Genetic Counseling Domain 4: Mastery in Counseling Skills,
Communication, and Education Test Bank
Subdomain (a) Counseling Skills
1. Question
Which counseling framework emphasizes resolving ambivalence by
exploring pros and cons of behavior change?
A) Cognitive Behavioral Therapy (CBT)
B) Miller’s Decisional Conflict Model
C) Psychodynamic Therapy
D) Family Systems Therapy
Answer: B) Miller’s Decisional Conflict Model
Rationale:
Miller’s Decisional Conflict Model supports clients in resolving
ambivalence by weighing the benefits and risks of various options. It is
widely used in genetic counseling when clients face difficult choices
regarding genetic testing or reproductive options.
2. Question
What principle of trauma-informed care is primarily addressed when a
genetic counselor screens for Adverse Childhood Experiences
(ACEs)?
A) Beneficence
B) Safety
C) Non-maleficence
D) Justice
Answer: B) Safety
,Rationale:
Trauma-informed care emphasizes safety as a core principle,
recognizing that patients with a history of trauma need a supportive
environment that promotes emotional and physical security during
genetic counseling.
3. Question
Which defense mechanism is demonstrated when a patient redirects their
anxiety about a cancer diagnosis into excessive research on the disease?
A) Projection
B) Intellectualization
C) Denial
D) Repression
Answer: B) Intellectualization
Rationale:
Intellectualization occurs when a person focuses on factual, logical
details rather than addressing the emotional impact of a situation. This
can be common in patients coping with serious medical conditions.
Subdomain (b) Communication Strategies
1. Question
Which tool is most appropriate to assess a client’s health literacy level
during a genetic counseling session?
A) Beck Depression Inventory
B) Newest Vital Sign (NVS)
C) Minnesota Multiphasic Personality Inventory (MMPI)
D) Brief COPE
,Answer: B) Newest Vital Sign (NVS)
Rationale:
The Newest Vital Sign (NVS) is a validated screening tool that assesses
health literacy by evaluating a client’s ability to interpret nutritional
information from a food label, helping genetic counselors tailor
communication.
2. Question
The LEARN Model is used in genetic counseling to promote cultural
competence. What does the “A” in LEARN stand for?
A) Appreciate
B) Acknowledge
C) Assess
D) Advocate
Answer: B) Acknowledge
Rationale:
The LEARN Model stands for Listen, Explain, Acknowledge,
Recommend, Negotiate. The Acknowledge step validates the client’s
beliefs, emotions, and concerns, fostering empathy and rapport.
3. Question
What ethical principle is reinforced by following ACMG’s Incidental
Findings Disclosure Checklist during informed consent?
A) Autonomy
B) Justice
C) Beneficence
D) Fidelity
Answer: A) Autonomy
, Rationale:
The Incidental Findings Disclosure Checklist ensures clients are
informed about possible unexpected results from genetic testing,
supporting autonomy by allowing them to make educated decisions
about whether to receive certain information.
Subdomain (a) Counseling Skills
Flashcards
Question Answer
What counseling model helps patients Miller’s Decisional
resolve ambivalence about decision-making? Conflict Model
Which counseling technique encourages Motivational
clients to explore their reasons for change? Interviewing
What defense mechanism involves shifting
Intellectualization
anxiety into excessive factual research?
What principle of trauma-informed care
Safety
ensures patients feel emotionally safe?
Which framework helps clients explore their Miller’s Decisional
mixed emotions in genetic testing? Conflict Model
Subdomain (b) Communication Strategies
Flashcards
Question Answer
What health literacy tool uses food labels to Newest Vital Sign
measure reading and comprehension? (NVS)
What does the A in the LEARN Model stand for? Acknowledge
Communication, and Education Test Bank
Subdomain (a) Counseling Skills
1. Question
Which counseling framework emphasizes resolving ambivalence by
exploring pros and cons of behavior change?
A) Cognitive Behavioral Therapy (CBT)
B) Miller’s Decisional Conflict Model
C) Psychodynamic Therapy
D) Family Systems Therapy
Answer: B) Miller’s Decisional Conflict Model
Rationale:
Miller’s Decisional Conflict Model supports clients in resolving
ambivalence by weighing the benefits and risks of various options. It is
widely used in genetic counseling when clients face difficult choices
regarding genetic testing or reproductive options.
2. Question
What principle of trauma-informed care is primarily addressed when a
genetic counselor screens for Adverse Childhood Experiences
(ACEs)?
A) Beneficence
B) Safety
C) Non-maleficence
D) Justice
Answer: B) Safety
,Rationale:
Trauma-informed care emphasizes safety as a core principle,
recognizing that patients with a history of trauma need a supportive
environment that promotes emotional and physical security during
genetic counseling.
3. Question
Which defense mechanism is demonstrated when a patient redirects their
anxiety about a cancer diagnosis into excessive research on the disease?
A) Projection
B) Intellectualization
C) Denial
D) Repression
Answer: B) Intellectualization
Rationale:
Intellectualization occurs when a person focuses on factual, logical
details rather than addressing the emotional impact of a situation. This
can be common in patients coping with serious medical conditions.
Subdomain (b) Communication Strategies
1. Question
Which tool is most appropriate to assess a client’s health literacy level
during a genetic counseling session?
A) Beck Depression Inventory
B) Newest Vital Sign (NVS)
C) Minnesota Multiphasic Personality Inventory (MMPI)
D) Brief COPE
,Answer: B) Newest Vital Sign (NVS)
Rationale:
The Newest Vital Sign (NVS) is a validated screening tool that assesses
health literacy by evaluating a client’s ability to interpret nutritional
information from a food label, helping genetic counselors tailor
communication.
2. Question
The LEARN Model is used in genetic counseling to promote cultural
competence. What does the “A” in LEARN stand for?
A) Appreciate
B) Acknowledge
C) Assess
D) Advocate
Answer: B) Acknowledge
Rationale:
The LEARN Model stands for Listen, Explain, Acknowledge,
Recommend, Negotiate. The Acknowledge step validates the client’s
beliefs, emotions, and concerns, fostering empathy and rapport.
3. Question
What ethical principle is reinforced by following ACMG’s Incidental
Findings Disclosure Checklist during informed consent?
A) Autonomy
B) Justice
C) Beneficence
D) Fidelity
Answer: A) Autonomy
, Rationale:
The Incidental Findings Disclosure Checklist ensures clients are
informed about possible unexpected results from genetic testing,
supporting autonomy by allowing them to make educated decisions
about whether to receive certain information.
Subdomain (a) Counseling Skills
Flashcards
Question Answer
What counseling model helps patients Miller’s Decisional
resolve ambivalence about decision-making? Conflict Model
Which counseling technique encourages Motivational
clients to explore their reasons for change? Interviewing
What defense mechanism involves shifting
Intellectualization
anxiety into excessive factual research?
What principle of trauma-informed care
Safety
ensures patients feel emotionally safe?
Which framework helps clients explore their Miller’s Decisional
mixed emotions in genetic testing? Conflict Model
Subdomain (b) Communication Strategies
Flashcards
Question Answer
What health literacy tool uses food labels to Newest Vital Sign
measure reading and comprehension? (NVS)
What does the A in the LEARN Model stand for? Acknowledge
