LCAS Exam Questions and Answers: Counseling and Addiction, Exams of Nursing

Download LCAS Exam Questions and Answers: Counseling and Addiction and more Exams Nursing in PDF only on Docsity! LCAS Exam with verified answers What is the definition of insight? - 🔷ANSWERS ✔✔🖊 A sudden understanding of self, or realization of how a problem can be solved MAT refers to - 🔷ANSWERS ✔✔🖊 the use of medications such as suboxone in the treatment of addiction Aisha has completed her treatment at an in-patient facility and is ready to be discharged. She has asked her counselor to recommend a therapist to work with her and her husband on an out-patient basis. This process is BEST viewed as an example of : - 🔷ANSWERS ✔✔🖊 a referral Which type of therapy is most directive, offering the greatest potential for abuse of power by the counselor? - 🔷ANSWERS ✔✔🖊 Gestalt The primary purpose of professional credentialing for counselors is to: - 🔷ANSWERS ✔✔🖊 protect public safety by ensuring that counselors meet minimum standards of competency Which of the following is NOT a CNS depressant? A- Alcohol B- Xanax C- Nembutal D- Benzedrine - 🔷ANSWERS ✔✔🖊 D- Benzedrine The concept of consent requires that before agreeing to accept treatment, clients should know their rights and obligations, therapeutic goals, fees for services, and _________ - 🔷ANSWERS ✔✔🖊 The limits of their confidentiality Attitudes, policies, and practices that are destructive to other cultures and their members are examples of lack of cultural - 🔷ANSWERS ✔✔🖊 competence Restlessness, nervousness, flushed face, muscle twitching, tachycardia or cardiac arrrhythmia are all signs or symptoms of what type of intoxication? - 🔷ANSWERS 🖊 ✔✔Caffeine Of all of the possible substance use disorders, which one is typically not seen in older children or adults? - 🔷ANSWERS ✔✔🖊 Inhalant Use Disorder Needle exchange programs can BEST be described as: - 🔷ANSWERS ✔✔🖊 Harm Reduction Autonomic hyperactivity, hand tremor, nausea or vomiting, psychomotor agitation, grand mal seizures are all signs of what type of withdraw? - 🔷ANSWERS 🖊 ✔✔Sedative, hypnotic, or anxiolytic withdrawl Among other things, ___________ involves making a client aware of resources in the community, as well as providing information related to substance abuse, HIV/AIDs, and other STDs - 🔷ANSWERS ✔✔🖊 client education In the United States, the population that experiences the lowest prevalence of alcohol disorder is: - 🔷ANSWERS ✔✔🖊 Asian Americans and Pacific Islanders Classical and operant conditioning are associated with_______ therapy - 🔷ANSWERS ✔✔🖊 Behavior Eric has admitted being sexually active without using any type of protection against sexually transmitted diseases. His counselor has made an appointment for him to be tested for the HIV virus. He then made arrangements for Eric to be transported to the clinic. Facilitating this appointment is BEST described as: - 🔷ANSWERS 🖊 ✔✔Case Management Studies indicate that that counseling is most effective when - 🔷ANSWERS 🖊 ✔✔Culture and values are taken into account The central focus or "charge" of the twelfth step of Alcoholics anonymous is: - 🔷ANSWERS ✔✔🖊 service to others A counselor's personal values: - 🔷ANSWERS ✔✔🖊 Are communicated through the therapeutic goals they offer and how they attempt to reach those goals with the client. Nonmaleficence - 🔷ANSWERS ✔✔🖊 do no harm ___________ interventions have been developed or are being sought to block the effects of abused drugs, reduce cravings for drugs and block the toxic effects of drugs. - 🔷ANSWERS ✔✔🖊 pharmacological The terminology now being used in the DSM-5 for diagnostic categories is: - 🔷ANSWERS ✔✔🖊 Substance Use Disorder Which statement BEST describes the relevance of counselor self-exploration - 🔷ANSWERS ✔✔🖊 Counselors can benefit greatly from being clients themselves, at some point. _____________ is the term used to describe the mental activities involved in acquiring, retaining, and using any type of knowledge. - 🔷ANSWERS ✔✔🖊 Cognition In the DSM-5, for a substance use disorder severity indicator of mild, how many criteria must be present? - 🔷ANSWERS ✔✔🖊 two to three In which situation is it acceptable to release confidential information without prior consent from the client? - 🔷ANSWERS ✔✔🖊 When the client admits to abusing a child Substance ________ is a syndrome that develops temporarily after ingestion of a psychoactive substance - 🔷ANSWERS ✔✔🖊 intoxication Tonya is a 35 year old African American woman who has brought her toddler to the Emergency Room with her. The baby is lethargic and irritable. The mother states that she doesn't know what is wrong with the baby. The mother seems erratic, herself. The E.R. doctor has called you in to consult on the mother, while he treats the child. In the course of your conversation, you learn that the mother takes Valium every day because she has "nerves". She insists that it isn't a problem. Later you learn that the baby apparently found his mother's Valium and managed to swallow a couple of pills. The father, an African American male, age 36 arrives and says his wife is addicted, however, he won't even make eye contact with you. During your interview with the mother, she insists she does not have a problem, what should you do? - 🔷ANSWERS ✔✔🖊 Talk with the husband about planning an intervention, using other family and friends to assist. Tonya is a 35 year old African American woman who has brought her toddler to the Emergency Room with her. The baby is lethargic and irritable. The mother states that she doesn't know what is wrong with the baby. The mother seems erratic, herself. The E.R. doctor has called you in to consult on the mother, while he treats the child. In the course of your conversation, you learn that the mother takes Valium every day because she has "nerves". She insists that it isn't a problem. Later you learn that the baby apparently found his mother's Valium and managed to swallow a couple of pills. The father, an African American male, age 36 arrives and says his wife is addicted, however, he won't even make eye contact with you. Do you have the responsibility to report the incident involving the child to the authorities? - 🔷ANSWERS ✔✔🖊 Yes, because the child was put in danger because of the mother's addiction Tonya is a 35 year old African American woman who has brought her toddler to the Emergency Room with her. The baby is lethargic and irritable. The mother states that she doesn't know what is wrong with the baby. The mother seems erratic, herself. The E.R. doctor has called you in to consult on the mother, while he treats the child. In the course of your conversation, you learn that the mother takes Valium every day because she has "nerves". She insists that it isn't a problem. Later you learn that the baby apparently found his mother's Valium and managed to swallow a couple of pills. The father, an African American male, age 36 arrives and says his wife is addicted, however, he won't even make eye contact with you. The father stated that his wife was an addict and needed help, but he could not seem to make eye contact. What does this suggest? - 🔷ANSWERS ✔✔🖊 Perhaps nothing, since some cultures view direct eye contact as disrespectful "referral" means: - 🔷ANSWERS ✔✔🖊 a. assisting a client to utilize the support systems and community resources available. _____________ are a problem associated with consuming alcohol and Valium together - 🔷ANSWERS ✔✔🖊 Synergistic effects __________ is the belief that one's own culture is superior to others. - 🔷ANSWERS 🖊 ✔✔Ethnocentrism "Excessive use of alcohol is a result of personal choice and therefore should be punished" This statement is consistent with the __________ model of addiction. - 🔷ANSWERS ✔✔🖊 moral A common problem for beginning counselors is: - 🔷ANSWERS ✔✔🖊 failing to identify an approach that is appropriate to the client A counselor wants to record a counseling session with a client so that the counselor could listen to the tape, along with her supervisor, as parts of an ongoing training. According to ethical best practicies, the counselor's plans are: - 🔷ANSWERS 🖊 ✔✔ethical, as long as the client granted permission beforehand. A major criticism of self-report instruments is that the questions are so obvious that these tests cannot possibly detect alcoholics who deny having a problem. This issue is the dilemma of ________ questions - 🔷ANSWERS ✔✔🖊 face-value A mental status exam does NOT assess: A. educational level B. Appearance C. Speech D. thought processes - 🔷ANSWERS ✔✔🖊 a. educational level Abstinence is to harm reduction as: - 🔷ANSWERS ✔✔🖊 Alcoholics Anonymous is to needle exchange Appropriate treatment goals must be: - 🔷ANSWERS ✔✔🖊 Agreed upon by the client and counselor happens to be more prone to addiction than some others. This multivariate focus is MOST consistent with the: - 🔷ANSWERS ✔✔🖊 biopsychosocial model Studies have linked substance abuse among African Americans to three factors: economic deprivation, stress, and ____________ - 🔷ANSWERS ✔✔🖊 racism The concept of informed consent requires that before agreeing to accept treatment, clients should know____________, their rights and obligations, fees for services, and limits of confidentiality. - 🔷ANSWERS ✔✔🖊 the goals of therapy The cultural philosophy of "noninterference is associated with alcohol-related problems among: - 🔷ANSWERS ✔✔🖊 Native Americans The DSM-5 includes criteria set specific to intoxication of each substance category except for - 🔷ANSWERS ✔✔🖊 tobacco The first step of alcoholics anonymous requires: - 🔷ANSWERS ✔✔🖊 the admission that one's life is unmanageable The initial stage of crisis intervention involves: - 🔷ANSWERS ✔✔🖊 recognizing the crisis The primary goal of a mental status exam is to measure the client's orientation to _______, _________, and __________ - 🔷ANSWERS ✔✔🖊 person, place, time The primary principles behind alcoholics anonymous are spirituality, self- improvement, and ______________ - 🔷ANSWERS ✔✔🖊 service to others Which core function of counseling is related to the term "didactic" - 🔷ANSWERS 🖊 ✔✔Client education Which neurotransmitter is most closely associated with feelings of well-being, appetite, and mental alertness? - 🔷ANSWERS ✔✔🖊 Serotonin Which of the following is a CNS depressant? A. Xanax B. nicotine C. Adderall D. Benzedrine - 🔷ANSWERS ✔✔🖊 Xanax Which of the following is an SSRI? - 🔷ANSWERS ✔✔🖊 Prozac Which of the following is most closely associated with involuntarily confinement, such as a prison setting? - 🔷ANSWERS ✔✔🖊 The therapeutic community Which of the following is the BEST definition of a "slip"? - 🔷ANSWERS ✔✔🖊 An episode of substance abuse following a period of abstinence Which of the following is the BEST definition of denial - 🔷ANSWERS ✔✔🖊 An ego defense mechanism that allows one to pretend a problem is not real Which of these is the BEST example of a substance-induced disorder? A- Alcohol intolerance B- Methamphetamine psychosis C- Alcohol withdrawal D- Methadone dependence - 🔷ANSWERS ✔✔🖊 Methamphetamine psychosis Which statement is TRUE regarding counselor self-exploration? A. The counselors personal issues should be disclosed to the client in order to encourage transference. B. Counselor's should not rule out therapy for their own personal issues. C. Counselor self-exploration put the clients at risks for counter-transference. D. Counselors best help themselves by helping other people. - 🔷ANSWERS ✔✔🖊 B- Counselor's should not rule out therapy for their own personal issues. When the new DSM-5 nomenclature, clinicians will now specify severity of the addiction using ratings of: - 🔷ANSWERS ✔✔🖊 mild, moderate, and severe You are seeing a patient whom you suspect may be suicidal. Which of the following factors suggest that the risk of suicide is high? A- the patient is african-american b. the patient is experiencing a mid-life crisis C. the patient is a female D. the patient's depressive symptoms have recently improved - 🔷ANSWERS 🖊 ✔✔The patient's depressive symptoms have recently improved Micheal is a 25 year old man who has been your client for several weeks in an outpatient program. He recently came to you and admitted during a group session that he relapsed and had been involved in a hit and run incident. Micheal told the group he had to get it off his chest in a "safe and confidential place". Later, from the news, you learn that there was a hit and run accident that involved the death of the other driver and police are still searching for the individual who fled the scene. Your first responsibility is to: A. insist the client turn himself in. B. Report to the authorities that you know the identity of the driver of the car. C. Assess the client's current status and re-screen him for transfer to a inpatient program. - 🔷ANSWERS ✔✔🖊 Assess the client's current status and re-screen him for transfer to an inpatient program. Micheal is a 25 year old man who has been your client for several weeks in an outpatient program. He recently came to you and admitted during a group session that he relapsed and had been involved in a hit and run incident. Micheal told the group he had to get it off his chest in a "safe and confidential place". Later, from the news, you learn that there was a hit and run accident that involved the death of the other driver and police are still searching for the individual who fled the scene. A police officer visits your office and asks you for your records because someone told him, that your client admitted to a crime during a group session. You should: A. Neither confirm or deny that Micheal is your client because he has not signed a release. B. Give the information to the officer because this is a current criminal investigation. One method for increasing the effectiveness of counseling for Latino clients is: A. to assume an active approach with goal-oriented inquiry. B. to maintain the individual's dignity by avoiding familiarity. C. To acknowledge the cultural difference and schedule appointments well in advance. D. to stress separation due to family enmeshment. - 🔷ANSWERS ✔✔🖊 A. To assume an active approach with goal-oriented inquiry. Methadone is as drug used in: A. IV form to combat the synergistic effects of alcohol and other CNS depressants. B. Harm reduction programs, usually in urban environments. C. Conjunction with alternative detoxification protocols for amphetamines. D. Emergency rooms to counteract the effects of overdose. - 🔷ANSWERS ✔✔🖊 harm reduction programs, usually in urban environments. Bertrand qualifies for job re-training because of a disability. His counselor made an appointment with the state rehabilitation commission to evaluate the type of training that might be beneficial for Bertrand. The counselor also made arrangements for Bertrand to be transported to the appointment, although he was still in primary treatment. The counselor's actions are BEST described as: A. Consultation B. Case management C. Client education D. Ethical responsibility - 🔷ANSWERS ✔✔🖊 B. Case Management One major problem associated with victimology and recovery is that: - 🔷ANSWERS 🖊 ✔✔proclaiming powerlessness runs counter to the empowerment mentality needed to overcome victimhood. Mike and his client have developed a personal attraction to one another. The BEST course of action for him is to: A. discuss his feelings with his clinical supervisor to determine the best course of action. B. talk with the client about transferring to another counselor so that they can date without the conflict of interest. C. send the client a letter formally ending the personal and therapeutic relationship. D. inform the client that they will have to wait at least one year before they can date. - 🔷ANSWERS ✔✔🖊 A. Discuss his feelings with his clinical supervisor to determine the best course of action. what BEST represents the information that should be kept in a client's treatment record? A. the name of an attending physician and contact information for referrals to be made. B. Names of family members and their emergency contact numbers C. Personal notes, insurance information and samples from client journal D. Information about consultations, diagnosis, treatment, prognosis, and progress - 🔷ANSWERS ✔✔🖊 Information about consultations, diagnosis, treatment, prognosis, and progress. African Americans generally do not view alcohol as a prerequisite to fun because: A. There are other culturally acceptable ways to achieve relaxation and sociability. B. They do not perceive alcohol as a desirable social lubricant C. Cultural norms prohibit over consumption of alcohol in public. D. machismo is a theme that overrides the desire for alcohol. - 🔷ANSWERS ✔✔🖊 A. There are other culturally acceptable ways to achieve relaxation and sociability. A client presents with non-healing ulcers, abscesses, brittle fingernails, and bruxism. Abuse of which classification of drugs is MOST likely? A. Amphetamines B. Steroids C. Inhalants D. Narcotics - 🔷ANSWERS ✔✔🖊 A. Amphetamines. Jaunita has been seeing a counselor for several weeks and has recently started responding in an argumentative fashion. Last time, she told the counselor "you are just like my father, always on my case!" the situation is an example of: - 🔷ANSWERS ✔✔🖊 transference A client must be told the limits of confidentiality before the first therapy session, along with the cost of the services. These issues are a part of a process known as: - 🔷ANSWERS ✔✔🖊 Obtaining informed consent The most popular and yet most controversial theory of addiction views: - 🔷ANSWERS ✔✔🖊 A addiction as a chronic and incurable disease. Nervousness or anxiety, sleep difficulty, (e.g., insomnia, disturbing dreams), decreased appetite or weight loss, depressed mood are all signs or symptoms of: - 🔷ANSWERS ✔✔🖊 Cannabis withdrawal According to the DSM-5 standards, controlled use of __________ during religious observances is not to be considered a diagnoseable condition. - 🔷ANSWERS 🖊 ✔✔Hallucinogens _________ symptoms are the most common psychiatric symptoms seen in AOD abusers A. Depressive B. Narcisstic C. Social Anxiety D. Panic Attacks - 🔷ANSWERS ✔✔🖊 A. Depressive Rational emotive behavior therapy is considered to be a ___________________ approach to counseling A. Cognitive behavioral B. Behavioral C. Social Learning D. person-centered - 🔷ANSWERS ✔✔🖊 A- Cognitive Behavioral Maslow's Hierarchy of needs suggests that: - 🔷ANSWERS ✔✔🖊 psychological needs do not become salient until security needs are met B. Some drug interactions can cause hand tremors when neither drug alone causes them C. It is a cross allergic reaction that can include anaphylactic shock D. synergism leads to the development of negative symptoms, such as flat affect - 🔷ANSWERS ✔✔🖊 A. Mixing some drugs causes a reaction that increases the drug effects beyond those that are associate with each drug separately The development of group culture refers to: A. the information of differing cultural backgrounds in the group B. the establishment of norms which will help the group to develop as a social system C. group cohesion D. the creation of the group - 🔷ANSWERS ✔✔🖊 B. The establishment of norms which will help the group to develop as a social system The concept of informed consent requires that before agreeing to accept treatment, client should know the goals of therapy, their rights and obligations, the limits of confidentiality, and ___________ A. availability of referral services B. community resources to be used C. with whom they will be participating in group activities D. the financial obligation associated with the services - 🔷ANSWERS ✔✔🖊 D. The financial obligation associated with the services With regard to relapse prevention, what is the BEST definition of a trigger? A. when the client makes the choice to return to drinking/drug using B. the build-up of anger that most clients experience before a relapse experience C. Those situations, events, people, places, thoughts, and activities that re-kindle the sense of need for drugs D. The single event that is the root cause of the substance use disorder, and precipitates the "bottom" that leads to treatment - 🔷ANSWERS ✔✔🖊 C. Those situations, events, people, places, thoughts, and activities that re-kindle the sense of need for drugs A client presents a crisis situation. As a counselor, your MOST important function is: A. to solve the client's presenting problem B. to help convert the emergency into a solvable problem C. to refer him/her to the nearest psychiatrist D. to try not to get the client more upset - 🔷ANSWERS ✔✔🖊 B. to help convert the emergency into a solvable problem One criticism associated with the disease model of addiction is that: A. there does not appear to be an inevitable progression of symptoms B. proponents believe that willpower is the key to long term recovery C. emphasis is placed on social experiences that are unrelated to alcohol D. too much of the focus is on the psychological factors. - 🔷ANSWERS ✔✔🖊 A. there does not appear to be an inevitable progression of symptoms. Observable and measurable goals are BEST associated with: A. assessment B. case management C. client education D. treatment planning - 🔷ANSWERS ✔✔🖊 D. treatment planning The predominant change to the overall diagnostic criteria for substance use disorder in the DSM-5 is the inclusion of ___________ and the exclusion of __________ A. loss of control, family problems B. craving, recurrent legal problems C. efforts to cut down, elevated GGT D. withdrawal; depressed mood - 🔷ANSWERS ✔✔🖊 B. Craving, recurrent legal problems Which of the following is NOT an SSRI? A. Cylert B. Paxil C. Prozac D. Zoloft - 🔷ANSWERS ✔✔🖊 A. Cylert Most individuals who use tobacco on a regular basis will develop tobacco use disorder prior to the age of: A. 18 B. 21 C. 30 D. 35 - 🔷ANSWERS ✔✔🖊 B. 21 Kia is a 20 year old female whose parents are first generation immigrants from Japan. She has been seeing you because she has a substance use disorder related to her use of amphetamines. One afternoon, her parents arrive unexpectedly at your office to insist that you help them convince their daughter to return to Japan where her fiance is waiting to marry her. This is an arranged marriage and she has not met her fiance. What is the best response to the parents? A. Calmly tell them that you cannot confirm nor deny that their daughter is a client B. bring in the daughter for a family session to sort out the competing values and traditions C. encourage Kia to return to Japan, where perhaps she can start a new life away from her old friends - 🔷ANSWERS ✔✔🖊 A. Calmly tell them that you cannot confirm or deny that their daughter is a client Kia is a 20 year old female whose parents are first generation immigrants from Japan. She has been seeing you because she has a substance use disorder related to her use of amphetamines. One afternoon, her parents arrive unexpectedly at your office to insist that you help them convince their daughter to return to Japan where her fiance is waiting to marry her. This is an arranged marriage and she has not met her fiance. Kia tells you she is torn between her parents' culture and her own, more American ideas. How might you help her A. refer her to a family therapist because this has nothing to do with her drug use. B. encourage her to examine her beliefs and make her decision based on what she believes is best for her, without regard to her parents wishes.