Coun 403:Clinical Couselling Question Paper
Coun 403:Clinical Couselling
Course:Education
Institution: Kenya Methodist University question papers
Exam Year:2012
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2012 (EVENING) EXAMINATIONS
FACULTY : EDUCATION AND SOCIAL SCIENCES
DEPARTMENT : COUNSELLING
UNIT CODE : COUN 403
UNIT TITLE : CLINICAL COUNSELLING
TIME : 2 HOURS
Instructions:
Answer question ONE and any other THREE questions.
Question One
State any two roles of a clinical psychologist.
(2mks)
Explain the following terms as used in clinical counseling.
Precipitating factors.
(2mks)
Perpetuating factors.
(2mks)
Protective factors.
(2mks)
State any tow challenges a clinician is likely to experience when assessing a mentally disordered client.
(2mks)
Explain the relation between axes III and I of DSM IV.
(2mks)
Differentiate the terms reliability and validity in relation to psychological tests.
(3mks)
Question Two
Explain any three methods used in assessment of patients with mental disorders.
(9mks)
What would be the challenges of assessing a client in the absence of their caregivers? Explain any three.
(6mks)
Question Three
Using DSM IV, explain the criteria for ADHD.
(6mks)
Discuss three ways of managing ADHD.
(9mks)
Question Four
Wanjiku is a 30 year old single unemployed college drop out from an extremely close kint quiet provoking family. She is admitted to Mathare hospital three weeks
after she painted everything in single black, green, red and white including herself. She was responding to a persistent male voice that told her that behavior would somehow solve the tribal problems in Kenya after the post election violence of 2008.
Wanjiku has been hospitalized for at least six previous occasions during the past four years as a result of some combination of command hallucinations’, persecutory delusions and being violent. She responds well to narcoleptics but hates to take the medication. She takes her medication irregularly and misses more outpatient appointments than she keeps. Her functioning between episodes is poor, has poor personal hygiene and disordered thinking where she hears people controlling her thoughts and actions. However when on medication, she is somehow better in appearance and speaks more coherently.
With evidence from the above case study, identify the disorder presented by Wanjiku.
(3mks)
State with reasons three factors that seem to be perpetuating Wanjikus problem.
(6mks)
Explain three intervention that you are likely to use to help Kamau.
(6mks)
Question Five
Explain any two types of validity a psychological test needs to meet.
(6mks)
Discuss three methods of determining reliability of a psychological test. (9mks)
Question Six
Discuss any three challenges facing clinical counseling in Kenya.
(9mks)
What recommendations would you give to deal with the challenges in (a) above.
(6mks)
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