Skills and Interventions Flashcards
7 cards from real NCMHCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Skills and Interventions flashcards as text
A counselor uses 'immediacy' in a session. This skill involves:
Answer: Discussing the here-and-now dynamics of the therapeutic relationship
Immediacy involves the counselor openly discussing what is happening in the client-counselor relationship in the present moment.
A client with generalized anxiety reports chronic worry and muscle tension. In addition to CBT, which skill specifically targets physiological arousal?
Answer: Progressive Muscle Relaxation (PMR)
PMR systematically tenses and releases muscle groups, directly reducing the physiological component of anxiety.
When working with a client from a collectivist cultural background, the counselor should:
Answer: Adapt interventions to incorporate family and community values
Culturally competent counseling adapts goals and interventions to honor the client's collectivist values and relational context.
A client's resistance increases after the counselor offers advice. According to motivational interviewing, the counselor should:
Answer: Roll with the resistance by reflecting and exploring the client's perspective
MI instructs counselors to 'roll with resistance' by using reflection rather than arguing, preserving the collaborative relationship.
A counselor uses externalizing questions with a child who feels controlled by anxiety. This is most consistent with:
Answer: Narrative therapy
Narrative therapy uses externalizing language to help clients see the problem as separate from their identity, reducing shame.
During a clinical simulation, a client who recently lost a job reports guilt and worthlessness but denies suicidal ideation. The most appropriate intervention is:
Answer: Cognitive-behavioral techniques targeting the distorted cognitions
CBT targeting guilt-based distortions (e.g., personalizing, overgeneralizing) directly addresses the presenting depressive cognitions.
A counselor notices that a client consistently arrives late and avoids discussing a specific topic. The counselor addresses this pattern directly. This is an example of:
Answer: Confrontation of discrepancies
Confrontation in counseling involves pointing out discrepancies or patterns (e.g., avoidance behaviors) to promote client awareness.