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A client with a lifelong drinking history is contemplating sobriety, but he is fearful because he knows that he is physiologically dependent on alcohol and has been for much of his adult life. He has attempted to quit many times, but he fears that trying again will end in failure again. You should FIRST: |
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Definition
1. Assess his medical needs regarding withdrawal |
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A series of tornadoes hits a small town, and a woman presents at the disaster crisis center to speak with a crisis counselor. She is disheveled, and you are aware she has lost her home. What is the FIRST task to encourage in the session? |
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Frances is seven years old and has suddenly become enuretic in the classroom. Her parents report that Frances has been potty trained since age three and has had no incidents in daycare or at home. What is the FIRST step? |
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Definition
4. Review for triggers leading up to the enuresis |
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The duration criteria for Specific Learning Disorder is: |
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Definition
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For years, Dan has been obsessed with watching pornography. Dan has also been having sexual fantasies about women, finding specific pleasure in thoughts of them disrobing.For the last year, Dan has been repeatedly spy on his neighbors (who don't have their bedroom window covered) whenever they are engaging in sexual activity. It is likely that he may be diagnosed with: |
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Definition
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When a child bases moral judgments on punishments and rewards, Kohlberg calls this level: |
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Definition
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Joan is 30 years old, just had her third child, and reports extreme fatigue, poor concentration, lack of motivation, and loss of appetite. She is disheveled and has body odor. The FIRST step is to: |
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Definition
1. Gain informed consent for treatment of her symptoms 2. Discover the duration and intensity of symptoms 3. Begin solution-focused therapy 4. Rule out a medical etiology for her symptoms |
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Term
Jerry, a 37-year old man, is referred to your outpatient practice by an emergency room worker following a string of recent emergency room visits. Jerry tells you that for the past couple of months he's had these "mini heart attacks" where he finds himself shaking, can't catch his breath, and feels like he might pass out for several intense minutes. He's sure it's a heart attack because of the chest pain that goes with it, but the emergency room keeps telling him he hasn't had a heart attack. He's so worried about having more of these incidents that he avoids leaving his house for anything other than work to keep himself safe, and he's considering taking a leave of absence from work. Jerry denies ever receiving mental health treatment previously. Based on the information provided, you believe he's probably struggling with: |
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Definition
1. Agoraphobia 2. Panic Disorder 3. Generalized Anxiety Disorder with Panic Attacks 4. Substance-Induced Anxiety Disorder |
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Term
James has severe anger issues and feels rage toward family members, especially the women in his family. James says today in the session he plans to kill his mother for failing to protect him. He plans to do so by wrapping his hands around her neck until her face turns blue. You know the mother lives in the greater metropolitan area, but you do not know where. Your FIRST step is to: |
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Definition
1. Seek collegial consultation 2. Call the police and provide as much relevant information as is available 3. Ask James if he has ever tried something like that before 4. Ask James to call the mother in your presence and warn her |
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Term
Which of the following is associated with partialization? |
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Definition
1. Resolving and bringing to completion one goal before attempting to tackle a second goal 2. Increasing the probability that a client will be successful by choosing goals that are possible and reality-based 3. Prioritizing the goals and objectives of the client and determining which need to be worked on first 4. Having the client work on partial completion of a goal before setting new goals |
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Melanie just turned 17 and celebrated by going to a party with a girlfriend known for having fun. They went to a fraternity party, pretending to be students from a neighboring college. Melanie drank heavily and became sick several times. One boy convinced her to sit with him in his room, and she was taken by surprise when he forced her into sex. She was scared and could not fight him or even scream. He finally left, but another boy came in and did the same thing. She did not know what to do and was grateful when her friend grabbed her, and they got out. Melanie is afraid she could be pregnant or have an STD. She does not think she can tell her parents because she lied to them about where she was going and what she was doing. The only thing she can do now is cry. The FIRST priority is to: |
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Definition
1. Link Melanie to public health where she can seek health services anonymously 2. Try to find the assailant 3. Contact her parents because Melanie is a minor 4. Honor her feelings, while taking an active, directive role in linking Melanie to emergency health services |
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Term
The BEST approach to take as a crisis intervention therapist seeking to de-escalate and stabilize a crisis situation is to be: |
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Definition
1. Active and non-directive, fostering self-determination and client-desired outcome 2. Active, fostering self-determination and client-desired outcome 3. Passive, non-directive, and systematic 4. Active, directive, and systematic |
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Term
How would a scatterplot of data that are weakly and negatively correlated appear? |
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Definition
1. Data points follow a general trend from bottom left to top right; points are loosely bunched together 2. Data points follow a general trend from top left to bottom right; points are closely bunched together 3. Data points follow a general trend from bottom left to top right; points are closely bunched together 4. Data points follow a general trend from top left to bottom right; points are loosely bunched together |
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Term
Joan is 60 and just retired after 30 years of teaching at a local community college. Joan felt good about herself when she worked, but now she wonders what she is worth and who she is outside of her professional life. Joan is married and has two grown children who are starting their own families. She feels out of place when she's around them, not knowing how she fits in. What is your FIRST assumption about the precipitating events from a life cycle theoretical perspective? |
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Definition
1. Conditions of worth imposed by the workplace and family 2. Current developmental crisis impacted by the developmental crises of other family members 3. Classical conditioning leading to uncertainty, perpetuated by irrational beliefs 4. Problem-saturated story impacted by oppressive internalized view of self |
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Glenda is a young mother of three small children. She is HIV-positive and struggling to accept the illness as part of her life, all the while fearing what her health status could mean in the long-term for her young children. She has a good support system and is a good mother, but she has periods of fear, anger, and sadness. She wants help in dealing with the waves of emotion that sometimes intrude on her life. The BEST response is to: |
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Definition
1. Provide counseling to address her feelings of grief and loss around her health status and future 2. Seek to preserve life by helping her find someone who can take over caring for her children 3. Rule out the impact of other health issues impacting her mental status 4. Not judge her |
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Term
"So here's the overall picture. You feel like you would like to date boys but at the same time you are feeling a little scared. You would like to have a boyfriend, but you would also like to pal around with your girlfriends. Is that correct?" The above is an example of: |
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Definition
1. Closed question 2. Paraphrase 3. Encourager 4. Summarization |
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A diagnosis of Pica requires that the following symptoms be present, EXCEPT: |
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Definition
1. The eating of the nonnutritive substance is inappropriate to the developmental level 2. The eating of the nonnutritive substance is not part of a culturally sanctioned practice 3. The eating of the nonnutritive substance occurs exclusively during the course of another mental disorder 4. Eating of nonnutritive substances for at least one month |
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Marta is a 37-year-old single mother of two facing stage three breast cancer. She is her family's sole provider, fears losing her home if treatment takes longer than her job may allow, and worries about her co-pays. She does not know how or what to tell her children and does not want to impose on her extended family. She is overwhelmed. Which services would most benefit her at this point? |
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Definition
1. Medical case management 2. Clinical counseling 3. Mediation 4. Advocacy |
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Term
A retired couple is starting their "golden years" when one of them unexpectedly dies in an accident. She is left feeling stunned. Many friends and family surround her and offer support and encouragement. One of her friends brings her to you for counseling one month out from the accident. She engages easily but is clearly shaken by this unexpected tragedy, unsure of what the next many years hold for her. The FIRST course of action is to: |
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Definition
1. Refer her to a widow's support group 2. Educate her on the stages of grieving 3. Assess her coping skills 4. Provide short-term grief counseling |
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Term
Herman has a client who was ordered by the court to receive therapy. The client shows up late for the first meeting and states his disinterest in therapy. He doesn't attend the second meeting. Faced with this apathetic patient, Herman should: |
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Definition
1. Maintain confidentiality regardless of whether the client attends therapy or not 2. Contact the court immediately and let them know the client's status 3. Call the client and make sure he knows what 'court-ordered' therapy means 4. Work with the client the next time Herman sees him to help him deal with his resistance |
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