Deck 9: Where Do Counselors Work

Question 1

When deciding who should be in the room during a counseling session, the counselor typically decides _____

A) That everyone involved in a conflict needs to be present for counseling to be effective
B) That people who are causing problems in a client's life need to come to counseling in order to reduce the client's stress
C) That the presenting problem is a major deciding factor in determining who should be present
D) That the client needs to let the counselor know who should be present in the counseling session

Answer 1

That the presenting problem is a major deciding factor in determining who should be present

Question 2

If a client tells his counselor "My boss is mean to me," the most productive response by the counselor would be _____

A) Have the client tell her/his boss that the boss should come to counseling with the client to help them work it out
B) Tell the client s/he should change jobs so he can find a nicer boss
C) Help the client do a better job at work, so the boss is no longer mean
D) Help the client understand how to be proactive about her/his choices rather than reactive to the behaviors of others

Answer 2

Help the client understand how to be proactive about her/his choices rather than reactive to the behaviors of others

Question 3

Involuntary clients are _____

A) Clients who have impulse control problems that they cannot control (hence, the problems are involuntary)
B) Clients who do not wish to participate in the counseling process but are mandated to do so
C) Clients with severe mental illness who volunteer for new types of treatments or interventions
D) Clients who have involuntary (reflex) reactions, such as Tic Disorders or Tourette's Syndrome

Answer 3

Clients who do not wish to participate in the counseling process but are mandated to do so

Question 4

All of the following are types of counseling modalities discussed in the chapter EXCEPT _____

A) Counseling clients with visual impairments
B) Group counseling
C) Family counseling
D) Individual counseling

Question 5

An example of a situation in which couples counseling would be most useful is when _____

A) One member of the dyad has a phobia of heights that needs to be resolved
B) One member of the dyad is having difficulty sleeping due to stress
C) Both members of the dyad want to solve relationship problems that affect their lives
D) Both members of the dyad have stressful situations at their work sites that are difficult to manage

Question 6

When unrelated adults with severe mental disorders meet together to try to uncover deep personality issues that affect their functioning, this is called _____

A) Group Psychoeducation
B) Group Psychotherapy
C) Multi-Family Group Counseling
D) Family Counseling

Question 7

Tuckman's stages of group counseling are _____

A) Selecting appropriate clients, finding a place to meet, establishing a time and dates for meeting, completing the necessary paperwork for insurance payments and other fees
B) Forming, storming, norming, performing, adjourning
C) Opening the session, checking in with group members, providing appropriate interventions, closing the session
D) Selecting (clients), collecting (basic information about goals and interests) effecting (good results), neglecting (inappropriate behaviors), reflecting (on the good work that has been done)

Question 8

An example of a type of counseling specialization based on an intervention or technique is _____

A) Play therapy
B) Gerontological counseling
C) College counseling
D) Adlerian counseling

Question 9

An example of a type of counseling specialization based on a client problem or population is _____

A) Art (expressive) therapy
B) Adventure therapy
C) Career counseling
D) Adlerian counseling

Question 10

The counseling environment where clients receive intensive 'round the clock care is _____

A) Inpatient unit
B) Partial hospitalization unit
C) Private practice
D) Called "the least restrictive environment"

Question 11

The counseling environment typically used for clients who are imminently suicidal or homicidal is _____

A) Inpatient unit
B) Partial hospitalization unit
C) Outpatient practice
D) Residential treatment facility

Question 12

A private practice _____

A) Is inappropriate for counselors, since in most states counselors cannot practice independently
B) Typically takes 3-5 years to establish
C) Is where most counselors end up working
D) The best place for counselors seeking a lot of diversity in their client load

Question 13

Couples counseling _____

A) Is qualitatively (not just quantitatively) different than individual counseling
B) Is most appropriate for married, heterosexual couples
C) Seldom works, since people's problems are so entrenched
D) Is the best type of counseling for anyone who is married

Question 14

Counselors who wish to work with families _____

A) Can typically take their individual counseling skills and apply them to families
B) Are advised to be very nondirective and allow the family to work out the problems with little interference or intervention from the counselor
C) Require specialized training in family therapy, techniques, and ethics
D) All of the above

Question 15

Counselors who help clients with disabilities find jobs and adjust to their disability are typically operating within the counseling specialty of _____

A) Art (expressive) therapy
B) Gerontological counseling
C) Career counseling
D) Rehabilitation counseling

Question 16

Career counseling _____

A) Is a counseling specialty that has changed little since its inception
B) Is best when a counselor works to learn about careers, learn about the client, and then match the two
C) Is now seen as a developmental process that involves changes and transitions over the client's lifespan
D) Is a distinct specialty that tries to isolate and understand a client's career and vocational choices separately from other parts of the client's life, in order to help clients clarify their goals

Question 17

Nationally _____

A) Fewer college students have significant mental health problems than in the past, since colleges are open to fewer students
B) College counselors cannot link their work with student retention in college, putting the specialty of college counseling at risk for elimination
C) College counselors spend less than 20% of their time in direct services to students, since there are so many other pressing things for them to be doing on campus
D) About 20% of college students seen in college counseling centers have significant psychological problems, a dramatic increase from previous decades

Question 18

Effective counseling _____

A) Cannot be done via the telephone or Internet
B) Requires, at a minimum, a private office with a couple of chairs
C) Can be conducted in a variety of settings and environments, depending on the needs of the client or the situation
D) Cannot be done with involuntary clients

Question 19

When a counselor considers whether a client should be hospitalized, all of the following are used to determine when, where and if the client should be hospitalized EXCEPT _____

A) The client's insurance coverage or ability to pay
B) The client's refusal to go to the hospital, regardless of the severity of the problem
C) The least restrictive environment necessary for the client's recovery or safety
D) The client's danger to self or others

Question 20

Counselors in private practice _____

A) Must know something about business and financial decisions
B) Will have to pay at least part of their income to cover office expenses and overhead
C) Need to find ways to get appropriate referrals
D) All of the above

Question 21

One of the common pitfalls of counselors trained in individual counseling who start running groups is that they are likely to try to conduct individual counseling in a group setting, which misses the benefits that group counseling can provide.

Question 22

Group counseling can be effective because it provides clients with interpersonal feedback and an opportunity to try new communication skills.

Question 23

Multi-family group counseling is most commonly used for the treatment of suicidal individuals.

Question 24

Family counseling works best when there is an "identified patient" and the family recognizes that if that individual's problems are solved, the problems in the family will essentially go away.

Question 25

Just over 1% of the world's population has schizophrenia, a persistent and often disabling mental disorder.

Question 26

Because it is difficult to have privacy in the home environment, in-home counseling is only done when the entire family is directly involved in the counseling.

Question 27

What are some of the factors that play into the decision of who should be in the room for a counseling session?

Question 28

Compare and contrast individual counseling with couples counseling. How do counselors make the determination of whether to engage in individual or couples counseling with a client who is married?

Question 29

List and describe at least two of each of the following:
a. A counseling specialization based on intervention or technique
b. A counseling specialization based on client problem or population
c. A counseling specialization based on setting or environment

Question 30

Compare and contrast the arguments of those who believe counselors should be directive in their approach with those who believe in a non-directive approach.

Question 31

Describe a situation or problem that might be best addressed in inpatient counseling, outpatient counseling, school counseling, and in-home counseling.