CATC Exam Sample Questions and Answers 2024/2025, Exams of Business Administration

Download CATC Exam Sample Questions and Answers 2024/2025 and more Exams Business Administration in PDF only on Docsity! CATC EXAM SAMPLE QUESTIONS AND ANSWERS 2024/2025 Assessment An ongoing process through which the counselor collaborates with the client and others to gather and interpret information necessary for planning treatment and evaluating client's progress. Tools of assessment Counselor's observations, clinical interviews, laboratory test and instruments line tests and self report inventories. Bio psychosocial perspective There's biological, psychological, and social causes of substance abuse Biological factors Includes brain chemistry problems that may be genetic. Genetics Influence biochemistry and biochemistry make some people vulnerable to addiction. Psychological factors Includes cognitive styles, personality traits, and early developmental experiences. Social factors Includes poverty, oppression, poorly developed social skills, and family dysfunction Cultural relevance Take into account client's social context and to not interpret client's behavior as pathological, since it doesn't cause stress to client. Clients are likely to cooperate with assessment If rapport has been established and the reason for assessment procedure is clear Rapport A comfortable working relationship, with the client helps assure the client's trust and cooperation Culturally sensitive language Using "people first" language, communicates respect to clients. Example referring to someone as a person with alcohol dependence rather than an alcoholic. Motivational interviewing Respects the client's perception of the problem . Finding out what stage the client is in . Example pre contemplation, contemplation, action, maintenance. Help client to the next stage Assessment instruments For counselors to aid their identification of, and treatment planning for substance disorders Reliability of the instrument Has to do with the consistency with which an instrument measures. Validity of the instrument Has to do with what the instrument measures and how it's used. Screening instruments CAGE, DAST,MAST,SASSI CAGE questionaire An answer to yes to one or more questions for alcohol dependence. 4 questions 1. Have you ever felt you should cut down on your drinking? 2.have people ever annoyed you by criticizing your drinking? 3. Have you ever felt guilty about your drinking? 4. Have you ever had a drink first in the morning to relieve the shakes? DAST(drug abuse screening test) Adopted from MAST. This self report instrument is used to detect abuse or dependence on drugs other than alcohol. It provides a measure of lifetime problem severity. MAST(Michigan screening test) Requires yes/ no questions answers to 25 questions . Scores indicate the absence of alcohol dependence 0-3, possible substance dependence 4, or likely alcohol dependence 5 or higher. SASSI( substance abuse subtle screening inventory) This brief self report is designed to identify clients with high probability of having a substance related disorder. Time line follow back procedure(TLFB) This instrument makes connection between significant events in client's life and alcohol/ drug use patterns and intensity for the past year. It includes a calendar and a standard drink conversion to chart aid memory. It's useful with working with elderly client's especially Diagnostic instruments ADS, DIS-IV, ICS, OCDS, SADD and SDSS Alcohol dependence scale (ADS) This 25 item instrument provides a quantitative measure of the severity of alcohol dependence Diagnostic interview schedule(DIS-IV) alcohol model The 28 questions permit diagnosis of alcohol abuse or dependence Impaired control scale ( ICS) This pencil and paper self administered instrument measures client's attempt to control their drinking during the last 6 months and their perception of their ability to control it now. Addiction severity index (ASI) By either a need for markedly increased amount of the substance to achieve intoxication or desired affect. The effect is diminished by use of the same amount. There's withdrawal and substance is taken to prevent withdrawal. Substance is taken in more amounts than intended Poly Substance dependence Someone who has repeatedly taken at least 3 groups of substances. Dually diagnosed A client who has 1 or more other psychiatric disorders along with substance abuse or dependence Affect Is the external expression of an internal emotional state. Inappropriate if this is the expression doesn't match what is being said Mood Is a sustained emotion and changes less frequently than affect Euthymic Mood that is in the normal range, not depressed or elevated Dysphoric Moods that are unpleasant like anxiety, sadness, and irritability Elevated Moods that's feelings of euphoria or elation Delusions False beliefs that are maintained despite proof against the truth. Some types are grandiose, bizarre Hallucinations When a person perceives something in the absence of sensory input. Involve senses auditory, visual etc. ex. A voice telling you to kill someone Illusions Are misperceptions of actually sensory input. Ex thinking that the moon is moving . Written assessment summary Is a report that brings together client information from all sources in a succinct form that makes it helpful in formulating the treatment plan. Treatment planning Is the process by which the counselor and client identify and rank problems needing solutions, established agreed upon immediate and long term goals and decide on treatment and the resources to be used 4 components of a treatment plan Problems, goals, objectives,and strategies Problems Should be described specifically as possible bag includes evidence Goal Should be acceptable for the client and he chooses it Objectives Are specific things the client will do to meet the goal. It's realistic, time specific, appropriate to the level of treatment and measurable Strategies Are what the counselor will do to help meet the client's objectives Assessment Involves gathering information about the client in order to make informed diagnostic impression and an appropriate treatment plan. Clinical skills used with counseling Active listening, empathy, concreteness, paraphrasing, reflecting, simplifying, summarizing, attending , probing,reframing, exploring alternatives, confrontation, immediacy Active listening Involves attending skills and reflective listening and to reflect the client's emotions, thoughts, and attitudes Empathy Is the ability to perceive another person's experience and communicate that perception back to the person Concreteness A process which the counselor relates the vague aspects of the client in direct expression of feeling and experiences in specific concrete terms to assist the client to develop more functional coping skills Paraphrasing Includes the therapeutic qualities of empathy and warmth. The counselor's verbal response that rephrases the essence of the client's message. Reflecting When the counselor restated content that has generated emotion from the client Simplifying Reflection and restatement of what the client said Summarizing Tying together main points, themes, and issues presented by client during session Probing Asking open ended questions to clarify information and to help client to a new understanding Reframing Offering a different perspective on a situation the client is facing Attending Ways in which the counselor demonstrates that she's listening to the client through the use if cues Exploring alternatives Working with client to examine various options Self disclosure When the counselor shares something about herself for the benefit of the client Confrontation The use of a statement or question to raise some discrepancy within the client Immediacy Dealing openly with issues that are present in the clinical relationship Types of treatment Outpatient, intensive outpatient, impatient, clinical substitution program Outpatient Organized nonresidential treatment services which client could visit once a weeks to several hours per day Intensive outpatient A more structured setting in which client attends 10-30 hours per week Inpatient treatment A live in setting with a stay from 4 to 24 months may or may not includes detox unit, medical Chemical substitution program Ex methadone maintenance program Yalom's 11 therapeutic factors of group treatment Instillation of hope, universality, imparting of information, altruism, the corrective recapitulation of the primary family group, development of socializing techniques, imitative behavior, cohesiveness, interpersonal learning, Catharsis, existential feelings Instillation of hope By watching other group members get better, client's believe that they can get better too. Universality In group client's hear others share similar problems, concerns, experience, and other aspects of their lives and they feel they're not alone. Imparting of information Clients can learn more about their illness, symptoms, and behavior, from education provided by group therapist. Altruism In group clients learn that they are capable of helping others The corrective recapitulation of the primary family group. Group therapy situation resembles the early family in number of ways. Clients have a tendency to re experience old family conflicts within the group Development of socializing techniques Group therapy helps clients develop social skills Imitative behavior Enabling Unwittingly protecting a person from full negative consequences if his behavior out of sense of love, compassion, fear, or survival instinct. It's unintentional but allows problem to worsen Intervention Is a process by which harmful, progressive and destructive effects of addiction is interrupted and the addict is helped to stop using drugs. The family stages it so the addict is in touch with reality of his addiction Therapeutic community Are based on the idea that substance abuse is the disorder of the whole person. And the addict need to learn a whole new way of living to be re socialized so they can be substance free in the community. 5 main functions of case management Assessment, planning, linking, advocacy, monitoring The treatment continuum Case finding and pre treatment, primary treatment, aftercare, disengagement Case finding and pretreatment How treatment programs get clients. The case manager tries to remove barriers that would keep a client from entering treatment Primary treatment The case manager orients the client and help him resolve immediate problems that would keep him from focusing on treatment Aftercare (continuing care) Case manager helps client transition out of treatment Disengagement Takes place overtime. Case manger discussed what he learned from different services provided Recovery continuum of care Identification, assessment, stabilization, rehabilitation, relapse prevention and substance substitution Identification Through court, one's parole or appropriate intervention techniques that will identify the client as himself having a problem Assessment A collection of data from client and corroborative sources to determine the extent of his problems and his strengths, weaknesses, and needs Rehabilitation Can range from providing education to inpatient treatment Relapse prevention Learning to make choices that doesn't lead to relapse and identify triggers Abstinence violation effect The tendency for some people to use substance problematically when he believes that abstinence is to hard of a goal Drug substitution Substitute a legal drug for an illegal drug. Ex methadone program 6 stages that the family deals with addiction Denial, attempts to eliminate the problem, disorganization and chaos, reorganization in spite of problem, efforts to escape, and family reorganization Side effects of alcohol Hyper pigmented skin, jaundiced skin, ataxia spider veins etc. Acute pancreatitis Inflammation of pancreas Acute fatty liver When fat deposits build up in normal level cells Hepatitis Inflammation of liver,metabolism is distrusted and yellowing if skin and white of the eyes Cirrhosis Destruction of liver cells and replaced with nonfunctional scar tissue Anemia Insufficient function or number of red blood cells Alcohol affects white blood cells By having negative effects on the immune system and more prone to infection Alcoholic heart muscle disease The heart doesn't pump the amount of blood needed Wernicke- korasakoff syndrome Vitamin b-1 deficiency and psychosis the inability to learn new info Step 1 We admitted we were powerless over alcohol and drugs Step 2 Came to believe that a power greater than ourselves could restore us to sanity Step 3 Made a decision to turn our will and our lives over to the care of God as we understood him Step 4 Made a searching and fearless moral inventory of ourselves Step 5 Admitted to God, to ourselves and to another human being the exact nature of our wrongs Step 6 We entirely ready to have God removes all defects of our character Step 7 Humbly ask him to remove our short comings Step 8 Made a list of all persons we have harmed and become willing to make amends to them all Step9 Made direct amends to people wherever possible except when to do so would injure others Step 10 Continue to take personally inventory and we where wrong promptly admitted it Step 11 Sought through prayer and meditation to improve our conscious contact with God as we understood him Step 12 Having had a spiritual awakening as a result of these steps we tried to carry this message to addicts and to practice these principals in all of our affairs Step 7