Counselor Preparation Comprehensive Exam Crisis Intervention and Trauma Counseling 1 — Questions and Answers
Question 1: Roberts' Seven-Stage Crisis Intervention Model begins with which stage?
- Establish rapport
- Conduct a thorough biopsychosocial assessment
- Plan and implement a treatment approach
- Assess lethality and safety needs (Correct answer)
Correct answer: Assess lethality and safety needs
Roberts' model begins with assessing lethality and safety needs to determine the immediacy of danger before proceeding with other intervention steps.
Question 2: In the ABC Model of Crisis Intervention, the letters stand for:
- Assess, Build, Connect
- Affect, Behavior, Cognition (Correct answer)
- Acknowledge, Brief, Conclude
- Attune, Balance, Cope
Correct answer: Affect, Behavior, Cognition
The ABC Model addresses Affect (emotional state), Behavior (actions and functioning), and Cognition (thoughts and beliefs) to guide crisis intervention.
Question 3: Psychological First Aid (PFA) is primarily designed to:
- Provide formal psychotherapy to trauma survivors
- Reduce initial distress and foster short-term and long-term adaptive functioning after a crisis (Correct answer)
- Diagnose PTSD in the immediate aftermath of trauma
- Conduct cognitive restructuring of trauma memories
Correct answer: Reduce initial distress and foster short-term and long-term adaptive functioning after a crisis
PFA is an evidence-informed approach aimed at reducing distress and supporting adaptive coping in the immediate aftermath of disasters or traumatic events.
Question 4: A comprehensive lethality assessment for suicidal clients evaluates plan, means access, and:
- Motivation, social support, and diagnosis
- Intent, plan specificity, and means access (Correct answer)
- History, intent, and time frame
- Affect, behavior, and stressors
Correct answer: Intent, plan specificity, and means access
Lethality assessment examines intent (desire to die), the specificity of the plan, and the client's access to lethal means to gauge imminent risk.
Question 5: Caplan's crisis theory suggests that individuals experience crisis when:
- They encounter a traumatic event in childhood
- Their usual coping mechanisms are insufficient to manage a stressor (Correct answer)
- They have a diagnosed mental health disorder
- They lack social support systems
Correct answer: Their usual coping mechanisms are insufficient to manage a stressor
Caplan proposed that crisis occurs when a person's habitual problem-solving methods fail to restore equilibrium in the face of a hazardous event.
Question 6: The primary goal of Critical Incident Stress Debriefing (CISD) is to:
- Provide long-term trauma therapy to first responders
- Process the emotional and cognitive impact of a traumatic event to facilitate recovery (Correct answer)
- Diagnose PTSD in emergency personnel
- Replace individual counseling after workplace trauma
Correct answer: Process the emotional and cognitive impact of a traumatic event to facilitate recovery
CISD is a structured group process designed to help individuals process traumatic experiences and reduce the psychological impact after a critical incident.
Counselor Preparation Comprehensive Exam Crisis Intervention and Trauma Counseling 1
Roberts' Seven-Stage Crisis Intervention Model begins with which stage?