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Counseling
Q:
There is abundant evidence indicating that crises resulting from sexual abuse are no different in nature, intensity, and extent than other forms of crisis.
Q:
Alternate forms of the TAF such as the TACKLE are designed to deal with very specific populations of emotionally disturbed individuals who are in crisis.
Q:
One of the best and simplest questions to determine if the client may be violent is to ask, "Have you ever lost your temper in a violent manner?"
Q:
The crisis worker who deals with Deborah, the chronic, suicidal, bridge jumper uses
a. flooding to blow away her catastrophic all-or- none thinking.
b. dynamic interpretation of past events to ferret out the underlying reasons.
c. rewards alternative to suicidal behavior and minimizes short term reinforcements for it.
d. All of the above are used in an eclectic manner with this complex case.
Q:
Melancholy is one of the descriptors on the Affective scale.
Q:
Sun-up syndrome is so called because people become violent as they wake up in institutions, are not sure of their surroundings, and become confused and agitated.
Q:
Sometimes crisis workers are devastated and vulnerable to permanent emotional wounds whenever they wrongly believe that they could have or should have prevented a suicide or homicide. The procedures that appropriately counters the guilt, grief, and loss and help crisis workers begin to heal and return to their own previous level of equilibrium and normalcy are
a. getting close supervision in future cases like it from a trusted other professional.
b. conducting a debriefing or psychological autopsy.
c. reminiscing about the person and event with the client's friends and family.
d. using cognitive restructuring to normalize the event.
Q:
On the behavioral rating scale approach, avoidance, and immobile can be both good and bad.
Q:
In the next twenty years the number of elderly will increase significantly with the graying of the baby boomers. As this age group is increasingly put in institutions, violent acts by this age group will diminish.
Q:
The impact of having failed to save a person who was a client or victim of the client's can be overwhelming and can cause the crisis worker to experience what is called
a. vicarious traumatization.
b. PTSD.
c. traumatic reminiscence episodes.
d. countertransference.
Q:
Morality and spirituality are assessed with the TAF.
Q:
Reminiscence therapy allows clients to reflect on their lives and restore credibility to them
Q:
Considering the myth that when a person has attempted suicide and pulls out of it the danger is over, a crisis worker should remember that if such a client seemed unusually serene and nonlethal toward self,
a. an important danger signal for that client would be a period of euphoria following the depressed or suicidal episode.
b. then, in case the client committed suicide, it would definitely be an impulsive act.
c. then, the crisis worker would probably have misinterpreted the client's score on The Triage Assessment Scale.
d. All three of the foregoing statements are valid.
Q:
Establishing a psychological connection is a critical component of Task 1. .
Q:
Denial on both the individual and the institution's part is one reason why violence occurs. (p. 544, p. 545)
Q:
One of the most effective means of worldwide suicide prevention appears to be
a. getting crisis workers to use the Triage Assessment Form regularly and correctly.
b. analyzing the suicide/homicide notes left behind.
c. tempering the sensationalism of press reports on it.
d. educating the general public, mental health professionals, and other agency and institutional personnel regarding the characteristic thinking and behaving of
suicidal/homicidal persons.
Q:
The Hybrid model of crisis intervention epitomizes a stage or linear model .
Q:
University counseling centers are prone to sacrifice safety concerns in an attempt to create a warm caring, confidential atmosphere.
Q:
Durkheim called a suicide type in which the person felt estranged and alienated from society a ________ suicide.
a. egoistic
b. mental deficiency
c. kari-kari
d. chaos
Q:
The Affective Severity Scale of the Triage Assessment System assesses a broad spectrum of positive and adaptive client behaviors.
Q:
While the potential for people diagnosed with a mental illness to become violent is not high, there are some diagnoses such as organic brain disease that are.
Q:
Seung-Hui Cho's video tape manifested which characteristic of Schneidman's typology of the classic suicidal person?
a. situational
b. relational
c. motivational
d. Cho manifested all of the characteristics.
Q:
The Triage Assessment system is an in-depth rapid but systematic technique for use by crisis workers in determining the severity of a client's past and present dilemmas.
Q:
Females are becoming more violent and in some studies have been found to be as likely to assault staff as males.
Q:
In an assisted suicide, someone else provides the means (lethal agent) but the person who is dying administers it. In euthanasia
a. the person who is dying provides both the means and the administration of the agent.
b. someone else does the administration.
c. the Hemlock Society provides the necessary support and expertise.
d. an attending physician provides the necessary support and expertise as legally sanctioned by the state.
Q:
Anger, fear, and sadness along with frustration are the typical emotional states assessed in crisis intervention.
Q:
Education of a client is the first stage of violence prevention in institutions.
Q:
If a client is found to be seriously thinking of killing or gravely harming some specific other person who can be identified by the crisis worker, the worker is required to consider the duty to warn implications
a. as specifically indicated in the client's scores on the Triage Assessment Scale.
b. according to rules found in Schneidman's Serial Characteristics formulation.
c. as dictated by case law in the Tarasoff case.
d. because it is morally and ethically right to do so.
Q:
The Triage Assessment Scale looks at affective, behavioral, and cognitive processes.
Q:
The major reason to conduct a security analysis is to determine what kind of alarm systems will be needed.
Q:
An analysis of the Seung Hoi suicide/homicide videotape indicates that, immediately prior to his suicide,
a. he was experiencing helplessness, hopelessness, and abandonment
b. he was experiencing unendurable psychological pain and frustrated psychological needs.
c. he demonstrated constricted thinking in that he was apparently unable to engage in alternative thought patterns or optional behaviors and lived in logic tight compartments.
d. All of the above were indicated in Seung's suicide/homicide videotape.
Q:
Assessment is pretty much done at the beginning of a crisis and is a one-shot affair.
Q:
A past family history of violence is not a very good predictor of violence that a client may have in a larger, community, social context.
Q:
The suicidal/homicidal person who engages in an expressive act of harming self or others is
a. engaging in an act designed to reduce psychological pain.
b. expressing a specific behavioral tendency towardseuthanasia.
c. demonstrating one or more of the common myths about client lethality.
d. manifesting acts that are characteristic of Shneidman's cognitive characteristics.
Q:
The fundamental problem in client immobility is being stuck in a continuous non productive loop of approach, avoidance, or static behavior.
Q:
One of the best predictors of violence is past violence.
Q:
In crisis intervention, the possibility of dealing with suicidal or homicidal clients is
a. really pretty rare.
b. ever present.
c. specific to certain groups.
d. dependent on the interventionist.
Q:
The task model is mostly passive in what it attempts to do.
Q:
Workers who use validation therapy with the elderly believe that its use may resolve past issues and reduce stress even though the client may not make sense.
Q:
A postvention method of helping people to either gain a better understanding of why a suicide happened or to feel less guilt and responsibility for the deceased's death is
a. debunking the myths about suicide.
b. assessing for survivor lethality via the Triage Assessment Form.
c. establishing a crisis response team.
d. the psychological autopsy.
Q:
Lauren Brown's social locations concept of multiculturalism as it applies to trauma and crisis is best depicted by an ____ modela. emic b. etic c. individualist d. collective
Q:
When threatening conditions occur, at times doing nothing may be the best approach.
Q:
Research indicates that suicide attempts that "succeed"
a. increase with the age of the person.
b. decrease with the age of the person.
c. are not correlated with age.
d. are correlated more by race than age.
Q:
Ecological/cultural determinants of crisis intervention have to do with
a. how hot it is.
b. mutual and dynamic interaction of ecological /cultural factors between client and worker.
c. broaching.
d. all of the above.
Q:
Staying physically close, within an arm's length of a client is safer because it psychologically anchors the client to the worker.
Q:
The Reasons for Living Scale is different than other lethality scales in that
a. it focuses only on homicidal ideation.
b. it poses questions about why people would not kill themselves.
c. a faster visual assessment form than the Triage scale.
d. it is a highly reliable predictor of the who, when, where ,how and why of lethal behavior.
Q:
It is of utmost importance that the recruitment, screening, orientation, training, evaluation, and retention of crisis workers deal with the reality of
a. learning the basic communication skills of the residents of the areas they are serving.
b. a multicultural clientele.
c. transcrisis states and points.
d. having coursework in high /low context communication tactics.
Q:
When making a home visit where a potentially violent client may reside, once the door is opened it is best to stride purposively into the room stating clearly who you are and why you are there.
Q:
Whenever a suicidal person, who is not previously known by the crisis worker, is emotionally overwhelmed and immobile, one effective way to break through that immobility is to
a. shock the person into reality through shame and guilt or threat of punishment.
b. personalize the communication by establishing a first-name basis if possible.
c. create a diversion.
d. gather enough information so as to establish a close and friendly relationship.
Q:
When a crisis worker encounters language barriers he or she should
a. move quickly into the crisis relying on nonverbal communication.
b. use sign language.
c. while not the ideal, get a translator.
d. use a family member who knows English.
Q:
A counseling office should be arranged so the therapist can keep the client confined if necessary.
Q:
IS PATH WARM is
a. an acronym for suicidal warning signs.
b. a standard warning code in a mental health clinic for a potential suicide/homicide.
c. suicidology language indicating the degree to which a person is following a path to self-destruction.
d. an acronym of intervention steps to be taken with homicidal/suicidal clients.
Q:
Of the following individuals in a crisis, who is likely to suffer most?
a. children
b. gays and lesbians
c. women
d. the elderly
Q:
The safest way to monitor and control new clients for potential violence in a clinic or institution is for the admissions worker to check the client in and then wait for unit staff to collect the client while monitoring the client closely.
Q:
Which one of the following indicators should not be considered high-risk in terms of suicide potential?
a. The suicide plan is definite.
b. There is a family history of suicide.
c. Previous "minor" suicide attempts have been made.
d. A frantic call to a crisis line to discuss depressed feelings.
Q:
Geographic locale is a cultural barrier in a crisis because
a. people may be suspicious of outsiders.
b. outsiders will seek out local community leaders to gather their opinions.
c. outsiders will go overboard in trying to understand community beliefs.
d. people in the setting are too dependent on outside support.
Q:
The first step in preventing client violence in an institution is obtaining expert consultants to teach staff to physically control agitated clients.
Q:
People with strong death wishes are invariably
a. impulsive.
b. ambivalent, confused, and gasping for life.
c. venting their desire to kill themselves.
d. suicidal for as long as they live.
Q:
Laura Brown uses the___________ model to delineate her social locations approach.a. ADDRESSING b. SOCIAL INFLUENCE c. DEBRIEFING d. MULTICULT
Q:
Drug users who take anti-anxiety drugs like valium are unlikely to become violent.
Q:
Almost all suicidal persons reveal
a. the same characteristics.
b. some kind of clues.
c. some kind of pathological behaviors.
d. all of the above
Q:
Of the following cultural barriers, which does not belong?a. geography b. occupation c. religion d. all belong
Q:
There is no clear way to predict when, where, and which clients will become violent, but the pooled clinical judgment of workers is one of the better ones.
Q:
Suicidal persons may emit clues which are
a. syndromatic.
b. behavioral.
c. situational.
d. all of the above
Q:
In high-context cultures
a. one's importance is tied to individual accomplishment.
b. words are paramount.
c. communication is direct.
d. the group is reflective of one's worth.
Q:
Workplace violence has become so bad that the National Center for Disease Control views it as a national health problem.
Q:
Which of the following is a category of assessment dynamics which is of concern to workers who deal with suicidal clients?
a. risk factors.
b. warning signs
c. suicidal clues.
d. all of the above.
Q:
A collectivist multicultural view emphasizes
a. the group is subservient to the individual.
b. the group binds and mutually obligates the individual.
c. the individual is not part of the larger group nor subordinate to it.
d. both b and c.
Q:
The best peer helper programs will include
a. a broad cross-section of students.
b. other gang members.
c. students who have potential to be good counselors.
d. None, since research has shown peer helper programs to be ineffective.
Q:
Which one of the following is not listed as a myth about suicide?
a. Clients who threaten suicide don't necessarily mean it.
b. Persons who commit suicide are insane.
c. Talking about their desire to kill themselves decreases the danger that suicidal individuals will do it.
d. Suicide is always an impulsive act.
Q:
Individualism is a cultural world view that believes
a. the individual is subservient to the group.
b. the group always petitions the individual for support and input.
c. the exosystem has a profound impact on individual functioning.
d. personal goals and uniqueness are paramount.
Q:
What did the crisis worker use with Josh because it gave him control over what he thought was an uncontrollable situation?
a. implosion and flooding
b. drawing and toy figures
c. sculpting and painting
d. behavior modification
Q:
The type of suicide by which a person chooses death in the face of a serious, incurable illness is
a. dying with dignity.
b. anomic.
c. egoistic.
d. hari-kari.
Q:
A universal multicultural view considers a wide variety of
a. races and ethnicities.
b. occupations and religions.
c. geographical locale and customs.
d. all of the above
Q:
Of the following statements, which would be most true about current gang membership in the United States?
a. Gangs operate mainly in bigger cities.
b. Most gangs have national affiliations.
c. Gangs are composed mainly of ethnic minorities.
d. Gangs come from all geographic locales, all socioeconomic classes, and all ethnicities.
Q:
Statistics on suicide show that it is
a. Native Americans kill themselves about 1.5 times more than other Americans.
b. the second leading cause of death among children and teens (behind accidents).
c. a serious problem in men over age 65 because that segment of the population kills themselves at a rate four times the national norm.
d. all of the above.
Q:
Of the attributes that will serve crisis workers well in a multicultural crisis world which of the following is not helpful?
a. self-knowledge
b. alternative intervention strategies
c. a unitary world view
d. a variety of clients
Q:
The case of Josh and the brown recluse spiders best illustrates a
a. NOVA intervention.
b. SCRT intervention with individual supportive therapy.
c. PTSD intervention.
d. both a and c.
Q:
In working with suicidal clients, even when they admit their lethal thoughts, confidentiality and privileged information make it legally, ethically, and morally difficult for the crisis interventionist to break confidence
Q:
A high-context culture person would believe that a crisis counselor should
a. gain information about the individual's personal status.
b. gain information about the individual's social status.
c. be explicit and straightforward in language usage.
d. use facial expressions and other nonverbal gestures to get a point across.