CPCE CPCE MCQ 5 — Questions and Answers
Question 1: Motivational Interviewing (MI) is grounded in which therapeutic style?
- Directive and confrontational
- Collaborative, evocative, and autonomy-supporting (Correct answer)
- Interpretive and insight-oriented
- Behavioral and skills-based
Correct answer: Collaborative, evocative, and autonomy-supporting
MI is characterized by a collaborative partnership that draws out the client's own motivations and honors their autonomy to change.
Question 2: A counselor who consistently reschedules appointments for a client who reminds them of a difficult sibling may be experiencing:
- Transference
- Empathic attunement
- Countertransference (Correct answer)
- Projection from the client
Correct answer: Countertransference
Countertransference occurs when the counselor's unresolved issues are activated by the client, influencing the counselor's behaviors.
Question 3: Kohlberg's postconventional level of moral development is characterized by:
- Obedience to authority to avoid punishment
- Conforming to social norms to gain approval
- Abstract principles of justice that may transcend societal rules (Correct answer)
- Concrete reciprocity and self-interest
Correct answer: Abstract principles of justice that may transcend societal rules
At the postconventional level, moral reasoning is guided by universal ethical principles that may conflict with existing laws or social norms.
Question 4: In a school counseling comprehensive program model (ASCA), 'responsive services' primarily addresses:
- Long-term academic planning for all students
- Immediate needs or crises that arise during the school year (Correct answer)
- Coordination of community partnerships
- Data-driven program evaluation
Correct answer: Immediate needs or crises that arise during the school year
Responsive services in the ASCA model provide short-term counseling and crisis intervention for students with immediate needs.
Question 5: The Tarasoff decision established a counselor's 'duty to protect,' which typically requires the counselor to:
- Report any client drug use to law enforcement
- Warn an identifiable potential victim when a client poses a credible threat of serious harm (Correct answer)
- Hospitalize clients who express any suicidal ideation
- Disclose all session content to the client's family
Correct answer: Warn an identifiable potential victim when a client poses a credible threat of serious harm
The Tarasoff ruling held that therapists must take reasonable steps to protect foreseeable victims when a client presents a credible, serious threat.
Question 6: Which measure of central tendency is most appropriate when data is skewed and includes extreme outliers?
- Mean
- Median (Correct answer)
- Mode
- Range
Correct answer: Median
The median is resistant to extreme scores, making it the preferred measure of central tendency for skewed distributions.
Question 7: Existential counseling focuses primarily on helping clients address issues of:
- Behavioral reinforcement schedules
- Irrational beliefs and cognitive distortions
- Freedom, responsibility, meaning, and the inevitability of death (Correct answer)
- Developmental stage fixation and unconscious drives
Correct answer: Freedom, responsibility, meaning, and the inevitability of death
Existential counseling addresses the 'givens of existence' — death, freedom, isolation, and meaninglessness — as the source of existential anxiety.
Motivational Interviewing (MI) is grounded in which therapeutic style?