CRC Psychosocial Adjustment 3 — Questions and Answers
Question 1: According to Livneh's model of psychosocial adaptation to chronic illness, which phase involves the client beginning to explore possibilities for living with the disability?
- Initial impact
- Defense mobilization
- Retaliation
- Acknowledgment (Correct answer)
Correct answer: Acknowledgment
The acknowledgment phase in Livneh's model involves the client starting to recognize and accept the reality of the disability and exploring new possibilities.
Question 2: A client with chronic pain uses humor to cope with her condition. According to Lazarus, this is best classified as:
- Maladaptive coping
- Emotion-focused coping (Correct answer)
- Suppression
- Denial
Correct answer: Emotion-focused coping
Humor used to manage emotional responses to stressors is classified as emotion-focused coping in Lazarus's transactional model of stress.
Question 3: The 'insider' versus 'outsider' perspective in disability studies refers to:
- Inpatient versus outpatient rehabilitation settings
- The difference between people with disabilities' own views and non-disabled observers' views (Correct answer)
- Insider knowledge of medical treatments
- Inclusion versus exclusion from the workforce
Correct answer: The difference between people with disabilities' own views and non-disabled observers' views
The insider/outsider distinction highlights how people with disabilities often evaluate their quality of life more positively than outside observers predict.
Question 4: Which intervention is most appropriate when a client demonstrates catastrophic thinking about their disability?
- Systematic desensitization
- Cognitive restructuring (Correct answer)
- Token economy
- Flooding
Correct answer: Cognitive restructuring
Cognitive restructuring helps clients identify and challenge distorted thought patterns such as catastrophizing by replacing them with more balanced cognitions.
Question 5: Social role valorization (SRV), developed by Wolf Wolfensberger, primarily aims to:
- Measure social adjustment outcomes
- Enhance the social roles and image of marginalized individuals (Correct answer)
- Train counselors in social skills
- Evaluate community integration programs
Correct answer: Enhance the social roles and image of marginalized individuals
SRV focuses on creating and supporting valued social roles for people with disabilities to improve their social image and life conditions.
Question 6: A client reports feeling like a burden to family after acquiring a disability. The rehabilitation counselor should FIRST:
- Refer to a psychiatrist for medication evaluation
- Reassure the client that family members do not feel this way
- Explore and validate the client's feelings while assessing for depression (Correct answer)
- Contact the family to discuss the client's perceptions
Correct answer: Explore and validate the client's feelings while assessing for depression
Exploring and validating the client's feelings while screening for depression is the appropriate first step before taking other actions.
Question 7: Which of the following best describes 'disability identity'?
- Legal classification of disability type for benefits purposes
- A positive sense of self that incorporates disability as part of one's identity (Correct answer)
- Identification of functional limitations for rehabilitation planning
- The medical diagnosis attached to an individual's disability
Correct answer: A positive sense of self that incorporates disability as part of one's identity
Disability identity refers to a positive self-concept that integrates disability as a valued aspect of who the person is, often linked to disability culture.
CRC Psychosocial Adjustment 3
According to Livneh's model of psychosocial adaptation to chronic illness, which phase involves the client beginning to explore possibilities for living with the disability?