BRS Counseling, Education & Support Services 3 — Questions and Answers
Question 1: A BRS notices that a client from a collectivist culture consistently defers all rehabilitation decisions to family members. The MOST culturally responsive approach is to:
- Insist on individual decision-making to promote client autonomy
- Respect the family's role while ensuring the client's voice is also heard (Correct answer)
- Exclude family members from all sessions
- Refer the client to a cultural liaison and discontinue services
Correct answer: Respect the family's role while ensuring the client's voice is also heard
Culturally competent practice recognizes that collectivist values are valid and that involving family while also including the client respects both culture and individual agency.
Question 2: Which of the following is an example of a PRIMARY prevention activity in blind rehabilitation education?
- Teaching a newly blinded adult to use a long cane
- Providing community education about diabetic retinopathy risk factors (Correct answer)
- Fitting a client with low vision optical devices
- Facilitating a grief support group for veterans with vision loss
Correct answer: Providing community education about diabetic retinopathy risk factors
Primary prevention targets the general population before disability occurs, such as educating at-risk groups about preventable causes of vision loss.
Question 3: Active listening during a counseling session MOST importantly requires the BRS to:
- Interrupt frequently to offer solutions
- Maintain eye contact and nod to show understanding
- Remain silent and take detailed notes throughout
- Reflect the client's feelings and summarize their statements (Correct answer)
Correct answer: Reflect the client's feelings and summarize their statements
Active listening involves reflecting emotions and summarizing content to demonstrate understanding and encourage further disclosure.
Question 4: A Braille-reading client with adventitious blindness is preparing to return to college. Which document is MOST critical for ensuring academic accommodations?
- An ophthalmologist's surgical notes
- A letter of eligibility from the state vocational rehabilitation agency
- Documentation for the college's disability services office (Correct answer)
- An IEP from the client's high school
Correct answer: Documentation for the college's disability services office
Post-secondary institutions require current disability documentation submitted to the disability services office to arrange accommodations.
Question 5: Self-efficacy theory, as applied to blind rehabilitation, predicts that a client will be MORE likely to attempt independent travel when they:
- Are instructed to travel independently without prior training
- Believe they are capable of mastering orientation and mobility skills (Correct answer)
- Are motivated primarily by external rewards
- Have a family member accompany them on all routes
Correct answer: Believe they are capable of mastering orientation and mobility skills
Bandura's self-efficacy theory holds that belief in one's own capability is a primary driver of attempting and persisting in new behaviors.
Question 6: Which of the following BEST describes the role of a transition specialist in services for youth with visual impairments?
- Providing optical prescriptions for low vision devices
- Coordinating IEP goals with post-secondary employment and education plans (Correct answer)
- Administering standardized visual acuity tests
- Treating ocular conditions in school-based clinics
Correct answer: Coordinating IEP goals with post-secondary employment and education plans
Transition specialists help youth with visual impairments bridge the gap from secondary school to adult life by aligning IEP goals with vocational, educational, and independent living outcomes.
Question 7: A BRS is conducting psychoeducation with a client about congenital glaucoma. Psychoeducation in this context PRIMARILY means:
- Administering psychological tests about the client's vision
- Providing factual information about the condition to reduce anxiety and improve coping (Correct answer)
- Prescribing medication to manage intraocular pressure
- Conducting a formal psychiatric evaluation
Correct answer: Providing factual information about the condition to reduce anxiety and improve coping
Psychoeducation combines psychological support with education, giving clients accurate information about their condition to empower coping and reduce fear.
BRS Counseling, Education & Support Services 3
A BRS notices that a client from a collectivist culture consistently defers all rehabilitation decisions to family members.
The MOST culturally responsive approach is to: