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Counseling
Q:
A start-up of crisis services usually occurs when
a. the government starts funding a project.
b. the general population gets concerned and starts demanding change.
c. politicians see the political necessity for alleviating the crisis.
d. special-interest groups such as MADD form.
Q:
Contagious suicide by adolescents is a reality.
Q:
The Army's Comprehensive Soldier Fitness program in part consists of (pp.163-164)
a. The Global Assessment Tool, the Master Resilience Trainer program
b. The Structured Interview CAPS-1, EMDR groups
c. The DS-IV Diagnostic Master Recovery Plan, Intrusive Thoughts groups
d. All of the above are part of the program
Q:
In the United States, suicide intervention is about how many years old?
a. 200
b. 100
c. 50
d. 20
Q:
Adolescent suicidal ideation that is impulsive is treated much the same way as a depressed adolescent who is suicidal.
Q:
It appears that for veterans, PTSD may arise later in life than previously suspected because
a. a decline in physical and mental capabilities compound the potential for PTSD.
b. social support systems die off.
c. of financial hardships.
d. All of the above compound PTSD.
Q:
The Contextual-Ecological Model of crisis is
a. really a disequilibrium model as well.
b. contextual elements are layered and reciprocal impact occurs between the individual and the system.
c. focused on social environments and social influences.
d. Both a and b are correct.
Q:
Going on hunches or suspicions that a student is suicidal is generally not a good idea.
Q:
Why did PTSD become classified as a diagnosable mental illness?
a. The Veterans Administration supported its inclusion.
b. The National Organization of Women pushed for legislation mandating treatment.
c. Freud's earlier work on hysteria was "rediscovered" by the American Psychiatric Association
d. None of the above is the principal reason for its inclusion.
Q:
A theory of crisis that views the person as being the victim of faulty thinking is
a. adaptational.
b. interpersonal.
c. chaos.
d. none of the above
Q:
If the worker determines the student is carrying a weapon it should be confiscated by the worker immediately.
Q:
The original principal physical technique of an EMDR therapist is
a. rapid hand movements called saccades.
b. deep muscle massage called rolfing.
c. body manipulation called kinesthetics.
d. no physical movements are made, only imagery is used.
Q:
Psychological First Aid involves which of the following?
a. Initiating contact in a compassionate manner.
b. Confronting hysterical paralyzing behaviors.
c. Identifying long term needs
d. All of the above are components of psychological first aid
Q:
Interviewing potential EVJOs should start by asking them if they have a plan to carry out their threats.
Q:
Treatment for PTSD can best be described as
a. multimodal
b. atheoretical
c. multiphasic
d. both a and c.
Q:
Of the following components of basic crisis theory, which does not apply?
a. Basic crisis theory is equivalent to brief therapy.
b. Crisis is a state where ordinary behaviors can't overcome the problem.
c. The problem is viewed as intolerable.
d. Emotional disequilibrium is always experienced.
Q:
Seung-Hui Cho fits the characteristics of a SVJO.
Q:
Of the following phases of recovery in PTSD, which does not belong?
a. The calm, tranquil "before the storm" phase.
b. The emotional numbing phase.
c. The intrusive-repetitive phase.
d. The reflective-transition phase.
Q:
Successful crisis work may be described as
a. curing long term pathology.
b. successfully resolving long-standing trauma.
c. both a and b.
d. tapping into the client's reservoir of resiliency.
Q:
Many school resource police officers may do a good deal of crisis counseling and have the skills to do so through their training.
Q:
Of the following which is not a common dynamic pattern of PTSD?
a. exaggerated social interaction.
b. survivor's guilt.
c. death imprint.
d. emotional enmeshment.
Q:
Chaos theory is really a theory of what?
a. evolution
b. eclecticism.
c. random events.
d. none of the above.
Q:
Modeling is not a very effective way to teach violent behavior.
Q:
Affective State Dependent Retention is important to PTSD because it theorizes that
a. a calm, tranquil state is needed to treat PTSD.
b. no one is immune from PTSD given the right circumstances.
c. traumatic memories are stored under different physiological states.
d. a preexisting maladjusted personality pattern is retained in memory.
Q:
An expanded crisis theory which is based on the view that the disequilibrium which accompanies crisis can be understood by gaining access to the client's
unconscious thoughts and past emotional experiences is
a. developmental theory.
b. systems theory.
c. psychoanalytic theory.
d. adaptational theory.
Q:
"Duty to warn" should be based only on specific, concrete behaviors that demonstrate an obvious and unequivocal danger to the client or others.
Q:
Terr (1995) proposed a division of childhood trauma into two categories that she called Type I and Type II traumas. What is the difference?
a. Type I targets very young children and Type II targets adolescents.
b. Type I results from natural causes and Type II results from man-made causes.
c. Type I derives from sudden, distinct, traumatic experiences and Type II derives from long standing, repeated ordeals.
d. Type I stems from childhood sexual or physical abuse and Type II stems from environmental catastrophes.
Q:
Characteristics of effective crisis workers include
a. having had life experiences similar to the person in the crisis.
b. being of the same race, sex, religion, etc. of the person in crisis so there is some common ground.
c. being older and having the experience of age.
d. none of the above will necessarily make a crisis worker effective
Q:
Confronting an adolescent who is impulsively contemplating suicide with graphic images of death and its finality is an appropriate intervention technique.
Q:
An inappropriate technique for therapeutic intervention with children who suffer from PTSD involves
a. EMDR
b. therapeutic play with sand trays and puppets.
c. flooding.
d. emotional catharsis through music, computer art, painting.
Q:
Lindemann's basic crisis theory was important because his work negated the prevailing perception that clients manifesting crisis responses should be treated as:
a. abnormal or pathological.
b. permanently immobile.
c. mentally incompetent.
d. stuck in a state of disequilibrium.
Q:
One of the problems of making a threat assessment of the EVJO is that his motives for violence are often muddled, unclear, and easily dismissed as inconsequential by adults.
Q:
Gestalt techniques such as the "empty chair" can be used for PTSD clients to effectively
a. dispute irrational thoughts that take over thinking.
b. reduce the guilt of "unfinished business" of past traumatic events.
c. generate positive addicting behaviors.
d. interpret psychodynamic drives.
Q:
Interpersonal theory states that:
a. the total ecological system is involved in resolving the crisis.
b. the crisis cannot be sustained when people believe in their ability to overcome the crisis.
c. maladaptive thinking and behaving is changed to more adaptional thoughts and behaviors.
d. none of the above responses describe Interpersonal theory
Q:
The mentally ill adolescent has a high probability to commit a violent act.
Q:
A somewhat controversial treatment method for PTSD requires the client to maintain awareness of one or more of (1) an image of the memory, (2) a negative self-statement or assessment of the trauma, (3) the physical feelings of the anxiety-provoking event. What is this particular treatment method called?
a. flooding
b. EMDR
c. thought stopping
d. CISD
Q:
An eclectic approach to crisis intervention means:
a. perceiving crisis as an internal and external state of affairs.
b. that people are viewed as products of both heredity and social learning.
c. not being locked into any theoretical approach in a dogmatic fashion.
d. dealing with the equilibrium/disequilibrium aspects of the crisis.
Q:
The EVJO typically has a long history of contact with juvenile authorities because of delinquent acts.
Q:
The police, fire, and emergency services support group provide all but one of the following in their support groups?
a. Restoration of self-pride.
b. Mutual respect.
c. Shared experiences of traumatic events.
d. Integration with others kinds of PTSD
Q:
Transcrisis points tend to occur in
a. regular intervals.
b. response to unconditioned aversive stimuli.
c. unpredictable intervals.
d. progressively increasing incidents.
Q:
The EVJO can be partitioned into "crazy" and "not crazy" categories.
Q:
Neat and orderly progression for the PTSD sufferer through the recovery phase is
a. indicative of emotional numbing and denial.
b. indicative of integration taking place.
c. indicative that the intervention is working.
d. the exception rather than the rule.
Q:
A model of crisis intervention that reaches outside the individual and promotes change in the systems in need of change is the:
a. cognitive-milieu model
b. psychoanalytic model.
c. psychosocial transition model.
d. disequilibrium model.
Q:
Schools should not be in the memorial business. That's the job of funeral homes.
Q:
Assessment of PTSD may be best accomplished by
a. structured interviews specifically related to PTSD criteria.
b. personality tests with special PTSD scales like the MMPI and Mississippi Combat Scale.
c. complete medical work-ups to determine degree and kind of neurobiological involvement.
d. incidence of drug use and criminal acts.
Q:
Grassroots movements are:
a. generally accepted because they have a good cause.
b. maverick organizations.
c. people who are upset about some problem.
d. both "b" and "c."
Q:
The NOVA model of crisis intervention in schools should be one of the first things done when a crisis occurs.
Q:
Young children who suffer from PTSD are likely to
a. continuously reenact the event through play.
b. immediately become very passive.
c. become suicidal.
d. have symptoms much like those of adults, but of briefer duration.
Q:
A developmental crisis may accompany an event such as:
a. the birth of a child.
b. graduation from college.
c. a mid-life career change.
d. All of the above may be crises.
Q:
The Crisis Response Coordinator in a school CRT should have considerable counseling skills in crisis intervention.
Q:
There is a great deal of psychophysiological assessment evidence that indicates that stimulus presentation of sights, sounds, and smells associated with the long-past traumatic event in PTSD sufferers may cause
a. hypervigilence.
b. physiological responses such as increased heart rate, blood pressure, triglycerides, and cholesterol levels, and decreased blood flow to the extremities.
c. higher outputs of impulsive behavior.
d. denial/numbing during the recovery phase of treatment.
Q:
The Equilibrium model of crisis intervention is:
a. generally used first with persons who are often out of control and is meant to stabilize them.
b. used to blend a variety of approaches equally into an eclectic whole.
c. both "a" and "b."
d. none of the above.
Q:
Schools are generally very safe places to be.
Q:
Support groups are important to victims of PTSD because of
a. shared experiences.
b. reduction of stigma.
c. restoration of self-pride
d. All of the above are good reasons.
Q:
A crisis which is not properly dealt with may become submerged from awareness, where it forms a disease reservoir. The phenomenon in which such a crisis reemerges later in life, causing the person's previous crisis symptoms to recur has been termed:
a. acute depressive onset.
b. regression.
c. recidivism.
d. transcrisis.
Q:
Getting enough food and rest is not as important for crisis workers as debriefing at the end of every shift.
Q:
Current disability and privacy laws allow universities to readily identify and help students who may have emotional difficulties.
Q:
Which of the following is a common reaction to traumatic stress?
a. Psychotic breaks.
b. Numbing.
c. Catharsis of emotions.
d. None of the above.
Q:
Crises are time limited, usually persisting a maximum of:
a. six to eight weeks
b. six to eight months.
c. six to eight hours.
d. one to four years.
Q:
Individual experience, family systems, the community, peers, and society all are mediating variables for domestic violence under what theory?a. Sociobiologyb. Nested Ecologicalc. Systemd. Exchange
Q:
An adolescent suicide of impulsivity may be derailed by using aversive imagery.
Q:
One of the reasons the Vietnam War was a fertile breeding ground for PTSD was
a. the war was always ideologically unacceptable.
b. the country was in a patriotic frenzy and couldn"t accept defeat.
c. there were no front lines and one had to be alert at all times.
d. average age of combat participants was 26.5.
Q:
Being aware that an individual in crisis is operating in a transcrisis state provides the crisis worker with important information regarding:
a. transcrisis points.
b. the kind and degree of therapeutic intervention that should be provided for the client.
c. multicultural perspectives that might have a significant impact on the crisis.
d. brief therapy approaches to crises.
Q:
Crisis management of suicidal behavior is essentially no different than crisis intervention.
Q:
Grossman proposes that one reason for the upsurge in school violence is unsupervised behavioral conditioning.
Q:
Which of the following is not one of the diagnostic criteria for PTSD?
a. constricted affect.
b. hyperalertness.
c. heightened social interaction.
d. memory impairment.
Q:
The term "crisis" refers to the perception of an event or situation as an intolerable difficulty that exceeds the person's:
a. ego strength.
b. resources and coping mechanisms.
c. ability to comprehend the crisis.
d. anxiety level following the crisis.
Q:
In a CISD facts are first discussed because
a. they need to be determined to fix the causes.
b. they are easiest to discuss.
c. they are less conflicted than feelings and thoughts.
d. everyone has about the same view of the events, so it is the easiest place to start.
Q:
When using the dual process model you should
a. attempt to determine early attachments as they impact the loss.
b. determine what Kubler-Ross stage the client is in.
c. not push clients toward resolution. Let the oscillation work.
d. deeply empathize with the person's grief but do not let vicarious traumatization occur.
Q:
PTSD may be produced by uncommon stressful life events such as
a. physical or sexual assault.
b. earthquakes.
c. car accidents.
d. all of the above are stressful.
Q:
Workers who have experienced the crisis a client is experiencing will undoubtedly be better able to handle it because they have overcome the crisis.
Q:
It is believed that CISD
a. is absolutely helpful.
b. is absolutely awful.
c. is somewhere in the middle.
d. has ardent believers on both sides of the issue.
Q:
Assessment tools such as the Texas Revised Inventory of Grief generally look for
a. how much the person lost and what it meant.
b. what the person lost and what it meant.
c. both a and b.
d. what the course of the grief is and how it is progressing.
Q:
Which of the following has not been a historical label for PTSD?
a. Combat fatigue.
b. Hysterical neurosis.
c. Railway spine.
d. Acute intrapsychic trauma.
Q:
The ACT Model of crisis intervention seems most appropriate for long term transcrisis intervention when the person cannot seem to get out of thecrisis after a long period of time.
Q:
The Benefield family's crisis may best be viewed by the crisis worker in a(n)
a. ecosystemic context
b. multicultural context
c. both a and b
d. family system context.
Q:
If you were a survivor and were moving on the Adaptive model continuum 6 months after your partner's death, you might be
a. at the restoration end.
c. still at the loss end
b. in between the two ends.
d. anywhere on the continuum.
Q:
Structured Interviews such as theCAPS-1 are the best way of diagnosing PTSD . . . . . if time is available to conduct the interview.
Q:
Psychological first aid is a first-order intervention in crisis.
Q:
Dr Branthoover's overriding comment when interviewed about her post-Katrina work in Louisana was that
a. you need to have comprehensive therapy skills.
b. listening skills are the most important component of doing therapy.
c. expect to sweat and get dirty while doing anything but therapy.
d. debriefing every night is critical.