Intentional Interviewing and Counseling Facilitating 9Th Edition Ivey Test Bank Full Chapter PDF

Intentional Interviewing and Counseling
Facilitating 9th Edition Ivey Test Bank

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Name: Class: Date:
Chapter 07: Observing and Reflecting Feelings: The Heart of Empathic Understanding
1. Paraphrasing is concerned with feeding back the key points of what a client has said. Reflection of feeling, in contrast,
involves:
a. observing emotions.
b. naming emotions.
c. repeating emotions back to the client.
d. helping clients become more affective.
ANSWER: d
2. Which of the following is not used in reflection of feeling?

a. Identifying key emotions
b. Emphasizing cognitive content
c. Affective empathy
d. Searching for positive feelings
ANSWER: b
3. Which of the following is a common quality of both paraphrasing and reflection of feeling?
a. They are both included in feedback to the client.

b. They may be found together in the same statement.
c. They are both used in interviews.
d. All of these
ANSWER: d
4. There is a distinctive difference between paraphrasing and reflection of feeling. Paraphrase focuses on ________ and
reflection of feeling is concerned with ________.
a. content; emotion
b. emotion; content
c. content; observations
d. observations; emotion
ANSWER: a
5. When the interviewer reflects feeling, he or she can expect the client will ________.
a. experience their emotional state more fully

b. talk in more depth about their feelings
c. correct the interviewer's reflection with a more accurate descriptor
d. All of these
ANSWER: d
6. If a ____________ is inaccurate, it provides the client with an opportunity to correct the counselor. If a questioning
tone of voice is used, the client may elaborate further.
a. paraphrase
Copyright Cengage Learning. Powered by Cognero. Page 1
Name: Class: Date:
b. reflection of feeling
c. summary
d. All of these
ANSWER: d
7. The first task in eliciting and reflecting feelings is to _________ key emotional words expressed by the client.
a. recognize
b. paraphrase
c. reflect
d. confront
ANSWER: a
8. In order to reflect feeling, the interviewer must first identify the presenting emotion. Which of the following is NOT a
method to identify feelings?
a. Match one of the primary emotions to client behavior.
b. With a closed question, ask the client to supply the missing feeling word.
c. Ask an open question: "How do you feel about that?"
d. Name the feeling expressed implicitly by client behaviors.
ANSWER: a
9. The effective salesperson:

a. wisely ignores the feelings of her or his clients.
b. carefully observes emotions so he or she can optimize sales.
c. will note the feelings of clients and may regularly reflect them back.
d. none of these
ANSWER: b
10. Which of the following is NOT an emotional word?

a. Angry
b. Excited
c. Joyful
d. Considerate
ANSWER: d
11. Which of the following correctly details the techniques of reflecting feelings?
a. Sentence stem, feeling label, content summary, past tense, check-out
b. Feeling label, brief context, sentence content, tense, check-out
c. Sentence stem, feeling label, brief context, tense, check-out
d. Feeling label, brief context, tense, check-out, closing
ANSWER: c
12. The check-out is important because:
a. it provides the client room to clarify things that the interviewer may have missed.
Name: Class: Date:
b. it tends to clarify what the client has been saying.

c. if the counselor is wrong, the client can come back and restate the issue more clearly.
d. All of these
ANSWER: d
13. The most immediate and potentially powerful tense for a reflection of feeling is:
a. past tense.
b. present tense.
c. future tense.
d. all tenses have equal power.
ANSWER: b
14. What should you do when the feelings of the client are not fully understandable and seem confused?
a. Ignore the feeling until you understand fully what the client is saying.
b. Paraphrase and summarize what you have heard.
c. Reflect the feelings as you have heard them, but include a check-out for accuracy.
d. All of these
ANSWER: c
15. Nonverbal indications of a client who is deeply emotional may most often include:
a. rapid breathing, speech hesitations, and facial flushing.

b. relaxed body posture concealing deeper feelings.
c. focusing on a single topic to the exclusion of all others.
d. All of these
ANSWER: a
16. Josephine: I've been in this “home” for three years now. The staff doesn't care, my family never comes, and the food is
awful.
Which is the most appropriate reflection of her implicit feelings?
a. “Josephine, you sound really angry. Is that close to what you are feeling?”
b. “Josephine, you are frustrated and angry. Is that close to what you are feeling?”
c. “Josephine, you sound really frustrated!”
d. “Josephine, I hear that you are frustrated. Underneath that, you sound lonely . . . and angry? Is that close to
what you are feeling?”
ANSWER: d
17. Accurately reflecting feeling results in:
a. bringing out the richness of the client’s emotional world.

b. helping clients sort out complex feelings and thoughts.
c. grounding the counselor and client in basic experience.
Name: Class: Date:
d. All of these
ANSWER: d
18. "I feel really terrible. My folks have divorced. They have moved apart, and I don't know where to live." Which would
be a reflection of feeling in response to this client?
a. "You're really confused."
b. "Really terrible?"
c. "Sounds like you're really upset and are confused as to what to do next."
d. "Looks like you have had a bad experience. I can see that it would be tough deciding what to do next."
ANSWER: c
19. Barry (jiggling his feet and shuffling restlessly): I can't get the scene of the World Trade Center bombing off my mind.
It keeps coming up in my dreams again and again. I don't understand what's going on.
Which is the most appropriate response?
a. “You seem to be anxious right now. Could you tell me more about your story and what's happening for you?”
b. “You seem to be anxious right now? Is that close?”
c. “The lack of sleep is really frustrating you.”
d. “You wonder what is going on?”
ANSWER: a
20. Feelings are so important in the counseling process that you should:
a. reflect every feeling you observe as it comes along.
b. only reflect those feelings that are directly apparent.
c. avoid reflecting discrepant feelings.
d. none of these
ANSWER: d
21. Client: Since my mother was diagnosed with cancer, I've been really worried and concerned. She just doesn't look as
well as she did before; she needs a lot more rest.
Which of the following interviewer responses is reflection of feeling?
a. "Your mother has cancer and she needs more rest."
b. "You seem really worried and concerned about your mother."
c. "Your mother looks well, but she needs more rest."
d. "Umm, tell me more."
ANSWER: b
22. Which of the following is CORRECT regarding the skill of reflecting feelings?
a. It is probably one of the easiest skills for you to master.

b. It is probably the skill we use the most in our daily communications.
c. It is probably one of the skills that takes more time to get fully comfortable with.
d. All of these
ANSWER: c
Name: Class: Date:
23. Which of the following will NOT help you practice reflection of feeling?
a. Combine reflection of feeling with paraphrasing.
b. Become aware of and competent in each of the microskills.
c. Focus on integrating reflection of feeling with questioning, encouraging, and paraphrasing.
d. Use the skill as frequently as possible, and gradually integrate the microskills naturally into your personal
style.
ANSWER: c
24. The following primary emotions, in terms of facial expression and language, have been validated throughout the world
in all cultures. These primary emotions are ________.
a. mad, annoyed, angry, contempt, surprised, and furious
b. sad, mad, glad, surprised, disgust, and scared
c. happy, joyous, excited, nervous, contempt, and surprised
d. surprised, disgusted, caring, guilt, obstinate, and contempt
ANSWER: b
25. Social emotions include:
a. embarrassment.
b. guilt.
c. pride.
d. All of these
ANSWER: d
26. Which of the following is the emotional center of the brain?

a. Right brain
b. Limbic system
c. Left brain
d. Hippocampus
ANSWER: b
27. When a client feels anger, the ________ energizes the limbic HPA axis, and hormones lead to a faster heartbeat,
higher blood pressure, breathing changes, and muscular tension.
a. TAP
b. amygdala
c. pituitary gland
d. All of these
ANSWER: b
28. Sorting out mixed feelings is best done, according to the authors, by:
a. using the exact words of the client.
b. paraphrasing feelings clearly, encouraging, and then summarizing.
Name: Class: Date:
c. noting ambivalent words such as "confusion" and discovering underlying deeper feelings through questioning
and reflection of feeling.
d. carefully bringing out additional specifics of the client's emotional world.
ANSWER: c
29. ____________ clients may demonstrate a general tension and increased breathing rate, averted eyes or raised
eyebrows, furrowed brow, biting the lips, crossed arms, or anxious playing with fingers.
a. Sad
b. Mad
c. Scared
d. Disgusted
ANSWER: c
30. ____________ clients may demonstrate an upright body position, frowning, and a louder or forced vocal tone; the
mouth and jaws may be tense and lips tightened, and the fists clenched or palms down.
a. Sad
b. Mad
c. Scared
d. Disgusted
ANSWER: b
31. ____________ clients may demonstrate a mouth curved down and upper drooping eyelids or a raise of the inner
brows. Their body may slump or the shoulders drop, while vocal tone may be soft and speech rate slow.
a. Sad
b. Mad
c. Scared
d. Disgusted
ANSWER: a
32. ____________ clients may demonstrate a wrinkled nose and raised and pursed upper lip.
a. Sad
b. Mad
c. Scared
d. Disgusted
ANSWER: d
33. Assuming you have sufficient trust, you might try ___________ to help a client increase emotional expression.
a. commenting on their nonverbals
b. asking them to repeat emotionally loaded words
c. holding back for an interview or two and avoiding the issue
d. both a and b
ANSWER: d
34. Which of the following may NOT help clients slow down and regain control of their emotions?
a. Join clients where they are
Name: Class: Date:
b. Pace clients appropriately

c. Gestalt exercises
d. All of these
ANSWER: d
35. Which of the following would be a possible way to help clients increase emotional expression?
a. "What are you feeling right now at this moment?"
b. "Pay attention to the feelings in your body."
c. "Would you go back and say that again?"
d. All of these
ANSWER: d
36. Which of the following might be useful to help clients decrease emotional expression?
a. "Let's stop for a moment and breathe deeply."
b. "Would you say that again?"
c. "Pay attention to the feelings in your body."
d. All of these
ANSWER: a
37. Research suggests that positive emotions produce patterns of thought that are:
a. flexible.
b. creative.
c. integrative.
d. All of these
ANSWER: d
38. Choose the FALSE statement regarding positive and negative emotions.
a. Positive emotions make everything OK with a client's negative issues.
b. Do not minimize difficult emotions by too quickly focusing on the positive.
c. Identifying positive feelings helps balance the focus on negative emotion.
d. A wellness assessment provides positive emotions to draw on when needed.
ANSWER: a
39. When a client is depressed, you can expect less brain activity in the:
a. prefrontal cortex.
b. limbic system.
c. right brain and amygdala.
d. hippocampus
ANSWER: a
40. If a client is continually talking about negative emotions, which of the following is most helpful?
Name: Class: Date:
a. Encourage the client to continue as he or she wishes. This will empower the client to make his or her own
decisions.
b. Work to identify strengths and positives that the client has available, thus empowering the client to face the
negatives from a basis of strength.
c. Ask the client to identify positive feelings in his or her body.
d. All of these
ANSWER: b
41. Which of the following is true of positive emotions?

a. They increase capacity to cope in a crisis.
b. They facilitate wellness.
c. They affect resiliency.
d. All of the these
ANSWER: d
42. Acknowledging feelings is:

a. another term for reflection of feeling.
b. not a recognized term associated with the microskills.
c. brief recognition of feeling before moving on with the client's story.
d. reflection of feeling used mainly with adult clients.
ANSWER: c
43. Which of the following represents a potential limitation of reflection of feeling?

a. Not all clients will appreciate your comments on their feelings.
b. Empathic reflection can have a confrontational quality to some clients.
c. Timing is particularly important with reflection of feeling.
d. All of these
ANSWER: d
44. With some clients, the brief acknowledgment of ____ may be more appropriate.
a. encouragement
b. paraphrase
c. feeling
d. summary
ANSWER: c
45. ____ is demonstrated when the interviewer responds to the client, "You really feel frustrated, almost crazy, over the
situation."
a. Encouraging
b. Paraphrasing
c. Summarizing
d. Reflecting feeling
Name: Class: Date:
ANSWER: d
46. Instructions:
Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.
P for paraphrase
E for encourage
R for reflection of feeling
Client: I really wonder what's going to happen to me. I find myself aging faster than I anticipated. I simply can't do all that
I'd like to do anymore. It makes me sick just to think of it. I'm confused and worried.
____ "Confused and worried?"
ANSWER: E
47. ____ "You are wondering how to cope with the changes that age is bringing to you."
ANSWER: P
48. ____ "You're confused and worried over the changes that come with age."
ANSWER: R
49. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.
P for paraphrase
E for encourage
Client: Yes, somehow it just doesn't seem fair. I've taken care of myself and worked hard, but my spouse just says I'm
angry and bitter. It hurts.
____ "You feel hurt that your spouse says that."
ANSWER: R
50. ____ "The situation isn't fair after you've worked so hard to do right."
ANSWER: P
51. ____ "It hurts."

ANSWER: E
52. Instructions: Classify each of the following counseling leads as a paraphrase, encourage, or reflection of feeling.
P for paraphrase
E for encourage
Client: If it were just my arthritis, I think I could deal with it, but I didn't expect to have muscle spasms and leg cramps so
bad I can't walk as well. I feel totally useless.
____ "Having more than one physical issue complicates things a good deal."
ANSWER: P

Name: Class: Date:
53. ____ "You can't walk?"
ANSWER: E
54. ____ "I hear you saying you are very discouraged and hurting right now. Am I hearing you correctly?"
ANSWER: R
55. The critical distinction between paraphrasing and reflection of feelings is the emphasis on content and emotion
a. True
b. False
ANSWER: True
56. Reflections of feeling in the past tense tend to be more useful for reflecting feeling.
a. True
b. False
ANSWER: False
57. Counselors and therapists can observe and identify unspoken feelings expressed through a client's nonverbal behavior.
a. True
b. False
ANSWER: True
58. Reflecting feelings is central to every helping professional.

a. True
b. False
ANSWER: True
59. Social emotions are built on primary emotions and are learned in family and cultural contexts.
a. True
b. False
ANSWER: True
60. Feelings are physical and mental.

a. True
b. False
ANSWER: True
61. Microexpressions are fleeting expressions of concealed emotion.

a. True
b. False
ANSWER: True
62. Feelings guide our cognitive decisions.
a. True
b. False
Name: Class: Date:
ANSWER: True
63. If your client can begin from a positive base of emotion, they may be better able to cope with negative issues.
a. True
b. False
ANSWER: True
64. While learning to identify and reflect client feelings, it is critical for prospective counselors and interviewers to focus
only on their client's personal history and ability to deal with emotions.
a. True
b. False
ANSWER: False
65. Write reflections of feeling, paraphrases, and encouragers to the following client statements.
a. "I don't like this test. It is too long and difficult. It makes me angry when the instructor
provides open-ended statements and expects me to provide the correct answer."
b. "I'm so pleased with myself. I did well on the examination in spite of the unfairness of the
instructor. He's a nice person, but it was I who straightened the situation out. But on the
other hand, he did sit and listen to me when I complained. A funny person he is."
c. "How do you expect me to handle role-playing, a skill I don't even understand? I've read the
book three times and still it isn't clear. I've tried, but I am just so confused in this course."
ANSWER: Answers may vary
66. Write three responses (present tense, past tense, and future tense) to each of the following client statements. Indicate
whether your response is an open or closed question, a paraphrase, an encourager, or a reflection of feeling.
a. "I've lived alone all my life. My parents died when I was young, and it has been tough. But
I've survived, and I'm proud of what I have done."
b. "Well, one thing is for sure. My stepfather was really hard on me. I can't say I really like
him, but I do respect him a great deal."
c. "But then, my mother-in-law right now really bugs me. She reminds me of my stepmother—
always harsh and brassy, and not sensitive at all."
67. Describe potential risks or drawbacks of reflecting feelings. Discuss how and when reflection of feelings may be
unwise to use.
68. Discuss the importance of positive emotions in counseling and therapy. Describe different strategies for positive
reflection.
69. You are working with a client who gets over-involved and too deep in emotion. There is a clear need to tone down
emotional expression. How would you go about this?

Name: Class: Date:
70. How might you encourage a client who resists emotion to express feelings more fully?
71. Discuss how the skill of acknowledgment of feeling may be useful in settings outside of counseling and interviewing.
72. The HPA system does NOT include:

a. the thorax.
b. the hypothalamus.
c. the pituitary gland.
d. the adrenal glands.
ANSWER: a
73. Which of the following is seen as the most basic emotion?

a. Anger
b. Fear
c. Surprise
d. Disgust
ANSWER: b

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Intentional Interviewing and Counseling

Facilitating 9th Edition Ivey Test Bank

2. Which of the following is not used in reflection of feeling?

a. They are both included in feedback to the client.

a. experience their emotional state more fully

9. The effective salesperson:

10. Which of the following is NOT an emotional word?

12. The check-out is important because:

b. it tends to clarify what the client has been saying.

a. rapid breathing, speech hesitations, and facial flushing.

17. Accurately reflecting feeling results in:

a. bringing out the richness of the client’s emotional world.

a. It is probably one of the easiest skills for you to master.

25. Social emotions include:

26. Which of the following is the emotional center of the brain?

b. Pace clients appropriately

41. Which of the following is true of positive emotions?

42. Acknowledging feelings is:

43. Which of the following represents a potential limitation of reflection of feeling?

51. ____ "It hurts."

Copyright Cengage Learning. Powered by Cognero. Page 9

58. Reflecting feelings is central to every helping professional.

60. Feelings are physical and mental.

61. Microexpressions are fleeting expressions of concealed emotion.

62. Feelings guide our cognitive decisions.

ANSWER: Answers may vary

ANSWER: Answers may vary

Copyright Cengage Learning. Powered by Cognero. Page 11

ANSWER: Answers may vary

72. The HPA system does NOT include:

73. Which of the following is seen as the most basic emotion?

Copyright Cengage Learning. Powered by Cognero. Page 12

in infantile spinal paralysis,

Ergotin, use of, in spinal sclerosis,

Eruptions in nervous diseases,

Erysipelas as a cause of cerebral hyperæmia,

of thrombosis of cerebral veins and sinuses,

Erythema, local, in symmetrical gangrene,

Ether, habitual addiction to,

use of, in chorea,

of acute simple meningitis,

of acute spinal meningitis,

of atrophy of the brain,

of cerebral meningeal hemorrhage,

of combined forms of sclerosis,

of congestion of the cerebral pia mater,

of diseases of cervical sympathetic,

of family form of tabes dorsalis,

of general paralysis of the insane,

of hæmatoma of dura mater,

of hypertrophy of the brain,

of infantile spinal paralysis,

of intracranial hemorrhage and apoplexy,

of neural disorders of writers and artisans,

of occlusion of cerebral arteries,

of progressive unilateral facial atrophy,

of spastic spinal paralysis,

of spinal meningeal hemorrhage,

of the chloral habit,

of the opium habit,

of thrombosis of cerebral veins and sinuses,

of tumors of the brain,

general, of syphilitic affections of nerve-centres,