ADC/CASAC Alcohol And Drug Counselor Exam Practice Test!
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ADC/CASAC Alcohol and Drug Counselor Exam Practice Test! As human beings, there is much that is still unexplained about our behavior towards others and how it affects those around us. When we cannot explain some of the things, we go through; we seek the help of counselors to break the walls that inhibit our capabilities. This test is all about Credentialed Alcoholism and Substance Abuse Counselor (CASAC). Let's see how much knowledge you carry.
- 1.
___________is the essential first step in determining the possible causes of addiction for the person and the most appropriate treatment modality for his or her needs.
- A.
Screening
- B.
Assessment
- C.
Intake
- D.
Orientation
Correct Answer
B. AssessmentExplanation
Assessment is the essential first step in determining the possible causes of addiction for the person and the most appropriate treatment modality for his or her needs. It involves gathering detailed information about the individual's history, substance use patterns, physical and mental health, and social circumstances. This information helps to identify the underlying factors contributing to the addiction and guides the development of a personalized treatment plan. Screening, intake, and orientation are important steps in the treatment process, but assessment is the initial and crucial step in understanding the individual's needs and designing an effective treatment approach.Rate this question:
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- 2.
A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should:
- A.
Draw up a new contract with the client.
- B.
Talk to the client about possible denial.
- C.
Create new goals and objectives, and suggest alternate forms of therapy.
- D.
Discuss these concerns with the client and make necessary changes in treatment goals.
Correct Answer
D. Discuss these concerns with the client and make necessary changes in treatment goals.Explanation
The correct answer is to discuss these concerns with the client and make necessary changes in treatment goals. This is the most appropriate response because it acknowledges the client's dissatisfaction and addresses it by engaging in a conversation about their concerns. By discussing these concerns with the client, the counselor can gain a better understanding of their needs and make any necessary adjustments to the treatment goals in order to improve the client's satisfaction and progress.Rate this question:
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- 3.
A common error that counselors make when conducting an assessment is:
- A.
Asking too many questions.
- B.
Moving too quickly from data collection to treatment planning.
- C.
Focusing on strengths and weaknesses.
- D.
Processing the data collected from the client.
Correct Answer
B. Moving too quickly from data collection to treatment planning.Explanation
Moving too quickly from data collection to treatment planning is a common error that counselors make when conducting an assessment. This error can lead to a lack of thorough understanding of the client's situation and needs, which may result in ineffective or inappropriate treatment planning. It is important for counselors to take the time to carefully analyze and process the data collected from the client before moving on to treatment planning, in order to ensure that the treatment approach is tailored to the client's specific needs and goals.Rate this question:
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- 4.
A female client reports that she has some concerns about the relationship between her husband and her 14-year-old daughter from a previous marriage. She reports that her husband and daughter frequently argue, that her daughter refuses to take direction from her stepfather, mid that her daughter regularly complains about her stepfather's "faults" and describes how her biological father ¡s better. The MOST relevant professional to whom a referral should be made is a:
- A.
Social worker.
- B.
Clinical psychologist.
- C.
Licensed professional counselor.
- D.
Marriage and family therapist.
Correct Answer
D. Marriage and family therapist.Explanation
A marriage and family therapist would be the most relevant professional to refer the client to in this situation. The client is expressing concerns about the relationship between her husband and her daughter, which falls under the domain of family dynamics and relationships. A marriage and family therapist is specifically trained to address these types of issues and can provide guidance and support to help improve the family dynamic and resolve conflicts.Rate this question:
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- 5.
A key factor for counselors to consider is that in a counseling relationship, the counselor has differential power. One of the best safeguards is:
- A.
To be alert to and understand the power relationship.
- B.
To utilize the differential power to motivate the client.
- C.
To realize the importance of this power in client interventions.
- D.
To use differential power to get the client to try new behaviors.
Correct Answer
A. To be alert to and understand the power relationship.Explanation
In a counseling relationship, the counselor holds a position of power and authority over the client. It is crucial for counselors to be aware of this power dynamic and to understand its implications. By being alert to and understanding the power relationship, counselors can ensure that they do not misuse their power and that they create a safe and ethical environment for the client. This includes being mindful of the potential for coercion or manipulation and actively working to empower the client rather than using their power to control or manipulate them.Rate this question:
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- 6.
A pretreatment period is frequently the result of waiting lists or client reluctance to become fully engaged in primary treatment. What might be a danger of this pretreatment period?
- A.
The pretreatment period may be when clients lose interest in treatment.
- B.
A client may receive enough help so as not to need the services of the program or agency.
- C.
Successful pretreatment may result in a client needing services that an agency doesn't have, thus losing the potential admission.
- D.
There is really no danger with pretreatment - recovery will require much more programming than pretreatment can offer.
Correct Answer
A. The pretreatment period may be when clients lose interest in treatment.Explanation
During the pretreatment period, clients may lose interest in treatment. This could happen due to the waiting lists or client reluctance to fully engage in primary treatment. If clients become disengaged during this period, they may not continue with the necessary programming and support that is required for their recovery. This can hinder their progress and potentially lead to a relapse or lack of improvement in their condition.Rate this question:
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- 7.
According to Marlatt's model of the relapse process, which of the following statements is NOT true?
- A.
Clients should be taught skills for anticipating, avoiding, and coping with their personal high-risk situations.
- B.
Clients should be taught constructive responses to cope with lapses when they do occur.
- C.
Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted.
- D.
Any positive expectations that clients have about drug use should be countered with reminders about the lows that follow the highs and about the long-term negative consequences of substance abuse.
Correct Answer
C. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted.Explanation
According to Marlatt's model of the relapse process, clients should not be helped to recognize that one or more temporary lapses are likely to occur and are permitted. The model emphasizes the importance of avoiding relapse and teaching clients skills to anticipate, avoid, and cope with high-risk situations. Clients should also be taught constructive responses to cope with lapses when they do occur. Additionally, any positive expectations about drug use should be countered with reminders about the negative consequences of substance abuse.Rate this question:
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- 8.
According to the D.S.M IV-TR, all of the following are criteria for psychoactive substance dependence EXCEPT:
- A.
Substance often taken in larger amounts than the person intended.
- B.
Marked lack of initiative, interest or energy.
- C.
Frequent intoxication when expected to fulfill major role obligations.
- D.
One or more unsuccessful efforts to cut down substance use.
Correct Answer
B. Marked lack of initiative, interest or energy.Explanation
The correct answer is "marked lack of initiative, interest or energy." This is because the DSM-IV-TR criteria for psychoactive substance dependence include the following: substance often taken in larger amounts than intended, frequent intoxication when expected to fulfill major role obligations, and one or more unsuccessful efforts to cut down substance use. However, a marked lack of initiative, interest, or energy is not specifically mentioned as a criterion for substance dependence.Rate this question:
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- 9.
All of the following are goals of person-centered therapy EXCEPT:
- A.
Teaching clients to formulate and carry out plans to change their behavior.
- B.
Focusing on the person instead of the presenting problem.
- C.
Assisting clients in enhancing their coping skills.
- D.
Individualizing the treatment plan.
Correct Answer
A. Teaching clients to formulate and carry out plans to change their behavior.Explanation
Person-centered therapy is a humanistic approach that emphasizes the importance of the individual and their subjective experience. The therapy aims to create a supportive and non-judgmental environment where clients can explore their feelings, thoughts, and experiences. The goals of person-centered therapy include focusing on the person instead of the presenting problem, assisting clients in enhancing their coping skills, and individualizing the treatment plan. However, teaching clients to formulate and carry out plans to change their behavior is not a goal of person-centered therapy. Instead, the therapy focuses on facilitating self-discovery and personal growth, allowing clients to find their own solutions and make their own choices.Rate this question:
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- 10.
Bob is a case manager in an intensive inpatient treatment facility. He recently was assigned a client, Mary, who presents not only with alcoholism but has also been diagnosed with AIDS. To assist Mary in her treatment and recovery needs, Bob would probably need to have knowledge of all of the following areas EXCEPT:
- A.
AIDS epidemiology and transmission routes.
- B.
The disease's clinical progression.
- C.
New medication used in treatment regimens.
- D.
Available social services for AIDS clients.
Correct Answer
C. New medication used in treatment regimens.Explanation
Bob, as a case manager in an intensive inpatient treatment facility, would need to have knowledge of AIDS epidemiology and transmission routes in order to understand how the disease spreads and how to prevent further transmission. He would also need to be familiar with the disease's clinical progression to anticipate and address any medical issues that may arise. Additionally, Bob would need to be aware of available social services for AIDS clients to provide Mary with the necessary support. However, knowledge of new medication used in treatment regimens may not be as crucial for Bob's role as a case manager, as prescribing and administering medication is typically done by healthcare professionals such as doctors or nurses.Rate this question:
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- 11.
Therapeutic communities differ from Synanon because:
- A.
These communities try to return clients to society.
- B.
These communities are based on individual psychotherapy rather than group encounter.
- C.
These communities keep the patients busy rather than engaging in contemplative thought.
- D.
These communities rely on professional psychologists rather than former addicts or abusers.
Correct Answer
A. These communities try to return clients to society.Explanation
Therapeutic communities differ from Synanon because they focus on the goal of returning clients to society. Unlike Synanon, which did not prioritize reintegrating individuals into society, therapeutic communities aim to help clients transition back into their communities and lead productive lives. This distinction sets them apart from Synanon and highlights their emphasis on rehabilitation and reintegration.Rate this question:
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- 12.
During the screening process, a critical task that the counselor has is to:
- A.
Complete a mental status exam.
- B.
Engage the client's family in treatment.
- C.
Develop a treatment plan.
- D.
Establish rapport with the client.
Correct Answer
D. Establish rapport with the client.Explanation
During the screening process, it is crucial for the counselor to establish rapport with the client. Building a positive and trusting relationship with the client is essential for effective counseling. It helps create a safe and comfortable environment where the client feels understood, supported, and willing to share their thoughts and feelings. Establishing rapport also lays the foundation for effective communication and collaboration between the counselor and the client, which is necessary for developing an appropriate treatment plan and engaging the client's family in treatment if needed.Rate this question:
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- 13.
During the assessment process, your alcohol and tranquilizer abusing client reveals a history of self-destructiveness when frustrated and an inability to delay impulses. The MOST appropriate assessment battery in this case is:
- A.
The Beck Depression Scale , the MAST test, and the MMPI.
- B.
The Beck Depression Scale the MAST test, and the Stanford-Binet.
- C.
The MAST test, the Strong-Campbell, and the Stanford-Binet.
- D.
The MMPI, the Strong-Campbell, and the Stanford-Binet.
Correct Answer
A. The Beck Depression Scale , the MAST test, and the MMPI.Explanation
The given answer is the most appropriate assessment battery in this case because it includes three specific tests that are relevant to the client's presenting issues. The Beck Depression Scale is a widely used tool for assessing depression, which is commonly associated with self-destructiveness and difficulty delaying impulses. The MAST test (Michigan Alcohol Screening Test) is designed to assess alcohol abuse, which is mentioned as a concern with the client. The MMPI (Minnesota Multiphasic Personality Inventory) is a comprehensive personality assessment tool that can provide valuable insights into the client's psychological functioning and potential underlying issues.Rate this question:
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- 14.
The primary purpose of the screening process is to:
- A.
Develop a treatment plan.
- B.
Have the client sign appropriate documents.
- C.
Determine one's appropriateness and eligibility for admission.
- D.
Identify the client's strengths and weaknesses.
Correct Answer
C. Determine one's appropriateness and eligibility for admission.Explanation
The primary purpose of the screening process is to determine one's appropriateness and eligibility for admission. This means that the screening process is used to assess whether or not an individual is suitable and meets the necessary criteria to be admitted into a particular program or facility. It helps to ensure that the individual's needs can be adequately met and that they will benefit from the services provided. The screening process may involve evaluating the individual's medical history, mental health status, substance use, and other relevant factors to make an informed decision about their admission.Rate this question:
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- 15.
Effective case management for persons in need of multiple services requires:
- A.
Monitoring, feedback, and evaluation of services.
- B.
Frequent face-to-face contact with the client.
- C.
Collaboration with family members.
- D.
Careful matching with appropriate 12-step groups.
Correct Answer
A. Monitoring, feedback, and evaluation of services.Explanation
Effective case management for persons in need of multiple services requires monitoring, feedback, and evaluation of services. This is because by monitoring the services provided, case managers can ensure that the needs of the clients are being met and that the services are being delivered effectively. Feedback allows for continuous improvement and adjustment of services based on the client's needs and preferences. Evaluation helps to assess the effectiveness of the services and identify any gaps or areas for improvement. By implementing these practices, case managers can ensure that the clients are receiving the necessary support and that their needs are being addressed appropriately.Rate this question:
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- 16.
In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:
- A.
Whether the patient has a history of sobriety during the last several years.
- B.
Whether the patient's job and family are likely to give him another chance if this treatment fails.
- C.
Whether the patient has family support for sobriety.
- D.
Whether the patient has a history of failed treatment on an outpatient or inpatient basis.
Correct Answer
B. Whether the patient's job and family are likely to give him another chance if this treatment fails.Explanation
The given answer states that the factor that should not be considered in determining whether a chemically dependent patient should be treated in an inpatient or outpatient program is whether the patient's job and family are likely to give him another chance if this treatment fails. This means that the patient's job and family support should not be a determining factor in selecting the appropriate treatment program.Rate this question:
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- 17.
Alcohol decreases resistance to HIV infection by:
- A.
Compromising T-cell functions.
- B.
Impairing frontal cortical functions.
- C.
Increasing serotonin levels in the synaptic gap.
- D.
Decreasing cardiopulmonary functioning.
Correct Answer
A. Compromising T-cell functions.Explanation
Alcohol compromises T-cell functions, which are an essential part of the immune system. T-cells play a crucial role in recognizing and destroying infected cells, including those infected with HIV. When alcohol is consumed, it can impair the ability of T-cells to function properly, weakening the immune system's response to HIV infection. This can lead to increased susceptibility to HIV and a higher risk of developing AIDS.Rate this question:
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- 18.
Lt is crucial for the case manager to be aware of what may inhibit minorities' participation in the substance abuse treatment continuum. Suppose that you are a case manager, working in an outpatient program with a Somali client. AA is an integral part of your program, yet you are aware of the fact that while "accepting one's powerlessness" is a central tenet of 12-Step self-help programs, members of oppressed groups may not accept it, given their own societal powerlessness. What would be the best thing to do in such a case?
- A.
Ask the client to participate, never-the-less, and suggest he simply "do his best" when dealing with the issue of powerlessness.
- B.
Let the client know that participation in AA is mandatory, and that if he doesn't participate, he could be discharged for "noncompliance."
- C.
Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's values.
- D.
Seek out another Somali who is in a local AA group and ask the he or she sponsor your client.
Correct Answer
C. Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's values.Explanation
In this scenario, the best thing for the case manager to do is to be sensitive to the cultural differences of the Somali client and seek out other recovery resources that align with the client's values. This is important because the client may not accept the central tenet of 12-Step self-help programs, which involves accepting powerlessness, due to their experience of societal powerlessness as a member of an oppressed group. By being aware of this and finding alternative resources that are more culturally relevant, the case manager can better support the client's recovery journey.Rate this question:
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- 19.
It is important to understand clients and their expectations for counseling. Clients coming in for treatment carry with them both helpful and harmful expectations. Which of the following is a harmful client expectation?
- A.
"This counselor is a stranger, but maybe I can learn to trust her."
- B.
"My counselor will direct me to do what I need to do, and everything will be OK."
- C.
"My counselor will be a resource that I can use to resolve my problems."
- D.
"The counselor's main concern and responsibility is to help me achieve my goals and objectives."
Correct Answer
B. "My counselor will direct me to do what I need to do, and everything will be OK."Explanation
This statement suggests that the client expects the counselor to have all the answers and to take complete control of their situation. It is a harmful expectation because counseling is a collaborative process where the client and counselor work together to explore and find solutions. The counselor's role is to support and guide the client, but ultimately, the client is responsible for their own actions and outcomes. Expecting the counselor to have all the answers and solve everything can lead to dependency and hinder the client's personal growth and autonomy.Rate this question:
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- 20.
Joe is a 27-year old addict who has begun counseling, but has not yet been able to give up using drugs. During one session, he tells his counselor that he is beginning to feel that "it is useless to try to stop," and that "sometimes life is not worth living." The counselor is concerned that Joe could be suicidal. The counselor should:
- A.
Assess Joe's potential for suicide without directly asking him about suicide plans, but assess his high-risk factors.
- B.
Assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors.
- C.
Determine if Joe has a gun or other weapon.
- D.
Initiate involuntary hospitalization procedures.
Correct Answer
B. Assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors.Explanation
The counselor should assess Joe's potential for suicide by asking him about his intent and evaluating high-risk factors. Joe's statement that "it is useless to try to stop" and "sometimes life is not worth living" indicate feelings of hopelessness and despair, which are common signs of suicidal ideation. By directly asking Joe about his intent and evaluating high-risk factors such as a history of suicide attempts, access to lethal means, and social isolation, the counselor can determine the severity of the situation and provide appropriate intervention and support.Rate this question:
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- 21.
If the orientation process is neglected or incomplete a client may:
- A.
Remain in denial about his/her addiction.
- B.
Have incorrect information and unanswered questions about the program.
- C.
Need to be referred to an outside agency.
- D.
Need additional education about addiction.
Correct Answer
B. Have incorrect information and unanswered questions about the program.Explanation
If the orientation process is neglected or incomplete, the client may have incorrect information and unanswered questions about the program. This can lead to confusion and uncertainty about the treatment process, which may hinder their progress in recovery. It is important for clients to have a clear understanding of the program and its components to ensure they can fully engage and benefit from the services provided.Rate this question:
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- 22.
_________________is one of case management's hallmark characteristics.
- A.
Advocacy
- B.
Cooperation
- C.
Stabilization
- D.
Flexibility
Correct Answer
A. AdvocacyExplanation
Advocacy is one of case management's hallmark characteristics because it involves actively supporting and speaking up for clients to ensure their rights and needs are met. Case managers act as advocates by providing information, resources, and assistance to help clients navigate systems and access necessary services. They also collaborate with other professionals and agencies to coordinate and facilitate the best possible outcomes for clients. Advocacy is an essential aspect of case management as it empowers and promotes the well-being of individuals and communities.Rate this question:
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- 23.
When language is a barrier to treatment planning, this situation can be overcome by:
- A.
Employing an interpreter.
- B.
Training the counselor in cultural sensitivity.
- C.
Requiring the client to utilize a family member as an interpreter.
- D.
Getting the client a language tutor.
Correct Answer
A. Employing an interpreter.Explanation
When language is a barrier to treatment planning, employing an interpreter is the most effective solution. An interpreter can bridge the communication gap between the counselor and the client, ensuring that accurate information is exchanged and understood. This allows for effective treatment planning and ensures that the client's needs are properly addressed. Training the counselor in cultural sensitivity is important but may not fully overcome the language barrier. Requiring the client to utilize a family member as an interpreter can be problematic as it may compromise confidentiality and may not be feasible in all cases. Getting the client a language tutor may help improve their language skills but may not be sufficient for treatment planning.Rate this question:
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- 24.
The first contact that a potential client would have with an agency would likely be for the purpose of:
- A.
Family therapy.
- B.
Education.
- C.
Psychosocial assessment.
- D.
Screening.
Correct Answer
D. Screening.Explanation
When a potential client first contacts an agency, it is most likely for the purpose of screening. Screening involves an initial assessment to determine the client's needs, suitability for services, and the appropriate course of action. This initial contact is usually made to gather basic information about the client's situation and to determine if further assessment or intervention is required. It is the first step in the process of determining the client's needs and the agency's ability to meet those needs. Family therapy, education, and psychosocial assessment may be subsequent steps in the process, but the initial contact is primarily for screening purposes.Rate this question:
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- 25.
The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents ¡s lack of: -
- A.
Job skills.
- B.
Child care services.
- C.
Educational training.
- D.
Primary health care.
Correct Answer
B. Child care services.Explanation
The lack of child care services is the most significant barrier to effective treatment for alcohol and other drug abuse for single parents. This is because without access to reliable child care, single parents may struggle to attend treatment sessions or support groups. They may also be unable to fully focus on their recovery if they are constantly worried about the well-being of their children. Child care services are essential in allowing single parents to prioritize their own treatment and recovery.Rate this question:
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- 26.
Sarah, a counselor in a drug treatment center, grew up in an alcoholic home and still has strained relationships. Which statement BEST describes Sarah's situation?
- A.
Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center.
- B.
Sarah can resolve her personal pain by working professionally with addicted family units in a treatment center.
- C.
Sarah may be more comfortable with her clients because she is familiar with their behavior.
- D.
Sarah may have unfinished business with her parents.
Correct Answer
A. Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center.Explanation
Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center. This is because Sarah grew up in an alcoholic home and still has strained relationships, which indicates that she has unresolved issues related to her upbringing. Working in a drug treatment center, where she will likely encounter individuals with similar struggles, may trigger these unresolved conflicts and bring them to the surface. This can be a challenging but potentially healing experience for Sarah as she confronts and works through her own personal pain.Rate this question:
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- 27.
You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; gooseflesh; lacrimation; muscle jerks; flu syndrome; vomiting; diarrhea; nervousness; yawning; and severe anxiety. You conclude that the client is withdrawing from:
- A.
Hallucinogens.
- B.
CNS depressants.
- C.
Opioids.
- D.
Dextro-amphetamines.
Correct Answer
C. Opioids.Explanation
Based on the given symptoms, such as dilated pupils, gooseflesh, lacrimation, muscle jerks, flu syndrome, vomiting, diarrhea, nervousness, yawning, and severe anxiety, it can be concluded that the client is experiencing withdrawal symptoms. These symptoms are commonly associated with opioid withdrawal. Opioids are known to cause physical dependence, and withdrawal symptoms occur when the drug is stopped or significantly reduced. Therefore, the correct answer is opioids.Rate this question:
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- 28.
The organization founded as an alternative to programs with spiritual overtones, whose publication is called "The Small Book," is:
- A.
Rational Recovery.
- B.
Secular Organization for Sobriety.
- C.
Men and Women for Sobriety.
- D.
Codependents Anonymous.
Correct Answer
A. Rational Recovery.Explanation
Rational Recovery is the correct answer because it is an organization that was founded as an alternative to programs with spiritual overtones. Their publication, "The Small Book," is a key resource for individuals seeking recovery from addiction without the inclusion of spiritual or religious elements. This organization focuses on self-reliance and cognitive techniques to overcome addiction, emphasizing personal responsibility and rational decision-making.Rate this question:
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- 29.
Effective communication occurs in groups when:
- A.
Message receivers hear "you" messages.
- B.
Message receivers do not speak.
- C.
Message senders use third-person pronouns.
- D.
Message senders use "I" messages.
Correct Answer
D. Message senders use "I" messages.Explanation
Effective communication occurs in groups when message senders use "I" messages. "I" messages are statements that express the speaker's thoughts, feelings, and beliefs, without blaming or accusing others. By using "I" messages, message senders take responsibility for their own thoughts and emotions, which promotes open and honest communication. This approach encourages active listening and understanding among message receivers, fostering a collaborative and respectful group dynamic.Rate this question:
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- 30.
A single mother with three young children enters your clinic and begins to discuss her current drug use. She tells you that she hasn't been home for several days and has left the 8 year old in charge. What do you do?
- A.
Contact child protective services to report this incident.
- B.
Explain to her the limits of confidentiality regarding drug use.
- C.
Admit her for treatment and arrange childcare services.
- D.
Contact law enforcement to have her arrested for child abuse and neglect.
Correct Answer
A. Contact child protective services to report this incident.Explanation
In this scenario, the best course of action is to contact child protective services to report the incident. The mother's neglectful behavior of leaving her young children at home alone for several days is a clear indication of potential child abuse and neglect. By reporting the incident, the appropriate authorities can intervene to ensure the safety and well-being of the children. It is important to prioritize the welfare of the children in such situations.Rate this question:
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- 31.
One of the counselor's tasks is to guide the client in relating and communicating in specific terms, rather than in general or abstract terms. That characteristic or ability is called:
- A.
Confrontation.
- B.
Immediacy.
- C.
Potency.
- D.
Concreteness.
Correct Answer
D. Concreteness.Explanation
The counselor's task of guiding the client in relating and communicating in specific terms, rather than in general or abstract terms, is referred to as concreteness. This means that the counselor encourages the client to be specific and precise in their language, focusing on concrete and tangible details rather than vague or abstract concepts. This helps to enhance clarity and understanding in the therapeutic process, allowing for more effective communication and problem-solving.Rate this question:
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- 32.
One of the earliest models for case management services in the criminal justice system was created in 1972, when the White House launched a demonstration program known as:
- A.
Treatment Alternatives to Street Crime (TASC).
- B.
Treatment Approaches for Criminal Offenders (TACO).
- C.
Treatment Resources for Chronic Repeat Offenders (TRCRO).
- D.
Helping Services for the Criminal Element (HSCE).
Correct Answer
A. Treatment Alternatives to Street Crime (TASC).Explanation
In 1972, the White House launched a demonstration program called Treatment Alternatives to Street Crime (TASC). This program was one of the earliest models for case management services in the criminal justice system. It aimed to provide alternatives to incarceration for individuals involved in street crime by offering treatment and rehabilitation services. TASC focused on addressing the underlying issues that contribute to criminal behavior, such as substance abuse and mental health issues, in order to reduce recidivism rates and promote community safety.Rate this question:
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- 33.
Ralph is a recovering alcoholic. He as been sober for several months, and has managed to find gainful employment and re-establish family relationships. He is in a twelve-step program as well as individual counseling. One day, he arrives to a counseling session quite upset. He reveals that he had a "slip" and drank a beer at a party. He did not get drunk, but feels terribly remorseful and has promised himself that he will not do it again. Which of the following is MOST true?
- A.
Although Ralph did have a relapse, recovery should be easier the second time around.
- B.
This constitutes a relapse, and Ralph may need to begin the recovery process all over again.
- C.
Ralph should be reassured that this behavior is permissible as long as he did not lose control and become drunk.
- D.
The counselor should talk to Ralph about the implications of dangerous situations like this, but assure him that it is possible to continue his recovery process.
Correct Answer
D. The counselor should talk to Ralph about the implications of dangerous situations like this, but assure him that it is possible to continue his recovery process.Explanation
Ralph's slip, or drinking a beer at a party, does constitute a relapse, but it does not mean that he needs to start the recovery process all over again. Instead, the counselor should discuss with Ralph the potential risks and implications of such situations and reassure him that it is still possible to continue his recovery process. This acknowledges the seriousness of the slip while providing support and guidance to help Ralph stay on track in his sobriety journey.Rate this question:
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- 34.
Record keeping is an important part of the counseling process. Which of the following best reflects the type of information which should be kept in a client's record?
- A.
The name of an attending physician, referrals made, diagnostic procedures used
- B.
Information about consultations, diagnosis, treatment, prognosis, and progress
- C.
Names of family members, emergency numbers, DSM-IV-TR diagnosis
- D.
Personal notes, insurance information, treatment notes
Correct Answer
B. Information about consultations, diagnosis, treatment, prognosis, and progressExplanation
The correct answer reflects the type of information that should be kept in a client's record. This includes information about consultations, diagnosis, treatment, prognosis, and progress. Keeping track of these details is important for maintaining an accurate and comprehensive record of the counseling process and the client's journey. It helps ensure that the counselor has a complete understanding of the client's situation and can provide effective and appropriate treatment. Additionally, this information can be useful for future reference, collaboration with other healthcare professionals, and monitoring the client's progress over time.Rate this question:
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- 35.
Stress inoculation focuses primarily on:
- A.
Increasing self-control.
- B.
Increasing coping skills.
- C.
Decreasing anxious responding.
- D.
Decreasing negative thought patterns.
Correct Answer
B. Increasing coping skills.Explanation
Stress inoculation is a psychological technique that aims to build resilience and improve individuals' ability to cope with stressors. By increasing coping skills, individuals are better equipped to manage and adapt to stressful situations effectively. This involves developing strategies to regulate emotions, problem-solve, and engage in positive thinking patterns. Increasing self-control may be a part of the process, but it is not the primary focus of stress inoculation. Similarly, while decreasing anxious responding and negative thought patterns may be outcomes of stress inoculation, they are not the main goal.Rate this question:
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- 36.
Providing the client with information regarding program rules, and infractions that can lead to discharge, normally occurs during the:
- A.
Screening.
- B.
Orientation.
- C.
Assessment.
- D.
Group therapy sessions.
Correct Answer
B. Orientation.Explanation
During the orientation phase, clients are typically provided with information about program rules and regulations, as well as the consequences of any infractions that may lead to discharge. This is an important step in familiarizing clients with the program and ensuring they understand the expectations and guidelines they are expected to follow. Screening and assessment focus more on gathering information about the client's needs and determining the appropriate treatment approach, while group therapy sessions involve therapeutic interventions and discussions among clients.Rate this question:
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- 37.
Which of the following is NOT a commonly used technique for crisis intervention?
- A.
Help the client to express feelings generated by the crisis
- B.
Eliminate negative beliefs that contributed to the crisis
- C.
Assign specific behavior tasks such as spending time with people
- D.
Immediately refer the client to an agency to help change the situation
Correct Answer
D. Immediately refer the client to an agency to help change the situationExplanation
The correct answer is "Immediately refer the client to an agency to help change the situation." This is not a commonly used technique for crisis intervention because crisis intervention focuses on providing immediate support and assistance to individuals in crisis. Referring the client to an agency may be a step taken in the long-term treatment plan, but it is not a commonly used technique for immediate crisis intervention.Rate this question:
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- 38.
The CAGE test is a simple assessment that is administered to individuals with a drinking problem. The questions on this test refer to:
- A.
Cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers.
- B.
Making a distinction between problem drinkers and alcoholics.
- C.
Craving a drink, drinking alone, feeling guilty, and employment difficulties.
- D.
Client perceptions, guilt, and "eye-openers."
Correct Answer
A. Cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers.Explanation
The CAGE test is a simple assessment that is administered to individuals with a drinking problem. The questions on this test refer to cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers. These questions help assess whether the individual may have a drinking problem or not.Rate this question:
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- 39.
The focus of intervention in the criminal justice system is first to:
- A.
Rehabilitate offenders.
- B.
Use the threat of incarceration as a motivator to change.
- C.
Protect the health, safety, and welfare of the public.
- D.
Keep the chronic, chemically dependent person off the streets.
Correct Answer
C. Protect the health, safety, and welfare of the public.Explanation
The focus of intervention in the criminal justice system is to protect the health, safety, and welfare of the public. This means that the primary goal is to ensure that society is safe from potential harm caused by offenders. While rehabilitation is an important aspect of the criminal justice system, it is not the primary focus. Similarly, using the threat of incarceration as a motivator to change and keeping chronic, chemically dependent individuals off the streets are important considerations, but they are not the main focus of intervention. The ultimate goal is to prioritize the well-being and security of the public.Rate this question:
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- 40.
The goal of Al-Anon is:
- A.
To provide group and individual therapy for family members of alcoholics.
- B.
To provide a fellowship and support for individuals in relationships with alcoholics.
- C.
To educate family members of their risk of becoming alcoholics.
- D.
To provide families of alcoholics with the intervention necessary to prevent their substance abuse.
Correct Answer
B. To provide a fellowship and support for individuals in relationships with alcoholics.Explanation
The goal of Al-Anon is to provide a fellowship and support for individuals in relationships with alcoholics. This means that Al-Anon aims to create a community where people who have loved ones struggling with alcoholism can come together, share their experiences, and support each other. Al-Anon provides a safe space for these individuals to discuss their challenges, learn coping strategies, and find solace in knowing that they are not alone in their struggles. It does not provide therapy, educate about the risk of becoming an alcoholic, or offer interventions to prevent substance abuse.Rate this question:
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- 41.
Which of the following modes of sexual transmission provides the LOWEST risk of HIV transmission?
- A.
Male to male
- B.
Male to female
- C.
Female to female
- D.
Female to male
Correct Answer
C. Female to femaleExplanation
Female to female sexual transmission provides the lowest risk of HIV transmission. This is because the transmission of HIV typically occurs through the exchange of bodily fluids, such as blood, semen, vaginal fluids, and breast milk. Female to female sexual activity involves a lower likelihood of direct contact with these fluids compared to other modes of transmission. However, it is important to note that while the risk may be lower, it is not zero, and practicing safe sex and using barrier methods like dental dams or gloves is still recommended to further reduce the risk of transmission.Rate this question:
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- 42.
Counselors rely heavily on the work of developmental theorists as they attempt to stimulate clients to initiate relevant growth. According to Erickson, one of the leaders in developmental theory, the task to be accomplished ¡n adulthood is:
- A.
Trust vs. Mistrust.
- B.
Integrity vs. Despair.
- C.
Identity vs. Role Confusion.
- D.
Intimacy vs. Isolation.
Correct Answer
D. Intimacy vs. Isolation.Explanation
According to Erikson's theory, the task to be accomplished in adulthood is the stage of Intimacy vs. Isolation. This stage typically occurs during young adulthood, where individuals are faced with the challenge of forming intimate and meaningful relationships with others, or risk feeling isolated and disconnected. Counselors rely on this theory to help clients navigate and address issues related to forming and maintaining healthy relationships, as well as overcoming feelings of loneliness and isolation.Rate this question:
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- 43.
The description of the client's rights typically occurs during the:
- A.
Assessment.
- B.
Intake.
- C.
Orientation.
- D.
Referral.
Correct Answer
C. Orientation.Explanation
During the orientation phase, the client is typically provided with information about their rights. This includes explaining their rights to confidentiality, informed consent, and the right to refuse or terminate services. The orientation phase is designed to familiarize the client with the counseling process, establish rapport, and ensure that they have a clear understanding of their rights and responsibilities. Therefore, it is during the orientation phase that the description of the client's rights typically occurs.Rate this question:
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- 44.
During the intake, a counselor can expect to address all of the following issues EXCEPT:
- A.
A client's fears and denial.
- B.
Confidentiality.
- C.
Information gathering.
- D.
Treatment planning.
Correct Answer
D. Treatment planning.Explanation
During the intake process, a counselor typically addresses various issues such as a client's fears and denial, confidentiality, and information gathering. However, treatment planning is not typically addressed during the intake session. Treatment planning usually occurs after the counselor has gathered sufficient information about the client's concerns and needs. It involves developing a comprehensive plan for the client's therapy or treatment, which may include setting goals, determining appropriate interventions, and outlining a timeline for progress.Rate this question:
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- 45.
Comprehensive client documentation:
- A.
Is best achieved when done independently from direct client care.
- B.
Facilitates communication and enhances accountability.
- C.
Is used primarily by the primary counselor.
- D.
Is a standardized process.
Correct Answer
B. Facilitates communication and enhances accountability.Explanation
Comprehensive client documentation facilitates communication and enhances accountability. This is because thorough documentation allows for effective communication between healthcare professionals, ensuring that all relevant information about the client's care is accurately conveyed. It also enhances accountability by providing a clear record of the client's progress, interventions, and outcomes, which can be reviewed and assessed by the primary counselor and other members of the healthcare team. Additionally, comprehensive documentation helps in continuity of care, as it provides a comprehensive overview of the client's history, assessment, and treatment plan, allowing for better coordination and collaboration among healthcare professionals.Rate this question:
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- 46.
Relapse prevention efforts are aimed at:
- A.
Developing a therapeutic relationship for sobriety and maintenance.
- B.
Changing expectations regarding the effects of intervention.
- C.
Identifying high-risk situations and learning alternative coping skills.
- D.
Discussing aspects of evaluation and treatment.
Correct Answer
C. Identifying high-risk situations and learning alternative coping skills.Explanation
Relapse prevention efforts are focused on identifying high-risk situations and learning alternative coping skills. This means that individuals who are in recovery from addiction are taught to recognize situations or triggers that may lead them to relapse, and then they are equipped with alternative ways to cope with these situations without turning to substance abuse. By being able to identify and manage high-risk situations, individuals are better prepared to maintain their sobriety and avoid relapse. This approach emphasizes the importance of self-awareness, self-control, and developing effective strategies for dealing with challenges in a healthy way.Rate this question:
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- 47.
Before therapy or counseling begins, clients may be given information about the treatment they will receive, as well as possible risks involved. This process is known as:
- A.
Self-disclosure.
- B.
Releasing information.
- C.
Protecting confidentiality.
- D.
Obtaining informed consent to treatment.
Correct Answer
D. Obtaining informed consent to treatment.Explanation
Obtaining informed consent to treatment refers to the process in which clients are provided with information about the treatment they will receive, including any potential risks involved. This ensures that clients have a clear understanding of what to expect and allows them to make an informed decision about whether or not to proceed with therapy or counseling. It is an important ethical practice that respects the autonomy and rights of the client.Rate this question:
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- 48.
Which statement BEST describes how a counselor can avoid professional burnout?
- A.
Move from direct care to an administrative position.
- B.
Contact a supervisor and ask for fewer work hours.
- C.
Attend to health through adequate sleep, an exercise program, and proper diet.
- D.
Add more structure to work by using a commercial time management system.
Correct Answer
C. Attend to health through adequate sleep, an exercise program, and proper diet.Explanation
The best way for a counselor to avoid professional burnout is by attending to their health through adequate sleep, an exercise program, and a proper diet. Taking care of one's physical and mental well-being is crucial in preventing burnout. By ensuring that they get enough rest, engage in regular physical activity, and eat a balanced diet, counselors can maintain their energy levels and cope better with the demands of their job. This approach helps in reducing stress and maintaining overall well-being, which in turn prevents burnout.Rate this question:
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- 49.
A cocaine-dependent client admits being fired from his job for absenteeism, losing his home and car by defaulting on his loans, and associating only with peers who use cocaine. He states that he does not require residential treatment because his problem is not serious enough. He further states that he has lost his house and car because his wife didn't work enough hours. Which defense mechanisms is this client displaying?
- A.
Projection, denial, and displacement
- B.
Denial, minimization, and rationalization
- C.
Sub-limitation, displacement, and compensation
- D.
Identification, minimization, and Sub-limitation
Correct Answer
B. Denial, minimization, and rationalizationExplanation
The client is displaying denial, minimization, and rationalization as defense mechanisms. Denial is evident in his belief that his problem is not serious enough to require residential treatment. Minimization is seen in his downplaying of the consequences of his actions, such as losing his home and car. Rationalization is demonstrated by his blaming his wife for not working enough hours as the reason for losing his house and car. These defense mechanisms allow the client to avoid taking responsibility for his actions and the impact of his drug dependency.Rate this question:
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- 50.
A client says to you, "I am getting to like you very much and I'd like us to get a lot closer." You should first:
- A.
Terminate the client's treatment and seek supervision.
- B.
Talk openly about transference issues.
- C.
Reciprocate your true feelings, but only if you are attracted to him/her.
- D.
Refer the client to another professional.
Correct Answer
B. Talk openly about transference issues.Explanation
In this scenario, the client expresses feelings of liking and wanting to get closer to the therapist. This indicates a potential transference issue, where the client may be projecting their feelings onto the therapist based on past experiences or relationships. The appropriate response is to address this transference openly and explore the client's feelings and motivations behind them. This allows for a deeper understanding of the client's emotions and can contribute to the therapeutic process. Terminating treatment or reciprocating feelings would not be appropriate, and referring the client to another professional may not be necessary at this stage.Rate this question:
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