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LCDC Counseling Exam Questions and Answers All Correct

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LCDC Counseling Exam Questions and Answers All Correct Active Listening - Answer-Involves attending skills and reflective listening. Through utilizing active listening skills the counselor will be able to connect with the client and be able to reflect the client's emotions, thoughts, and attitudes. By providing reflection to the addict, the counselor can interject an observing perspective that may be lacking. Empathy - Answer-the ability to understand and share the feelings of another Concreteness - Answer-A process by which the counselor relates the vague aspects of the client in direct expression of feelings and experiences in specific concrete terms to assist the client to develop more functional coping skills Paraphrasing - Answer-Includes the therapeutic qualities of empathy and warmth. Paraphrasing refers to a counselor's verbal response that rephrases the essence of the client's message. It allows the client to hear what they just said, either in parroted form or with added clarity. This interactive process can increase trust and reduce resistance. Reflecting - Answer-Occurs when the counselor restates content tat had generated emotion from the client--it is a reflection of feeling. Reflection of feeling captures and expresses to the client their own expressed emotions and how the counselor understood their emotional message. Counselor should be careful not to interpret the client's feelings. When reflecting feelings, the counselor remains neutral and nonjudgemental by not offering opinions or advice Simplifying - Answer-Involves the reflection and restatement of what the client said. It removes confusion and avoids intellectualizations/convoluted explanations and helps client stay focused on concerns, feelings, and problems in the here and now Summarizing - Answer-Tying together the various messages that the client has communicated throughout the interview Attending - Answer-Paying attention to someone's words well enough to understand what that person is trying to communicate Probing - Answer-Involves asking open-ended questions to clarify information and to help the client toward a new understanding Re-framing - Answer-Consists of offering a different perspective on a situation the client is facing Exploring Alternatives - Answer-is working with the client to examine various options Self-Disclosure - Answer-The act of revealing intimate aspects of oneself to others Confrontation - Answer-Involves the use of a statement or question to raise some discrepancy within the client Immediacy - Answer-Consists of dealing openly with the issues that are present in the clinical relationship Traits of Effective Helpers - Answer-Healthy self-concept, hold positive beliefs about people, are aware and respectful of cultural differences, have the ability to listen and understand, and possess empathy, congruence, warmth, compassion, genuineness, and positive regard Outpatient Treatment - Answer-Organized nonresidential treatment services in which the client visits the clinic at least once a week and up to several hours per week. There may be a number of activities such as individual, group, family, or didactic therapies Functions of Outpatient Treatment - Answer-1. A setting in which the entire course of treatment takes place without removal from the community or disruption of the client's occupational status 2. Can be an initial point of contact for many individuals who enter treatment as a walkin or because the agency is known to an employer or family member 3. Aftercare can be provided to clients referred upon discharge from an inpatient program Intensive Outpatient - Answer-More structured setting in which the client is present at the facility from 10-30 hours a week. Fill a gap between outpatient and inpatient while costing 1/2 of residential treatment. Programs also allow clients to continue in work and family life, promote bonding among clients, and allow clients to practice relapseprevention techniques in real life situations Inpatient Treatment - Answer-Involves a live-in setting with a stay of 4 weeks and include therapeutic communities with a stay from 4-24 months. Inpatient programs may be medical or non-medical, and may or may not include a detox unit. Individual, group, and family treatment may occur as well as education and relapse prevention training Chemical Substitution Program - Answer-Such as methadone-maintenance, systemic dispensation of a legal drug that enables the addicted client to attain social stability, stop criminal activity, and enter the educational and occupational world. Methadone maintenance is effective because it is administered orally; in controlled doses; can be administered once daily; and the rushes/highs/lows are absent; and client can function appropriately in society Yalom's 11 therapeutic factors of group treatment - Answer-Instillation of hope, universality, imparting of information, altruism, corrective recapitulation of the primary family group, development of socializing techniques, imitative behavior, cohesiveness, interpersonal learning, catharsis, existential feelings Installation of Hope - Answer-By observing the progress of others in the group with similar problems, a group member garners hope that his or her problems can also be resolved. Universality - Answer-Clients often enter therapy feeling that they are all alone. In the group, clients hear others share similar problems, concerns, experiences, and other aspects of their lives and begin to feel that they're not alone Imparting of Information - Answer-Clients can learn more about their illness, symptoms, and behavior from education provided by the group therapist. They might also receive advice and direct guidance from peers about how to deal with their problems. Altruism - Answer-Clients often enter treatment with the belief that they have nothing of value to offer others. In groups, clients learn that they are capable of helping others. Their self-esteem is enhanced as a result of helping others and they become less absorbed in their problems Corrective recapitulation of the primary family group - Answer-The group therapy situation resembles the early family in a number of ways; thus clients have the tendency to re-experience old family conflicts within the group. The group therapist challenges maladaptive behavior/roles, because the behavior or role the client took in their family of origin is often exhibited in group. If role is dysfunctional, it can be corrected rather than continue in the group Development of socializing techniques - Answer-Develop social skills by role-playing difficult situations or offering constructive criticism. Members lean to listen, respond to others, avoid interruption, non-judgement, and more capable of expressing empathy Imitative Behavior - Answer-Group members often model their behavior after behavioral aspects of other group members as well as that of the therapist. Cohesiveness - Answer-This is the sense of "groupness" or closeness, acceptance, and being a valued member of a group that satisfies the need to belong


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