CRC Psychosocial Adjustment 2 — Questions and Answers
Question 1: Which stage of Kübler-Ross's grief model involves a client making deals with a higher power to reverse their disability?
- Denial
- Anger
- Bargaining (Correct answer)
- Depression
Correct answer: Bargaining
Bargaining is the stage where individuals attempt to negotiate or make deals in hopes of reversing their loss or disability.
Question 2: A client with a spinal cord injury refuses to discuss vocational goals and says 'there's no point.' This most likely reflects which psychosocial reaction?
- Acceptance
- Learned helplessness (Correct answer)
- Normalization
- Secondary gain
Correct answer: Learned helplessness
Learned helplessness occurs when repeated exposure to uncontrollable events leads an individual to believe their actions cannot affect outcomes.
Question 3: The concept of 'spread' in disability psychology refers to:
- The geographic spread of disability services
- The assumption that one disability affects all areas of functioning (Correct answer)
- The spread of rehabilitation outcomes across populations
- The expansion of social support networks
Correct answer: The assumption that one disability affects all areas of functioning
Spread refers to the tendency of observers to generalize a person's disability to unaffected areas of functioning, assuming broader impairment than exists.
Question 4: Which coping style involves actively seeking information and taking steps to manage a stressor directly?
- Emotion-focused coping
- Problem-focused coping (Correct answer)
- Avoidant coping
- Palliative coping
Correct answer: Problem-focused coping
Problem-focused coping targets the source of stress through direct action, information gathering, and problem-solving strategies.
Question 5: A rehabilitation counselor notices a client's family is overprotecting him following his traumatic brain injury. This pattern is best described as:
- Enmeshment
- Social facilitation
- Enabling dependency (Correct answer)
- Vicarious reinforcement
Correct answer: Enabling dependency
Enabling dependency occurs when family members' protective behaviors inadvertently prevent the client from developing or regaining independence.
Question 6: Body image disturbance following amputation is most closely associated with which theoretical framework?
- Cognitive dissonance theory
- Social learning theory
- Somatopsychology (Correct answer)
- Operant conditioning
Correct answer: Somatopsychology
Somatopsychology examines how physical conditions and body changes influence psychological functioning, including body image.
Question 7: Which factor is most predictive of successful psychosocial adjustment following acquired disability?
- Severity of the disability
- Pre-morbid personality and coping resources (Correct answer)
- Age at onset
- Type of disability
Correct answer: Pre-morbid personality and coping resources
Research consistently shows that pre-existing coping skills, personality traits, and social resources are stronger predictors of adjustment than disability severity alone.
CRC Psychosocial Adjustment 2
Which stage of Kübler-Ross's grief model involves a client making deals with a higher power to reverse their disability?