CRC Exam (Certified Rehabilitation Counselor) — All Questions

A CRC is forming a job-seeking skills group. Before it begins, what does the CRCC Code require regarding prospective members?

• a.Admit every referred client so that no one is excluded from services
• b.Obtain each member's signed promise to keep all disclosures secret
• c.Screen them so members' needs and goals fit the group's goals✓
• d.Limit membership to clients who share the same type of disability

Standard A.6.a of the CRCC Code requires CRCs to screen prospective group members and, to the extent possible, select those whose needs and goals are compatible with the group's goals, who will not impede the group process, and whose well-being will not be jeopardized. Open admission ignores screening, a signed secrecy promise cannot guarantee confidentiality (B.4.a), and nothing requires grouping by disability type.

At the first session of a group, the CRC reviews ground rules about confidentiality. Which statement is consistent with the CRCC Code?

• a."I expect everyone to keep what is shared here private, but I can't guarantee it."✓
• b."Everything said in this room is legally privileged, so none of it can leave here."
• c."Because this is a group, the usual confidentiality rules do not apply."
• d."Any member who breaks confidentiality will be reported to the state licensing board."

Standard B.4.a directs CRCs to state their expectation that all members maintain confidentiality while advising members of its limits and that confidentiality by other members cannot be guaranteed. Promising legal privilege overstates protection, saying confidentiality does not apply misstates the expectation, and group members are not licensees subject to a board.

A substance use treatment program runs a group in which a counselor teaches members how alcohol affects the brain and how to recognize relapse warning signs, with little member-to-member processing. According to SAMHSA TIP 41, this is which group model?

• a.Interpersonal process group
• b.Psychoeducational group✓
• c.Support group
• d.Cognitive-behavioral group

SAMHSA TIP 41 describes psychoeducational groups as leader-focused groups that educate clients about substance use and its consequences. Interpersonal process groups work through relational issues in the here-and-now, support groups provide a forum for members to share practical help, and cognitive-behavioral groups work to change the thoughts and actions that lead to substance use.

In the third session of a new vocational support group, members begin challenging the leader's agenda and arguing with one another about how the group should run. In Tuckman's model, this is which stage?

• a.Forming
• b.Storming✓
• c.Norming
• d.Performing

Bruce Tuckman's developmental sequence names forming (orientation and dependence), storming (conflict and resistance to the task and leader), norming (cohesion and shared norms), and performing (functional work), with adjourning added in 1977. Challenging the leader and arguing about how to run the group is characteristic of storming.

A family counselor observes that a mother and her adult son with a brain injury are so closely involved that the son cannot make any decision without her, and she speaks for him. In structural family therapy, this pattern is described as:

• a.An enmeshed boundary✓
• b.A disengaged boundary
• c.A clear boundary
• d.Differentiation of self

Salvador Minuchin's structural family therapy describes boundaries along a continuum from disengaged (rigid, distant) to enmeshed (diffuse, overinvolved), with clear boundaries in between; the therapist works to restructure enmeshed subsystems. A disengaged boundary is the opposite pattern, a clear boundary is the healthy middle, and differentiation of self is a Bowen concept rather than a structural boundary type.

A husband and wife who are in conflict repeatedly pull their teenage daughter into their arguments to relieve the tension between them. Bowen family systems theory calls this:

• a.Scapegoating
• b.Triangulation✓
• c.Double-bind communication
• d.Enmeshment

In Murray Bowen's family systems theory, a triangle forms when anxiety between two people is managed by drawing in a third, and triangles are considered the basic building block of emotional systems. A double bind is a communications-theory concept of contradictory messages, enmeshment is a structural (Minuchin) term for diffuse boundaries, and scapegoating describes blaming one member rather than detouring tension through them.