COUN 502 Final Exam UPDATED Exam
Questions and CORRECT Answers
Crisis - CORRECT ANSWER✔✔- -perception of an event as an intolerable difficulty that
exceeds resources and/or coping mechanisms
-state of disorganization, people face frustration of life goals
-critical phase when ways of dealing with the world are interrupted
-Precipitating event, perception of the event that leads to subjective distress, diminished
functioning when distress is not alleviated by customary resources
Double ABCX Model of a Crisis - CORRECT ANSWER✔✔- A: crisis depending on
resources
B: perception
C: individual/family and degree of stress
X: from low to high generated by event/situation
4 groups of crises - CORRECT ANSWER✔✔- 1. developmental crisis
2.situational crisis
3. existential crisis
4. ecosystemic crisis
Developmental Crises - CORRECT ANSWER✔✔- -occur during normal flow of human
growth and maturation
-when child leaves home, retirement, teen pregnancy, early/delayed puberty
Situational Crises - CORRECT ANSWER✔✔- -Occur when unexpected, extraordinary
event occurs that the person could not control
-car accident, job loss, death of a loved one, illness, rape
Existential Crises - CORRECT ANSWER✔✔- -intensive, pervasive inner conflict and
anxiety associated with existential issues of purpose, meaning, responsibility
-will not have children, will never get married, will not make a difference in their career field
,Ecosystemic Crises - CORRECT ANSWER✔✔- -natural or human-caused disasters
-terrorist attacks, school shootings, persecution of particular populations, war
-hurricanes, tornadoes, tsunamis, wildfires, earthquakes
PTSD - CORRECT ANSWER✔✔- caused by unresolved trauma
PTSD symptoms - CORRECT ANSWER✔✔- flashbacks, avoidance of trauma-related
activities, fear or helplessness, emotional numbing, substance abuse, OCD, panic disorder
Post traumatic growth - CORRECT ANSWER✔✔- resolve cognitive, affective, behavioral
reactions
Crisis Intervention - CORRECT ANSWER✔✔- time-limited treatment directed at reactions
to a specific event in order to help client return to pre-crisis level of functioning
Goals of Crisis Management - CORRECT ANSWER✔✔- -help clients diffuse emotions
-rearrange cognitive processes
-organize and interpret what has happened
-integrate traumatic event into his/her life story
-interpret traumatic event in a way that is meaningful
Duration of crisis mangement - CORRECT ANSWER✔✔- no more than 6 weeks
3 counselor functions - CORRECT ANSWER✔✔- 1. assessment
2. listening
3. acting
Equilibrium - CORRECT ANSWER✔✔- state of emotional mental stability and balance
,Disequilibrium - CORRECT ANSWER✔✔- lack of emotional stability or balance
Mobility - CORRECT ANSWER✔✔- state of being able to autonomously change or cope in
response to different moods, feelings, emotions, needs, and influences
Immobility - CORRECT ANSWER✔✔- state of being incapable of change or coping in
response to different moods, feelings, emotions, needs, and influences. Being unable to adapt
to the immediate physical and social world
6 step model of crisis intervention - CORRECT ANSWER✔✔- 1. Define the problem
(listening)
2. Ensure client safety (listening)
3. Providing support (listening)
4. Examining alternatives (action)
5. Making plans (action)
6. Obtaining commitment (action)
The Chinese characters that represent "crisis" means - CORRECT ANSWER✔✔- danger
and opportunity
Psychological First Aid - CORRECT ANSWER✔✔- -protect (preserve safety, health, self-
esteem)
-direct (direct to appropriate safe places)
-connect (communication with family, community, service providers)
-detect (assess, triage, provide crisis support)
-select (refer people as needed to mental health services)
-validate (inform and normalize responses/reactions of those involved)
Compassion Fatigue - CORRECT ANSWER✔✔- -response to helping/being involved with
people who experience trauma or extreme predicaments
-also called secondary traumatic stress
-my exhibit forms of symptoms similar to PTSD
, Vicarious Traumatization - CORRECT ANSWER✔✔- -changes that alter mental health
professionals' views of themselves, others, and the world
-disruptions in helper's views of safety, trust, esteem, intimacy, control
Burnout - CORRECT ANSWER✔✔- -occurs in hospital settings
-psychiatric units with severe symptomology
Self Care activities - CORRECT ANSWER✔✔- -identify and rely on a support group
-carry an index card listing ways to reduce stress before you are overwhelmed
-relaxation exercises
-journaling
-exercise
-list triggers that affect you so can plan ahead to reduce their impact
How many people in the US complete suicide annually? - CORRECT ANSWER✔✔- 41,149
How many people attempt suicide in a given year? - CORRECT ANSWER✔✔- about 1
million
In 2013, what is the rate of suicide among 65 and older? - CORRECT ANSWER✔✔- 16 per
10,000
Objective Measures for Suicide Assessment - CORRECT ANSWER✔✔- -Beck Depression
Inventory-II
-Beck Scales for Suicide Ideation
-Brief Reasons for Living Inventory
-Suicide Ideation Scale
-Suicide Behaviors Questionnaire
-Suicide Status Form
