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Ic/Rc Adc Examination Practices With
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A fourteen-year-old male is being evaluated for cocaine abuse. He has no knowledge of any family history of abuse and has indicated that he began only in the past 6 months. Which of the following addiction factors is most likely the most influential on his drug use? Q1 - Correct Answer (A) Family influence (B) Genetics (C) Peer influence (D) Television and media
Which of the following is not a model for the causation of addiction?Q2 - Correct Answer (A) Moral model (B) Blended model (C) Genetic model (D) Familial model
As an individual continues to use an addictive forming drug over a period of time, which of the following is a correct statement regarding the influence of outside factors (peers, family, stress) contributing the habit of addiction?Q3 - Correct Answer (A) As drug use continues the influence of outside factors remains about the same (B) As drug use continues the influence of outside factors increases (C) As drug use continues the influence of outside factors decreases (D) None of the above
Which of the following is the most commonly abused substance in America?Q4 - Correct Answer (A) Marijuana (B) Alcohol (C) Cocaine (D) Prescription Drugs
Which of the following is a true statement regarding the abuse of alcohol?Q5 - Correct Answer (A) Women have a higher risk of developing problems from alcohol abuse than men (B) Men are more likely to drink higher volumes of alcohol than women (C) Organ damage due to alcohol abuse is more likely in women than men
(D) All of the above
Which of the following a false statement about marijuana use?Q6 - Correct Answer (A) Marijuana is not an addictive substance (B) Marijuana can contribute to depression and suicide (C) Research shows Marijuana users generally have a lower level of fulfillment in life (D) Marijuana increases the risk of heart disease
Which of the following is not an example of prescription drug abuse?Q7 - Correct Answer (A) A friend providing OxyContin for a stiff neck Y (B) Taking an additional Valium beyond the amount prescribed to ease tension before public speaking (C) Using leftover Vicodin from a car accident that occurred a year prior to treat a new injury (D) None of the above
Which of the following Is most commonly the male reason for a client deciding to begin the process of treatment?Q8 - Correct Answer (A) Internal motivation (B) Family or Peer encouragement (C) Diagnosed medical issues (D) Financial issues
Which of-the following is not an effective technique for establishing rapport with a clent during the initial interview?Q9 - Correct Answer (A) Observing and noting the dress and appearance of the client B) Providing, reassurance that things will be ok no matter how dire the individual's stuation (C) Exhibit acceptance regardless of the client's prior actions (D) Use of open-ended questions
Which of the following is not an example of proper active listening?Q10 - Correct Answer (A) Restating specific words the client has used (B) Refocusing the client's attention on a specific topic of interest (C) Providing stories from your own experience that relate to the client's struggle (D) Summarizing key feelings that the client has shared
Which of the following is not a part of the screening process?Q11 - Correct Answer (A) Identify the presence of a problem (B) Identify the likely solution to problem (C) Measuring the severity of an identified problem (D) Identify the need for further evaluation
Which of the following is not an example of an effective screening processes?Q12 - Correct Answer (A) Evaluating the sublect in multiple locations (8) Evaluating the subject by gathering information from multiple people (C) In- depth initia subject by gathering information to provide a thorough process
Which of the following is an acceptable person for the use of a translator for an assessment? involving a low English proficient client?Q19 - Correct Answer (A) Family member (B) A community insider (C) Independent translator (D) All of the above
A client enters and shows visual signs of withdrawal. They appear to have significant nausea, agitation, and are indicating the intention for self-inflicted harm. Which of the following is the most appropriate initial reaction?Q20 - Correct Answer (A) Attempt to calm the client and begin an initial assessment (B) Alert the clients friends and family (C) Seek medical attention for the client (D) All of the above
Which of the following is not a factor in the assessment for suicide risk?Q21 - Correct Answer (A) Abuse of alcohol (B) Family history of suicide (C) Evidence of aggression towards others (D) None of the above
Which of the following drug test types is not appropriate for the use of monitoring compliance on a regular basis?Q22 - Correct Answer (A) Hair (B) Urine (C) Saliva (D) Sweat
Which of the following ranges is the amount of time alcohol stays in the body after ingestion?Q23 - Correct Answer (A) A few hours (B) 12 to 24 hrs. (C) 1 to 3 days (D) About a week
Which of the following is not linked to causing false positives on drug tests?Q24 - Correct Answer (A) Doxylamine (B) Poppy seeds (C) Sesame seeds (D) Sertraline
Which of the following is most often not a step for counselors in the assessment of co- occurring disorders?Q25 - Correct Answer (A) Screening of co-occurring disorder (B) Determine the severity of the potential disorder (C) Diagnose the mental disorder (D) Determine the effect the disability
Which of the following is not a true statement regarding the connection between mental health disorders and substance abuse?Q26 - Correct Answer (A) The effect of drug use is equal for those with or without mental health disorders despite the increased risk (B) An undiagnosed mental health issue can lead to substance abuse (C) Some drugs may cause diagnosable mental illness after extended use (D) The risk of mental health disorders can be increased with drug abuse
Which of the following is not consistent with the methodologies for the American Psychiatric Association DSM-5 criteria?Q27 - Correct Answer (A) All people are not automatically susceptible to developing substance abuse disorders (B) The brain's reaction to drugs of creating a rewarding feeling is an essential part of the substance abuse process (C) Substance induced disorders may be a result of a preexisting condition (D) Not all people are equally susceptible to substance abuse
Which of the following is not an example of a substance use disorder?Q28 - Correct Answer (A) A person leaving work early due to the need for drug use (B) Constantly saying they need to cut down on use but never managing to do so (C) Entering into knowingly dangerous situations to obtain the drugs (D) Having feelings of severe depression
In evaluating a client using the DSM-5 criteria, you note that they show symptoms of five of the eleven SUD criteria. Which of the following is the severity of the substance abuse disorder?Q29 - Correct Answer (A) No diagnostic of SUD (B) Mild (C) Moderate (D) Severe
Which of the following substances is most likely to be associated with withdrawal symptoms of increased physical activity such as elevated blood pressure, agitation and anxiety?Q30 - Correct Answer (A) Cocaine (B) Alcohol (C) Ecstasy (D) Steroids
After an assessment and medical examination, the client is diagnosed with having long- term damage to their ability to concentrate and memory. Which of the following is most likely the substance of abuse?Q31 - Correct Answer (A) Amphetamines (B) Heroin (C) Marijuana (D) Steroids
Which of the following is not a characteristic of the intake process?Q32 - Correct Answer (A) It is the first phase of the treatment process (B) It may involve any significant others of the client (C) It mostly serves a more administrative than clinical function
Which of the following is not a stage of change as recognized in the DiClemente and Prochaska Model of Change?Q40 - Correct Answer (A) Contemplation (B) Acceptance (C) Action (D) Termination
If a client fails to improve or if the situation continues to deteriorate, which of the following is the most appropriate course of action?Q41 - Correct Answer (A) Re- evaluate the treatment plan and make adjustments based on the individual (B) Re-conduct the screening process (C) Interview the client to determine what is not working (D) None of the above
Which of the following is not an ASAM criteria for the documentation of a treatment plan?Q42 - Correct Answer (A) Problems or priorities must be identified (B) Specified time intervals for assessment of the treatment process (C) Realistic goals identified (D) The progress made must be measured
Which of the following is most often included in the individualized treatment plan but not the initial treatment plan?Q43 - Correct Answer (A) Problem identified (B) Goals (C) Objectives (D) Diagnosis
Which of the following is not a true statement regarding goals and objectives as defined in an individual treatment plan?Q44 - Correct Answer (A) Goals should be broad (B) Objectives should be broad (C) Goals should be measurable (D) Objectives should be measurable
After a relapse, what stage of change is the client most likely to return to?Q45 - Correct Answer (A) Preparation (B) Contemplation (C) Action (D) Maintenance
What is not a true characteristic of the methodology behind the stages of change model?Q46 - Correct Answer (A) There are five distinct stages (B) Clients may move back and forth between stages (C) Clients move through the stages linearly (D) Relapses are to be expected and are common
Which of the following defines the mental state of a client who is ready to enter into the preparation stage of change?Q47 - Correct Answer (A) The person recognizes there is a problem with how substances have affected their lifé (B) The person has had adverse experiences directly related to substance abuse (C) The person can recognize that the disadvantages of continuing substance abuse outweigh any perceived advantages (D) The person is prepared to decide on how to change
During which stage of change do withdrawal symptoms most often occur?Q48 - Correct Answer (A) Contemplation (B) Preparation (C) Action (D) Maintenance
Which of the following is most often the biggest source of disagreement during collaboration efforts amongst agencies?Q49 - Correct Answer (A) Use of differing assessment tools (B) Agreement of treatment plan (C) Timeline of events (D) Which agency is primary
What is not a role of a primary agency during collaboration?Q50 - Correct Answer (A) Provide an all-inclusive assessment for use by all agencies (B) Designate the primary contact (C) Determine all final assessments (D) None of the above
Which of the following is not a main objective of case management systems?Q51 - Correct Answer (A) Accessibility (B) Accountability (C) Consistency of care (D) None of the above
What is not a main element of establishing a case management system?Q52 - Correct Answer (A) Primary Screener (B) Case Manager (C) Core Agency (D) None of the above
Which of the following is not an established approach to case management for any aspect of the process?Q53 - Correct Answer (A) Intensive (B) High Intensity (C) Brokerage (D) Integrated
(B) Physical therapy (C) Religious support (D) Financial counseling
Which of the following is not an essential item in a comprehensive service plan?Q61 - Correct Answer (A) Long term goals (B) Short term goals (C) Writeup of the current status (D) Required services for the client
All of the following are common problems that may arise with referrals except:Q62 - Correct Answer (A) Client dropout (B) Eligibility requirements (C) Incomplete client information (D) All of the above
Which of the following does not fall under the specified responsibilities of a facilitator?Q63 - Correct Answer (A) Gather together the service implementation team (B) Lead team meetings (C) Ensure the client is making progress towards specified goals (D) Guiding discussions in meetings
Which of the following is not a common method for a case manager to help establish a successful working relationship between agencies?Q64 - Correct Answer (A) The use of quid pro quo arrangements (B) Develop a memorandum of understanding (C) Determine the points of contact for services in key agencies (D) Capitalize on personal relationships the client may have
All of the answers below are a common method of evaluating the success or effectiveness of case management for a particular case except:Q65 - Correct Answer (A) Extended services survey (B) Client satisfaction questionnaire (C) Client outcome measurements (D) System outcomes
Which of these scenarios is it acceptable for there to be no client consent in which a third party can obtain client information?Q66 - Correct Answer (A) For the use of payment for health care operations (B) A new counselor seeking continuity of care (C) A co-worker asking for an example to compare to another client (D) All of the above
The documentation of the treatment process is essential for all the following reasons except:Q67 - Correct Answer (A) Continuity of care when a client moves (B) Legal documentation for potential lawsuits
(C) Compliance with Federal Regulations (D) Sharing of information with third parties external to the case to foster future relationships
A treatment facility has a policy of documentation retention to keep files for a minimum period of seven years. Which of the following scenarios is a common reason for maintaining files for longer than the minimum timeframe?Q68 - Correct Answer (A) For minors (B) For clients with records of violence (C) For clients with a recorded relapse (D) For multiple substance abusers
As per 42 CFR part 2, which of the following is not a requirement for content of the disclosure of client information as per a court order?Q69 - Correct Answer (A) Disclosure information shall be limited to that which is essential to the objective of the order (B) Disclosure information should only be provided to those specifically requesting the ordered information (C) Provide any measures which are necessary to limit the disclosure for the protection of the patient (D) Provide the information in a manner that is consistent with the public interest
Which of the following is not an entity that may hold record keeping and documentation to a specific standard?Q70 - Correct Answer (A) Single State authority (B) Accreditation bodies (C) Medical services (D) Insurance companies
The statements below are recorded in the screening documentation for a new client. Determine which statement is an example of an A/P progress note.Q71 - Correct Answer (A) The client entered showing signs of withdrawal such as excessive sweating and shaking (B) The client is potentially showing signs of a co-occurring disorder (C) The client mentioned having alcohol within the last 3 days on 6 different occasions (D) The client began to become angry when asked about their spouse
What is not an essential element when forming a discharge plan?Q72 - Correct Answer (A) Referral source (B) Outcomes of treatment (C) Condition of client (D) Exit interview with client
All of the following are statements documented from observations during a session with a client. Which statement is most consistent with effective documentation recommendations?Q73 - Correct Answer (A) The client was saying very few words whenever asked a question
(C) Encourage socializing in a safe and sober environment (D) Have the client recal the negative feelings and actions associated with drinking,
The approach to the recovery process can best be described as:Q81 - Correct Answer (A) Primarily reaching abstinence as the goal (B) A crisis management process (C) A professionally directed process (D) A long-term self-growth process
Which of the following is not an example of the harm reduction model of recovery?Q
- Correct Answer (A) Designated driver (B) Drug substitution (C) Behavior modification (D) Prolonged periods of abstinence
Four clients can be classified by some defining characteristics as determined in their assessment. Which is least likely to benefit from a traditional 12-step program recovery?Q83 - Correct Answer (A) Alcohol abuser with severe social anxiety (B) Alcohol abuser with co-occurring mental disorder (C) Cocaine abuser with a history of religious involvement (D) Meth abuser with a fear of isolation
Which of the following is not often considered a trigger for a potential relapse?Q84 - Correct Answer (A) Negative emotions such as sadness or loneliness (B) Having a reason to celebrate such as a new job (C) Sensory stimulants familiar during times of drug use (D) None of the above
What statement below is not consistent with the SAMHSA principles of recovery?Q85 - Correct Answer (A) Cultural differences impact recovery (B) Recovery requires the direction of professional help (C) Recovery is self-directed (D) Recovery can be achieved in many ways
What is the most accurate estimate of individuals in recovery who sought out or used professional help?Q86 - Correct Answer (A) 5% (B) 25% (C) 75% (D) 90%
What is not a characteristic of an effective and successful therapeutic alliance?Q87 - Correct Answer (A) A strong bond between client and counselor (B) Collaboration between counselor and third-party entities (C) Agreement on treatment techniques (D) Agreement on treatment goals
What is an ineffective method for a counselor to develop a strong relationship with a client?Q88 - Correct Answer (A) Exhibit a thorough knowledge of expertise in addiction treatment (B) Use facts to support recommendations (C) Make connections between the client's experiences and the counselor's clinical knowledge (D) Explain to the client what to expect from experiences the counselor is familiar with from other clients
What action as described below is not consistent with the technique of motivational interviewing?Q89 - Correct Answer (A) Summarizing what the client says to show good listening (B) Ensure an argument is dealt with quickly and sternly (C) Continue to reinforce agreed upon goals (D) Make the client aware of actions inconsistent with their goals
When counseling a client with a co-occurring disorder, what specific technique is most appropriate to be emphasized?Q90 - Correct Answer (A) Using repetition to ensure an understanding of expectations (B) Identify high risk situations the client may not be aware of (C) Help the client find a sponsor (D) Use positive reinforcement such as privileges to reward progress
During counseling, a client who has now been abstinent for some significant amount of time and has adjusted to a new lifestyle, has indicated boredom with their current situation. He says his old life was certainly much more exciting. What is not an appropriate technique to avoid a relapse?Q91 - Correct Answer (A) Remind the client of the pain from substance abuse (B) Challenge the client appropriately on the reality of what he remembers as enjoyable times (C) Suggest new activities that may fill the void (D) None of the above
What is not an effective technique for helping a client utilize a mutual self-help group?Q92 - Correct Answer (A) Prescribe the best group for the client (B) Have exit surveys to evaluate the client's reactions (C) Provide a briefing on the dynamics of the group (D) Help to overcome logistical issues
What is not consistent with the philosophies of motivational interviewing?Q93 - Correct Answer (A) Collaboration (B Acceptance C) Compassion (D) Intervene
A client who is still employed is addicted to opioids and requires treatment. He is also physically disabled which makes it difficult for him to leave the home. His family life while impacted is still supporting and intact. Which of the following treatment options is most likely appropriate?Q101 - Correct Answer (A) Outpatient treatment (B) Halfway house (C) Therapeutic community (D) None of the above
What is a medication that may have benefits for the treatment of someone with an opioid addiction?Q102 - Correct Answer A) Methadone (B) Disulfiram (C) Acamprosate (D) None of the above
What type of group counseling is effective in providing information to the client about substance abuse?Q103 - Correct Answer (A) Psychoeducational (B) Skills development (C) Support (D) Interpersonal process
Which of the following substances is there no conclusive evidence to support an effectiveness of any medication for abuse treatment?Q104 - Correct Answer (A) Alcohol (B) Tabaco (C) Methamphetamine (D) Heroin
When determining the presence of a crisis, what statement is true?Q105 - Correct Answer (A) A crisis occurs if there is a perceived traumatic event regardless of the mental state of the client (B) If a traumatic event occurs but the client has a stable mental state there is no crisis (C) A crisis involves only short-term consequences (D) A crisis may not include a catalyst
What is not a generally an identified step in the process of crisis intervention?Q106 - Correct Answer (A) Assess the extent of the crisis B) Identify the problem at hand (C) Determine potential solutions (D) Establish a relapse strategy
What is not an effective strategy for deescalating a crisis situation?Q107 - Correct Answer (A) Ask questions about the client's past that may identify the root of the problem (B) Use verbal de-escalation (C) Take steps to establish a rapport with the client (D) Whenever possible, meet with a client in person to deal with a crisis
As per general AA teachings, what is not a part of the HALT acronym related to relapse prevention?Q108 - Correct Answer (A) Hunger (B) Anger (C) Loneliness (D) Temptation
What in contemporary terms is the most prevalent way to describe the goal of relapse prevention?Q109 - Correct Answer (A) Have the proper tools necessary to intervene when warning signs arise (B) Promote healthy and positive changes in one's life to prevent relapse (C) Prepare the client for the inevitable by having an appropriate plan in place (D) None of the above
What is not consistent with the strategies in relapse prevention therapy?Q110 - Correct Answer (A) Identify relapse as a process (B) Learn to cope with urges and cravings (C) Learn techniques to minimize damage if a relapse does occur (D) After a relapse, be prepared to move on completely
What is not a category of techniques which can be used for coping as a part of relapse prevention therapy?Q111 - Correct Answer (A) Behavioral (B) Physical (C) Cognitive (D) None of the above
What is not a primary component of the CENAPS Model of Relapse Prevention?Q112 - Correct Answer (A) Assessment (B) Warning Sign Identification (C) Warning Sign Management (D) Relapse Counseling
What is the main difference between the Marlatt and Gordon Model of Relapse Prevention and the CENAPS Model?Q113 - Correct Answer (A) CENAPS uses abstinence-based treatment (B) CENAPS encourages lifestyle changes as essential (C) CENAPS teaches early identification of warnings (D) All of the above
What is not identified as one of the most common triggers for a relapse?Q114 - Correct Answer (A) Unpleasant emotions (B) Interpersonal conflict (C) Physical pain (D) Social pressure
Evidence based practices and programs have all of the following goals except?Q115 - Correct Answer (A) Eliminate unverified practices (B) Incorporate the opinions of clinical experts
Which of the following is an example of cultural adaptation for the use of evidence- based practices?Q122 - Correct Answer (A) Translating questions (B) Adjusting the progression of steps (C) Providing an interpreter (D) None of the above
Which of the following is not healthy behavior as it relates to enabling in a relationship?Q123 - Correct Answer (A) Trying to repair relationships that may have been affected by the substance abuse (B) Striving for autonomy in the relationship (C) Evaluating decisions based on long-term consequences (D) Not intervening in the consequences of poor decisions related to substance abuse
The more traditional measurement of client progress involving tracking the achievement of goals is what type of assessment?Q124 - Correct Answer (A) Qualitative (B) Quantitative (C) A combination of both qualitative and quantitative (D) Neither qualitative or quantitative
Which of the following statements is not true regarding the connection between substance abuse disorder (SUD) and HIV/AIDS?Q125 - Correct Answer (A) Treatment for SUD actually doubles as HIV prevention (B) Those who have both SUD and HIV/AIDS are subject to higher rates of mental disorders than those with only SUD (C) Risk reduction is essential for both SUD and HIV (D) SUD treatment can help prevent the spreading of HIV/AIDS
Regarding treatment for substance abuse disorders among individuals with physical disabilities, which of the following statements are true?Q126 - Correct Answer (A) They are less likely to seek treatment (B) They are more likely to seek treatment (C) There is no difference from the general population in their likelihood to seek treatment (D) None of the above
What is the regulation with the highest precedence for ethical considerations?Q127 - Correct Answer (A) Common Sense (B) Administrative regulations (C) Contracts (D) Federal Law
What statement below is not consistent with the core principles of trauma-informed care?Q128 - Correct Answer (A) Have the client recognize the connection between behaviors and trauma (B) Establishing a clear, single source of decision making for consistency
(C) Establishing healthy relationships is important to recovery from traumatic events (D) Instill a feeling of safety
As per the Privacy Rule under HIPAA, clients have the right to ask for all of the following except?Q129 - Correct Answer (A) A copy of their record (B) Modifications to the record based on mistakes (C) Meeting minutes where the client was discussed (D) Information regarding anyone else who has seen the record
What is not an accurate statement regarding women and substance abuse?Q130 - Correct Answer (A) When given the opportunity, men are more likely try drugs for the first time (B) The effects of drugs are physically different for women than for men (C) For the general population more males than females suffer from substance abuse (D) Men are more likely to be put in a situation to use drugs for the first time
What is not a true statement regarding the fundamentals of professional codes of ethics?Q131 - Correct Answer (A) There is now an agreement among professionals of a universally accepted code of ethics (B) The code of ethics may include vague statements (C) The code of ethics may not include contemporary ideals (D) There may be multiple codes of ethics which conflict
When counseling a client who is describing some of the events he attended over the weekend, he describes an action that does not quite "feel right" to you. Which of the following elements of morality are you experiencing?Q132 - Correct Answer (A) The counselor as a person (B) Moral sense (C) Values (D) None of the above
As defined by Corey et al., what is not one of the six guidelines for daily ethical conduct?Q133 - Correct Answer (A) Provide informed consent (B) Ensure client confidentiality (C) Honor cultural values (D) None of the above
Which of the following is not consistent with proper informed consent?Q134 - Correct Answer (A) The client must have a rational capacity to provide consent (B) The client must show an understanding of what is being consented to (C) The client must consult with a third party for consent regarding medical issues (D) The client must feel they are acting voluntarily
Which of the following is not an acceptable means of releasing client information as per 42 CFR?Q135 - Correct Answer (A) With the client's written consent (B) Without client consent for reasons specified in the regulations
