessive or persistent, it may become an impediment to counselling success. It does not necessarily signal a problem in the counselling relationship or the need to refer the client to a different counsellor.

Quiz 8: Difficult Situations: Resistance,confrontation,aggression,and Violence

Confrontation

When clients reach the defensive phase (escalating toward violence) ,the best response is:

Which of the following may be a sign of resistance?

The term psychological reactance describes how

Which of the following is the best predictor of potential violence?

When dealing with clients who make veiled reference to what they might do,Gavin de Becker suggests that counsellors

Which of the following counsellor behaviours will tend to increase client resistance?

Which of the following statements is true?

What is the meaning of the term resistance?

What responses tend to increase resistance?

What responses tend to decrease resistance?

Which of the following is true?

During the anxiety phase (escalating toward violence) client warning signs include

Resistance may originate because of

When dealing with potentially violent clients,compromise

Describe the different types of confrontation.

Critical incident debriefing is a tool

Which of the following statements is true?

Which of the following is true?