NCE Simulation #5

What is the purpose of a crisis intervention plan within a treatment plan?

Michael, a 30-year-old man, is diagnosed with schizophrenia and experiences disorganized thinking and hallucinations. What should be a primary focus in his treatment plan?

Daniel, a 32-year-old man, is struggling with alcohol addiction. What is a primary focus in his treatment plan?

Laura, a 22-year-old woman, presents with symptoms of borderline personality disorder (BPD), including intense interpersonal conflicts. What is a primary focus in her treatment plan?

Mark, a 45-year-old man, is struggling with substance abuse. He has a history of relapse and is motivated to achieve abstinence. What type of treatment plan is most suitable for Mark?

Lisa, a 40-year-old woman, is dealing with severe depression and social withdrawal. What should be an early goal in her treatment plan?

Sarah, a 25-year-old woman, has been diagnosed with bipolar disorder. What should be a key aspect of her treatment plan?

Which of the following answers is the correct descriptor of a study of the same participants over a period of time?

Humanists in the existential tradition maintain that a person’s decisions are (personally) effective only if the decisions that are made are consistent with personal convictions and principles, regardless of whether the decisions are harmonious with those of most people or the known consequences of the decisions. Which of Kohlberg’s stages of moral development could be portrayed the same way?

You observe children within the same family exhibiting competitiveness. The term for this competitiveness is called

Which of the following statements best describes work and adolescents?

The person who developed seven primary mental abilities in intelligence was

Which of Erikson’s stages of childhood development is characterized by conflicts concerning their behavior, along with bad feelings at withdrawing some of the trust they had previously placed in their environment and in their parents?

When children between the ages of 8 and 12 months react to strangers by manifesting signs of fear such as crying or clinging to their parents, this reaction is recognized as

Which of the following may occur during middle adulthood?

All of the following are considered an archetype by Jung EXCEPT:

Theories of motivation include

Junior high aged children (12-15 years old) would not be described with which of the following statements?

In Social Learning Theory according to Bandura, when the observer watches the stimulus, response, and consequence as the model goes through classical or instrumental conditioning, it is called __________________.

All of the following statements are considered to be foundational components of cognitive theories except one. Which one is NOT such a statement?

The majority of people who attempt suicide

The term that best describes an overall self-centeredness in adolescents is

_________________ theories concentrate on the child’s immediate behavior and on environmental forces influencing that behavior.

Which of the following answers gives the term you would most likely see used in conjunction with anaclitic depression?

Which of the following terms is the term used by Elkind to describe an adolescent’s belief that no one has ever felt or thought like he or she does?

Regarding individuals who attempt suicide, these persons probably

Dustin’s school counselor has suggested to his teacher a behavior modification program to help curb his attention-seeking actions. The plan is for the teacher to call on Dustin or ask him to assist her with tasks whenever he remains quiet for 8 minutes. When Dustin acts out inappropriately, he is to be ignored by the teacher. This program suggested by the counselor is based on which of the following principles?

Emphasis of early childhood education is usually on all of the following EXCEPT:

Which of the following is a technique used for reinforcing desirable behaviors by pairing them with incompatible behaviors and using principles of relaxation?

Of the following individuals, who would be the most likely to commit suicide?

Erikson believed that an infant should learn which of the following during the first year of life?

Which of the following neurotransmitters most affects learning/attention?

A crisis may be thought of as a response condition to a disruption in functioning. Which of the following is NOT one of those conditions?

A crisis can be an opportunity because

According to the experts which of the following does NOT fit in a list of characteristics of the multiculturally aware crisis worker?

The contemporary form of the psychodynamic model of supervision places primary importance on the interpersonal dynamics between

A supervisor meets with a group of supervisees over the course of a few weeks. She notices that after coming through a time of some tension and frustration, the group is becoming more focused on learning and are more supportive of each other. The group is most likely in what stage of group development?

A supervisor and supervisee meet for the first time. The supervisor explains that she would like the supervisee to video and/or audio tape some of the supervisee’s sessions with clients. The supervisor explains that she wants to have a clear means to assess the supervisee. Which part of the supervision contract is being addressed?

An executive for a large oil firm is growing increasingly dissatisfied with the new policies being passed down from the CEO. The source of his dissatisfaction, according to Herzberg’s needs theory, would be called

This man has been considered the forerunner of vocational guidance even though his main interest was vocational education.

The archway model illustrates biographical, sociological, and psychological influences in one’s life and career development as described by

Counselor Smith has been working for the past year with fifty clients who are transitioning out of prison into “civilian” life. She has prepared a report for the project’s funding agency that summarizes her results. Thirty of the ex-prisoners are now employed in “training/educationally appropriate” jobs; ten are employed, but below their educational or skill level; five have violated parole and have been incarcerated again, and five dropped out of the program and cannot be located. Which of the following types of evaluation data best describes the information contained in the report to the funding agency?

A simple explanation of the basis for decision-making career theory would be

According to Tiedeman, which of the following answers is the term used to encompass the steps of exploration, crystallization, choice, and clarification?

There are three general considerations for counseling individuals in transition according to Schlossberg. They are

According to Tiedeman, which of the following answers is the term used to encompass the steps of induction, reformation, and integration?

The computer-based instrument designed by Katz for the purpose of values clarification in career development is known as

The career theorist most noted for the term vocational self-concept is

Three adjacent types in Holland’s Occupational Classification System indicate

Factors that tend to have a positive correlation with stressful retirement include

A person who scores highest in the conventional personality type, would, according to Holland, score highest in which of the following two areas?

This organization is credited as probably being the most instrumental in advancing the career-counseling movement:

Gelatt’s paradigm would lead a counselor to design a career development intervention which would focus on which of the following skills?

Which of the following career theorists developed a human relations counseling model with 3 life cycles and 3 life stages?

Career counselors incur the following roles in educational settings EXCEPT:

In relationship to counseling theory, Holland taught that congruence occurs when

The Cognitive Information Processing approach is primarily applied in terms of

Pete and Harren describe decision problems in terms of elements. Which of the following is NOT one of those elements?

What did Roe study?

Upon administering Holland’s Self-Directed Search to a client, a counselor finds that the client’s dominant types are nonadjacent. A tentative conclusion might be that

Life-stage transition points are the focal points of which approach to career counseling?

All of the following are considered critical elements for individual change, according to Corsini & Wedding EXCEPT:

Role theory provides a framework for studying human development. Each role requires a partnering role to complete its function. The superwomen complex is an example of

Which ethnic group can be characterized by traits such as adaptability of family roles, strong kinship bonds, and strong religious orientation?

The parenting style of not using nor tolerating aggression when raising children produces children who are _______________?

Most pregnant teens will

Rob is highly praised for his dedicated work at the university during a public town hall meeting. His father, upon hearing of the public proclamation, sternly scolds Rob for allowing such self-defamation to occur. This response is most likely to occur within which minorities group?

The minorities group that is at highest risk for death by accidental injury and homicide is

Which of the following is NOT a recognized role according to role theory?

Since Juan has suffered a head injury that was severe enough to result in unconsciousness, he will experience

Tolerance, craving, addiction, and withdrawal are best referred to as signs of

A client has symptoms for 2+ weeks that are a change from prior functioning and include depressed mood, lack of interest, weight loss, energy loss, and suicidal thoughts. Given this information, the client would most likely be diagnosed with

All of the following statements concerning sleepwalking (NREM – Non-Rapid Eye Movement Sleep Arousal Disorder) are false EXCEPT:

A patient has been experiencing delusions for just under a month with no other symptoms and with functioning being normal. The mental disorder that is most closely associated with the information given is

Which of the following answers best describes patients with brain tumors who experience depression and anxiety? The patients most likely to experience depression and anxiety are those who

Temper outbursts, defying authority, annoying or blaming others, anger, and vindictiveness for at least 6 months, all best describe

An individual diagnosed with a social anxiety disorder

Which of the following disorders includes symptoms of recurring major depressive episodes and at least one hypomanic episode?

A group of persons with the same characteristics who are studied across time are called a _______________ .

Sometimes the distribution of scores, plotted on a distribution curve, is not very wide but has a high peak in the middle. A distribution of this kind is referred to as ___________.

A researcher studying the effects of various medications on headaches, gives sugar pills to subjects in the control group. Many of the subjects report significant improvement in their headaches and some report that the headaches went away within just a few minutes of taking the medication. This is known as

Experimental research looks for what kind of outcome?

Researcher Brown wants to determine whether there is a difference in effectiveness of types of instruction regarding time management. She teaches one group time management skills with a lecture format, and another group with programmed instructional techniques. She measures their performance by means of a standardized achievement test. What statistical test would you advise her to use if she asked you for a recommendation?

If Jackie has a percentile equivalent score of 85%, it means that

When you have a skewed distribution or a variable that has been measured with an ordinal scale, the preferred measure of central tendency is the

Which type of research attempts to explain behavior in terms of cause and effect relationships?

Tamara’s research hypothesis states that preadolescent children who view violence on television show an increase in levels of aggression during play. The independent variable in this hypothesis is

Factors, such as novelty effect, halo effect, multiple treatment interference, and invalid instruments in experimental research affect

The ethical administration of testing instruments would require that a test administrator know that content validation is least appropriate for all of the following EXCEPT:

The principle behind Spearman’s two-factor theory of intelligence is

The three types of response to aggression as measured by the Rosenzweig Picture-Frustration Study are

A high score on the “special scale” of introversion/extroversion in the Strong Interest Inventory reflects

Barron’s research into how highly creative people differed from their equally intelligent colleagues did NOT include observing groups from which of the following professions?

Test types designed to measure the degree of learning a person has achieved through structured experiences are best referred to as

The most preferred method of measuring reliability of inter-item consistency in a heterogeneous test is

Which of the following statements is true regarding the accuracy of assessment? The accuracy of assessment is

Comparing an achievement test to an aptitude test, which of the following comments is most correct?

If a person obtains a score of 52 on a test that has a reliability coefficient of .86 and a SEM of 4, then one can assume

A reliability coefficient falls between

Early personality inventories and projective techniques were designed primarily to

Which of the following answers gives the most accurate statement about achievement tests and aptitude tests?

Which of the following types of reliability is based on the premise that statistically a test taker’s score would fall within +1 and -1 SEM of their obtained score; this would occur 68% of the time?

Which of the following terms best describes test reliability?

As a counselor you suspect that several of your clients are dealing with unrecognized learning disabilities. You could appropriately administer all of the following tests to assess this fact EXCEPT:

Which of the following would be an appropriate request when it is important to observe a client’s behavior but it is not feasible to do so in everyday settings? The therapist may ask

The nature of the counseling process lends itself to the implementation of concepts from the field of speech and communications. One example would be the need of counselors to give (i.e., send) persuasive messages to clients. These messages are more likely to be heard and accepted (i.e., received) if the counselor exhibits particular characteristics. A counselor endeavoring to send a persuasive message to a client would NOT want to use which of the following characteristics?

Which theorist would lead a counselor to encourage clients to take up running and meditation as forms of positive addiction?

Ideas are never birthed in a vacuum but are a product of a cultural setting. As such, one should recognize that Freud developed his theory of psychoanalysis in a historical context of extreme sexual repression. This timeframe is commonly referred to as the

Hans Eysenck developed a theory based on the belief that genes determine personality and he identified two dimensions of personality. Which of the following is one of those two dimensions?

Tommy is seeking help for anxiety problems. After checking several different options, he is participating in a biofeedback program for decreasing anxiety. Which of the following statements is probably true?

If you were an Adlerian by training and adhered to it’s teachings, which of the following answers would most closely approximate your belief about the order in which the included items occur?

Gary tells Bob, “Let’s work on the science project together”, but he is thinking as he speaks “even though you will be absolutely boring.” Bob replies “That would be an excellent idea,” as he thinks to himself, “even though you will probably goof off the whole time.” Their conversation is an example of what kind of transaction?

Trudy’s husband recently committed suicide. The most effective way for her to deal with his death is to

Empathy, genuineness, and respect are measured on the scales developed by

Arthur Janov is associated with

Which of the following is true of Gestalt therapy?

Martha’s counselor says “It seems you are feeling happy about your final choice, but little feelings of guilt keep coming at you at the same time and won’t let go.” Martha says “That is exactly how I feel”. This communication skill is called

Which therapists view encouragement as a basic tool?

Using the A-B-C-D-E concept of analysis in REBT, the C represents

Homeostasis refers to a system’s steady state of

From the psychoanalytic perspective, anxiety has the role of

Current opinions support the method of choice for aversion therapy as

The person who believed that behavior is the result of learning through experience, who founded the school of thought called behaviorism, and whose ideas laid the groundwork for child rearing practices was

Spitting in their soup, anti-suggestion, pushing buttons, and tar baby payoff are all terms most common to

Unconditioned stimulus, unconditioned response, conditioned stimulus, and conditioned response are terms most associated with

The psychoanalytic structure of personality that operates at the unconscious and conscious levels as it seeks to maintain balance is the

A client voices his complaints and is asked a series of questions by his counselor: “Why is it so horrible if your life isn’t the way you want it to be? Where is there a rule that you cannot stand your situation? Why are you assuming that you’re a worthless person because you failed to get what you want?” This client is probably a participant in

Little Johnny is the life of the classroom. While he is an adorable, likeable child, he is not completing his assignments within appropriate timeframes because he is easily distracted. A school counselor instructs the teacher to reward the child every time the child remains appropriately on task for ten minutes. The schedule of reinforcement being utilized is

Hans Selye coined the term, general adaptation syndrome (GAS), to describe individual physiological response patterns to stress. The three stages of GAS following a stressor are

If the goal of the therapeutic process is to remove inhibitions through reconditioning by openly expressing emotions in the process, then the therapy most likely being used is

Studies of communication in helping relationships indicate which of the following to be true?

Jung best sees the self as a unified psyche represented by

Jung’s typology of sensing, intuition, feeling, thinking was correct over which of the following?

Concerning extinction procedures for the treatment of anxiety, it would be true that

Punishment

Change comes by the dramatization that occurs when real life situations are re-enacted in the present within a group theoretical approach called

Every time Robert cleans his room he is rewarded. His parents use a behavioral technique called

As a counselor in private practice you especially enjoy working with young married couples. After seeing Jill and James for six sessions, you are re-evaluating your treatment strategy. This re-evaluation has been prompted by James’ continual blaming of his problems on things others have done or not done. Which term below best describes this observation?

The personality stages of infancy, childhood, juvenile, pre-adolescence, and adolescence are found in which theory?

A counselor gives Rebecca the task of getting ready for work, then driving away. In this situation, Rebecca usually returns home several times to check the stove burner, but this time she agrees not to return home. This technique in behavioral therapy is called

During termination of counseling, it is important to help clients maximize the benefits of the therapeutic relationship while deciding how to continue to grow. Given this goal, which of the following tasks is most appropriate?

Which of the following answers gives, in correct order, Williamson’s six step counseling format?

According to Williamson, which of the following steps comes immediately after Diagnosis?

The best description of the therapist’s role in transactional analysis is

Counseling effectiveness includes attention to the personhood of the counselor. Select the statement that best depicts this self-care.

Counselors and clients sit and stand closer together when they consider themselves to be similar, i.e. having similar factors in terms of such things as social status, age, general appearance, etc. Research in proxemics also shows that an initial negative, distancing reaction is caused when a counselor leans (upper body) forward and the client is

Jane’s counselor seems to display a realness or genuineness during the therapeutic process. Rogerian theory labels those attributes as

A client comes to a counselor complaining of “being generally unhappy.” As the discussion continues, the client is not able to specifically clarify this unhappiness. The client makes vague allusions to not having any purpose in his days and to not being interested in anything. Since nothing particular has surfaced up to this point, the counselor’s best action at this point would be to

The term “congruence” when used regarding a group leader speaks of the leader’s

Boredom may make a counselor vulnerable to spontaneous and reckless judgment in counseling sessions or treatment intervention planning. It is best contained by awareness and by making a conscious effort to change perception or circumstances to promote interest. It is one of two examples of negative consequences that counselors sometime experience according to Kottler. The other more common example is

Of the common techniques employed by therapists, which of the following is NOT generally associated with Cognitive Behavioral family therapy?

Conjoint therapy is correctly defined as

George is a 39-year-old manager of a local fast-food chain. In fact, he has three such restaurants under his supervision. Business is going well except for the fact that he is having trouble keeping good employees. George expresses to his counselor his fear that he will perspire offensively if he begins speaking of his sexual problems. The counselor instructs him to perspire as much as he possibly can, just to see how offensive he can be. The counselor is employing the technique of

Which of the listed terms is NOT a key concept in structural family therapy?

In Whitaker’s experiential family model, all BUT which of the following would indicate normal family development?

Strategic family therapists will sometimes offer up a solution that is seemingly illogical or irrational. Which of the following answers most accurately describes this type of intervention?

Which of the following terms is the best descriptor of the consistent state maintained by the balance between what the organism needs and what it confronts in the environment?

What therapy technique can be described as re-interpretation of problems?

Which of the following answers correctly defines the type of boundary typified by family members having extreme feelings of loyalty toward the family?

Adria and Brian are happily married and considering starting a family soon. Each gives and receives according to well developed functional rules. The rules of their marital dyad are best described in family system terms as

Which are the correct order of phases of development theorized by the psychodynamic family model?

The goal of structural therapy is to change the organizational structure within the family, which in turn may change individual and interpersonal behaviors and patterns. The theorist who developed structural family therapy is

As a family systems therapist, which of the following concepts would you be likely to choose based on your observations of a young woman heading to college who describes herself as being terribly excited about “getting out of the house” and being on her own although she claims that she extremely close to her mother?

Which of the following answers most accurately labels the theory that was a foundational theory in family therapy?

Which of the following is NOT necessary to create a binding legal contract?

According to Caplan, the most common reason for a request for consultation is

Which of the following answers most accurately depicts an example of consultation?

In a group setting, the term that denotes an approach to an individual member of the group as opposed to the group as a whole is called a

The term intellectualization would be used to describe the occurrence of a group member

As the leader of a group, you realize that you must intervene to stop an inappropriate discussion. You will use the technique of

What component is present in the third stage of a psychodrama?

Which of the following would best describe the role of a school counselor in group guidance?

A counselor who uses psychodrama would consider which of the following statements to be true?

Which of the following responses would NOT be a key principle of existential groups?

As a counselor with a local mental health agency, you have been put in charge of the Thursday afternoon group which meets in Room 312B. After your initial meeting with the group, you are considering the use of free association, which could be used in such a setting for all of the following EXCEPT:

Which of the following people coined the term “group therapy” in 1931?

The type of group described when members have similar issues is

A type of group therapy in which change comes by the dramatization that occurs when real life situations are re-enacted in the here-and-now is

Jane joins a therapy group in hopes of overcoming self-defeating thoughts and irrational beliefs. She discovers techniques such as homework, shame attacks, and cognitive rehearsal are part of the group process. Jane is most likely in group operating from which theoretical orientation?

The psychodrama technique in group counseling assumes that each member of the group takes a certain role to be acted out. The member of the group whose problem is being addressed takes the role of

Johari’s window (actually named after its originator Joe Luft and Harry Ingham) was developed to described the internal tension undergone by clients as they experienced and developed an awareness of interpersonal and/or intergroup relationships. In which quadrant would the most comfortable self-revelation occur?

Adult counseling groups, according to Yalom, work best with about

Reality therapists do NOT espouse that

Which of the following types of groups would embrace a leadership style that leaves all the group decision making up to the members of the group?

The group therapy that explores incongruity between self and behavior, and where subjective experience overrides action or techniques is

Gestalt therapy revolves basically on

Appropriate group formation assumes that certain criteria should be met in allowing a potential member to make the decision of whether or not to join a particular group. These expectations of the potential member should include all of the following EXCEPT:

A client is asking for your credentials as a counselor. She asks about third-party reimbursement which is a term pertinent to

Kitchener defines autonomy as

Collin is an experienced counselor with a well-established practice. He is well thought of and has lived in the same community for the past twelve years. For the last three months, Collin has been providing marriage counseling for Mike and Nancy. When Nancy arrived for her last session, Collin noticed that she was dressed more casually than usual and that her makeup was more pronounced. She was obviously wearing cologne. About halfway through the session, Nancy said that she had a confession to make. She proceeded to explain that the only reason she kept coming to counseling was that she was so attracted to Collin. She felt that he had helped her so much and that she owed her feeling of well being to him alone. Nancy continued to tell Collin that he was so different from other people that she had known. Then she turned to him and asked, “How do you feel about me?” What would be an appropriate response from Collin at this point?

The client’s right to informed consent consists of all of the following EXCEPT:

The legal term that best describes a counselor who has failed to live up to a reasonable professional standard is

Mary, a client of yours, is detailing in her second session with you that she is having trouble deciding whether or not to return to college now that all of her three children are grown and on their own. She is torn between going back to college or taking a volunteer management position at the local literacy center, a favorite charity of hers. Her husband is open to her doing either, but he just wants her to get on with whichever endeavor she chooses. As Mary continues to describe her dilemma, she reveals that she is seeing a psychiatrist in the same county and has been for the past year. According to ethical standards you are required to

Sue sees several clients who have managed care policies with their health insurance providers. Sue must demonstrate on her billing any adjustments to her normal fees. This is an example of what?

Many individuals have impacted the field of counseling. The individual credited with having had the greatest impact on the field this century is

After seeing a male client for 6 months with little change, a female counselor believes that the client would be better served by another counselor. During the months of counseling with this client, the counselor has consulted with other professionals and utilized a number of approaches, all with fully informed consent form the client. Still, very little change has occurred. The counselor and the client discuss their impasse, which may be due to age and gender differences. The client acknowledges that indeed it may be better to see someone else. The counselor gives the client a referral list and helps the client to set up a session with a new counselor. Which of the following ethical principles is being addressed by this counselor?

Yo Min, a first-generation Asian American, comes to you for counseling to help him sort through his beliefs. He is lonely and disconnected from any community. As a younger man, Yo participated in the Buddhist community but he has begun to question his earlier religious beliefs and practices and wants the freedom to ask basic life questions. As a holistic, transpersonal counselor you choose which of the following approaches?

Which of the following is NOT an aspect of the counselor’s professional identity?

A couple comes to counseling to deal with marital conflict. During the course of treatment, the husband reveals to his wife and to the counselor that he has a homosexual lover. Over the course of the next two sessions, the counselor attempts to persuade the man to give up his lover if he hopes to save his marriage. The man refuses. The counselor experiences frustration because she finds homosexuality offensive to her values. What would be most appropriate for the counselor to do?