BRS Psychosocial Adjustment & Counseling 5

Question 1

A BRS works with a client who has diabetic retinopathy and is in denial about the progressive nature of their vision loss. The most therapeutically appropriate initial approach is to:

Accepted Answer

Meet the client where they are emotionally while gradually introducing realistic planning

Answer

Meeting the client where they are emotionally respects the protective function of denial while gently building toward realistic planning as therapeutic trust develops.

Question 2

According to self-determination theory (Deci & Ryan), which factor is most essential for sustaining a client's intrinsic motivation in vision rehabilitation?

Accepted Answer

The client feeling competent, autonomous, and related to others

Answer

Self-determination theory holds that intrinsic motivation is sustained when three basic psychological needs—competence, autonomy, and relatedness—are met.

Question 3

A BRS observes that a client's spouse consistently completes tasks the client is capable of doing independently. This pattern is best described as:

Accepted Answer

Overprotection that fosters dependency

Answer

When caregivers consistently do tasks that clients can manage independently, it fosters unnecessary dependency and undermines rehabilitation goals.

Question 4

In crisis intervention with a client who has just received a diagnosis of total vision loss, which initial action is most appropriate for the BRS?

Accepted Answer

Ensure safety, establish rapport, and assess the client's immediate support resources

Answer

Crisis intervention begins with ensuring safety, establishing a supportive relationship, and assessing immediate resources—foundational steps before any problem-solving or skills training.

Question 5

Which model of disability most directly underpins the philosophy of blindness rehabilitation by emphasizing that barriers are societal rather than inherent to the person?

Accepted Answer

Social model

Answer

The social model of disability frames barriers as products of inaccessible environments and social attitudes rather than inherent deficits in the individual.

(BRS) Blind Rehabilitation Specialist Certification Practice Test

(BRS) Blind Rehabilitation Specialist Certification Practice Test

BRS Psychosocial Adjustment & Counseling 5