Deck 5: Foundational Skills: Nonverbal Behavior, Silence, Pause Time, Listening,paraphrasing, and Empathy

Question 1

Because a clinician bases her judgment about the client on what she is wearing, she does not hear the client accurately. She is having:

A) preconceived notions.
B) anticipatory reactions.
C) cognitive distractions.
D) personal reactions.
E) emotional responses.
F) distractions.

Answer 1

A

Question 2

In first learning empathic responding, it is suggested in Step 2 to do which of the following:

A) Make formula responses.
B) Make conversational responses.
C) Make advanced responses.
D) Use metaphors and analogies.

Answer 2

A

Question 3

As a clinician attempts to listen to his client, because he is thinking about what he's going to say, he unintentionally prevents himself from hearing the client. This is known as having:

A) preconceived notions.
B) an anticipatory reaction.
C) cognitive distractions.
D) personal reactions.
E) emotional responses.
F) distractions.

Answer 3

C

Question 4

A client states: "I know he hates me. Where has the love gone?" Which of the following is a "1.0 response."

A) You really feel sad about the love lost in the relationship.
B) You are really upset about the fact that he hates you and the love is lost.
C) You feel sad that the relationship is not what you want it to be.
D) You should go find someone else. He was probably a bum anyway.

Question 5

Who is known for creating a scale to measure empathy?

A) Rogers
B) Buscaglia
C) Tofoya
D) Carkhuff
E) Gelso and Carter

Question 6

In the text, a step-by-step process is described for learning empathic response. In Step 1, which step is not correct?

A) Listen, pause, and condense what the client has said.
B) Don't ask questions and keep responses short.
C) Reflect content and feelings, and be specific.
D) Attempt to make higher-level responses.
E) Examine client feedback to your response.

Question 7

In reference to attire, which is not true?

A) What the clinician wears is an important aspect of a client's initial perception of the helper.
B) How a client dresses can be an important message to the clinician.
C) A clinician will often make a determination concerning what to wear based on how important he or she thinks certain kinds of attire are to maintaining a comfortable relationship with clients.
D) The helper's dress will be a function of covert or overt rules of the agency.
E) It is important for a clinician to always be true to himself or herself and dress the way that he or she wants to dress.
F) All of the above are true

Question 8

Which of the following is not an advanced empathic response?

A) The use of metaphors
B) The use of analogies
C) Reflecting deeper feelings which you sense from the client
D) Making an interpretation based what you have heard from the client
E) Pointing out contrasting feelings

Question 9

Good empathic responses can be made by:

A) paraphrasing.
B) using metaphors.
C) using analogies.
D) using self-disclosure.
E) two of the above
F) three of the above
G) all of the above

Question 10

In reference to touch, Brammer and MacDonald (2003) suggest that physical contact be based on all but which of the following?

A) An assessment of the client's level of comfort
B) Whether or not the clinician is a "touchy" person
C) What is likely to be helpful within the helping relationship
D) Risks involved as a function of agency policy, customs, personal ethics, and the law

Question 11

A "3.0 response" is which of the following?

A) Accurate reflection of meaning and content
B) Accurate reflection of feeling and affect
C) Accurate reflection of content and feeling
D) None of the above

Question 12

Which of the following is not a hindrance to listening?

A) Personal issues
B) Preconceived notions
C) Cognitive distractions
D) Distractions
E) Pre-emotional anticipatory response (PEEAP)

Question 13

Which of the following is not a nonverbal behavior?

A) Body posture
B) Voice intonation
C) Attire
D) Personal space
E) Eye contact
F) Touch
G) All are considered aspects of nonverbal behavior

Question 14

Which is not true about the nature of silence in the helping relationship?

A) It will sometimes raise anxiety of a client in a manner that could push the client to talk further about a particular topic.
B) It will sometimes raise anxiety of a client in a manner that could cause a client to drop out of treatment.
C) It allows the client to reflect on what he or she has been saying.
D) It allows the clinician to process the session and to formulate his or her next response.
E) Due to its magnitude in the counseling relationship, the clinician should be careful to lessen its impact whenever possible.

Question 15

A good listener:

A) gives good advice.
B) has preconceived notions about the client.
C) is able to interpret client behavior accurately.
D) often asks questions to assure accurate interpretation of client material.
E) minimally talks.

Question 16

Advanced empathic responses:

A) paraphrase what the client has said.
B) are the same as "formula responses."
C) reflect back feeling beyond what the person has communicated.
D) reflect back content beyond what the person has communicated.
E) a and b
F) c and d

Question 17

A clinician who is working with a client notices that he is struggling with a number of issues and trying his best to make change, to no avail. The clinician says, "It seems like you're rearranging chairs on the Titanic." This is an example of:

A) a formula response.
B) an advanced response.
C) the use of metaphor.
D) a poor empathic response.
E) Two of the above
F) Three of the above

Question 18

A number of suggestions are listed in the text to help you listen effectively to a client. These include all but which of the following?

A) Maintain appropriate eye contact.
B) Have an open body posture.
C) Be sensitive to the amount of personal space.
D) Don't ask questions.
E) Actively listen.
F) Fill in empty space so the client does not feel uncomfortable.

Question 19

After listening to your clients mixed feelings about her marriage, you reflect back the following: "It sounds like on the one hand you get a sense of safety from the marriage, and on the other hand, you would like to feel a greater sense of freedom in your life. This is an example of which of the following?

A) The use of a metaphor, analogy, or visual image
B) Reflecting deeper feelings that you sense from the client
C) Making an interpretation based on what you have heard from the client
D) Pointing out contrasting feelings
E) A poor empathic response

Question 20

A number of suggestions are listed in the text to help you listen effectively to a client. These include all but which of the following?

A) Calm yourself.
B) Stop talking and don't interrupt.
C) Show interest.
D) Make judgments about the clients behaviors.
E) Concentrate on feelings.
F) Concentrate on content.

Question 21

Because of liability concerns, one should never touch a client.

Question 22

Some suggest that the clinician should wait as much as 30 seconds before responding to the client.

Question 23

Most nonverbal behavior is conscious.

Question 24

In making "natural responses," the helper says whatever comes naturally.

Question 25

Generally, it is best to "shoot for" higher-level responses when making an empathic response.

Question 26

Although Carkhuff found a useful mechanism to assess empathic responding, probably the person who had the greatest impact on our modern day understanding of empathy was Carl Rogers.

Question 27

The pause time of Native Americans is less than that of white Americans, thus clinicians should try to "fill the void" when working with a Native American client.

Question 28

Nonverbal behaviors are probably most important during the work stage due to the intensity of the relationship at that point in time.

Question 29

"Level 5" empathic responses are common in the helping relationship.

Question 30

As much as 30 percent of behavior is communicated nonverbally.

Question 31

Level 5 empathic responses are generally made by expert helpers and entail showing the client that you understand his or her deep pain as well as the complexity of the situation.

Question 32

Personal space tends to be about the same for everyone.

Question 33

Nonverbal behavior varies as a function of culture.

Question 34

A client of yours tells you the depth of his loneliness, and you respond by saying: "It's like you're in a cabin in the woods, and no one can reach you." This is an example of which of the following?

A) The use of a metaphor, analogy, or visual image
B) Reflecting deeper feelings that you sense from the client
C) Making an interpretation based what you have heard from the client
D) Pointing out contrasting feelings
E) Higher level empathic responding
F) A poor empathic response
True or False