CAADC Test Questions & Answers | 100% Correct Answers | Verified | Latest 2024 Version, Exams of Nursing

Download CAADC Test Questions & Answers | 100% Correct Answers | Verified | Latest 2024 Version and more Exams Nursing in PDF only on Docsity! CAADC Test Questions & Answers | 100% Correct Answers | Verified | Latest 2024 Version 1. _________is the essential first step in determining the possible causes of addiction for the person and the most appropriate treatment modality for his or her needs. a. Screening b. Assessment c. Intake d. Orientation - ✔✔* b. Assessment 2. A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should: a. draw up a new contract with the client. b. talk to the client about possible denial. c. create new goals and objectives, and suggest alternate forms of therapy. d. discuss these concerns with the client and make necessary changes in treatment goals. - ✔✔*d. discuss these concerns with the client and make necessary changes in treatment goals. 3. A common error that counselors make when conducting an assessment is: a. asking too many questions. b. moving too quickly from data collection to treatment planning. c. focusing on strengths and weaknesses. d. processing the data collected from the client. - ✔✔b.moving too quickly from data collection to treatment planning 4. A female client reports that she has some concerns about the relationship between her husband and her 14-year-old daughter from a previous marriage. She reports that her husband and daughter frequently argue, that her daughter refuses to take direction from her stepfather, mid that her daughter regularly complains about her stepfather's "faults" and describes how her biological father is better. The MOST relevant professional to whom a referral should be made is a: a. Social worker. b. Clinical psychologist. c. Licensed professional counselor. d. Marriage and family therapist. - ✔✔d. Marriage and family therapist 5. A key factor for counselors to consider is that in a counseling relationship, the counselor has differential power. One of the best safeguards is: a. to be alert to and understand the power relationship. b. to utilize the differential power to motivate the client. c. to realize the importance of this power in client interventions. d. to use differential power to get the client to try new behaviors. - ✔✔a. to be alert to and understand the power relationship. 6. A pretreatment period is frequently the result of waiting lists or client reluctance to become fully engaged in primary treatment. What might be a danger of this pretreatment period? a. The pretreatment period may be when clients lose interest in treatment. b. A client may receive enough help so as not to need the services of the program or agency. c. Successful pretreatment may result in a client needing services that an agency doesn't have, thus losing the potential admission. d. There is really no danger with pretreatment - recovery will require much more programming than pretreatment can offer. - ✔✔a. The pretreatment period may be when clients lose interest in treatment. 7. According,to Marlatt's model of the relapse process, which of the following statements is NOT true? 14. The primary purpose of the screening process is to: a. develop a treatment plan. b. have the client sign appropriate documents. c. determine one's appropriateness and eligibility for admission. d. identify the client's strengths and weaknesses. - ✔✔c. determine one's appropriateness and eligibility for admission. 15. Effective case management for persons in need of multiple services requires: a. monitoring, feedback, and evaluation of services. b. frequent face-to-face contact with the client. c collaboration with family members. d. careful matching with appropriate 12-step groups. - ✔✔a. monitoring, feedback, and evaluation of services. 16. In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT: a. whether the patient has a history of sobriety during the last several years. b. whether the patient's job and family are likely to give him another chance if this treatment fails. c. whether the patient has family support for sobriety. d. whether the patient has a history of failed treatment on an outpatient or inpatient basis. - ✔✔b. whether the patient's job and family are likely to give him another chance if this treatment fails. 17. Alcohol decreases resistance to HIV infection by: a. compromising T-cell functions. b. impairing frontal cortical functions. c. increasing serotonin levels in the synaptic gap. d. decreasing cardiopulmonary functioning. - ✔✔a. compromising T-cell functions. 18. It is crucial for the case manager to be aware of what may inhibit minorities' participation in the substance abuse treatment continuum. Suppose that you are a case manager, working in an outpatient program with a Somali client. AA is an integral part of your program, yet you are aware of the fact that while "accepting one's powerlessness" is a central tenet of 12-Step self-help programs, members of oppressed groups may not accept it, given their own societal powerlessness. What would be the best thing to do in such a case? a. Ask the client to participate, never-the-less, and suggest he simply "do his best" when dealing with the issue of powerlessness. b. Let the client know that participation in AA is mandatory, and that if he doesn't participate, he could be discharged for "noncompliance." c. Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's v - ✔✔c. Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's values. 19. It is important to understand clients and their expectations for counseling. Clients coming in for treatment carry with them both helpful and harmful expectations. Which of the following is a harmful client expectation? a. "This counselor is a stranger, but maybe I can learn to trust her." b. "My counselor will direct me to do what I need to do, and everything will be OK." c. "My counselor will be a resource that I can use to resolve my problems." d. "The counselor's main concern and responsibility is to help me achieve my goals and objectives." - ✔✔b. "My counselor will direct me to do what I need to do, and everything will be OK." 20. Joe is a 27-year old addict who has begun counseling, but has not yet been able to give up using drugs. During one session, he tells his counselor that he is beginning to feel that "it is useless to try to stop," and that "sometimes life is not worth living." The counselor is concerned that Joe could be suicidal. The counselor should: a. assess Joe's potential for suicide without directly asking him about suicide plans, but assess his high-risk factors. b. assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors. c. determine if Joe has a gun or other weapon. d. initiate involuntary hospitalization procedures. - ✔✔b. assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors. 21. If the orientation process is neglected or incomplete a client may: a. remain in denial about his/her addiction. b. have incorrect information and unanswered questions about the program. c. need to be referred to an outside agency. d. need additional education about addiction. - ✔✔b. have incorrect information and unanswered questions about the program. 22. is one of case management's hallmark characteristics. a. Advocacy b. Cooperation c. Stabilization d. Flexibility - ✔✔a. Advocacy 23. When language is a barrier to treatment planning, this situation can be overcome by: a. employing an interpreter. jb. training the counselor in cultural sensitivity. c. requiring the client to utilize a family member as an interpreter. c. Potency. d. Concreteness. - ✔✔d. Concreteness. 32. One of the.earliest models for case management services in the criminal justice system was created in 1972, when the White House launched a demonstration program known as: a. Treatment Alternatives to Street Crime (TASC). b. Treatment Approaches for Criminal Offenders (TACO). c. Treatment Resources for Chronic Repeat Offenders (TRCRO). d. Helping Services for the Criminal Element (HSCE). - ✔✔a. Treatment Alternatives to Street Crime (TASC). 33. Ralph is a recovering alcoholic. He as been sober for several months, and has managed to find gainful employment and re-establish family relationships. He is in a twelve-step program as well as individual counseling. One day, he arrives to a counseling session quite upset. He reveals that he had a "slip" and drank a beer at a party. He did not get drunk, but feels terribly remorseful and has promised himself that he will not do it again. Which of the following is MOSTtrue? a. Although Ralph did have a relapse, recovery should be easier the second time around. b. This constitutes a relapse, and Ralph may need to begin the recovery process all over again. c. Ralph should be reassured that this behavior is permissible as long as he did not lose control and become drunk. d. The counselor should talk to Ralph about the implications of dangerous situations like this, but assure him that it is possible to continue his r - ✔✔d. The counselor should talk to Ralph about the implications of dangerous situations like this, but assure him that it is possible to continue his recovery process. 34. Record keeping is an important part of the counseling process. Which of the following best reflects the type of information which should be kept in a client's record? a. The name of an attending physician, referrals made, diagnostic procedures used b. Information about consultations, diagnosis, treatment, prognosis, and progress c. Names of family members, emergency numbers, DSM-IV-TR diagnosis d. Personal notes, insurance information, treatment notes - ✔✔b. Information about consultations, diagnosis, treatment, prognosis, and progress 35. Stress inoculation focuses primarily on: a. increasing self-control. b. increasing coping skills. c. decreasing anxious responding. d. decreasing negative thought patterns. - ✔✔b. increasing coping skills 36. Providing the client with information regarding program rules, and infractions that can lead to discharge, normally occurs during the: a. screening. b. orientation. c. assessment. d. group therapy sessions. - ✔✔b. orientation. 37. Which of the following is NOT a commonly used technique for crisis intervention? a. Help the client to express feelings generated by the crisis b. Eliminate negative beliefs that contributed to the crisis c. Assign specific behavior tasks such as spending time with people d. Immediately refer the client to an agency to help change the situation - ✔✔d. Immediately refer the client to an agency to help change the situation 38. The CAGE test is a simple assessment that is administered to individuals with a drinking problem. The questions on this test refer to: a. cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers. b. making a distinction between prpblem drinkers and alcoholics. c. craving a drink, drinking alone, feeling guilty, and employment difficulties. d. client perceptions, guilt, and "eye-openers." - ✔✔a. cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers. 39. The focus of intervention in the criminal justice system is first to: a. rehabilitate offenders. b. use the threat of incarceration as a motivator to change. c. protect the health, safety, and welfare of the public. d. keep the chronic, chemically dependent person off the streets. - ✔✔c. protect the health, safety, and welfare of the public. 40. The goaf of Al-Anon is: a. to provide group and individual therapy for family members of alcoholics. b. to provide a fellowship and support for individuals in relationships with alcoholics. c. to educate family members of their risk of becoming alcoholics. d. to provide families of alcoholics with the intervention necessary to prevent their substance abuse. burnout? a. Move from direct care to an administrative position. b. Contact a supervisor and ask for fewer work hours. c. Attend to health through adequate sleep, an exercise program, and proper diet. d. Add more structure to work by using a commercial time management system. - ✔✔c. Attend to health through adequate sleep, an exercise program, and proper diet. 49. A cocaine-dependent client admits being fired from his job for absenteeism, losing his home and car by defaulting on his loans, and associating only with peers who use cocaine. He states that he does not require residential treatment because his problem is not serious enough. He further states that he has lost his house and car because his wife didn't work enough hours. Which defense mechanisms is this client displaying? a. Projection, denial, and displacement b. Denial, minimalization, and rationalization c. Sublimination, displacement, and compensation d. Identification, minimization, and sublimination - ✔✔b. Denial, minimalization, and rationalization 50. A client says to you, "I am getting to like you very much and I'd like us to get a lot closer." You should first: a. terminate the client's treatment and seek supervision. b. talk openly about transference issues. c. reciprocate your true feelings, but only if you are attracted to him/her. d. refer the client to another professional. - ✔✔b. talk openly about transference issues. 51. The initial stage of crisis intervention involves: a. discussing the client's plans for the future. b. helping the client adapt. c. determining the problem. d. determining a solution. - ✔✔c. determining the problem. 52. The measurement of progress toward treatment plan goals is best assessed by: a. reviewing documentation in progress notes. b. consulting with the client's significant others. c. referring the client to a professional outside your agency for an objective review. d. asking the client to write a personal evaluation of his/her own progress. - ✔✔a. reviewing documentation in progress notes. 53. The PRIMARY purpose of a professional code of ethics is to: a. serve as a guide in helping clients while behaving in a fair way to ® colleagues. £1 & b. strengthen the appearance of professionalism among addiction g counselors. c. clarify the difference between acceptable and unacceptable client behavior. ^ d. provide legal recourse and concrete consequences for unethical behavior. - ✔✔a. serve as a guide in helping clients while behaving in a fair way to ® colleagues. 54. The PRIMARY purpose of professional standards of practice is to: _ a. provide recognition of demonstrated competency in addictions counseling. ft b. ensure that each client receives equal treatment regardless of ability to & Pay. g c. help programs qualify for Medicaid and other third-party reimbursement. ; d. allow unlicensed counselors to work in licensed facilities. - ✔✔a. provide recognition of demonstrated competency in addictions counseling. 55. The tendency of the family to try and maintain balance is called: ^ a. equilibrium. * b. stability. # c. homeostasis. || d. accommodation. - ✔✔c. homeostasis 56. Of the following statements made by a client in a group, which would MOST warrant documentation in the client's progress notes? a. "I'm finding the support from this group to be very helpful." b. "Getting caught for drunk driving was a mixed blessing." c. "Ever since I stopped drinking, my emotional swings have been quite intense." d. "Let's change the subject Did anyone see the game last night?" - ✔✔c. "Ever since I stopped drinking, my emotional swings have been quite intense." 57. Your client, Eric, discloses to the group that he is homosexual. Another member of the group shifts in his seat and changes the subject, talking about a superficial incident that happened earlier in the day. The facilitator's MOST appropriate response would be to: a. interrupt the second speaker and remind him of the group rules. b. remind Eric that you are here to treat addiction and ask how this relates to his addiction. c. tell Eric that this disclosure is more appropriate for an individual session and you will meet with him later. d. ask questions which facilitate a group response to Eric's disclosure and elicit more feeling content from Eric. - ✔✔d. ask questions which facilitate a group response to Eric's disclosure and elicit more feeling content from Eric. 58. All of the following are benzodiazepines EXCEPT: a. Valium. b. Halcion. d. suggest he cut down the number of cigarettes daily for 2 weeks before quitting. - ✔✔c. consult with his physician regarding nicotine/medication interaction. 67. Which of the following is a cognitive-based therapy, developed by Ellis, which is designed to confront a client's irrational thinking? a. Adlerian Therapy b. Client-Centered Therapy c. Rational-Emotive Therapy d. Reality Therapy - ✔✔c. Rational-Emotive Therapy 68. Because addiction affects so many facets of the addicted person's life, promotes recovery and enables the substance abuse client to fully integrate into society as a healthy, substance-free individual. a. detoxification and stabilization b. psychological evaluation and treatment c. integration into a self-help recovery program d. a comprehensive continuum of services - ✔✔d. a comprehensive continuum of services 69. A "Release of Information" form must include, in addition to the client's name, address and date of birth, which of the following? a. The client's ethnic background b. A signature by a medical doctor c. The purpose of the release of information d. The client's social security number - ✔✔c. The purpose of the release of information 70. When a client discloses suicidal thoughts, the counselor's first step is to: a. identify alternative courses of action. b. offer emotional support. c. contact emergency personnel. d. assess the degree of risk. - ✔✔d. assess the degree of risk. 71. When assessing the signs and symptoms of alcohol withdrawal, all of the following may be noted EXCEPT: a. restlessness, irritability, anxiety, agitation. b. tremor, elevated heart rate, increased blood pressure. c. decreased sensitivity to sounds, oversensitivity to tactile sensations. d. decreased appetite, nausea, and vomiting. - ✔✔c. decreased sensitivity to sounds, oversensitivity to tactile sensations. 72. When conducting an assessment, what is the counselor's primary focus? a. Identifying the client's problems and needs, strengths and weaknesses b. Explaining the rules of the program c. Having the client sign Release of Information forms d. Confronting the client's denial - ✔✔a. Identifying the client's problems and needs, strengths and weaknesses 73. Which of the following is the BEST indicator if an individual is physically dependent upon alcohol or another drug? a. The amount consumed daily b. The length in years of heavy drinking or drug use c. The presence of withdrawal symptoms d. The frequency of memory blackouts - ✔✔c. The presence of withdrawal symptoms 74. In a crisis interview with a client, you are MOST concerned with: a. the client's family dynamics. b. getting all the information that you can. c. what your immediate response should be. d. focusing questions about the present situation and the client's means of coping with the stress. - ✔✔d. focusing questions about the present situation and the client's means of coping with the stress. 75. Which statement about the grief process is TRUE? a. Guilt and anger are painful emotions that are part of grieving b. Symptoms of grief typically disappear within six months c. The grieving process should be hurried so the client can resume his life d. Grief is only a response to situations involving death - ✔✔Guilt and anger are painful emotions that are part of grieving 76. Your client has been advised by his sponsor to discontinue a needed antidepressant medication. You believe this advice to be premature and possibly harmful. What action should you take as a first step? a. Obtain your client's authorization and contact the sponsor to discuss the situation further b. Have the client discontinue involvement in AA until antidepressant medication is no longer needed c. Encourage your client to ignore the sponsor's advice and continue the medication d. Encourage your client to look for another, more understanding sponsor - ✔✔a. Obtain your client's authorization and contact the sponsor to discuss the situation further 77. You are having difficulty with a client early on in the case. The BEST thing for you to do is: a. transfer the client to another counselor. b. let the relationship develop and try to work it out. c. challenge the client about his/her resistance to treatment. d. seek out supervision with a colleague or supervisor. - ✔✔d. seek out supervision with a colleague or supervisor. 78. While taking an alcohol drug history, which of the following is a good clue to alcohol dependency? a. Increased tolerance and withdrawal symptoms when abstinence is attempted a. provide the group members with insight into the counselor's background. b. convince group members that the counselor has more life experiences than they do. c. demonstrate how to react when other group members disclose personal information. d. facilitate the growth of the group by relating to client or group issues. - ✔✔d. facilitate the growth of the group by relating to client or group issues. 87. Barbiturates can be sub-classified into groups based upon: a. how they are used. b. when they were discovered. c. their medical and non-medical use. d. the speed of the onset and duration of the effects. - ✔✔d. the speed of the onset and duration of the effects. 88. Heroin is an example of a(an): a. natural narcotic. b. semi-synthetic narcotic. c. synthetic narcotic. d. quasi-narcotic. - ✔✔b. semi-synthetic narcotic. 89. There are several psychological and sociological differences between male and female alcohol abusers. Which of the following BEST describes one of those differences? a. Women more often than men will cite a traumatic event that precipitated their drinking. b. Female alcoholics are more likely to be sociopathic and male alcoholics are more likely to have affective problems. c. Female alcoholics are less frequently characterized as feeling depressed and guilty than male alcoholics. d. Women move more slowly from the early stages to the later stages of abusive drinking than men. - ✔✔a. Women more often than men will cite a traumatic event that precipitated their drinking 90. Which statement MOST accurately describes the relationship between Alcoholics Anonymous and the professional treatment community? a. AA policy clearly states that recovery can often be frustrated by contact with professionals. b. AA has made no statements for or against the professional treatment community. c. There are inherent conflicts between AA and the professional treatment community which are unlikely to be resolved. d. A partnership between AA and the professional community was repeatedly emphasized by the founders of AA. - ✔✔d. A partnership between AA and the professional community was repeatedly emphasized by the founders of AA. 91. Which of the following patterns of drinking is accurately associated with the term "alcoholism"? a. A lack of tolerance for alcohol b. Frequent short periods of sobriety c. The inability to control the amount one drinks d. Light drinking EXCEPT on weekends - ✔✔c. The inability to control the amount one drinks 92. Which of the following is MOST helpful for counselors in defining their professional roles for counseling clients? a. An understanding of self-help groups b. An ethical code of conduct c. Certification - ✔✔b. An ethical code of conduct 93, "Referral" pertains to: a. assisting a client to utilize the support systems and community resources available. b. meeting with other professionals for discussions and planning. c. providing drug and alcohol information to clients. d. attending an A.A. or N.A. meeting with a client. - ✔✔a. assisting a client to utilize the support systems and community resources available. 94. A treatment professional utilizing case management will do all of the following EXCEPT: a. assist the client with needs generally thought to be outside the realm of substance abuse treatment. b. provide the client a single point of contact for multiple health and social services systems. c. advocate for the treatment center's approach to care. d. be flexible, community-based, and client-oriented. - ✔✔c. advocate for the treatment center's approach to care. 95. Pointing out parallels between a client's interpersonal relationships and the client/counselor interaction serves to focus awareness on: a. the "here and now." b. the client's weaknesses in communication. c. the counselor's feelings about the relation d. the unique qualities of theclient/counselor relationship. - ✔✔a. the "here and now." 96. If a client appears to be in denial due to discrepancies stated during an intake interview, which of the following statements by the counselor would be MOST appropriate? a. "I'm not sure I understand. Let me check this out" b. "First you tell me one thing, then another. Which is really the truth?" c. "There's a lot of confusion in your story" d. "Addiction fosters denial" - ✔✔a. "I'm not sure I understand. Let me check this out" 105. Relating with in-house and other professionals to assure comprehensive, quality care for the client BEST describes the process of: a. assessment. b. referral. c. counseling. d. consultation. - ✔✔d. consultation. 106. A mutually-agreed-upon treatment plan should include: a. a detailed explanation of goals and objectives. b. more than one goal established by the counselor. c. a well-developed outline for the discharge summary. d. clear expectations, specific goals, and methods of achievement. - ✔✔d. clear expectations, specific goals, and methods of achievement. 107. Which of the following statements about dysfunctional families is TRUE? a. The family cannot get well until the dependent person seeks help. b. The children in a dysfunctional family can be protected from the problems cause by chemical dependency. c. The divorce rate in dysfunctional families is highest after recovery has been initiated. d. Family problems develop in the later phases of the addiction process. - ✔✔c. The divorce rate in dysfunctional families is highest after recovery has been initiated. 108. The quality of counseling is directly related to the counselor's ability to: a. formulate and carry out realistic personal and professional goals. b. interpret the deeper meaning of problems. c. analyze client problems. d. convince clients to changfe. - ✔✔a. formulate and carry out realistic personal and professional goals. 109. A client says that his wife has vowed to leave him if he resumes drinking. The best response by the counselor would be: a. "she seems to be over-reacting" b. "does she usually threaten you?" c. "sounds like she needs Al-Anon" d. "she's really serious about your sobriety" - ✔✔d. "she's really serious about your sobriety" 110. Which self help group would be most appropriate for a mother whose drug and alcohol-abusing son is causing her distress? a. Alateen b. ACOA c. Al-Anon d. A.A. - ✔✔c. Al-Anon 111. The treatment plan is developed based on information collected during: a. screening. b. orientation. c. the assessment. d. intake. - ✔✔c. the assessment. 112. You begin working with a drinking alcoholic who recently had eight months of sobriety. He asks how he can stay sober. You respond by: a. getting him to gradually cut down on his drinking. b. encouraging him to change sponsors. c. referring him for additional treatment d. asking him what worked before. - ✔✔d. asking him what worked before. 113. Which term refers to a client's projecting past emotional feelings and/or attitudes onto the counselor? a. Transference b. Countertransference c. Reaction formation d. Sublimation - ✔✔a. Transference 114. Which of the following responses would be helpful in establishing a therapeutic relationship with a client? a. "What's the matter with you? Why didn't you just take care of the problem yourself?" b. "Let's get right to the point. You've got a drinking problem" c. "Let's talk about each of our expectations for counseling" d. "Let me tell you what you need to stay sober" - ✔✔c. "Let's talk about each of our expectations for counseling" 115. Good case management requires the integration of services within a treatment plan. With this in mind, which of the following is TRUE? a. The counselor should coordinate regular meetings with all professionals involved in the client's treatment. b. Good integration of services requires team meetings with the client present. c. Once the treatment plan is written, the use of other services is determined and will remain unchanged. d. With a well-integrated team of professionals, the case manager's review of progress notes will alone determine how the treatment plan is being followed. - ✔✔a. The counselor should coordinate regular meetings with all professionals involved in the client's treatment 116. A reward is something given for a special behavior, whereas positive reinforcement is: a. a mutual reward to reinforce behavior by the same amount. b. something specifically designed to increase the occurrence of a particular behavior. c. the process of observing behavior of others. d. a type of learning in which behaviors are increased as the result of the, successful. d. Revia has proven to be a popular intervention in the effective treatment of Native American populations. - ✔✔a. Alcohol accounts for one-half of the ten leading causes of death in the Native American population. 124. During a session you notice that the client is getting progressively more agitated. You suspect a potential for violence unless something is done immediately. Your BEST course of action would be to: a. summarize the inappropriateness ofthe client'sfeelings. b. confront the client's behavior; c. instruct the client in relaxation techniques. d. call for assistance. - ✔✔d. call for assistance. 125. After a counselor has made a summary statement, the most important thing the counselor should do is: a. remain quite for a time to allow the client to consider the summarized material. b. document the summary as soon as possible as part of the treatment plan. c. recommend that the client discuss the session with his/her sponsor. d. terminate the session immediately. - ✔✔a. remain quite for a time to allow the client to consider the summarized material. 126. Bipolar mood disorder is distinguished from major depression by: a. at least one episode of mania. b. evidence of earlier cyclothymia. c. evidence of earlier dysthymia. d. chronic forms of depression. - ✔✔a. at least one episode of mania. 127. In a dysfunctional family system, the traditional role which the spouse plays is referred to as: a. the Hero. b. the Scapegoat. c. the Primary Enabler. d. the Mascot. - ✔✔c. the Primary Enabler. 128. A frequent client reaction during the termination phase of counseling is: a. defensiveness. b. acting out behavior. c. apathy. d. lack of trust. - ✔✔b. acting out behavior. 129. The completion of various forms, including releases of information, financial, and consent for treatment, happens during the client's: a. intake. b. orientation. c. case review. d. psychosocial assessment. - ✔✔a. intake. 130. Which of the following is the BEST example of a counselor setting limits with a client? a. "We're here to discuss your alcohol problem - I don't want to talk about your marriage" b. "Counseling is a very unstructured process - anything goes" c. "Our meetings will consist of four 50 minute sessions at 10 a.m. each Wednesday" d. "What's important is that I help you. Ill counsel you no matter what" - ✔✔c. "Our meetings will consist of four 50 minute sessions at 10 a.m. each Wednesday" 131. One goal of an effective aftercare program is: a. to enhance a client's emotional rehabilitation. b. to minimize the client's use of denial. c. to support the gains made in treatment. d. to assign sponsors to clients. - ✔✔c. to support the gains made in treatment. 132. According to the American Society of Addiction Medicine (ASAM), which the following is NOT one of the five categories of primary treatment? a. Early intervention b. Detoxification services c. Intensive outpatient or partial hospitalization d. Residential or inpatient services - ✔✔b. Detoxification services 133. Regarding a "seropositive" result, which of the following is NOT a meaning of HIV antibody test results? a. The person has the AIDS virus b. HIV infection occurred at some point in the past c. The person is infectious and will remain so for life d. The HIV infection has been in the system long enough to produce antibodies - ✔✔a. The person has the AIDS virus 134. Client files should be readily accessible to: a. the client. b. all staff of the facility. c. the agency board of directors. d. only those persons directly involved in providing clinical services. - ✔✔d. only those persons directly involved in providing clinical services. 135. Which of the following issues must always be considered when consulting with out-of-agency professionals? a. Confidentiality d. The counselor helped the client find an AA meeting and ^jDOhsdr - ✔✔b. The counselor scheduled an appointment with a credit counseling agency 144. Which of the following important treatment planning activities were NOT accomplished in working with this client? a. The counselor formulated appropriate short term goals for the client b. The counselor identified and ranked the client's problems needing resolution c. The counselor worked with the client in establishing the client's treatment goals d. The client's treatment goals were expressed in measurable behavioral terms - ✔✔b. The counselor identified and ranked the client's problems needing resolution 145. Which of the following client behaviors contributed the most to the counselor's development of the provisional diagnosis of "alcohol dependency?" a. The client admitting all of his legal problems were alcohol related b. The client's denial of use of prescription medication c. The client's report of increased use of alcohol and occasional memory loss d. The client's conviction for his second DUI offense - ✔✔c. The client's report of increased use of alcohol and occasional memory loss 146. Which of the following essential orientation functions were NOT performed with this client? a. The client was provided an estimate of the cost of his treatment b. The client' rights were explained to him c. The client was provided a copy of the programs goals and objectives d. The client was provided information about schedule times for meetings - ✔✔a. The client was provided an estimate of the cost of his treatment 147. Which of the following counselor actions is an example of the use of a consultation? a. Acceptance of a referral from the client's Probation Officer b. Setting up an appointment for the client to visit a credit counseling agency c. Assisting the client with transportation to AA meetings upon discharge d. Seeking the advice of his clinical supervisor about the client's financial problems - ✔✔d. Seeking the advice of his clinical supervisor about the client's financial problems 148. The PRIMARY example of the counselor's use of effective recording and recordkeeping in this case was: a. The counselor helping the client change his work schedule b. The counselor helping the client complete all required insurance and consent forms c. The counselor admitting the client into the program d. The counselor completed a progress note for the client's chart - ✔✔d. The counselor completed a progress note for the client's chart 149. An example of the use of effective case management with this case was: a. the counselor referring the client to the credit counseling agency. b. the counselor helping the client stay in treatment by accepting a change in his work schedule. c. the scheduling of an appointment for the client to talk to a college admissions counselor to encourage the client to continue his education. d the counselor documenting the client's tour of the facility and general orientation. - ✔✔c. the scheduling of an appointment for the client to talk to a college admissions counselor to encourage the client to continue his education. 150. What essential component of client education is missing in this case? a. The client was not informed of his rights and responsibilities at the start of his treatment. b. The client was not informed of his legal responsibilities and obligations related to his DUI. c. The client was not informed of community recovery resources available to him upon discharge d. The client was not offered the opportunity to participate in weekend family education seminars - ✔✔c. The client was not informed of community recovery resources available to him upon discharge