Free Certified Rehabilitation Counselor Practice Test

1. In Peck's theory of adult development, tasks associated with middle age include:

a. Ego differentiation vs work role preoccupation.
b. Body transcendence vs body preoccupation.
c. Valuing wisdom vs physical powers.
d. Ego transcendence vs ego preoccupation.

2. With psychometrics, a test of ability that results in distribution of data at the bottom of a scale is an indication of:

a. Ceiling effect.
b. Floor effect.
c. Central tendency.
d. Reliability.

3. In Bernard's Discrimination Model (1992) for clinical supervision, a CRC's awareness of personal body language when supervising a client is an example of:

a. Process.
b. Conceptualization.
c. Personalization.
d. Autonomy.

4. In Cohen, Farkas, and Cohen's (1992) evidence-based recommendations for assessing readiness in psychiatric rehabilitation clients, the factor that evaluates the person's likes and dislikes is:

a. Environmental awareness.
b. Need for change.
c. Commitment to change.
d. Self-awareness.

5. A score of 16 on the Addiction Research Foundation's Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised, indicates:

a. Severe withdrawal.
b. Moderate withdrawal.
c. Mild withdrawal.
d. No withdrawal.

Answers and Explanations

1. C: According to Peck, tasks associated with middle age include valuing wisdom vs physical powers, socializing vs sexualizing, cathectic (libidinal energy) flexibility vs cathectic impoverishment, and mental flexibility vs mental rigidity. Negative outcomes lead to weak relationships, inflexibility, and resistance to change. Positive outcomes lead to strong relationships, flexibility in lifestyle, and adaptability to change. Tasks associated with older adulthood include ego differentiation vs work role preoccupation, body transcendence vs body preoccupation, and ego transcendence vs ego preoccupation.

2. B: Distribution of data at the bottom of a scale is an indication of the floor effect in which lower scores are not possible, so the scores cluster near the bottom, usually because the test is too difficult and cannot measure accurately. The opposite is the ceiling effect in which the scores cluster at the top of the scale, indicating that the test is too easy and did not allow for higher scores. Central tendency is the clustering of data about a particular value, often measured in terms of averages (mean, median, mode). Reliability refers to consistent conditions rendering consistent results.

3. C: In Bernard's Discrimination Model for clinical supervision, personalization is an awareness of personal body language and its effect on a client, or an awareness of the role of the person in supervision. Process is the manner in which the supervisor communicates with the client. Conceptualization relates to the ability of the supervisor to relate actions to theories and to demonstrate a reason for and understanding of actions. In this model, supervisors may assume the role of teacher, counselor, or consultant.

4. D: Self-awareness evaluates the client's likes and dislikes and strengths and weaknesses. Need for change determines if the client feels a need to change and assesses levels of satisfaction with the present situation. Commitment to change determines the client's beliefs about change-that is whether the change is necessary, positive, and possible, and if support for change is present. Environmental awareness evaluates the client's knowledge and experience with different environments and options. Additionally, closeness to practitioner determines whether a positive trusting relationship exists between the counselor and client.

5. A: A score over 15 on the Addiction Research Foundation's Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised, indicates severe withdrawal. Scores below 8 indicate mild withdrawal and 8 to 15 moderate withdrawal. The scale assesses nausea and vomiting, tremor, paroxysmal sweats, anxiety, agitation, tactile disturbances, auditory disturbances, visual disturbances, headaches, and orientation/clouding of sensorium. This assessment tool helps to determine which protocol of treatment to use for those experiencing alcohol withdrawal; withdrawal medications are usually needed for scores 10 and above.

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Last Updated: 03/01/2017


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