CMHC Exam Review

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CMHC Exam Review
2013-10-24 11:19:10
clinical mental health counseling review

Student submitted clinical mental health counseling review questions
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  1. Stevens and Morris (1995) identify several inferential errors that can distort our assessment and subsequent selection/implementation of treatment strategies.  Name at least two.
    Single-cause etiologies: We select one cause for the client's problem while dismissing all other potential alternatives.

    • Availability heuristics: Sometimes a particular theory or a recent article stays in our consciousness and becomes the lens through which we interpret all newly gathered client information.
    • Fundamental attribution errors: We tend to explain our behavior in terms of situational characteristics. In contrast, we tend to explain the behaviors of others in terms of their personal characteristics.

    Illusory correlations: We frequently perceive two independent events occurring together in time as being related.
  2. What is the quiet revolution according to Carling (1995)?  Name at least one association well known for its efforts in this revolution.
    The quiet revolution is a trend in which mental health consumers help themselves as advocates for change.

    Examples include:

    National Alliance for the Mentally Ill (NAMI) -

    • The National Mental Health Consumers Association according to the text but they
    • are now under the name Mental Health America (
  3. Bonfenbrenner identifies four different levels of environmental context in which development occurs. From most proximal to most distal these systems are:

    a) macrosystem, exosystem, mesosystem, microsystem

    b) exosystem, macrosystem, mesosystem, microsystem

    c) macrosystem, mesosystem, microsystem, exosystem

    d) microsystem, mesosytem, exosystem, macrosystem

    (Gerig text, page 59)
    d) microsystem, mesosytem, exosystem, macrosystem
  4. Goal statements are products of the assessment data and they specify the focus ongoing assessment to determine the extent to which the desired outcome are being attained. Goal statments should include what six components? (Gerig text, page 164)
    Who goal involves; Direction of goal (increase, decrease, maintain); Behavior, thought or affect; Conditions; Degree; Time frame
  5. Looking at a Two-Dimensional Model of Mental Health/Wellness and Mental Illness, which looks at levels of mental health/wellness and mental illness/pathology on a low or high level it is reasonable to conclude that a client diagnosed with bipolar disorder may

    A. Never fit into the category of experiencing relatively high levels of mental health/well being. 

    B. Have a good level of mental health/wellness and may experience relatively high levels of mental health/well-being.

    C. Never be classified as either experiencing relatively high levels of mental health/well being or not experiencing relatively high levels of mental health due to lack of conclusive research.

    D. Never see the model being used because having a bipolar disorders tends to skew the results.
    B. Have a good level of mental health/wellness and may experience relatively high levels of mental health/well-being. (p. 65)
  6. As a counselor, when your client states he would like not to work anymore even though he has a family to support and then he tells you that he has signed up for as much overtime that he can work you might think that your client is employing the following defense mechanism:

    A.      Reaction Formation
    B.      Displacement 
    C.      Projection
    D.      Rationalization
    A.      Reaction Formation (p. 79)
    (this multiple choice question has been scrambled)
  7. True or False
    All aspects of human behavior including motives, preferences, emotions, cognitions and spirituality can be explained in biological terms.
    • True. 
    • Refer to page 99 in the Gerig text under Biologicalization of Psychopathology and Human Behavior.
  8. What are the five primary stages of the people helping process?
    • Five stages of the helping process are
    • 1. establishing a relationship
    • 2. assessing/defining the problem
    • 3. identifying and setting goals
    • 4. choosing and initiating intervention
    • 5. planning and introducing termination and follow up.

    (See page 156 in the Gerig text)
  9. The term cultural encapsulation as defined by Wrenn is 

    a. The tendency of an individual to define and dogmatically cling to viewing reality according to their own sets of cultural assumptions to the exclusion of alternative

    b. The tendency of an individual to demonstrate insensitivity to persons of other cultural backgrounds who hold alternative perspectives.

    c.  The tendency of an individual to resist or simply not recognize the necessity of testing the validity of one’s underlying assumptions.

    d.  The tendency of an individual to be become trapped in what may be described as a cultural tunnel vision.

    e.  a and c only

    f.  all of the above
    f.  all of the above
  10. One factor contributing to within-group variations is individual differences in client’s’ racial/cultural identity development. In our text the author describes a model that identifies five stages of identity development persons my experience as they attempt to come to terms with their minority culture in relation to the predominant culture. All of the following are stages in this model except for ____.

    a. conformity       
    b. self-examination
    c. dissonance       
    d. resistance and immersion 
    e. introspection 
    f.  integrative awareness
    b, self-examination (see pg. 226)
  11. T/F:  The Developmental Stages Model works across all modalities and theoretical approaches. This model comes from the work of Prochaska and Norcross (2001) and conceptualizes change as a process that occurs in stages.
    Wrong- the trans-theoretical model is the correct answer
  12. True or False:
    In Colorado, if a child is 15 or older he or she can consent to treatment for mental health issues.
  13. Which of the following were historical precursors to the field of counseling?

    a. Psychology
    b. Social Work
    c. Frank Parsons and early career counseling
    d. Clifford Beers and his book A Mind That Found Itself
    e. All of the above
    All of the Above
  14. True or False: The AMHCA suggests that mental health counselors in training be educated about the biological bases of behavior, in addition to the CACREP standards for education.