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Counseling
Q:
The Federal Emergency Management Agency's Emergency Management Institute is so comprehensive it even includes mortuary services and hazardous materials courses.
Q:
AA's role in after care
a. is to stop the person from drinking by use of aversive conditioning.
b. may be problematic because the person becomes overzealous in using it.
c. is to socialize and avoid isolation.
d. both b and c.
Q:
Call-in clients like crisis lines because
a. they can remain anonymous.
b. the crisis counselor is in control of the situation and can tell them what to do .
c. both a and b.
d. neither a nor b.
Q:
There are people in the world who see the western world's mental-health-type disaster mitigation as useless and contrived.
Q:
Of the following statements, which is not true of aftercare?
a. Percentages of people who relapse are around 50 percent in the first year.
b. Negative emotional states and interpersonal social and environmental pressures mount.
c. A major decision occurs to "fall off the wagon" and drink again.
d. All are true.
Q:
Font type has little to do with what is going on with a client.
Q:
Facebook is not a critical ingredient in disaster communication.
Q:
Family treatment involves the worker
a. initially being quiet and letting the pathology emerge
b. teaching the family to openly express feelings.
c. teaching family members to carry messages to one another.
d. both a and b are important worker techniques.
Q:
Because conflict occurs more online than in face-to-face intervention communication constantly needs to be clarified.
Q:
Overarching all other local service providers of crisis intervention in a disaster is the Local Emergency Management Agency (LEMA).
Q:
Of the three rules that govern alcoholic families which does not apply?
a. Don"t complain.
b. Don"t talk.
c. Don"t trust.
d. Don"t feel.
Q:
It is extremely important to be careful in word choice and to use brevity when doing crisis intervention over the net.
Q:
The honeymoon period is characterized by an outcry for help from the federal government.
Q:
Aftercare involves all of the following except
a. cognitive boosters
b. possible use of drug antagonists.
c. hydro-immersion therapy.
d. family treatment.
Q:
Emoticons are cute, but cute has no place in crisis intervention.
Q:
The NOVA model is an example of governmental efforts to develop proactive and preventive strategies for crises.
Q:
Of the following current principles of substance abuse treatment, which is not true?
a. Addiction and other psychiatric disorders are treated separately.
b. Case management has moved away from the 28-day model.
c. Client autonomy and responsibility are major driving forces to treatment regimens.
d. Computer-based assessment protocols help tailor-make individual treatment plans.
Q:
Predispositioning is one of the most important tasks when using the internet for crisis intervention.
Q:
An ecosystemic crisis can create victims far away from the actual event.
Q:
Enablers will
a. seek to find other addictive personalities to form a relationship with, in order to help them.
b. attempt to keep the family in maladaptive homeostasis.
c. find other codependents to support them.
d. have few defense mechanisms to help them cope.
Q:
At times the telephone worker may have to provide sexual information and resources regarding sexual behavior to a caller.
Q:
At a minimum an ecosystemic crisis may pervade an entire community.
Q:
Alcoholism is often called the disease of what?
a. minimizing
b. rationalization
c. intellectualization
d. denial
Q:
Pranksters should be hung up immediately to clear the lines for legitimate calls.
Q:
The "who told you?" technique is used on Jane by the worker to
a. point out how she deludes herself.
b. give her a rationale for starting new behaviors that lead to compassion satisfaction.
c. as a way of safely projecting her anger onto significant others through the countertransference phenomenon.
d. All of the above are good reasons the technique is used.
Q:
A good definition of enabling would be that
a. the abuser has enough financial means to quickly increase drug use.
b. a family member practices behaviors that allow the abuser to continue drug use without suffering consequences.
c. the therapist helps the abuser become more cognitively able to abstain from drugs.
d. use of one drug allows the abuser to move to a more powerful drug.
Q:
An iron-clad rule is that any caller needs to have a medication check by the worker to see if that may be contributing to the problem.
Q:
Vicarious traumatization and compassion fatigue are endemic to crisis work because
a. many crisis workers have severe transference issues before they ever get in the work due to their own trauma.
b. crisis workers get addicted to the adrenaline high of traumatic dilemmas and won"t walk away when they need to.
c. it is easy to "catch" the awful symptoms clients have.
d. it is a compensatory behavior for burned-out workers.
Q:
The prescriptive model of drug addiction proposes that
a. there is a prescriptive behavior that fits certain drugs.
b. genetics prescribe what and how much of a drug will be used.
c. self-prescription and physician prescription are used to relieve pain.
d. prescriptions are written to replace addictive drugs with less addictive drugs.
Q:
Because the internet is international in scope there is no need to carry liability insurance if you are offering professional counseling services over it because there are no international ethical standards.
Q:
In the case of Jane, the worker uses an eclectic BASIC IDS approach because
a. the Id suffers most when compassion fatigue occurs.
b. no component of Jane's life is immune from burnout, it has become so pervasive.
c. it is psychoanalytic in nature and will get at unconscious motivators of burnout.
d. she is suicidal and her Id is erupting out of control with no superego to govern it.
Q:
Changing mental sets is important in treating chemical dependence because
a. beliefs about the events can be critical to staying "dry."
b. recognizing cues can help the client learn how to avoid potential problems.
c. "should," "ought," and "must" statements may lead the client to drink again.
d. All of the above are reasons.
Q:
The disinhibition effect means that people tend to open up earlier with more distressing issues over the internet than they do face-to-face.
Q:
Social support systems can provide
a. instrumental support such as enhanced telecommunications systems.
b. expressive support to provide a sense of belonging and caring
c. both a and b.
d. maximum support if they have a home based component.
Q:
Reaction formation in a recovering alcoholic occurs when
a. temper tantrums and sulking are used to manipulate others.
b. hurtful events are buried in unconscious memory.
c. the individual needs acceptance and goes out of his or her way to find it.
d. the "cured" alcoholic proceeds to assume responsibility for curing all alcoholics.
Q:
One way of deescalating severely disturbed callers is to humor them by "going along" with their hallucinations as a calming technique. ( p.136)
Q:
If you were using the Professional Quality of Life Scale (ProQOL) you would be assessing for
a. compassion satisfaction.
b. compassion fatigue.
c. burnout.
d. all three.
Q:
One of the decision variables as to whether a drug abuser will be treated as an in- or outpatient is based on
a. whether the client is a polyuser.
b. whether the treatment program is AA-based or not.
c. whether the client's withdrawal is going to be severe.
d. Both a and c are critical variables.
Q:
One of the techniques for dealing with severely disturbed callers is to deeply reflect their disturbed feelings
Q:
Golembiewski's phase model of burnout proposes that
a. vicarious traumatization leads to compassion fatigue and then burnout
b. depersonalization occurs first, sense of personal accomplishment diminishes, then emotional exhaustion occurs.
c. personality factors weaken, maladaptive traits predominate, stress occurs, burnout happens.
d. bureaucracy predominates, services are impaired, workers are frustrated, apathy occurs.
Q:
The major controversy of alcohol addiction occurs between
a. disease models and socio-cultural models.
b. law enforcement and human service.
c. whether physical or psychological effects are more important.
d. genetic and gateway models.
Q:
Lots of times complaining callers who question the callers' credentials are really wondering whether they can trust the worker.
Q:
Vicarious traumatization and compassion fatigue
a. are the result of the worker allowing clients to become dependent.
b. are the inability of the worker to engage in leisure time activities.
c. occur across therapies and clients over time.
d. typically have an immediate onset in the face of an overwhelming catastrophe in which the worker has little time for proper rest, eats poorly, and is faced with dozens of clients in need of immediate assistance with little hope of obtaining help for them.
Q:
Alcohol is the most abused drug because it
a. is quickly addictive.
b. has severe and immediate physical consequences.
c. is legal, relatively inexpensive, and easily obtainable.
d. is often combined with other drugs.
Q:
One of the major problems in a community telephone crisis line is that workers have to be "expert" in a large variety of areas.
Q:
Countertransference is the
a. attributing traits and behaviors of significant others and events in the worker's past to the client.
b. attributing traits and behaviors of significant others and events in the client's past to the worker.
c. instigating agent of acute traumatic stress disorder.
d. displacement and externalization of negative feelings onto significant others in the life of the crisis worker.
Q:
Of the following, which does not apply in making a diagnosis for treatment of a chemical dependent?
a. personality profile.
b. support system.
c. willpower.
d. drug choice.
Q:
Because the telephone worker is not on the scene, exploring alternatives and making plans need to be simple and clear-cut, and slowly and carefully mapped out.
Q:
Many of the myths that engender burnout are supported by what Albert Ellis calls the _____________ thoughts people tell themselves about their work.
a. unhealthy
b. self-actualizing
c. demeaning
d. conflicted
Q:
Attempts to determine alcoholic personalities through the use of tests have been problematic because
a. alcoholics have a variety of different problems, and their personalities resemble those of schizophrenics.
b. the medical model and AA do not believe in alcoholic personalities, only the disease of alcoholism.
c. the alcoholic may have very different personality profiles pre- and post-detoxification.
d. all of the above are problematic.
Q:
Because establishing psychological contact is so important when conducting telephone crisis counseling, typical problem definition and exploration is not the first thing that a crisis counselor does.
Q:
Of the following, which is not a building block for burnout?
a. role ambiguity
b. incompetence
c. inconsequentiality
d. isolation
Q:
To motivate a chemical dependent to seek treatment, usually
a. a crisis must be created.
b. enablers must demand treatment too.
c. denial must cease.
d. the dependent should "bottom out" and be detoxified first.
Q:
Telephone crisis centers have ready access to a variety of support systems.
Q:
High use of the uncertainty avoidance principle and high power distance would mean that
a. there was high potential for burnout
b. there was low potential for burnout.
c. there was high potential for vicarious traumatization
d. there was high potential for compassion fatigue.
Q:
Enabling is
a. the natural and logical consequence of drug dependence.
b. not treatable to the extent that few positive outcomes may be anticipated.
c a character deficit of the co-dependent.
d. an attempt to keep the family in equilibrium.
Q:
Telephone crisis counseling is cheap, but generally ineffective due to staffing by volunteers.
Q:
Support groups within the institution
a. use social events to take the stress out of work.
b. are readily available if one takes the time to find them.
c. function to provide both technical and emotional support.
d. spend an equal amount of time discussing personal and workplace problems.
Q:
Psychological descriptors of alcoholics would include
a. intelligent, hard driving, obsessive.
b. primitive defenses, sociopathic, narcissistic.
c. incompetent, regressive, sadistic.
d. conforming, masochistic, fragmented.
Q:
Telephone and online counseling pose far fewer ethical dilemmas because the worker is not face-to-face with the client and doesn't know the client's identity.
Q:
Private practitioners suffer burnout
a. for some of the same reasons agency workers do.
b. because of extreme isolation.
c. from dealing with more difficult cases.
d. Both a and b
Q:
Displacement is a defense mechanism that
a. vents hostility on an undeserving person or object.
b. allows the person to retreat to a fantasy world.
c. attributes one's own motives to others.
d. plays down the seriousness of the situation.
Q:
The possibility of secondary victimization is an excellent reason for using telephone counseling because the client is in complete control of the process.
Q:
The assessment device(s) used to ascertain the degree of burnout in an agency might be
a. the 16 Personality Factor.
b. the California Psychological Inventory.
c. the Moos Work Environment Scale.
d. Both a and b are useful assessment devices.
Q:
Two reasons that new drug treatment theories and methodologies have entered the chemical dependency scene are
a. insurance providers and research evidence that the Minnesota model may be no more valid than other models.
b. higher cure rates and greater numbers of abusers.
c. new "designer" drugs and younger addicts.
d. a greater incidence of polyusers and more mentally ill users.
Q:
One of the major disadvantages to telephone counseling is that the worker may have to refer to ready-made lists of feeling words, questions on the topic, and worst of all, keep reference notes, which can all be distracting to the intervention process.
Q:
One of the initial assessments the worker should make in a case of burnout is degree of
a. stress.
b. anger.
c. commitment.
d. lethality.
Q:
The concept underlying AA's treatment approach is (365)
a. rugged individualism.
b. recovering not recovered.
c. self-reliance.
d. both a and c.
Q:
One of the advantages of telephone counseling is that crisis workers can have back-up consultation and quickly access needed services.
Q:
When an assessment of the client indicates he or she is burned out, the worker should
a. find out what has happened in the past that caused the problem.
b. take a directive approach until the client has some equilibrium restored.
c. use an assessment device to see if burnout really is present or if something else is wrong.
d. take a passive-accepting approach and let the client cathart.
Q:
The Community Reinforcement Approach is a very eclectic approach that crosscuts all of the ecosystems of the individual, even to the point of using Antabuse.
Q:
The best method of dealing with a sexually explicit caller is to stay on the line and establish a trusting relationship.
Q:
Of the following statements about burnout, which is not true?
a. It is event rather than process-oriented.
b. It varies in severity and duration.
c. It is infectious.
d. It has no known specific personality traits.
Q:
Motivational interviewing is designed to get the client to start contemplating what life would be like with or without drugs.
Q:
Volunteers who work crisis hotlines are actually pretty effective in helping people.
Q:
One of the major causes of burnout for human service workers is
a. dealing with large amounts of paperwork.
b. working with uncooperative staff.
c. handling chronic clients.
d. loss of control over decision-making about clients.
Q:
Besides their mental health problems, the mentally ill tend to be big abusers of alcohol and drugs.
Q:
One reason telephone counseling works is because clients can remain unknown or unseen by the crisis interventionist.
Q:
Burnout means that
a. the person is stressed out by the job.
b. the person doesn't know how to handle stress.
c. there are no buffers to ease the unrelenting stress.
d. all of the above are needed for a definition of burnout.
Q:
Unbelievably, adult children of alcoholics (ACOAs) tend to marry other alcoholics.