Ch8 Complete Test Bank + Difficult Situations Engaging with - Choices Interviewing Canadians 6e Complete Test Bank by Bob Shebib. DOCX document preview.
Bob Shebib
Choices: Interviewing and Counselling Skills for Canadians, 6/e
Test Bank
Chapter Eight
Difficult Situations: Engaging with Hard-to-Reach Clients
Multiple Choice Questions
1. Which of the following counsellor behaviours will tend to increase client resistance?
a. immediacy
b. self-disclosure
c. attempting to persuade the client to change
d. contracting
e. core conditions
2. The term psychological reactance describes how
a. problem behaviours may increase if a person believes that his or her personal freedom is threatened
b. people react to violence
c. defense mechanism impact behaviour
d. chemical changes affect brain functioning
e. counsellors have a tendency to avoid dealing with anger
3. Which of the following may be a sign of resistance?
a. uncooperative behaviour
b. hostility
c. not showing up for an appointment
d. changing the subject
e. all of the above
4. Which of the following is true?
a. some resistance is normal and perhaps desirable
b. resistance signals that there are problems in the counselling relationship
c. resistance is a serious impediment to counselling success
d. resistance is rare if counselling routines are followed properly
e. resistance signals a need to refer the client to a different counsellor
5. Resistance may originate because of
a. problems in the counselling relationship
b. failure of the client to perceive a problem
c. belief that taking help is a sign of weakness
d. fear of change
e. all of the above
6. Confrontation
a. is the strongest way to promote client change
b. is an effective way for counsellors to deal with their own personal feelings
c. has no place in professional counselling
d. has the potential to deepen trust in relationships
e. interferes with the important goal of keeping the counselling relationship pleasant
7. Which of the following statements is true?
a. mental illness is a strong predictor for violence
b. clients who are violent are likely to have a mental disorder
c. recent research has made it easy to predict who will become violent
d. violence arises from a complex mix of psychological, social, biological, and physiological factors
e. past behaviour is of little value in predicting who might become violent
8. Which of the following is true?
a. age is not a factor in predicting violence
b. alcohol lessens inhibitions and is associated with increased violence
c. LSD and glue sniffing lessen the risk of violence
d. the highest risk age and gender for violence is men from 40 to 49 years of age
e. anger is a dangerous emotion
9. Which of the following is the best predictor of potential violence?
- command hallucinations
- social and personal stress events
- head injury or organic brain disease
- history of violent behaviour
- schizophrenia
10. During the anxiety phase (escalating toward violence) client warning signs include
a. increased agitation
b. acting out behaviour
c. threats
d. displays of weapons
e. all of the above
11. When clients reach the defensive phase (escalating toward violence), the best response is:
a. calm them with a gentle touch
b. set realistic and enforceable limits
c. use a commanding voice tone establish control
d. avoid compromise as this demonstrates weakness and will lead to further demands
e. none of the above
12. When dealing with clients who make veiled reference to what they might do, Gavin de Becker suggests that counsellors
a. ignore the reference
b. change the subject
c. ask the client to be specific about their intentions
d. notify the police
e. let the client know that you will not tolerate such statements
13. When dealing with potentially violent clients, compromise
a. should be avoided
b. is neither possible, nor desirable
c. sets up a pattern whereby clients get what they want through threat
d. makes it harder to set limits at a later date
e. may help clients find a way to retain their dignity
14. Which of the following statements is true?
a. setting limits violates the trust of the counselling relationship
b. failure to set limits can lead to acting-out behaviour
c. angry clients rarely respond to limit setting
d. it is usually better to state the limit with clear negative consequence
e. limit setting exposes counsellors to significant risk
15. Critical incident debriefing is a tool
a. for interviewing and counselling potentially suicidal clients
b. used to systematically record the reasons for a violent event
c. that has been found to be helpful for people who have been traumatized
d. that evaluate a client’s potential for violence
e. used during the tension reduction phase to help clients understand the reasons for their violent behaviour
True-False Questions
1. Clients always go through each of the phases of violence.
2. When people perceive that their freedom is in jeopardy they may increase undesired behaviour.
3. Some resistance is normal and perhaps desirable.
4. At the defensive phase clients may lose the ability to think rationally.
5. Resistance is a symptom of a mental disorder.
6. Substance abuse increases the risk of violence
7. Confrontation should be used sparingly.
8. Unsolicited confrontation tends to foster resistance.
9. Violent clients usually have a mental disorder.
10. Counsellors should never compromise with angry clients as this demonstrates weakness.
11. Setting limits reinforces acting-out behaviour.
12. The anxiety phase provides early warnings of increasing anger and agitation.
13. History is weak predictor of future violence.
14. The office should give both the counsellor and the client a clear path to the doorway.
15. The tension reduction phase is characterized by a gradual reduction in aggressive behaviour.
Answers: True: 2, 3, 4, 6, 7, 8, 12, 14, 15; False: 1, 5, 9, 10, 11, 13.
Short Answer Questions
- Describe the different types of confrontation.
2. What is the meaning of the term resistance?
3. What responses tend to increase resistance?
4. What responses tend to decrease resistance?
5. What are the phases of violence as defined by the National Crisis Prevention Institute?
Answer. The phases are a textbook model and not a predictor of how each situation will evolve. Four phases (anxiety, defensive, acting-out, and tension reduction) are each characterized by particular indicators. For example, in the anxiety phase early warning signs such as pacing and other signs of agitation signal marked changes in the client’s behaviour. Each phase demands specific response strategies
Paper Topics and Research Projects
- Write a reflective paper that addresses your concerns and personal feelings about dealing with angry and potentially violent clients. What aspects of your personal experience might make it difficult for you to deal with such clients?
- Interview selected people in the social service workplace regarding their experiences dealing with aggressive and potentially violent situation subject Sample questions:
• Have they ever been a victim of violence in the workplace?
• If they have been a victim of violence, what precipitated it? Might it have been prevented?
• In their experience, which clients are more likely to become violent? Why?
• Does their agency have a policy around dealing with potentially violent clients?
• What strategies have they used successfully to deal with potentially violent clients?
3. (For students doing concurrent field work training) Critically analyze your agency’s safety policy and procedures for dealing with potentially violent clients. Suggest adjustments that would make your work site safer. Caution: Remind students to be sensitive to the agency right to confidentiality regarding its internal operation.
4. Explore the topic of assertiveness including a detailed analysis (with examples) of the difference between passive, aggressive and assertive behaviour.
5. Assertive confrontation: Develop (in small groups) ineffective and effective confrontation responses for each of the scenarios below. Present your examples in a role play.
Scenario #1: You are a member of a student work group composed of yourself and three other students. For the third time in a row Joyce has not completed her share of the work.
Scenario #2: Your male friend who you have known for six months continues to make offensive (but not obscene) sexist remarks.
Scenario #3: You have been working with Gary for two months to help him to develop job-finding skills. He has noticeable body odour.
Scenario #4: You are in a task group. It seems to you that every time you want to speak, Phyllis cuts you off. After a group session, she invites you to coffee where she exclaims, ``wasn’t today great? Our group is so close and we work so well together.''
Scenario #5: You decide to confront an instructor regarding a course grade that you think is too low.