ckmjx/CounselingBench huggingface dataset:
Case Study
Patient Demographic: Initial Intake: Age: 18 Sex: Female        Gender: Female Sexuality:  Heterosexual Ethnicity: Caucasian Relationship Status: Single Counseling Setting: Community Residence Type of Counseling: Individual
Mental Status Exam: Nadia was initially resistant to the interview. She stated that she had been seeing counselors her whole life and none of them ever helped. Nadia had limited insight regarding her risk-taking behaviors. The counselor assessed that Nadia’s cognitive functioning appeared low. She stated that although she had contemplated suicide in the past, she currently had no intention or plan.

Presenting Problem: Nadia is an 18-year-old in a community residence for children in foster care. She was referred for counseling because she has been running away from the group home, often for days at a time. Currently she is not getting along with her peers and gets into fights when they make comments about her activities, which is starting to affect everyone in the house.

History:
Nadia is one of 10 children by her birth parents. She has an extensive history of abuse and sexual exploitation by her parents until the age of 14 when she was removed from her parent’s care. Her and her siblings were sent to various foster homes as they could not all stay together. This is a subject that Nadia does not like to talk about since she was the oldest and had the responsibility to care for the younger ones. She feels as if she let them down. Nadia is frequently truant from school. For the past 4 years Nadia was in and out of foster homes due to her risk-taking behaviors and disrespect for others. She does have a good relationship with two staff members in the group home.

Question: If the counselor accepts Nadia for who she is, even though he or she may not agree with Nadia's values, this is called?
(A): empathy
(B): nonjudgement
(C): unconditional positive regard
(D): apathy

Correct Answer: unconditional positive regard
Explanation: Unconditional positive regard is warmth and acceptance towards the client regardless of what the client says or does. Being nonjudgmental means avoiding moral judgements. Empathy is the ability for the counselor to put themselves in the shoes of the client to understand their perspective. Apathy is a lack of interest or concern. Therefore, the correct answer is (B)
Competency: counseling skills and interventions
Case Study
Patient Demographic:  Initial Intake: Age: 45 Sex: Female Gender:  Female Sexuality:  Heterosexual Ethnicity: Asian   Relationship Status: Single Counseling Setting: Community outpatient clinic Type of Counseling: Individual
Mental Status Exam: During the intake she looked visibly anxious. She appeared jumpy and kept looking at her watch. Although hesitated at times when she was asked a question. The counselor was concerned when Li paused for a long time when asked if she ever thought of hurting herself. Li eventually responded no. The counselor noticed that Li’s clothes looked disheveled and soiled. Li was not forthcoming with information about her past.
 
Presenting Problem: Li is a self-referral. She walked into the clinic and stated that she had been experiencing feelings of anxiety.
 
History:
Li came into the community outpatient clinic asking to pay a sliding scale fee in cash. When asked for identifying information, Li asked if she had to give that information. She explained that she was undocumented and was weary of leaving any information that may lead government officials to her. Li did not want to give the counselor much of her history and cut the intake session short, stating that she had to get back to work.

Question: Li is concerned about her ability to pay. Which of the following is NOT true in regard to counselor code of ethics?
(A): If a counselor's usual fees create undue hardship for the client, the counselor may adjust fees or make an appropriate referral.
(B): In establishing fees for professional counseling services, counselors consider the financial status of clients and locality.
(C): Counselors make a reasonable effort to provide services to the public for which there is little or no financial return.
(D): Counselors do not have to discuss payment during informed consent since it may change during treatment.

Correct Answer: Counselors do not have to discuss payment during informed consent since it may change during treatment.
Explanation: Counselors must discuss payment during the informed consent process, as well as payment modalities and inform clients that they may change at any time, if applicable. When establishing fees, there are many things for the counselor to consider such as location and financial status of clients. If the counselor realizes that payment is causing a hardship, appropriate steps must be taken such as referring out or lowering fees. Counselors also ensure that they give back in providing services pro bono to the community, trainings for future counselors, or reducing fees. Therefore, the correct answer is (B)
Competency: treatment planning
Case Study
Patient Demographic:  Initial Intake: Age: 16 Sex: Female Gender: Female Sexuality: Heterosexual Ethnicity: Biracial Relationship Status: Single Counseling Setting: High School Social Worker Type of Counseling: Individual
Mental Status Exam: Autumn came to intake session, during her lunch period. She appeared younger than her stated age because she was so underweight. The counselor greeted Autumn and told her that she was welcome to eat during their session if she wanted to. Autumn looked down and responded, “It’s okay- I don’t like to eat in front of anyone- I can just eat later.” Erin seemed tired during the interview but was cooperative and friendly.
Presenting Problem: History:
Autumn is a junior in high school. Her parents divorced about a month ago. Recently, the teacher noticed a change in Autumn’s mood. Autumn’s teacher also noticed that she was taking her lunch and eating it outside by herself. Oftentimes, she didn’t seem to eat much of it at all. When asked about it, Autumn seemed embarrassed and stated that she was fine.

Question: Autumn meets the criteria for?
(A): Bulimia
(B): Social anxiety
(C): Avoidant/Restrictive Food Intake Disorder
(D): Anorexia Nervosa

Correct Answer: Anorexia Nervosa
Explanation: Autumn restricts her eating, has intense fear of gaining weight and purges by laxatives or over exercise, all symptoms of anorexia nervosa. Bulimia is ruled out due to lack of binge eating behaviors. Social anxiety is also ruled out as her social fears are limited to eating behaviors. Avoidant/restrictive intake disorder is ruled out because of Autumn's fear of gaining weight or becoming fat which is not a symptom in avoidant/restrictive intake disorder. Therefore, the correct answer is (B)
Competency: counseling skills and interventions