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Counseling
Q:
The Dual process model involves
a. emotional resource allocation to new modes of living.
b. release of emotional attachment of the loss object.
c. movement at one's own pace between a loss orientation and a restoration orientation.
d. the bi-polar dilemma of death avoiding and death approaching.
Q:
The Master Resilience Trainer course will require thousands of psychologists, social workers, and licensed professional counselors to implement across the whole army.
Q:
Chaos theory is a positive theory of crisis because it causes new, previously unknown solutions to be found
Q:
One of the critiques of Katrina disaster relief that is not valid is that
a. people had to be coerced into volunteering to help.
b. money and staff had been diverted to counterterrorism activities.
c. there was a lack of efficient communication.
d. there were ambiguous authority relationships.
Q:
The stage theories of grief are no longer considered very valid because
a. one size fits all models don"t work.
b. Kubler-Ross's theory applied only to death.
c. Bowlby's theory applied only to childhood.
d. all of the above are reasons.
Q:
The Army Comprehensive Fitness program does not include a component to help families
Q:
Fractals , bifurcations , intermittences and smooth noodle maps have to do with how well ego reintegration occurs in psychoanalytic crisis theory.
Q:
Mental health unit time frames for delivery of services in a disaster may be divided into
a. pre-, during, and post-crisis event.
b. trans-disaster and post-disaster.
c. standard chronosystem time frames.
d. no known time frame exists for mental health disaster recovery
Q:
Which is not part of the proposed criteria for complicated grief as a diagnosable mental illness?
a. hypervigilance about one's own mortality.
b. yearning and pining for the deceased.
c. inability to trust others since the death.
d. feeling emotionally numb.
Q:
Moving beyond the trauma means survivors need to come to understand the negative aspects of PTSD and that the physiological responses they may have are common to the experience
Q:
Movements such as AA, Vietnam veterans and the women's movement have had a great deal to do with the establishment of the specialty field of crisis intervention.
Q:
According to Freeman, a natural disaster and crisis is over when
a. FEMA declares it over.
b. everyone's dog has come home and Aunt Nellie has been found.
c. the dead and wounded have all been found.
d. federal disaster aid impact areas are declared.
Q:
Loss and bereavement in a HIV+ client might include
a. continuing transcrises events.
b. being depressed, anxious nervous , and angry.
c. numerous secondary losses a such as one's job.
d. All of the aboveall of the above may be components of loss and bereavement
Q:
In the outcry phase, the focus of treatment should be on finding support groups whose members have responses associated with the trauma. .
Q:
Crisis intervention services typically start through massive government funding to rectify some ill.
Q:
Local EMA directors typically
a. have degrees in emergency management.
b. are mental health professionals.
c. come from a variety of occupations but take many training courses.
d. are assigned by FEMA after completing training at the Gaithersburg, MD FEMA center.
Q:
A DIVORCE map is a way of getting at
a. previous unseparated attachments.
b. finding and disputing the client's irrational beliefs.
c. restoration activities.
d. none of the above.
Q:
Because their mission is to save lives, survivors' guilt is one of the negative emotions that affects emergency medical personnel.
Q:
The first suicide intervention program in the United States was created over a hundred years ago.
Q:
Professional organizations such as the American School Counseling Association provide
a. counseling assistance after disasters.
b. information and psycho-educational materials for the public.
c. formats for discussion of theory and practice of crisis intervention.
d. all of the above.
Q:
From a Piagetian standpoint, the preoperational child's egocentric view of death may be
a. laced with magical thinking and fantasy with no clear view of death's finality.
b. programmed to follow the parental view of death.
c. related to the unique and particular relationship with the deceased.
d. subject to social influence that is accompanied by numerous negative cultural messages about death.
Q:
Nondirective play therapy is ill advised because restitutive play may become increasingly destructive if left ungoverned
Q:
Crisis intervention in the United States started at about the time of the Revolutionary War.
Q:
The Nassau County Emergency Management Agency's chronosystem clock starts running
a. the day of hurricane landfall.
b. the day after landfall.
c. prior to hurricane landfall.
d. its start time is variable depending on conditions.
Q:
Regardless of the age of parents or children, the death of a child is always a major loss that is affected by
a. parental anger and denial.
b. the child's age, suddenness of death, circumstances of death, and the family situation.
c. cultural dynamics.
d. All of the above are major factors in parental grief.
Q:
EMDR should not be used with children because it is very intrusive and may reignite the trauma
Q:
Most crisis is complex.
Q:
The disaster recovery phase that is defined as "We are all in this together" is known as the _________ phase.
a. honeymoon.
b. euphoric.
c. adaptation.
d. emergency.
Q:
In the Dutro Model, the concepts of grief and loss are purported to be more dynamic, moving from the medical or pathological theories to more interactive models. This model refutes many of the older theories of grief. As an example:
a. The common assumptions concerning the stages of grief are not supported.
b. Placing time limitations on grief is inappropriate.
c. Suppression of sadness being viewed as pathological is an error.
d. All three of the above are good examples.
Q:
Drugs such as Prozac are widely effective with all trauma types and should be used conjointly with psychotherapy
Q:
Eclectic crisis intervention involves the intentional and systematic selection and integration of valid concepts and strategies from all available therapeutic approaches.
Q:
Following a disaster, the debriefing of the crisis workers themselves helps such workers deal with the
a. crisis event, its victims, and the response to the event by the crisis workers.
b. the individual crisis worker's personal/professional response to the survivors.
c. dynamics of the group as it goes through the debriefing process.
d. all the above.
Q:
In the Schneider Model of Grief, the stage called gaining perspective on the loss is described as the griever reaching the point of accepting the loss, which is characterized by
a. reaching a point of accepting that "what is done is done."
b. providing time to make peace with the past.
c. both a and b above are characterized by this particular stage of grief.
d. neither a or b above are characterized by this particular grief stage.
Q:
One of the major reasons for PTSD counseling groups is to let the members cathart about their experiences and thus get rid of the bad memories.
Q:
The Equilibrium model of crisis intervention seeks to equalize faulty thinking.
Q:
A critical aspect to working with the Benefield family in MIdville is
a. knowing that they will have to come to grips with reality after the honeymoon period.
b. keeping them from becoming disillusioned by the bureaucracies that control disaster relief.
c. being culturally sensitive to their accents and deep spiritual beliefs.
d. stopping ASD from turning into PTSD.
Q:
Which of the following is not found in complicated grief and mourning?
a. Severe separation anxiety and distressed yearning.
b. Denial, repression and avoidance of the loss.
c. Intense intrusive thoughts about the deceased.
d. Reformulation of loss in a context of growth.
Q:
A SUDS and VOC rating that both went down after an EMDR session would mean that the client felt some relief from the trauma.
Q:
Basic crisis intervention, while often brief, is not brief therapy.
Q:
Mental health assistance for widespread disasters (both natural and manmade) such as hurricanes, mass murders, plane crashes, and tornadoes are often handled by
a. crisis stabilization units.
b. acute traumatic stress disorder organizations.
c. rapid response teams.
d. EMDR teams.
Q:
According to Schneider, all crises can eventually be
a. reformulated within a context of growth.
b. classified under one of the three patterns of responses ofdeath accepting, death defying or death denying.
c. viewed within a multicultural context.
d. classified under the Kubler-Ross model of the stages of grief and bereavement.
Q:
An example of a childhood Type II trauma would be a one-time stranger rape of a child.
Q:
Each crisis encapsulates a process leading to the potential for constructive change for the client.
Q:
Of the following rules about crisis response teams working in a disaster, which is not true?
a. It is important to work in teams.
b. It is important to get sleep and food.
c. Debriefing should be held away from the scene.
d. Workers should debrief one another
Q:
Disenfranchised grief occurs
a. only in illicit, "forbidden" relationships.
b. when a loss is experienced and it cannot be openly acknowledged
c. when the person doesn"t acknowledge it to him- or herself.
d. when the person doesn"t acknowledge it to the deceased.
Q:
In childhood Type II traumas, children rarely misperceive or distort the trauma once brought to awareness.
Q:
Existential crises have to do with the struggle to continue to exist after a disaster.
Q:
The chronosystem is important because it
a. assesses how well FEMA is doing.
b. assesses what outcomes may be expected.
c. sets a disaster clock in motion that may have lethal ramifications.
d. provides benchmarks when certain phases of recovery should occur.
Q:
An appropriate example of providing immediate, short-term, and brief crisis intervention with the bereaved following a sudden death would be
a. working through long buried guilt feelings.
b. planning new relationships now that the loved one is gone.
c. referral to a support group.
d. providing referral sources to make arrangements for the funeral, and information about autopsy and donor rights.
Q:
Children who suffer a traumatic experience are likely to have problems with "narrative coherence," which is the ability to organize material into a beginning, middle, and end.
Q:
Transcrisis points are frequently accompanied by transcrisis states that occur during interventions.
Q:
A salutogenic shift on a crisis chronosystem means that
a. people have mourned their losses and are starting to rebuild their lives with renewed hope.
b. people are becoming more prone to transcrisis events.
c. people are more prone to have ASD turn into PTSD.
d. salutogenic shifts occur only with systems and not individuals.
Q:
Of the following, which is not a reason that human service workers should have their own loss issues resolved?
a. Over-investment in the client.
b. Transference of one's own unresolved feelings to the client.
c. Burning out on the subject.
d. All of the above are equally important.
Q:
SUDS is a term identified with EMDR.
Q:
Transcrisis states are identical to posttraumatic stress disorder.
Q:
On a chronosystem, disillusionment in the system may occur
a. when the media leaves.
b. when FEMA leaves.
c. at about three months.
d. All of the above may be timelines for disillusionment.
Q:
A basic, personal resource (as opposed to professional skill) of the human service worker who deals with bereavement and loss is
a. coming to grips with one's own issues about death.
b. reading extensively in the death and dying literature.
c. attending workshops and classes on the subject of death.
d. All of the above are equally important.
Q:
Terr's studies of children differentiate PTSD into two distinct types depending on traumatic event duration.
Q:
In the disequilibrium that accompanies crisis, anxiety is always present, and the discomfort of anxiety provides an impetus for change.
Q:
When groups of crisis workers experience "parallel processing" at a disaster site, it means they
a. are experiencing many of the dynamics of the victims they are sent to help.
b. process feelings and thoughts at the same time as survivors.
c. work simultaneously with victims and other emergency relief workers.
d. use triage assessment simultaneously with multiple victims to see who gets help first.
Q:
Grief in the elderly
a. may be more prolonged than with younger people.
b. is easier because the elderly have suffered loss before.
c. is much the same as with small children.
d. may be easier due to the fewer peers with whom they have to deal.
Q:
There is evidence that intense and continuous stress can cause permanent physical changes to occur in the brain.
Q:
Understanding crisis is usually fast, simple, and uncomplicated.
Q:
The chronosystem includes
a. both individual and system timelines.
b. communication links and their timeline development.
c. changing from mainly reactive programs to mainly proactive ones.
d. FEMA, SEMA, and LEMA timelines.
Q:
Loss through separation and divorce
a. is correlated with major mental problems.
b. can be healing and constructive.
c. even if desired, may be filled with a sense of frustration, loss, and mourning.
d. all of the above depict issues relating to separation and divorce.
Q:
Child abuse and rape victims experience PTSD very differently than other victims of PTSD.
Q:
Crisis embodies both danger and opportunity.
Q:
The exosystem includes
a. communications created by word-of-mouth, cell phones, and local newspapers.
b. timelines for easing or exacerbating the crisis.
c. the community and even state or regional entities
d. federal agencies such as NIMH and FEMA
Q:
In dealing with children who have suffered loss, an adult should
a. shield and protect the child.
b. be truthful and consistent.
c. be concerned if the child seems uncaring.
d. both b and c.
Q:
"Railway spine" was a historical precursor of what is now known as PTSD.
Q:
The National Organization for Victim Assistance (NOVA) evolved on a national level in order to respond to the needs of
a. isolated rural communities.
b. deinstitutionalized mental patients.
c. victims of violent crime.
d. victims of natural or manmade disasters.
Q:
The stages of dying in the Kubler-Ross model are more or less
a. pain, shock, remorse, coping, and healing
b. denial, anger, bargaining, depression, acceptance.
c. anxiety, terror, bargaining, faith, resignation.
d. none of the above are the correct stages.
Q:
Flooding works well as a therapeutic intervention with children because it allows them to expunge intrusive thoughts.
Q:
The super mesosystem is a
a. communications system
b. link between macrosystems and the exo- and microsystem.
c. both a and b
d. neither a nor b.
Q:
Kubler-Ross believes that our culture sees death as
a. a transition into a greater eternal life.
b. defeatable through modern medical science.
c. an unspeakable issue, more so than sex or violence.
d. a resolvable issue through erecting monuments and memorials.
Q:
Eye movement desensitization/reprocessing (EMDR) works because the strobe light or finger movement interrupts abnormal neural activity.
Q:
The microsystem includes all but which of the following?
a. family members.
b. social clubs and churches.
c. co-workers and neighbors
d. all of the above are part of the microsystem.
Q:
Reformulating loss in a context of growth in the grieving process means
a. numbing oneself to future crisis because of familiarity with the experience.
b. resolving the loss of a loved one.
c. emerging from the crisis with greater strength.
d. obtaining help from a support group.
Q:
Man-made and natural disasters are equivalent in their ability to produce PTSD.
Q:
The mesosystem is a
a. rapid response system
b. national response system.
c. communications system.
d. All of the above contribute to the mesosystem