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

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

Answer 1

D

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

Answer 2

B

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

Answer 3

E

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

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

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

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

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

Question 9

What is the meaning of the term resistance?

Question 10

What responses tend to increase resistance?

Question 11

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

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

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

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

Question 16

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

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

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