CRC Ultimate Certified Rehabilitation Counselor 5 — Questions and Answers
Question 1: A client with chronic pain disorder refuses to consider any job involving physical activity despite having residual functional capacity. This pattern MOST likely reflects:
- Malingering
- Secondary gain
- Fear-avoidance behavior (Correct answer)
- Conversion disorder
Correct answer: Fear-avoidance behavior
Fear-avoidance behavior occurs when pain-related fear leads to avoidance of physical activity, resulting in deconditioning and reinforcing disability beyond actual physical limitations.
Question 2: According to the ICF (International Classification of Functioning), which component addresses a person's capacity to execute tasks in a standard environment?
- Body functions and structures
- Activity (Correct answer)
- Participation
- Environmental factors
Correct answer: Activity
In the ICF framework, 'Activity' refers to the execution of a task by an individual, distinguishing capacity (what one can do in a standard setting) from performance (what one does in their real environment).
Question 3: Which approach to case management assigns a rehabilitation counselor primary responsibility for coordinating all services and maintaining ongoing contact with the client?
- Broker model
- Clinical case management (Correct answer)
- Primary therapist model
- Generalist model
Correct answer: Clinical case management
Clinical case management integrates direct therapeutic services with coordination and advocacy, with the counselor maintaining an ongoing therapeutic relationship while managing all services.
Question 4: A rehabilitation counselor is conducting job development for a client with an intellectual disability. Which strategy has the STRONGEST evidence base for competitive integrated employment?
- Sheltered workshop placement
- Day program enrollment
- Individual Placement and Support (IPS) (Correct answer)
- Pre-vocational training programs
Correct answer: Individual Placement and Support (IPS)
Individual Placement and Support (IPS) is an evidence-based supported employment model that integrates vocational and mental health services and emphasizes rapid job search in competitive integrated settings.
Question 5: When documenting a rehabilitation plan, which element is essential for ensuring measurable progress toward employment?
- Client's family history
- SMART goals with specific timelines (Correct answer)
- Counselor's professional credentials
- Insurance billing codes only
Correct answer: SMART goals with specific timelines
SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound) provide the structure needed to objectively track a client's progress toward vocational outcomes.
Question 6: Under the Individuals with Disabilities Education Act (IDEA), transition planning for students with disabilities must begin no later than:
- Age 14
- Age 16 (Correct answer)
- Age 18
- Age 21
Correct answer: Age 16
IDEA requires that transition planning be incorporated into the Individualized Education Program (IEP) no later than the first IEP in effect when the student turns 16.
Question 7: A client discloses that they have been diagnosed with HIV. Regarding confidentiality, the rehabilitation counselor is obligated to:
- Report the diagnosis to the client's employer
- Notify all family members
- Maintain confidentiality unless there is an identifiable third party at risk and client refuses to inform them (Correct answer)
- Disclose to the state health department in all cases
Correct answer: Maintain confidentiality unless there is an identifiable third party at risk and client refuses to inform them
Counselors must maintain confidentiality of HIV status but may have a duty to warn identifiable third parties at serious risk when the client refuses to inform them, consistent with state law and CRCC ethics.
CRC Ultimate Certified Rehabilitation Counselor 5
A client with chronic pain disorder refuses to consider any job involving physical activity despite having residual functional capacity.
This pattern MOST likely reflects: