Counseling Theory & Practice - Final Exam

Front 1

Attending can be understood as:

Back 1

Listening Skill

Front 2

In the Adlerian therapeutic system, Adlerians are mainly concerned with challenging clients':

Back 2

Fundamental premises and life goals

Front 3

In the Adlerian therapeutic system, Adlerians are not bound by any set of techniques, and they have a diversity of therapeutic styles. They tend to be ________
in drawing from many techniques suited to the individual needs of their clients.

Back 3

Eclectic (selecting or employing individual elements from a variety of sources, systems, or styles)

Front 4

All of these are substance induced mental disorders as identified by the DSM IV TR except:

Back 4

Substance induced cognitive impairment

Front 5

In the Gestalt Therapeutic System the five layers of neurotic ways of avoiding: the phony, the phobic, the impasse, the implosive, and the explosive is known as:

Back 5

Modes of defense

Front 6

Gestalt therapy can best be characterized as:

Back 6

An experiential therapy

Front 7

What percentage of individuals, with alcohol withdrawal experience alcohol withdrawal delirium (or delirium tremens, or the DTs).

Back 7

Less than 5%

Front 8

A client who has completed a residential treatment program is living in a half way house with other recovering addicts. This living arrangement best described as:

Back 8

Tertiary prevention--long-term intensive treatment of serious problems to prevent catastrophic problems (i.e., treating depression to prevent suicide)

Front 9

Primary Prevention

Back 9

Prevent problems before they occur (i.e., career education, conflict resolution skills to everyone)

Front 10

Secondary Prevention

Back 10

(Transition Stage)--Identification and early intervention of existing problems (anxiety management skills to someone test phobic - anxiety & defensiveness

Front 11

In addictions counseling, one comes to the field of addictions with certain beliefs, opinions and values. These are actually:

Back 11

Biases that are rooted in culture and world view.

Front 12

When drug use is studied on a regional basis the facts show that the majority of drugs are distributed in what area of the country?

Back 12

Rural

Front 13

In the Adlerian therapeutic system, the process of increasing self-confidence used throughout therapy as a way to counter discouragement and to help people se t realistic goals are known as:

Back 13

Encouragement

Front 14

In the Adlerian therapeutic system, Adlerians are primarily concerned with challenging the clients:

Back 14

Fundamental premises and life goals.

Front 15

TX:
DX:

Back 15

treatment; diagnosis

Front 16

The client has been doing well in TX for about a month. But now he is concerned about his feelings and he has been complaining about aches and pains he did not notice when he was using. The counselor should:

Back 16

Make a referral for medical attention.

Front 17

Which of these situations constitutes a breech of confidentiality?

Back 17

Taking files home to work on them

Front 18

This counseling technique is an extension of active listening. The reiteration what a client has just said and repeating them for the client's benefit is called:

Back 18

Restating

Front 19

The word psycho sexual is associated with:

Back 19

Freudian psychoanalysis

Front 20

The group planning occurs most often during the:

Back 20

Intimacy stage

Front 21

In dealing with addicted populations many issues and circumstances are identical, for example being in jail or being on probation or losing a wife through divorce. But beyond these similarities, there are many points where clients are unique. One of the most significant factor is:

Back 21

Cultural differences

Front 22

5 Developmental Stages of a Group:
Initial Stages: Forming:

Back 22

Focus on dependency & inclusion; members will experience anxiety, seek guidance; The group comes together and gets to initially know one another and form as a group.

Front 23

5 Developmental Stages of a Group:
Initial Stages: Storming:

Back 23

Struggles around power and control; competition and conflict, confrontations with leader, anxiety around safety of group; A chaotic vying for leadership and trialling of group processes

Front 24

5 Developmental Stages of a Group:
Working Stages: Norming:

Back 24

Consensus of group tasks, intimacy, and working process; Eventually agreement is reached on how the group operates (norming)

Front 25

5 Developmental Stages of a Group:
Working Stages: Performing:

Back 25

Mature and productive work process, expression of individual differences; The group practices its craft and becomes effective in meeting its objectives.

Front 26

5 Developmental Stages of a Group:
Working Stages: Termination:

Back 26

Concerns associated with separation, emergence of painful affects, members' appreciation for one another;
Adjourning: The process of "unforming" the group, that is, letting go of the group structure and moving on.

Front 27

Types of Groups:
Tasks Groups:

Back 27

A facilitator that would come in, to a staff, business, (talking about the process) bring in someone to solve that issue in the organization;Task groups consist of people who work together to achieve a common task. Members are brought together to accomplish a narrow range of goals within a specified time period. The organization appoints members and assigns the goals and tasks to be accomplished. Examples of assigned tasks are the development of a new product, the improvement of a production process, or the proposal of a motivational contest. Other common task groups are project groups and standing committees. Committees are temporary groups created to resolve a specific complaint or develop a process. Project groups are similar to committees and normally disband after the group completes the assigned task.

Front 28

Types of Groups:
Psycho-educational Groups

Back 28

A psycho-educational group is a specific type of group therapy that focuses on educating clients about their disorders and ways of coping. Cognitive, affective, & behavioral skill development through discussing & integrating factual info. Many groups consist of members that all share the same diagnosis. The education tends to focus on coping with that specific disorder; i.e., substance abuse prevention group

Front 29

Types of Groups:
Counseling Groups:

Back 29

Counseling group members gather to exchange thoughts, feelings and ideas about resolving short-term issues & utilize problem-solving techniques & interactive feedback & support; not an on-going treatment, short-term, i.e., loneliness or isolation

Front 30

Ethical standards and the law are always in agreement:
True or False

Back 30

False

Front 31

Types of Groups:
Psychotherapy Groups:

Back 31

These groups address psychological distress (symptoms) & interpersonal problems; long-term; groups provide high level of support, caring, confrontation, exploration, surrounded by others who have the same anxieties and emotional issues that they have; gain sense of identity & social acceptance from other group members; feedback; insight into their own behavior; understanding

Front 32

Types of Groups:
Brief Group Therapy (BGT):

Back 32

BGT is time limited and structured; important elements include: specific & realistic treatment goals, clear group focus, maintaining an active therapist role

Front 33

Group therapy:

Back 33

A form of psychotherapy carried out regularly that involves sessions guided by a therapist and attended by several clients who confront their personal problems together. The interaction among clients is considered to be an integral part of the therapy.

Front 34

Elements of Diversity Competence:

Back 34

Understand your own culture; culture includes not only ethic or racial heritage but also: age, gender, sexual identity, religion, socioeconomic status; Imposing your worldview can do harm

Front 35

Intake Assessment:

Back 35

(in a problem-oriented medical record) an examiner's evaluation of the condition based on the client's subjective report of the symptoms and course of the condition and the examiner's objective findings, including information obtained through intake and information reported by family members and other health care team members.

Front 36

Intake Information:

Back 36

"What brought you in to see me today?"
The primary clinical assessment of a client's condition as a prerequisite to making a plan of treatment; Demographics; Presenting problems & symptoms; Co-existing symptoms (could've been present before using-need to know if addtl treatment &/or referral needed); Medical history; Current & past health problems (including surgeries); Current & past meds.; Family history

Front 37

Intake Information Cont.

Back 37

Psychiatric history; Current & past Dx; Previous Inpatient &/or outpatient; Substance use, problems related to substance use; Legal info., arrest history; Current & past VERY important--two weeks? or two years? What were they using? How were they using? How much? How often? Have you ever? Over your lifetime?

Front 38

Intake Information Cont.

Back 38

Sexual identity issues; Socio-cultural concerns; Personal strengths; Sex-identity--childhood trauma abuse; Risk Assessment, Homicidal ideation, Suicidal ideation, Self-injurious behaviors--ease into "Have you ever tried to kill yourself?"; Attempts--When? What did you do? **Want to know about their plan!
--If harming animals, it could show where they're at? symptoms? for antisocial, possibly

Front 39

Intake Information Cont.:
Mental Status Exam:

Back 39

A great indicator of where a client is at in their symptoms: presentation (poor personal hygiene or grooming may reflect a loss of interest in self-care or physical inability to bathe or dress oneself), impulse control, judgement (poor?), memory (notice if short-term or long-term), Orientation x4 (person, place, time, or situation), Intelligence (est. GED, Grad., or Hi School?)

Front 40

Intake Information Cont.
Mental Status Assessment (Exam):

Back 40

A thorough examination of the patient to study cognitive impairment and emotional or psychiatric disorders.
Farlex Partner Medical Dictionary

Front 41

Substance Dependence

Back 41

A maladaptive pattern of substance use, leading to clinically significant impairment or distress; as manifested by the presence of 3+ of following occurring at any time in the same 12 month period:
1. Tolerance, either
a. A need for ↑ amounts, or
b. ↓ Effect with continued use of same amount of substance
2 Withdrawal symptoms ("Tolerance" & withdrawal symptoms, the big indicators)
3. The substance is taken in larger amounts than intended
4. A persistent but unsuccessful desire to ↓ substance intake
5. Much time is spent in activities needed to obtaining the substance and/or recovering from its effects
6. Important occupational, social, or recreational activities are sacrificed because of substance use
7. Continued substance use despite user's knowledge of its adverse physical and/or psychological effects
Substance Dependence indicates that your body has become physically and psychologically addicted to a substance. You will experience both withdrawal symptoms and "tolerance," which means that it takes more and more of the substance to achieve the same effect.

Front 42

Substance Abuse

Back 42

A maladaptive pattern of substance use leading to clinical significant impairment or distress, as manifested by 1+ of the following, occurring within a 12-mo. period: such as failure to fulfill social or occupational obligations or recurrent use in situations in which it is physically dangerous to do so or which end in legal problems; The symptoms have never met the criteria for SD for this class of substance; Substance Abuse is the excessive use of a substance that continues despite negative consequences, i.e., if you have too much to drink and get arrested for DUI, AND you continue to drink excessively, you're abusing alcohol.

Front 43

Substance Withdrawal

Back 43

The development of a substance-specific syndrome due to the cessation of (or reduction in) substance use that has been heavy and prolonged

Front 44

Drug Abuse:

Back 44

Refers to an individual who continues to use drugs even though they know it is having an adverse affect on their health and well being. Drug abusers will continue to use even though their social life is falling apart and their financial stability is collapsing.

Front 45

Drug Dependence:

Back 45

Occurs when an individual has built up a tolerance to a particular drug or drugs. With tolerance comes the need to take more and more of the drug in order to achieve a “high”. Those with a drug dependence problem are also likely to experience withdrawal symptoms when they stop taking the drug in question.

Front 46

Drug Abuse Defined:

Back 46

By the medical community as one or more of the following: Use of the drug in question has led to poor performance at school or on the job.
The individual uses the drug in situations that are potentially harmful to himself or others (i.e., while driving, caring for children, etc.)
The individual incurs legal problems as a result of the drug use.
The individual experiences considerable social problems as a result of the drug use (i.e., losing old friends, martial difficulty, etc.)

Front 47

Drug Dependence defined:

Back 47

As three of the following occurring within a single year: Building a tolerance for the drug. This may included the need to take more and more of the drug to get its desired effect, or a lessening of the effect one gets when they continue to take the same amount of the drug.
Withdrawal symptoms. These may include physical and psychological symptoms such as nausea, sleeplessness, irritability, muscle aches, etc. The length of time that withdrawal symptoms are experienced varies according the individual and the intensity of the drug addiction, but as a general rule, they will last between two to five days.
The inability to stop taking the drug(s) in question
The individual takes more and more of the drug over time. More than he or she originally had intentioned.
The individual becomes obsessed with the drug, and the pursuit of it begins to overtake their life.