CASAC Counselling Domain Practice Exam

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• How do mindfulness-based strategies support craving management?
• Which component is the conscience and the internalization of moral standards?
• Which of the following is NOT one of Adler's five life tasks?
• The trio of core Rogerian characteristics includes unconditional positive regard, congruence, and which of the following?
• Which practice helps ensure confidentiality when storing client records?
• Which outcome best describes interpersonal learning in group therapy?
• Why is maintaining a nonjudgmental stance important in SUD counseling?
• This clinical skill involves asking open-ended questions to clarify information and to help the client toward a new understanding.
• How is evidence-based practice applied in counseling?
• Which therapeutic factor involves learning that one can help others, boosting self-esteem?
• The approach is primarily concerned with the client's which aspect?
• Which therapeutic factor describes not being alone because others share similar problems?
• What determines intervention intensity in counseling?
• Accurate empathy refers to which therapist behavior?
• Which of the following is used to measure progress toward goals in treatment planning?
• Why is regular treatment plan review important?
• Which stage is associated with ending and separation as the group dissolves?
• Which term describes the development of socializing techniques in group therapy, such as learning to listen and express empathy?
• Which defense mechanism involves the involuntary removal of threatening thoughts from consciousness?
• Gestalt therapy uses experiential methods such as which?
• Which of the following is NOT listed as a common ethical consideration in SUD counseling?
• Which clinical skill occurs when the counselor restates content that had generated emotion from the client?
• Which clinical skill involves restating content that has generated emotion from the client, capturing the core of the client’s feeling?
• This clinical skill refers to ways in which the clinician demonstrates that she or he is listening to the client through the use of cues.
• What is the primary goal of Motivational Interviewing in substance use counseling?
• What is a typical structure for a brief one-session intervention?
• Motivational Enhancement Therapy (MET) is best described as?
• In contingency management, rewards are typically contingent on which behaviors?
• In Gestalt therapy, which concept is central?
• In psychoanalytic therapy, the analyst listens to dreams and believes that a great deal of unconscious material can be uncovered in dreams.
• Negative feelings that are stirred up in the analyst as he/she interacts with the patient - as the patient may remind the analyst of someone from his/her past.
• Which stage represents the separation/adjourning where the group ends?
• How should progress toward goals be measured in treatment planning?
• Which statement best describes the ego's primary role in psychoanalytic theory?
• Which option is NOT one of the core Rogerian characteristics?
• Which clinical skill is the 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?
• In Tuckman's model, which stage comes before Performing?
• Which is characteristic of the Working stage in Yalom's model?
• What is the purpose of treatment planning in counseling for SUD?
• In CBT for substance use, what is cognitive restructuring?
• What are key elements of culturally competent counseling?
• Developing Adler's spiritual dimension corresponds to which life task?
• Which statement best describes evidence-based practice in counseling?
• Which aspect is emphasized by the approach: focusing on the present moment rather than the past?
• Which clinical skill involves attending skills and reflective listening?
• A counseling progress note should typically include which of the following regarding the client's response to interventions?
• In Adlerian theory, feelings of inferiority are believed to result from which factors?
• The six steps listed (establish a helping relationship; assure safety; conduct an assessment; give support; assist with action plans; arrange for follow-up) are the steps for which process?
• What makes a goal SMART?
• In the Stages of Change model, which stage involves awareness of the need to change but without committing to taking action?
• The open expression and release of feelings is an important part of group therapy. This is known as what?
• Which stage is the final stage in Yalom's model of group development?
• What is the purpose of a treatment plan review?
• In Motivational Interviewing, what is the difference between a simple reflection and a complex reflection?
• Transference occurs when the patient applies feelings from past relationships to the analyst.
• Which technique involves rehearsing difficult real-life scenarios to practice social skills, such as a job interview?
• How do screening/assessment and diagnosis differ?
• Which component operates on the pleasure principle and seeks immediate gratification?
• By watching other group members get better, clients begin to believe that they can get better also.
• Which term refers to bringing unconscious material to conscious awareness in order to gain insight?
• Which MI technique involves asking clients to talk about the pros and cons of changing?
• Which term describes the therapist's nonjudgmental acceptance and regard for the client?
• What are co-occurring disorders?
• Which of the following is NOT a stage in Yalom's model?
• The analyst's own emotional reaction to the patient that is triggered by past relationships.
• According to Tuckman & Jensen, this phase is the first one in which members may be somewhat uncomfortable with each other, and the leader may need to be quite active to help them learn to trust each other.
• Which set of strategies is effective for addressing resistance in counseling?
• Which practice would be inappropriate in Rogerian therapy?
• What is a functional analysis (ABC analysis) used for in relapse prevention?
• This clinical skill includes the therapeutic qualities of empathy and warmth while rephrasing the essence of the client's message.
• This clinical skill consists of offering a different perspective on a situation the client is facing.
• Which clinical skill is the ability to perceive another person's experience and communicate that perception back to the person?
• What is meant by client engagement and how is it fostered?
• What is the purpose of screening in the counseling process?
• In risk assessment, which of the following is considered along with danger indicators?
• Adlerian therapy emphasizes the influence of which on current behavior?
• The Stages of Change model includes which stages?
• When should termination be planned, and what should it include?
• Which frame of reference states that anxiety and illness arise from confronting ultimate existential concerns such as death, freedom, isolation, and meaninglessness?
• Which quality is often present in the Transition stage of Yalom's model?
• The tasks of building cohesion, managing conflict, dismantling subgroups, dealing with challenging members, supporting recovery, and developing group cohesion are the responsibilities of whom?
• What should be included in a psychosocial assessment?
• Which description best captures the essence of person-centered therapy?
• What is informed consent in counseling?
• Which factor demonstrates hope by watching others improve?
• Who originated psychoanalytic theory?
• Which term describes the group therapy process where family of origin behaviors are corrected?
• In Motivational Interviewing, what adherence guideline is emphasized?
• The goal of this type of therapy is to bring material from the unconscious mind to the conscious awareness so that one can change (insight); to work through unresolved issues from various psychosexual stages of development.
• Which of the following demonstrates a culturally adapted MI approach?
• The Five Stages of group development identified by Tuckman & Jensen, 1977 are
• This clinical skill consists of dealing openly with issues that are present in the clinical relationship.
• Who originated Adlerian Therapy?
• Which theory focuses on resolving unconscious conflicts from the past and views behavior as determined by irrational forces and unconscious motivation?
• What best differentiates a goal from an objective in treatment planning?
• 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.
• Which statement best describes the group's aim regarding maladaptive interpersonal relationships?
• How is confidentiality handled with family involvement?
• Which statement best describes termination planning in counseling?
• What is the purpose of a psychosocial assessment in treatment planning?
• Which clinical skill is the ability to perceive another person's experience and communicate that perception back to the person?
• Which MI skill corresponds to actively acknowledging and reinforcing a client's strengths and efforts?
• What is a critical first step in crisis intervention for SUD?
• Psychoanalytic theory describes development through which type of stages?
• According to Tuckman & Jensen, this stage is the intimacy stage, and the group is beginning to build cohesion.
• The stage referenced in the above alcoholism view is the oral stage.
• This clinical skill involves the use of a statement or question to raise some discrepancy within the client.
• Empathic listening in counseling is best described as?
• Which term describes the sense of groupness, closeness, acceptance, and belonging within a therapy group?
• Developing positive traits to unconsciously mask weaknesses and mistakes.
• Which statement best describes the purpose of client engagement in counseling?
• Which stage of change follows Action and involves maintaining new behaviors?
• Provide an example of a culturally adapted MI technique.
• Which of the following is NOT typically listed as a Gestalt therapy technique?
• Which defense mechanism involves pretending that something that is true is not true?
• Which action is a fundamental step in addressing confidentiality in counseling?
• What are the three stages of crisis intervention?
• According to Tuckman & Jensen, this phase is the power and control stage, where members vie for the pecking order and the leader must manage conflict to keep the group safe.
• Existential therapy is well-suited for clients dealing with which issue?
• What type of learning is involved when the group helps individuals identify and modify maladaptive interpersonal relationships?
• Which of the following describes effective strategies for addressing resistance in counseling?
• What is a primary goal of existential therapy?
• Which component operates on the reality principle and mediates id impulses without harming the superego?
• How do crisis events differ from routine appointments in SUD counseling?
• The patient unconsciously responds to the analyst, as if he/she were a significant other from his/her past, often a parental figure.
• The genuineness of a Rogerian therapist is called what?
• Freud believed that many painful experiences from the first five years are kept buried in the unconscious as a result of which defense mechanism?
• Contingency management in substance use treatment primarily relies on what?
• Which clinical skill is the act of showing the client that you are listening through nonverbal cues and verbal signals?
• Which elements are typically identified in a relapse prevention plan?
• Which framework emphasizes psychosexual stages of development in explaining unconscious conflicts?
• Harm reduction in substance use counseling is best described as?
• Which principle is central to both MET and Motivational Interviewing?
• What is the main characteristic of Yalom's first stage 'Initial'?
• In this view of alcoholism, the alcoholic is thought to have unmet oral needs, originating in the oral stage of life, from birth to about 18 months. It is believed that seeking oral gratification, especially in a bottle, stems from an unconscious death wish and self-destructive tendencies of the id.
• Which practice best maintains professional boundaries in counseling and avoids exploitation?
• What is another name for this therapy that emphasizes the here-and-now focus and the client's ability to resolve problems?
• Which therapeutic factor is described as education and peer guidance about illness?
• What are the four core skills of Motivational Interviewing represented by the acronym OARS?
• Yalom's four stages of group development are listed in which correct order?
• Which defense mechanism allows us to attribute to another what you are actually experiencing?
• This clinical skill is the process of restating the content that had generated emotion from the client, helping the client become aware of his or her own expressed emotions without interpretation.
• Which clinical skill involves working with the client to examine various options?
• Adlerian Therapy is often described as which type of therapy?
• If a client refuses consent to share information with a third party, what is the counselor's appropriate action?
• This clinical skill involves the tying together of the main points, themes, and issues presented by clients during part or all of a session.
• Group members model their behavior after other group members and the therapist. What is this phenomenon called?
• What is a case formulation in counseling?
• Which clinical skill refers to a verbal response that rephrases the essence of the client's message?
• An acute physical and/or emotional event during treatment that threatens progress and increases relapse risk is called what?
• Which item is not part of the OARS core skills in Motivational Interviewing?
• In psychoanalytic therapy, the patient is asked to state aloud the first words that came to his/her mind.
• In group counseling for addiction treatment, which facilitator characteristic supports participant engagement?
• In Motivational Interviewing, what is the guiding principle regarding giving advice?
• Which therapy is most closely associated with a focus on the here and now and client self-directed growth?
• In crisis intervention steps, what is the third step after establishing a helping relationship and ensuring safety?
• Which statement about confidentiality with family involvement is correct?
• A risk assessment in counseling involves evaluating what?
• 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.
• Who originated Gestalt Therapy?
• In Yalom's model, what is the second stage called?
• Relapse is described as a process rather than an event. Which statement best reflects this concept?
• Which goal is most closely associated with catharsis in group therapy?
• A counseling progress note should document which of the following?
• Which term describes the superego as the conscience and internalized moral standards?
• Which statement best describes boundary management in counseling?
• How do family and social networks influence recovery?
• Which term describes the ego as mediating between the id and the superego and operating on the reality principle?
• In a psychosocial assessment, which option best describes its scope?
• Which defense mechanism involves making problems seem less severe than they actually are?
• A Rogerian therapist typically views clients as what kind of resource?
• In psychoanalytic theory, the mind is made up of three forces that compete with each other.
• Which term refers to services that respond to an abuser's needs during acute emotional and/or physical distress?
• Who are the two originators of existential therapy?
• What are the key components of a relapse prevention plan?
• When addressing cultural and linguistic barriers, which action is recommended?
• Which defense mechanism involves making excuses to avoid acknowledging the pain of one's behavior?
• This clinical skill occurs when a clinician shares something about him/herself for the benefit of the client.
• Which is a core focus of existential therapy?
• In Tuckman's model, which stage is characterized by a cohesive group where members are comfortable helping each other grow and change?
• 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 any maladaptive behavior patterns and roles, because the behavior or role that the client took on in his/her family of origin is often exhibited in the group. If the behavior or role is dysfunctional, it can be corrected rather than allowed to continue in the group.
• What is the counselor's role during relapse crisis?
• This clinical skill involves the reflection and restatement of what the client said, helping the client stay focused on concerns, feelings, and problems in the here and now.
• This technique of psychoanalytic therapy has the therapist acting as an expert to explain the meaning of the patient's concerns and the meaning of unconscious material.
• Relapse is described as a process rather than an event. Which statement best reflects this concept?
• Which elements are essential to structure a group counseling session in addiction treatment?
• Universality description: Clients often enter therapy feeling they are all alone. In the group, they hear others share similar problems and they begin to feel they are not alone.
• Which statement about informed consent is true?
• In Rogerian therapy, the primary focus is on which aspect of the client?
• Gestalt therapy emphasizes awareness of what in the here and now?
• Which statement about case formulation is true?
• Which is a core characteristic of a Rogerian (person-centered) therapist?
• When should a counselor refer a client to another professional or higher level of care?
• This psychiatrist defined eleven therapeutic factors of group treatment.