Deck 13: Concrete Action Strategies for Client Change: Logical Consequences, Instruction-Psychoeducation, Stress Management, and Therapeutic Lifestyle Changes

Question 1

The skill of logical consequences is most closely associated with which of the following schools of therapy?

A)Psychoanalytic, cognitive behavioral
B)Gestalt, Logotherapy
C)Rogerian, person-centered
D)Adlerian, decisional

Answer 1

D

Question 2

Which of the following statements is TRUE of counselor use of logical consequence?

A)The strategy of logical consequences is particularly important and most often used in decisional counseling.
B)Through systematic questioning and discussion, the counselor helps clients clarify positive and negative consequences of a variety of alternatives.
C)The counselor's task is to help the client make decisions, not make decisions for the client.
D)All of the above.

Answer 2

D

Question 3

Which one of the following is an IMPROPER counselor choice in regards to counselor psychoeducational-instruction sharing?

A)Provide advice sparingly and only when the client is likely to need and accept it.
B)Offer advice and your opinions at any time a client may request it.
C)After careful listening and if the situation warrants, you can offer advice and instruction.
D)When listening to counselor advice, let the client be in charge.

Answer 3

B

Question 4

Anticipation of rewards or punishment is most closely associated with which of the following influencing strategies?

A)Directive
B)Feedback
C)Self-disclosure
D)Logical consequences

Question 5

Exploring specific alternatives and the logical positive and negative concrete consequences of each possibility is the skill of:

A)logical consequence.
B)information/psychoeducation.
C)directives.
D)none of the above.

Question 6

"If you don't come with me to the party, I'll really be angry and you'll be sorry." This is an example of:

A)interpretation.
B)logical consequences.
C)self-disclosure.
D)feedback.

Question 7

Which one of the following INACCURATELY describes a step for using the strategy of logical consequences?

A)Through listening, clarify that you and your client understand the situation in the same way.
B)Use questions and brainstorming to help the client generate alternatives.
C)As the client lists positive consequences, the counselor lists negative consequences.
D)Provide a nonjudgmental summary of positive and negative consequences.

Question 8

"Now, if I were you, I'd study a little harder because that is a difficult course.That's what I think you ought to do." This is an example of:

A)logical consequences.
B)feedback.
C)directive.
D)instruction/psychoeducation.

Question 9

Which of the following statements is TRUE of logical consequences?

A)As clients move toward decisions, encourage them to always think positively.
B)It is the counselor's responsibility to direct the client when he/she is considering a bad decision.
C)Counselors provide clients with a summary of positive and negative consequences in a nonjudgmental manner.
D)Effective counselors always encourage clients to attempt new tasks in anticipation of rewards.

Question 10

"Carter, if you continue to harass your sister, this is what will happen: you'll get a time out." This is an example of:

A)interpretation.
B)logical consequences.
C)self-disclosure.
D)feedback.

Question 11

Offering specific instruction to the client on how to resolve issues and providing useful suggestions for personal change is the skill of:

A)logical consequence.
B)instruction/psychoeducation.
C)counselor directives.
D)none of the above.

Question 12

"If you do this..., then..." is a counselor statement most likely heard when the counselor is executing the skill of:

A)logical consequence.
B)information/advice.
C)counselor directives.
D)none of the above.

Question 13

Logical consequences is a strategy appropriate rarely used by:

A)decisional counseling.
B)cognitive behavioral therapy.
C)person centered therapy.
D)motivational interviewing.

Question 14

Which of the following provides the client with data on both positive and negative consequences of an intended action?

A)Logical consequences
B)Directive
C)Feedback
D)Instruction/psychoeducation

Question 15

What is an appropriate counselor response when clients sometimes ask you directly for advice?

A)Give the client psychoeducational instruction based on your personal experience.
B)Offer your opinion; the right advice fosters independence in the client.
C)Ask the client to explore the issue from a different perspective first.
D)Give the client advice based on your best assessment of the client's problem.

Question 16

"Let me show you how to put the toy together.First, we will read the directions." This is an example of:

A)logical consequences.
B)feedback.
C)directive.
D)instruction/psychoeducation.

Question 17

For which of the following theories of counseling and psychotherapy is logical consequences an appropriate strategy?

A)Decisional counseling
B)Cognitive behavioral therapy
C)Brief counseling
D)All of the above

Question 18

In which of the following situations would it be MOST appropriate for a counselor to share instruction and psychoeducation?

A)After listening carefully to your client's account of his or her marital difficulties over several sessions, at the third session the client asks, "Should I file for divorce?"
B)You have learned that one of your clients is having difficulty considering the best way to care for an aging parent.The client says, "I don't know what to do.How do I go about exploring elder care, particularly local full-time care facilities?"
C)As a college counselor, a third year student is reconsidering her choice of majors.You have listened carefully as she has explained the catalyst and her reasoning when she asks, "If you were me, which major would you choose?"
D)A business manager is caught in a company downsizing effort.He is blindsided at work with a lay-off notice.On his first visit, he seems almost in crisis when he asks, "I have no idea what to do; what should I do?"

Question 19

Which of the following is NOT a suggested step for implementing the logical consequences skill?

A)Draw out story and strengths
B)Generate alternatives
C)Identify positive and negative consequences
D)Interpret and reframe

Question 20

What is the expected result of counselor use of logical consequences?

A)Clients can better predict the consequences of their actions.
B)The client is more involved in the process of decision-making.
C)Client may change her or his behavior.
D)All of the above.

Question 21

Which one of the following will NOT help you learn and use thought stopping?

A)Catalog your negative thoughts or statements.
B)Learn the basic process.
C)Transfer thought stopping to your daily life.
D)Add positive imaging.

Question 22

Which of the following is a destructive consequence of not doing exercise?

A)Production of BDNF
B)Production of dopamine
C)Increased gray matter
D)Obesity

Question 23

A word for positive stress is:

A)plusstress.
B)eustress.
C)topstress.
D)smartstress.

Question 24

Positive stressors :

A)raise blood pressure and heart rate.
B)lead to experiencing positive social emotions.
C)makes people feel "glad."
D)all of the above.

Question 25

Psychoeducational stress management strategies may refer to:

A)communication skills training.
B)thought stopping.
C)assertiveness training.
D)all of the above.

Question 26

Which of the following is a byproduct of positive stress?

A)Learning
B)Longer life
C)Reduction in size of amygdala
D)All of the above

Question 27

Stress management is of central importance for:

A)counseling.
B)psychotherapy.
C)crisis counseling.
D)all of the above.

Question 28

Therapeutic lifestyle changes (TLC):

A)are strategies to promote mental and physical health.
B)bring together neuroscience, medicine, and counseling.
C)originated through early preventive work with heart attack.
D)promote Type A behavior.

Question 29

Which one of the following is NOT a psychoeducational stress management strategy?

A)Thought stopping
B)Positive images of strength
C)Assessing positive and negative consequences
D)Learning social skills

Question 30

The Big 6 TLCs include:

A)sleep.
B)meditation.
C)exercise.
D)all of the above.

Question 31

Which of the following is NOT a destructive effect of stress?

A)Neurogenesis
B)Negative feelings take control
C)Brain shrinkage
D)Mental and physical illness

Question 32

Which of the following is an enriched consequence of exercise?

A)Better sleep
B)Production of dopamine
C)Increased gray matter
D)All of the above

Question 33

Which of the following is a possible outcome of stress?

A)Poor decisions
B)Weak performance
C)Emotional breakdown
D)All of the above

Question 34

Which of the following is primarily associated with stress management?

A)Logical consequences
B)Biofeedback
C)Gestalt exercises
D)All of the above

Question 35

Approximately ___ million new neural connections are made and lost daily.

A)5
B)10
C)20
D)30

Question 36

Which of the following is NOT a positive effect of exercise?

A)Better sleep
B)Production of dopamine
C)Increased gray matter
D)Mental health issues

Question 37

Which of the following is NOT one of the Big 6 TLCs?

A)Cognitive challenge
B)Prayer
C)Exercise
D)Meditation

Question 38

Which of the following is NOT a positive effect of stress?

A)Neurogenesis
B)Frontal cortex strengthened
C)Enlargement of amygdala
D)Healthier life

Question 39

The Greek word "eu" means:

A)one.
B)deep.
C)well.
D)unique.

Question 40

____________ first brought issues of stress to our attention.

A)Hans Selye
B)Sigmund Freud
C)Albert Ellis
D)Allen Ivey

Question 41

Choose four TLCs.Describe each and discuss their neuroscientific basis.Summarize the evidence demonstrating their effectiveness for improving physical and mental health.

Question 42

The Stress Management and TLCs skills and strategies almost always belong in the _______________________ phases of the session.

A)empathic relationship and story
B)story and strength and goals
C)restorying and action
D)goals and restorying

Question 43

Sleep has been called the No.1 of the Big Six TLCs.

Question 44

We don't usually think of counseling and therapy as providing instruction to clients.

Question 45

You are working with a sedentary and overweight client.The client has made significant a problem regarding his mood, but you have come to the realization that action must be taken regarding his lifestyle.The client's problem is inability to exercise.The client is a successful business person but works from his desk.Write about how you would help the client using each category below.
a.logical consequences
b.instruction/psychoeducation
c.TLCs

Question 46

Which of the following is an enriched cognitive challenge?

A)Learning to play a musical instrument
B)Mastering a foreign language
C)Playing bridge
D)All of the above

Question 47

Which of the following is an enriched consequence of good social relationships?

A)More love
B)Joyful relationships
C)Helping others
D)All of the above

Question 48

The _____________________ illustrates the many therapeutic lifestyle changes available to counselors and therapists.

A)Tree of Contemplative Practices
B)Tree of Lifestyle Changes
C)Tree of Stress Management Strategies
D)Tree of Therapeutic LifeStyle Management

Question 49

Explain stress management and provide examples for each of the key strategies listed below.
a.assertiveness training
b.thought stopping
c.positive guided imagery

Question 50

Which of the following is an enriched consequence of good nutrition?

A)Increase myelin
B)Better mental health
C)Improves cognition
D)All of the above

Question 51

Which of the following is an enriched consequence of sleep?

A)Increases hormones
B)Consolidates learning
C)Improves mood
D)All of the above

Question 52

Enriched sleep requires ___ hours of sleep.

A)5-7
B)6-8
C)7-9
D)8-10

Question 53

Stress is a psychological and physical response to change.

Question 54

Which of the following strategies are key to protecting our physical and mental health?

A)Psychoeducation
B)Stress management
C)TLCs
D)All of the above

Question 55

Describe the Big 6 TLCs.Indicate how you are doing on each and what would you do to enrich them in your life.Indicate which additional TLCs presented in the Tree of Contemplative Practices you would use to improve your physical and mental health.Explain how you are going to use these practices.

Question 56

One of the major difficulties is to take action on the TLC and stress management strategies.Discuss the issue of the "knowing-doing" gap and how you would help clients engage in stress management and the TLCs.

Question 57

Which of the following regarding exercise is NOT supported by research?

A)About 25% of the U.S.population gets no exercise at all.
B)Exercise enhances mood.
C)Exercise does not benefit people with cancer or multiple sclerosis.
D)Exercise is useful in the treatment of panic disorders.

Question 58

Which of the following is NOT an enriched consequence of good nutrition?

A)Joyful relationships
B)Lower levels of oxytocin
C)Helping others
D)None of the above

Question 59

Healthy behavior reaches down even to DNA and modifies genes in a positive fashion.

Question 60

The predicted result of psychoeducational instruction states that clients consistently apply counselor new information and ideas for positive change in their lives.