Deck 4: Tools of the Trade

Question 1

Close-ended questions in crisis intervention are generally inappropriate.​

Answer 1

False

Question 2

Open ended questions are designed to encourage clients to respond with fuller,more meaningful responses.​

Answer 2

True

Question 3

Closed ended questions should never be used because they are highly intrusive and aggressive sounding and could shut off communication.​

Answer 3

False

Question 4

Monitoring and assessing body language is an as important as monitoring and assessing verbal responses in crisis work.​

Question 5

An important aspect of listening is to respond in ways that let the client know that the worker is hearing both the content and underlying emotional content.​

Question 6

One way in which a crisis worker may determine whether the client fully understands a commitment is to ask the client to summarize the action steps that he or she plans to take.​

Question 7

"Why" questions are generally excellent open ended leads.​

Question 8

Silence is also golden at times in crisis counseling.​

Question 9

Allowing clients to cathart about the issue only compounds the crisis.​

Question 10

A good owning statement may mean making a value judgment about a client's behavior.​

Question 11

A good owning statement can be used for setting limits on disruptive and demeaning client behavior.​

Question 12

Communicating empathically means focusing exclusively on the accurate restatement of the content of verbal messages and not trying to guess at underlying meanings.​

Question 13

Directive counseling is culturally judgmental and demeaning and should not be used in crisis intervention because it reinforces helplessness.​

Question 14

Sympathy and empathy are essentially the same thing except sympathy uses more worker owning statements to convey feelings.​

Question 15

As odd and paradoxical as it may seem,expansion and focusing strategies may both be helpful in crisis intervention.​

Question 16

"We" statements are an excellent way to build collaboration.​

Question 17

Communicating genuineness means talking about yourself as a way to let clients see that you understand them.​

Question 18

Owning feeling is probably more important in crisis intervention because of the need to be directive.​

Question 19

Distancing is a technique the worker can employ to step back and more objectively view the client's dilemma.​

Question 20

"Tell me more "is an open lead that asks the client for expansion of the subject.​

Question 21

If a worker quietly sat by and allowed a client to cry for five minutes and bemoan her broken engagement,the worker would be engaging in ______ as a technique.​

A)sympathy eliciting
B)catharsis​
C)empathic responding​
D)providing support

Question 22

The level of action on the part of the crisis worker is determined largely by the assessed level of the client's:​

A)empathy.
B)mobility.​
C)genuineness.​
D)kind of crisis.​

Question 23

All of the following are good rules of the road for crisis workers,except:​

A)provide support for the client.
B)crisis workers can independently handle any situation.​
C)clear understanding of the problem is vital to effective crisis management.​
D)clients' resources are helpful to build solid crisis plans.​

Question 24

An owning statement most generally starts with the pronoun:​

A)I.
B)You.​
C)We.​
D)They.​

Question 25

An owning statement does which of the following?​

A)Puts responsibility directly on the client to respond
B)Allows the worker to safely cathart about his or her own issues​
C)Uses positive reinforcement to approximate a client towards a larger goal​
D)None of these define what an owning statement is.​

Question 26

The crisis worker who interacts with complete acceptance of clients demonstrates:​

A)an ability to reassure a client even when there is little hope of the client's dilemma being solved.
B)a total understanding of the client's problem from the crisis worker's point of view.​
C)the utmost of confidence that the client will succeed in overcoming the crisis.​
D)an unconditional positive regard for clients that transcends clients' personal qualities,beliefs,problems,situations,or crises.​

Question 27

Which of the following is not a disowned statement?​

A)Based on my own experience in this work I would say if you keep doing that you are putting yourself at grave risk.
B)We believe if you keep doing that you are putting yourself at grave risk.​
C)Research indicates if you keep doing that you will put yourself at grave risk.​
D)Don't you think if you keep doing that you will be putting yourself at grave risk?​

Question 28

If the client said,"I feel like I am in a giant vice that is squeezing my sides in on me,and a huge weight is on my head pressing me down." A good worker restatement of the client's content message would be:​

A)"It all goes back to your mother putting pressure on you to succeed."
B)"So you sound like you are really in need of some relaxation techniques."​
C)"There appears there is no direction you can go that will give you some relief."​
D)"It sounds like you are outgrowing your body."​

Question 29

A statement such as "I need for you to take a deep breath,exhale slowly,and put the gun down!" is a(n)____________ statement.​

A)assertation
B)closing​
C)genuine​
D)reflective​

Question 30

Providing guidance:​

A)is an archaic term that best describes school counseling in the 1960s and has little to do with contemporary counseling and particularly crisis intervention.
B)​means clients are incapable of helping themselves.
C)means clients don't have the knowledge or resources available to get themselves out of the crisis and need an expert in providing them with the tools to do so.​
D)means helping clients focus on their goals.

Question 31

The term empathy means that the worker:​

A)accurately senses the client's inner feelings and meanings.
B)​correctly diagnoses the client's problem or symptoms.
C)​is open and transparent in the relationship with the client.
D)engages in funeral home counseling.

Question 32

Relational markers:​

A)are stop signs for reflective statements.
B)are points to remember to make restatements.​
C)shorten the psychological distance between the worker and the client.​
D)are owning statements that help bond the relationship.​

Question 33

Closed questions are useful in crisis intervention to:​

A)request description.
B)​encourage expansion.
C)​increase focus.
D)express empathy.

Question 34

Silence as a counseling technique is best used:​

A)when the worker wants to put some pressure on the client to talk.
B)when clients need time to think.​
C)when there is a gap in the dialogue.​
D)All of the answers are a "best use."​

Question 35

Open ended questions do all but which of the following?​

A)Request description
B)Garner specific,concrete data​
C)Focus on plans​
D)Provide for assessment​

Question 36

Promoting expansion means:​

A)to have clients engage in a number of plans.
B)supporting clients as they attack multiple facets of the problem.​
C)opening up clients tunnel vision in regard to the problem.​
D)mobilizing the client to stay in the crisis situation.​

Question 37

Of the following basic strategies for crisis intervention,which one seeks to deal with warded off,shunted,and denied feelings?​

A)Allowing catharsis
B)Providing support
C)Creating awareness​
D)Promoting mobilization​

Question 38

Providing protection means:​

A)shielding the client from potential traumatic events post crisis.
B)safeguarding clients from engaging in harmful and destructive behavior.​
C)creating a space where the client's thoughts and emotions will escalate.​
D)allowing clients to avoid talking about the reasons they are in crisis.​

Question 39

"I want you to stop swearing or I will end this session" is an example of a(n):​

A)disowned statement.
B)distancing statement.​
C)limit setting statement.​
D)intolerant statement.​

Question 40

An important component of genuineness (p.86)​

A)playing a counselor role.
B)being non-defensive.​
C)is self-disclosing for its own sake.​
D)is using disowning statements.​

Question 41

You are a crisis worker that has been called in to help with a client at a small substance abuse treatment clinic.The client is agitated and unable to sit still or attend to the group conversation.The therapist on site is concerned about the safety of the client as well as the safety of others in the room.Once you have met with the client you determine that he is not a physical danger to himself or the others.How do you decide the amount of direction you will use with this client? Which action strategies will you use to resolve this crisis​

Question 42

Compare and contrast the use of open and closed questions as they apply to crisis intervention.​

Question 43

Case of Mildred.Mildred is a 42-year-old white female who is recently divorced.She is not doing well in her love life and comes to you to get some immediate help because she is depressed and thinking about suicide.She spends the first ten minutes weeping uncontrollably and has a hard time putting words together.Of the nine intentional strategies depicted in your book,which ones will you employ to stabilize this very distraught woman,and why?​