Deck 12: Counseling 

Question 1

There are both universal and specific counseling approaches, programs, and services used during therapeutic interactions for people with disabilities. Which of the following best represent the types of approaches, programs, and/or services typically facilitated by RCs for persons with disabilities?

A) Psychotherapy sessions that focus on past traumatic experiences of the client
B) Training clients on independent living skills to enhance safety in the kitchen, shopping, and money management skills
C) Job analysis and transferable skill analysis for job placement activities
D) Counseling approaches that focus on psychosocial adjustment to a chronic illness or disability and treatment planning for client-choice related to some of the most immediate and critical life issues
E) Client evaluation of assistive technology needs for use at home, school, or work

Answer 1

D

Question 2

Counselors across all work settings and theoretical orientations must be proficient, competent, and ethical in working with a range of people with disabilities. This important principle honors best practices in working with the unique attributes of persons with disabilities. Which statement does not depict or honors the principle.

A) People with disabilities comprise basically one single group of individuals who all have similar needs, mentally and physically. Thus, the counselor who knows how to work with this population of individuals will gain therapeutic advantage.
B) People with physical disabilities differ from persons with mental disabilities. However, counselors who have a common core of knowledge and skills to work with this population of individuals will be able to work competently with all disabilities.
C) Disability affects each individual differently; from a mental, physical, cognitive, social, and vocational level of functioning. Thus, counselors who understand each condition and treat each disability as different and unique will be more effective therapeutically in working with their client's physiological, psychological, and cultural attributes.
D) Disability affects each individual differently. However, there are core knowledge and skill areas that counselors can base their practice-on in working therapeutically with all groups of disabilities.
E) Working at optimal therapeutic levels for all persons, regardless of disability is what is most essential; as opposed to providing specific programs and services.

Answer 2

C

Question 3

RCs possess a unique knowledge, awareness, and skill-set to work with the challenges people with disabilities face on a day-to-day basis across multiple life areas. Which statement best depicts this principle:

A) The field of rehabilitation counseling evolved primarily as a group of specialty areas (e.g., vocational, school, mental health, and rehabilitation) that practiced a common core of competencies and foundational skills. Thus, best practices in rehabilitation counseling exemplifies that RCs can work with all persons.
B) The rehabilitationist is a counselor and psychotherapist first and foremost. He or she works with the holistic needs of all individuals, regardless of disability. The fact that the individual may or may not have a mental or physical disability should not matter in the delivery of services.
C) The field of counseling evolved primarily as a group of specialty areas (e.g., vocational, school, mental health, and rehabilitation) that practiced a common core of competencies and foundational skills. Best practices in rehabilitation suggests that RCs understand the unique cultural attributes of their clients and understand the medical, psychosocial, vocational, and mental health impact that the disability has on their client's life.
D) The rehabilitationist is a psychotherapist first and foremost. He or she works with the mental health needs of all individuals, regardless of disability. The fact that the individual may have a disability does not alter this fact; most physical conditions have co-occurring mental health conditions. Thus, knowing how to treat mental health conditions can go a long way therapeutically.

Answer 3

C

Question 4

There are core skills that RCs facilitate during therapeutic interactions. Which of the following represent some of the most important counseling tools for use in building a therapeutic working alliance with a client:

A) The foundation of the counseling relationship is built upon the principles of respect, warmth, cultural understanding, genuineness, congruency, authenticity, and positive regard. Establishing a strong client-counselor relationship is critical to the working alliance.
B) The foundation of the counseling relationship is built upon "truth in disclosure." Thus, it is critical that RCs first initiate all appropriate paper work and forms that explain client rights and responsibilities.
C) The foundation of the counseling relationship begins with challenging the client's thoughts, feelings, and emotions related to their chronic illness and/or disability. RCs who can assist their client in breaking through denial and negative coping mechanisms typically begin to earn client trust.
D) Building a strong therapeutic alliance begins with motivational interviewing and cognitive behavioral strategies. Most all other approaches rarely work because they do not work with the holistic needs of the client.

Question 5

Tarvydas, Hartley, and Gerald (2016) suggest that one of the most critical components in current counselor licensure legislation is:

A) The professional scope of practice statement which may restrict RCs in becoming qualified licensed practitioners
B) The RCs' training in programs that emphasize psychological assessment and the specific use of motivational interviewing and cognitive behavioral therapy techniques for use during counseling interactions
C) RCs who have limited clinical experiences and the appropriate level of clinical supervision
D) RCs who did not graduate from an American Psychological Association-accredited counseling program.
E) Both a and c