Understanding Substance Abuse and Treatment: A Comprehensive Guide, Exams of Social Work

Download Understanding Substance Abuse and Treatment: A Comprehensive Guide and more Exams Social Work in PDF only on Docsity! Alcohol And Drug Counselor Exam Practice Problems (Daryn's Book) Questions And Answers. Domain I - \Screening, Assessment, and Engagement Domain I: Task 1 - \Demonstrate verbal and non-verbal communication to establish rapport and promote engagement Domain I: Task 2 - \Discuss with the client the rationale, purpose, and procedures associated with the screening and assessment process to facilitate client understanding and cooperation Domain I: Task 3 - \Assess client's immediate needs by evaluating observed behavior and other relevant information including signs and symptoms of intoxication and withdrawal Domain I: Task 4 - \Administer appropriate evidence-based screening and assessment instruments specific to clients to determine their strengths and needs Domain I: Task 5 - \Obtain relevant history and related information from the client and other pertinent sources to establish eligibility and appropriateness of services Domain I: Task 6 - \Screen for physical needs, medical conditions, and co-occurring mental health disorders that might require additional assessment and referral Domain I: Task 7 - \Interpret results of screening and assessment and integrate all available information to formulate diagnostic impression and determine an appropriate course of action Domain I: Task 8 - \Develop a written summary of the results of the screening and assessment to document and support the diagnostic impressions and treatment recommendations Domain II - \Treatment Planning, Collaboration, and Referral Domain II: Task 1 - \Formulate and discuss diagnostic assessment and recommendations with the client Domain II: Task 2 - \Use ongoing assessment and collaboration with the client and concerned others to review and modify the treatment plan to address treatment needs Domain II: Task 3 - \Match client needs with community resources to facilitate positive client outcomes Domain II: Task 4 - \Discuss rational for a referral with the client Domain II: Task 5 - \Communicate with community resources regarding needs of the client Domain II: Task 6 - \Advocate for the client in areas of identified needs to facilitate continuity of care Domain II: Task 7 - \Evaluate the effectiveness of case management activities to ensure quality service coordination Domain II: Task 8 - \Develop a plan with the client to strengthen ongoing recovery outside primary treatment Domain II: Task 9 - \Document treatment progress, outcomes, and continuing care plans Domain II: Task 10 - \Utilize multiple pathways of recovery in treatment planning and referral Domain III - \Counseling Domain III: Task 1 - \Develop a therapeutic relationship with clients, families, and concerned others to facilitate transition into the recovery process Domain III: Task 2 - \Provide information to the client regarding the structure, expectations, and purpose of the counseling process Domain III: Task 3 - \Continually evaluate the client's safety, relapse potential, and the need for crisis intervention \D. All of the above Which of the following is a false statement about marijuana use? 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 - \A. Marijuana is not an addictive substance Which of the following is not an example of prescription drug abuse? A. A friend providing OxyContin for a stiff neck 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 - \D. None of the above Which of the following is most commonly the main reason for a client deciding to begin the process of treatment? A. Internal motivation B. Family or peer encouragement C. Diagnosed medical issues D. Financial issues - \A. Internal motivation Which of the following is not an effective technique for establishing rapport with a client during the initial interview? 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 situation C. Exhibit acceptance regardless of the client's prior actions D. Use of open-ended questions - \B. Providing reassurance that things will be ok no matter how dire the individual's situation Which of the following is not an example of proper active listening? 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 - \C. Providing stories from your own experience that relate to the client's struggle Which of the following is not a part of the screening process? 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 - \B. Identify the likely solution to problem Which of the following is not an example of an effective screening process? A. Evaluating the subject in multiple locations B. Evaluating the subject by gathering information from multiple people C. In-depth initial screening questions to provide a thorough process D. Obtaining information form multiple sources - \C. In-depth initial screening questions to provide a thorough process Which of the following is a screening instrument for co-occurring disorders? A. Modified Mini-Screen (MMS) B. Michigan Alcohol Screening Test (MAST) C. CAGE Questionnaire D. Global Appraisal of Individual Needs (GAIN) - \A. Modified Mini-Screen (MMS) Which of the following withdrawal symptoms is common in nearly all types of drugs when use is stopped? A. Seizures B. Itchy feeling all over skin C. Dysphoria D. Delirium Tremens - \C. Dysphoria Which of the following is not one of the eight stages of effect for alcohol? A. Euphoria B. Confusion C. Depression D. Coma - \C. Depression A client in an initial screening indicates that she has not slept very well at all in weeks and seems to be suffering from a reduced appetite. You notice she has a noticeable bruise on her leg and when asked about it she recalls a physical altercation she had recently at a party. When consulting her mother, she mentions that her mood has been very unpredictable and that she would often storm out unexpectedly. Which of the following drugs is the subject most likely suffering withdrawal symptoms from? A. Methamphetamine B. MDMA C. Cocaine D. Steroids - \D. Steroids Which of the following assessment instrument format is the most appropriate for a 45- year old woman who has an addiction to alcohol and is recently divorced? The women has a single child and will be entering into a custody battle with her previous husband. A. Standardized interview B. Structured interview C. Self-administered test D. None of the above - \A. Standardized interview Which of the following is not a characteristic of self-administered assessment tests? A. They most often are written at a 4th and 5th grade reading level B. They provide a quantifiable metric C. They prevent interviewer bias D. They must be administered by highly skilled staff - \D. They must be administered by highly skilled staff Which of the following is an acceptable person for the use of translator for an assessment involving a low English proficient client? A. Family member B. A community insider C. Independent translator D. All of the above - \C. Independent translator 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? 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 - \C. Seek medical attention for the client A. Cocaine B. Alcohol C. Ecstasy D. Steroids - \B. Alcohol 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? A. Amphetamines B. Heroin C. Marijuana D. Steroids - \A. Amphetamines Which of the following is not a characteristic of the intake process? 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 D. The intake process is standardized according to the institution of use - \A. It is the first phase of the treatment process Which of the following is not a basic function of the intake process? A. Determine if the client in fact needs service B. Collection of data C. Determine a plan for treatment D. All of the above - \D. All of the above Which of the following is not a reason for confidential information to be released as per a client's right to confidentiality? A. By authorization of a significant other B. To report child abuse C. For a medical emergency D. If the court determines a "good cause" - \A. By authorization of a significant other Which of the following is not a lawful right of the client? A. Right to individual dignity B. Right to communication C. Right to personal effects D. Right to minimum level of service - \D. Right to minimum level of service A client entering treatment does have a number of required rights which must not be infringed upon. They include: - Right to individual dignity - Right to confidentiality - Right to non-discriminatory services - Right to quality service - Right to communication - Right to personal effects - Right of education for minors - Right to counsel - Right to Habeas Corpus Which of the following is not a proper characteristic of the development of a treatment plan? A. A treatment plan can be developed concurrently with the late stages of diagnosis B. The client's needs should be prioritized according to the urgency of the concern C. Treatment plans are individualized to the client's needs D. Treatment plans require regular review for adjustments - \A. A treatment plan can be developed concurrently with the late stages of diagnosis Which of the following is not a typical phase of the treatment process? A. Engagement B. Detoxification C. Stabilization D. Primary Treatment - \B. Detoxification The phases of the treatment process are usually engagement, stabilization, primary treatment and continuing care. Collaboration with the client is an important part of the treatment process. Which of the following is not an appropriate way to engage the client? A. Have the client determine their appropriate treatment or diagnosis B. Review identified strengths and concerts with the client C. Review proposed goals of the treatment process D. Have the client sign off on the treatment plan - \A. Have the client determine their appropriate treatment or diagnosis Which of the following occurrences typically warrants the development of a new treatment plan? A. Any time there is change in service B. When the client achieves a specified goal C. A client who is readmitted to treatment D. Any time the client has had a setback - \C. A client who is readmitted to treatment Which of the following is not a stage of change as recognized in the DiClemente and Prochaska Model of Change? A. Contemplation B. Acceptance C. Action D. Termination - \B. Acceptance If a client fails to improve or if the situation continues to deteriorate, which of the following is the most appropriate course of action? 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 - \A. Re-evaluate the treatment plan and make adjustments based on the individual Which of the following is not an ASAM criteria for the documentation of a treatment plan? 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 - \B. Specified time intervals for assessment of the treatment process Which of the following is most often included in the individualized treatment plan but not the initial treatment plan? A. Goals should be broad B. Objectives should be broad C. Goals should be measurable D. Objectives should be measurable - \B. Objectives should be broad After a relapse, what stage of change is the client most likely to return to? Case management must adhere to the established principles to be successful. These principles are: - Be the single point of contact - Ensure the process is client driven and strength based - Advocate for the client - Involve the community - Case management must adapt to be practical - Anticipate problems and have a plan for resolution - Be aware of cultural sensitivities Case management involves the advocacy of the client as needed. What situation below is not an example of this? A. Educating other agencies about substance abuse B. Lobby to adjust agency procedures for the individual if appropriate C. Lobby to law enforcement against any sanctions on the client D. Informing family members of the process - \C. Lobby to law enforcement against any sanctions on the client Which of the following is not a key element in the development of cultural competency as per Cross et al., 1989. A. Valuing diversity B. Make cultural self-assessment C. Understanding and awareness of cultural differences D. Incorporating cultural knowledge - \C. Understanding and awareness of cultural differences The key elements as per Cross 1989 are: - valuing diversity - making a cultural assessment - understanding cultural interaction dynamics - incorporating cultural knowledge - adapting practices to the diversity present in a setting Case management should be pragmatic to ensure the client's needs are met so that there is a foundation of living for treatment. Which of the following is not consistent with the intention of this aspect of case management? A. Ensuring the client has suitable food and water B. Ensuring a stable living situation for an extended period of time before treatment C. Taking action for the health and safety of client's child D. Teaching a client necessary daily skills - \B. Ensuring a stable living situation for an extended period of time before treatment A case manager should have all of the following essential characteristics to ensure an effective process except: A. Ability to recognize substance abuse B. Ability to establish rapport C. Awareness of appropriate boundaries D. A non-judgmental approach - \A. Ability to recognize substance abuse When referring a client, which of the following is not true about the process? A. The client should always initiate and follow up on the referral themselves B. Rationale for the referral should be thoroughly explained C. Continue to evaluate the referral as the client progress - \A. The client should always initiate and follow up on the referral themselves Referrals by substance abuse agencies are typically made to all the following except: A. Marriage counselors B. Physical therapy C. Religious support D. Financial counseling - \B. Physical therapy Which of the following is not an essential item in a comprehensive service plan? A. Long term goals B. Short term goals C. Writeup of the current status D. Required services for the client - \B. Short term goals All of the following are common problems that may arise with referrals except: A. Client dropout B. Eligibility requirements C. Incomplete client information D. All of the above - \D. All of the above Which of the following does not fall under the specified responsibilities of a facilitator? 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 - \C. Ensure the client is making progress towards specified goals Which of the following is not a common method for a case manager to help establish a successful working relationship between agencies? 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 - \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: A. Extended services survey B. Client satisfaction questionnaire C. Client outcome measurements D. System outcomes - \A. Extended services survey Which of these scenarios is it acceptable for there to be no client consent in which a third party can obtain client information? 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 - \A. For the use of payment for health care operations The documentation of the treatment process is essential for all the following reasons except: 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 - \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? A. For minors B. For clients with records of violence D. The client needs to commit to a path of recovery - \C. The client needs to recover from withdrawal symptoms What stage in Gorski's Development Model is associated with the task of repairing any addiction caused social damage? A. Early recovery B. Middle recovery C. Late recovery D. Maintenance - \B. Middle recovery What are the early signs of a potential relapse that need to be documented if identified? A. Changes in daily structures or attitudes B. A new-found defensive demeanor C. Change in social behavior D. Exhibiting lack of judgement - \A. Changes in daily structures or attitudes A client who suffered from alcohol abuse has shown signs of relapse and you fear the condition may be deteriorating. What is mostly not an effective technique for interrupting the process of the relapse? A. Have the client ignore any thoughts of having a drink B. Have the client tell someone immediately when they feel in danger of relapse C. Encourage socializing in a safe and sober environment D. Have the client recall the negative feelings and actions associated with drinking - \A. Have the client ignore any thoughts of having a drink The approach to the recovery process can best be described as: A. Primarily reaching abstinence as the goal B. A crisis management process C. A professionally directed process D. A long-term self-growth process - \D. A long-term self-growth process Which of the following is not an example of the harm reduction model of recovery? A. Designated driver B. Drug substitution C. Behavior modification D. Prolonged periods of abstinence - \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 of recovery? 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 - \A. Alcohol abuser with severe social anxiety Which of the following is not often considered a trigger for a potential relapse? 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 - \D. None of the above What statement below is not consistent with the SAMHSA principles of recovery? 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 - \B. Recovery requires the direction of professional help What is the most accurate estimate of individuals in recovery who sought out or used professional help? A. 5% B. 25% C. 75% D. 90% - \B. 25% What is not a characteristic of an effective and successful therapeutic alliance? 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 - \B. Collaboration between counselor and third-party entities What is an ineffective method for a counselor to develop a strong relationship with a client? 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 counselors clinical knowledge D. Explain to the client what to expect from experiences the counselor is familiar with from other clients - \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? 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 - \B. Ensure an argument is dealt with quickly and sternly Motivational interviewing should employ five principles: - show empathy - evaluate how a client's behavior is affecting their goals - avoid confrontation - adjust to client resistance - provide optimism When counseling a client with a co-occurring disorder, what specific technique is most appropriate to be emphasized? 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 - \A. Using repetition to ensure an understanding of expectations 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? 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 - \D. None of the above A. Methadone B. Disulfiram C. Acamprosate D. None of the above - \A. Methadone What type of group counseling is effective in providing information to the client about substance abuse? A. Psychoeducational B. Skills development C. Support D. Interpersonal process - \A. Psychoeducational Which of the following substances is there no conclusive evidence to support an effectiveness of any medication for abuse treatment? A. Alcohol B. Tobacco C. Methamphetamine D. Heroin - \C. Methamphetamine When determining the presence of a crisis, what statement is true? 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 - \B. If a traumatic event occurs but the client has a stable mental state there is no crisis What is not a generally an identified step in the process of crisis intervention? A. Assess the extent of the crisis B. Identify the problem at hand C. Determine potential solutions D. Establish a relapse strategy - \D. Establish a relapse strategy What is not an effective strategy for de-escalating a crisis situation? 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 crisis - \A. Ask questions about the client's past that may identify the root of the problem As per general AA teachings, what is not a part of the HALT acronym related to relapse prevention? A. Hungry B. Anger C. Loneliness D. Temptation - \D. Temptation What in contemporary terms is the most prevalent way to describe the goal of relapse prevention? 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 - \B. Promote healthy and positive changes in one's life to prevent relapse What is not consistent with the strategies in relapse prevention therapy? 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 - \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? A. Behavioral B. Physical C. Cognitive D. None of the above - \B. Physical What is not a primary component of the CENAPS Model of Relapse Prevention? A. Assessment B. Warning sign identification C. Warning sign management D. Relapse counseling - \D. Relapse counseling The CENAPS Model views addiction as a disease and strives for the client to be completely abstinent along with positive changes in one's lifestyle. There are five main components: - assessment - warning sign identification - warning sign management - recovery planning - relapse early intervention training What is the main difference between the Marlatt and Gordon Model of Relapse Prevention and the CENAPS Model? 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 - \A. CENAPS uses abstinence-based treatment What is not identified as one of the most common triggers for a relapse? A. Unpleasant emotions B. Interpersonal conflict C. Physical pain D. Social pressure - \C. Physical pain Evidence based practices and programs have all of the following goals except? A. Eliminate unverified practices B. Incorporate the opinions of clinical experts C. Use science to determine usable evidence D. Incorporate the individual tendencies of the client and caregiver into the plan of treatment - \A. Eliminate unverified practices Management of an agency wants to implement a new evidence-based program into the current framework. What is not necessary for the full integration of the new practice? A. Training for counselors on the expectations of the new practice B. Client interviewing for the potential of use C. Implementation of new policies regarding the program D. Evaluation of how the new practice may affect other partners - \B. Client interviewing for the potential of use Fidelity of the implementation of evidence-based practices can be disrupted by all of the following except: A. Common sense B. Administrative regulations C. Contracts D. Federal law - \D. Federal law The precedence from highest to lowest is as follows: - law - precedent by case law - common sense - administrative rule - contracts What statement below is not consistent with the core principles of trauma-informed care? 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 - \B. Establishing a clear, single source of decision making for consistency The principles of trauma-informed care can be summarized as: - understanding trauma and its effects - Safety - help the client to regain control - sharing of power - cultural sensitivities - integrating care - establishing or repairing relationships - ensuring the possibility of recovery As per the Privacy Rule under HIPAA, clients have the right to ask for all of the following except? 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 - \C. Meeting minutes where the client was discussed What is not an accurate statement regarding women and substance abuse? 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 - \A. When given the opportunity, men are more likely try drugs for the first time What is not a true statement regarding the fundamentals of professional codes of ethics? 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 - \A. There is now an agreement among professionals of a universally accepted code of ethics 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? A. The counselor as a person B. Moral sense C. Values D. None of the above - \B. Moral sense As defined by Corey et al., what is not one of the six guidelines for daily ethical conduct? A. Provide informed consent B. Ensure client confidentiality C. Honor cultural values D. None of the above - \D. None of the above Corey et al. defines the six guidelines of daily ethical conduct as: - provide informed consent - operate in a competent manner - ensure confidentiality - maintain appropriate relationship boundaries - utilize adequate consultation - honor personal and cultural values Which of the following is not consistent with proper informed consent? A. The client must have a rational capacity to provide consent B. The client must show an understanding of what is bein 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 - \C. The client must consult with a third party for consent regarding medical issues Which of the following is not an acceptable means of releasing client information as per 42 CFR? A. With the client's written consent B. Without client consent for reasons specified in the regulations C. With a court order D. None of the above - \D. None of the above The code of federal regulations for confidentiality (42 CFR) is consistent with all of the following statements except: A. regulations for former personnel have different requirements for current personnel B. All records whether written or not are covered under unauthorized disclosure C. Clients must be provided with a summary of the regulations D. Minors must be the ones to provide written consent in regard to their own case - \A. regulations for former personnel have different requirements for current personnel Of the elements shown below, what not required on a written consent form? A. the receiving organization or individual B. a description of the information provided C. The client's signature D. The date the client was consulted about the release of information - \D. The date the client was consulted about the release of information What is not considered an acceptable way of maintaining appropriate boundaries with a client? A. Avoiding a plutonic relationship with a client outside of treatment B. Avoiding any physical contact C. Strongly encouraging a 12-step program due to the counselor's own experience D. Avoiding any romantic relationships with the client - \C. Strongly encouraging a 12-step program due to the counselor's own experience What is not a stage as a part of cultural competence? A. Destructiveness B. Blindness C. Competence D. Rebuilding - \D. Rebuilding \A. Mescaline In comparison to voluntary treatment versus legally mandated treatment, which of the following statements are true? A. Voluntary treatment is generally more successful B. Voluntary treatment has higher retention rates C. Legally mandated individuals often remain in the program for longer D. Legally mandated individuals have lower attendance - \C. Legally mandated individuals often remain in the program for longer What is considered a long-term effect of the use of Marijuana? A. Deterioration of senses B. Chronic bronchitis C. Distorted perception D. Irregular heartbeat - \B. Chronic bronchitis Of the following options listed below, __________ is not one of the consecutive stages of a comprehensive assignment? A. Recognition of risk B. Comprehensive assessment C. Secondary assessment D. Process evaluation and outcome determination - \C. Secondary assessment The stages which occur in order are: - recognition of a potential risk - initial screening - comprehensive assessment - interventions - process evaluation and outcome determination In general, what is a true statement regarding the identification of a problem for someone at risk of substance abuse? A. It is common that a significant event will trigger concern B. Habits may remain consistent despite the presence of substance abuse C. Action is often taken before full addiction is achieved D. None of the above - \A. It is common that a significant event will trigger concern What is not a common example of a sign of substance abuse risk? A. changes in routine or habits B. Evidence of frequent medical issues C. Change in performance at school or work D. None of the above - \D. None of the above When evaluating a client for drug recognition, you note clear physical signs and responses that differ from normal functioning. Using your knowledge of substances, you infer that the potential drug of choice may be a central nervous system stimulant. Which of the following must be preformed to complete the process of drug recognition? A. Evaluate any other potential cause of noted physical elements B. Interview peers about behavior C. Determine the specific substance of abuse D. Look for signs of self-inflicted harm - \A. Evaluate any other potential cause of noted physical elements When gathering information for the use in the assessment process, what is least likely a potential source of information? A. Existing information B. Individual and peer interviews C. Field observations D. Testing - \C. Field observations Which of the following information types should most likely be obtained through interviewing and not from existing data sources? A. Current mental state B. Medical history C. Current employment status D. History of mental health - \A. Current mental state Which of the following assessment instruments is not considered a self-report type test? A. Adolescent Drinking Index B. Adolescent Driki ng Inventory C. CAGE Questionnaire D. Comprehensive Drinker Profile - \D. Comprehensive Drinker Profile When defining counseling, which of the following is not consistent with its intention? A. Identification of a problem B. Exploration of a problem C. Examination of a person's thoughts and emotions D. Consideration of solutions - \A. Identification of a problem When providing feedback during counseling, what is not consistent with the appropriate guidelines? A. Feedback should be given in a timely manner B. Feedback should be general to avoid misinterpretation C. Feedback should focus on adjustable aspects of someone's life only D. Feedback should not be judgemental - \B. Feedback should be general to avoid misinterpretation Of the substances shown below, ________ is not classified as a central nervous system stimulant? A. Amphetamines B. Cocaine C. Marijuana D. Caffeine - \C. Marijuana Reflection of feeling is often an effective way to express that the counselor is understanding the client's emotional state. What is not an appropriate way to phrase an expression of reflection? A. I see you feel... B. You appear to be feeling... C. I sense that you feel.... D. Is what you're saying mean you feel... - \A. I see you feel... In accordance with the Johari Window Model of Soliciting and Giving Feedback, what is most often the appropriate "pane" for the use of self-disclosure in counseling? A. Open B. Hidden C. Blind D. Unknown - \A. Open What is the primary purpose of interpreting as an effective counseling technique? A. To ensure the client you understand their needs B. To provide a different perspective the client may not have seen or considered A. The behavior of the individual becomes evident B. The individual experiences a physical or psychological distress when use is stopped C. The individual may begin lying about whereabouts or activities D. Use becomes a regular part of daily activities - \B. The individual experiences a physical or psychological distress when use is stopped When considering different cultural world views, which of the following can be defined as putting a greater emphasis on the wellbeing of the group rather than the individual? A. Holistic B. Spiritual C. Community oriented D. None of the above - \C. Community oriented A new client is scheduled to arrive for counseling. From background information you see the client is a woman of Asian- American decent who has difficulty with English. What is not an appropriate means of cultural accommodation for the first meeting with the client? A. Ensure any material is in multiple languages B. Encourage family involvement to support the client C. Research common methods of greeting in the client's culture D. Provide a translator - \C. Research common methods of greeting in the client's culture A personality disorder which can be characterized as including eccentric behavior such as paranoia, can be classified into which cluster as per the DSM-5? A. Cluster A B. Cluster B C. Cluster C D. Personality disorder not otherwise specified - \A. Cluster A There are three different clusters as per DSM-5: Cluster A - eccentric behavior such as paranoid or schizoid Cluster B - dramatic or emotional behavior Cluster C - fearful behavior Regarding confidentiality laws, which of the following statements is false? A. State laws govern over federal laws if they are more strict B. Federal laws govern over state laws which are less stringent C. Federal laws apply no matter the type of program D. None of the above - \C. Federal laws apply no matter the type of program Which of the following conditions must be present for a counselor to contact a parent or guardian without the minor's consent? A. The minor is determined incapable of making a rational choice B. The situation is life-threatening C. The risk may be reduced by contacting the parent or guarding D. All of the above - \D. All of the above What is a typically acceptable time frame for the expiration of consent forms? A. One month B. One year C. Five years D. Determined on a case by case basis - \D. Determined on a case by case basis The concept of "Duty to Warn" applies to which of the following scenarios? A. A client indicating that they know of the potential for violence committed by a friend B. A client indicating that they will commit violence on a co-worker C. A client indicating that they will randomly commit an act of violence D. All of the above - \B. A client indicating that they will commit violence on a co-worker Which of the following is not a factual statement regarding suicide prevention? A. Suicide is most often associated with depression B. Men commit suicide more often than women C. Women are more likely to attempt suicide D. Almost half attempted suicides are successful - \D. Almost half attempted suicides are successful Regarding alcohol use, which of the following BAC levels is a strong indicator of an alcoholic? A. 0.10 B. 0.20 C. 0.30 D. 0.40 - \B. 0.20 Which of the following is a true statement regarding the connection between alcohol and sleep? A. REM sleep does not occur after heavy drinking B. Use of alcohol makes someone sleep less C. Small amounts of alcohol will not affect the REM cycle D. None of the above - \A. REM sleep does not occur after heavy drinking If it is determined that a client suffering from co-occurring disorders has a more severe mental disorder and a less severe substance abuse disorder, what level of care quadrant can the client be categorized into? A. Category I B. Category II C. Category III D. Category IV - \B. Category II HIV can be transmitted through all of the following except A. Sneezing or coughing B. blood C. breast milk D. Semen - \A. Sneezing or coughing According to DSM-5 after what time period of being clear of any of the eleven criteria is a person said to be in early remission? A. 1 month B. 2-3 months C. 3-12 months D. 1 year - \C. 3-12 months Which of the following is not an expected symptom of withdrawal from alcohol? A. Hallucinations B. Tremors C. Increased pupil size D. Convultions - \C. Increased pupil size Post detoxification, which of the following statements is true regarding a rapid relapse? A. The fate of rapid relapse decreases significantly with immediate additional treatment B. The rate of rapid relapse does not change with immediate additional treatment A. Authoritarian B. Democratic C. Liassez-Faire D. None of the above - \A. Authoritarian A negative test result for HIV indicates which of the following? A. The person being tested has not been infected B. The person being tested was infected too recently and could still have HIV C. The person being tested is not able to contract the disease D. Both A and B - \D. Both A and B A client who is constantly motivated as needing to be right in any situation can be categorized as what? A. Monopolizing client B. Self-righteous client C. Boring client D. Hostile client - \B. Self-righteous client Which of the following is not a precedent that must be resolved before counseling can begin? A. Medical assistance B. Proper food and shelter C. Self-help support D. None of the above - \D. None of the above A person who is reluctant to stop drinking due to fear of withdrawal symptoms is falling into which of Maslow hierarchy of needs? A. Physiological B. Safety C. Esteem D. Self Actualization - \A. Physiological What is most likely not a reason to begin discussions of the termination stage of the counseling process? A. Clear client improvement B. Philosophical differences between the client and counselor C. Counseling goals have been met D. Determination of a client's independence - \B. Philosophical differences between the client and counselor When setting rules initially for counseling sessions, what is not an appropriate way to establish limits? A. Limit the length of the session B. Limit the amount of sessions C. Limit the topics available for discussion D. None of the above - \C. Limit the topics available for discussion Of the following demographic groups, which has been reported to have the lowest rate of alcohol use? A. Hispanic/Latino B. White C. African American D. Asian American - \D. Asian American Which of the following is an accurate generalization of the lesbian, gay, bisexual community as it relates to the use of alcohol and drugs? A. LGBT community is more likely to use than the general population B. LGBT community is less likely to use than the general population C. LGBT community is just as likely to use as the general population - \A. LGBT community is more likely to use than the general population When dealing with a client from a rural population, what is not an accurate generalization to consider in regard to their mindset towards counseling? A. They are often more resistant to help B. They are often more concerned about confidentiality C. They express more individuality D. They are more likely to express emotions - \D. They are more likely to express emotions What is an accurate estimation of the percentage of homeless people who also have a substance or mental disorder? A. 10% B. 40% C. 66% D. 90% - \C. 66% All of the following are examples of client resistance except A. Arguing B. Interrupting C. Ignoring D. None of the above - \D. None of the above A client indicates that they always feel peer pressure when out with friends. He blames them and calls them bad influences implying that others would do the same in his situation. If the counselor responds as "we still need to explore your family dynamics. We're not ready to discuss your friends." What type of client resistance reaction technique is being used? A. Simple reflection B. Amplified reflection C. Shifting focus D. Agreement with twist - \C. Shifting focus A client indicates that they always feel peer pressure when out with friends. He blames them and calls them bad influences implying that others would do the same in his situation. If the counselor responds as "you make a good point, it can be difficult to resist this, but you need to recognize a different perspective." What type of client resistance reaction technique is being used? A. Simple reflection B. Amplified reflection C. Shifting focus D. Agreement with twist - \D. Agreement with twist A client indicates that they always feel peer pressure when out with friends. He blames them and calls them bad influences implying that others would do the same in his situation. What type of resistance is the client exhibiting? A. Blaming \B. Concurrent validity Validity is a measure of the tests ability to produce meaningful results for its intention. When looking at assessment tests, there are four kinds of validity to be aware of: Content - looking at the results based on logical reasoning Concurrent - using a separate measure to compare the test results for an intended trait Predictive - assessment of future behavior Construct - whether the test results are consistent with the theory behind the test Which of the following situations allow a parent or guardian the ability to communicate with a program director without the adolescent as per federal regulations? A. The adolescent perviously applied for services B. There is a reasonable assumption that the adolescent does not have the capacity to rationally decide on consent C. There is a substantial threat to life or health present D. All of the above - \D. All of the above If a client is in a group session and uses the phrase "the same thing happened to me but worse. Listen to this!" The client is exhibiting what category of behavior? A. Monopolizing client B. Self-righteous client C. Hostile client D. Motivated client - \A. Monopolizing client During preparation for an intervention, what is not an appropriate item to teach the family and friends who will participate? A. Substance abuse is the primary issue B. Realize the user will not seek help on their own C. Decide who is willing to participate in confrontation D. None of the above - \D. None of the above Which of the following does not most appropriately characterize a person's methods of obtaining substances if they are in a stage of dependency? A. Will use any means necessary B. Will take some of the substance while dealing C. Likely to take severe risks to obtain D. Willing to preform criminal acts to obtain - \B. Will take some of the substance while dealing Which of the following substances are no longer legally manufactured? A. Quaaludes B. Minor tranquilizers C. Barbiturates D. None of the above - \A. Quaaludes What substance can not be classified as a narcotic? A. Opium B. Morphine C. Heroin D. Cocaine - \D. Cocaine What is a false statement regarding narcotics? A. All narcotics are illegal B. AIDS is linked to narcotics use C. Narcotics can be naturally occurring substances D. Narcotics can be synthetic - \A. All narcotics are illegal In relation to the rewarding effect of substances, what is not an example of positive reinforcement for the continuation of use? A. Peer acceptance B. Euphoria C. Pain relief D. Increased self-esteem - \C. Pain relief A client indicates that they first started using substances at a party. During this event, people he did not know were congratulatory and excited when he showed that he could drink a large volume compared to others. What type of social cause of substance abuse is this? A. Social learning B. Social control C. Subculture perspective D. Social interaction - \A. Social learning What statement below regarding individualized treatment is false? A. Those in individual treatment do better than those in group B. Specific types of individualized treatment are better than others C. Individualized treatment is especially effective for those with psychiatric problems D. None of the above - \B. Specific types of individualized treatment are better than others What type of peer group program can be describes as one designed to have peer to peer information sharing? A. Positive peer influence B. Peer teaching programs C. Peer counseling, facilitating, and helping programs D. Peer participation program - \B. Peer teaching programs What is not a special consideration that must be accounted for during the assessment of women for substance abuse? A. Sexual abuse B. Hesitation to use male counselors C. Typically, higher self-esteem D. Dependency issues - \C. Typically, higher self-esteem When establishing rapport during a verbal assessment, what is not a recommended tactic? A. Maintain a physical boundary B. Make minimal interruptions C. Use both yes/no and open-ended questions D. Do not let silence be uncomfortable - \A. Maintain a physical boundary What should be captured during a verbal assessment? A. Story of first use of substance B. Story of heaviest use of substance C. Current use patterns D. All of the above - \D. All of the above When a counselor observes a client's physical appearance, what type of skill is being used? A. Physical attending B. Psychological attending What is not an immediate benefit to quitting smoking (within 1 year)? A. Risk of hearth attack decreases B. Improved circulation C. Increase in lung function D. Stroke risk reduced to non-smoker level - \D. Stroke risk reduced to non-smoker level A reduction in the minimum drinking age for a population can be considered which of the following types of prevention interventions? A. Universal B. Selective C. Indicated D. None of the above - \A. Universal Which of the following techniques is least likely considered a form of motivational interviewing? A. Client assessment B. Brief interventions C. Counseling D. Drug informational sessions - \D. Drug informational sessions When discussing the process of recovery, what is the most appropriate statement of advice when managing the client's expectations of the process? A. Changes most often will occur suddenly B. Change is most often a gradual process C. Change randomly occurs as instantaneous or gradual D. None of the above - \B. Change is most often a gradual process What is not considered an effective form of motivational strategy most appropriate for a client in the action stage of change? A. Have the client publicly announce any plans to change B. Have the client identify new means of positive life style habits C. Have the client evaluate their support system D. Have the client form strategies to avoid high risk situations - \A. Have the client publicly announce any plans to change What is the least accurate statement describing the assumptions behind motivational interviewing? A. Ambivalence towards substance abuse is an atypical reaction B. Ambivalence towards substance abuse can be resolved C. Ambivalence towards substance abuse is common D. Ambivalence towards substance abuse must be overcome to achieve recovery - \A. Ambivalence towards substance abuse is an atypical reaction A client says the following statement: "i think i am more concerned about my health than i realized." What type of motivational statement is the client using? A. Cognitive recognition B. Affective expression of change C. A direct intention of change D. Optimism of an ability to change - \B. Affective expression of change Which of the following statements can be considered counter motivational? A. Marijuana makes me a more fun person B. I can be sober if i wanted to be C. What can i do to change D. I didn't realize the type of person i am when under the influence - \A. Marijuana makes me a more fun person A counselor is try9ing to elicit self-motivational statements from a client. If the counselor says: "what difficulties have you had in your life related to substance abuse?" the counselor's using which of the following techniques? A. Problem recognition B. Concern C. Intention to change D. Optimism - \A. Problem recognition A client is currently identified as being in the pre-contemplation stage of change. You make observations to suggest that they have a fear of losing control of their life and are reluctant to let go of the world they live in involving substances. What category of pre- contemplation does the client most associate with? A. Reluctant B. Rebellious C. Resigned D. Rationalizing - \B. Rebellious A client who has difficulty in situations where they are influenced by others to use substances again needs help in which of the following categories of self-efficacy? A. Coping B. Treatment behavior C. Recovery D. Control - \A. Coping What is mostly considered a false statement about the assessment of a client for co- occuring disorders? A. They should only be assessed using tools given the sensitive nature B. Always attempt to involve other parties C. If you have inconclusive information involve other parties D. Use multiple approaches to assessment if needed - \A. They should only be assessed using tools given the sensitive nature A client has not specifically expressed an intent or thoughts of suicide but exhibits extreme distress and has been using substances excessively which includes violent behavior. What level of risk can the client be classified as? A. Minimal risk of harm B. Low risk of help C. Moderate risk of help D. Serious risk of help - \C. Moderate risk of help As per the Mini-International Neuropsychiatric interview (M.I.N.I.), what indicator below has the highest applied points for the assessment? A. Thought about being better off dead B. Wanted to harm oneself C. Suicidal thoughts D. Developed a suicide plan - \D. Developed a suicide plan A client indicates that their depression continues even after 30 days of abstinence. What conclusion can be drawn form the information? A. The client likely has a presence of a co-occurring disorder B. The client does not have a co-occurring disorder C. There is not enough conclusive evidence to make a determination about co-occurring disorder - \A. The client likely has a presence of a co-occurring disorder A. Death from opioids is less than all illegal drugs B. Death from opioids is more likely than all illegal drugs C. Death from opioids is about the same as all illegal drugs D. There is not enough research to make a determination - \B. Death from opioids is more likely than all illegal drugs What can be mostly considered a false statement in regard to the therapeutic alliance between a client and a counselor? A. The alliance has just as much influence on success as the chosen treatment method B. The alliance needs to be continuously monitored C. The effect of the alliance is most prevalent in psychodynamic counseling styles D. Practices should be chosen which accentuate the alliance - \C. The effect of the alliance is most prevalent in psychodynamic counseling styles A client indicates that they witnessed an act of terror which involved the loss of life. They have developed night terrors and have trouble sleeping as a result of the incident. What type of trauma is the client experiencing? A. Single trauma B. Repeated trauma C. Sustained trauma D. None of the above - \A. Single trauma Which of the following group leader actions does not most likely occur in the working stage of group development? A. Help members do more self-exploration B. Shift learning from inside to outside of the group C. Express feelings of termination D. Encourage risk taking in real-world situations - \C. Express feelings of termination What group technique employs using a story or problem stated by a member that others can relate to? A. Group commentary B. Here and now focus C. Role playing D. Commonality - \D. Commonality What is most often not likely a typical reason for a silent client? A. The client fears self-disclosure B. The client may be trying to control the group C. The client may fear losing control D. None of the above - \D. None of the above Of the groups listed below, which is least likely to be at risk for suicide? A. Teenage male B. Teenage female C. Men older than 50 D. Alcohol dependent people - \B. Teenage female When a client is exposed to a traumatic experience, which of the following is most likely a delayed response? A. Denial B. Mood swings C. Detachment D. Denial - \B. Mood swings What statement below is first in the traditional 12-step recovery program? A. Humbly ask a higher power to remove our shortcomings B. Make a searching and fearless moral inventory of oneself C. Admit to being powerless over addiction D. Believe a greater power can restore our sanity - \C. Admit to being powerless over addiction As treatment for substance abuse disorders evolve, which of the following can mostly be considered an outdated practice? A. Labeling clients by their identified problems B. Increased focus on client strengths C. Solution focused model of recovery D. Integration of substance abuse treatment with other disciplines - \A. Labeling clients by their identified problems Which of the following withdrawal management programs can be classified as ambulatory? A. intensive outpatient treatment (IOP) B Therapeutic communities (TC) C. Halfway house D. Medication assisted treatment - \A. intensive outpatient treatment (IOP) What type of group counseling is mostly for teaching clients about substance abuse? A. Skills development B. Psychoeducational C. Cognitive-Behavioral D. Interpersonal Process - \B. Psychoeducational If a counselor uses role playing as a teaching method, what type of learning style is being used? A. Auditory B. Visual C. Kinesthetic D. All of the above - \C. Kinesthetic Substance abuse recorded among pregnant women under the age of 18 is: A. Higher than those aged 18 or older B. Lower than those aged 18 or older C. About the same as those aged 18 or older D. More research needed - \A. Higher than those aged 18 or older What element as listed below is most likely not appropriately included in the screening process documentation? A. Referral source B. Client strengths C. Informed consent D. Observations of mental state - \C. Informed consent What is not a statement consistent with the characteristics of Motivational Enhancement Theory (MET)? A. It evokes rapid change B. It guides the client through a step by step process C. It focuses on a change in internal motivation D. It is especially successful with alcohol and marijuana disorders - \B. It guides the client through a step by step process