LCDC Online Practice Exam With Verified Answers: Counseling Principles and Practices, Exams of Online Journalism

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LCDC Online Practice Exam With

Verified Answers.

A client's treatment plan contains the following statement: "This individual has a history of chronic relapse during periods of high stress." This is an example of which of the following: a. toxicology report b. problem statement c. Objective d. short term goal - Verified Answer b. problem statement Which term describes the process whereby clients project past feelings or attitudes they had toward significant people in their lives onto their counselor? a. transference b. projection c. countertransference d. displacement - Verified Answer a. transference In the process of assessment, all of the following substance use screening questionnaires may be used EXCEPT: a. CAGE (Cut down, Annoyed, Guilty, Eye-opener) b. TWEAK (Tolerance, Worried, Eye-Opener, Amnesia, K/Cut Down) c. DALI (Dartmouth Assessment of Lifestyle Instrument d. AUDIT (Alcohol Use Disorders Identification Test) - Verified Answer c. DALI Client education on the expected outcomes and possible risks of the counseling process is an important part of: a. treatment process

b. placement criteria c. informed consent d. referral management - Verified Answer c. Informed Consent The activities that bring the client, treatment services, and other resources together to focus on identified issues and needs is known as: a. clinical evaluation b. treatment planning c. referral planning d. service coordination - Verified Answer d. Service coordination Which of the following is NOT required to be documented in a client's release of information? a. date of last treatment b. client name c. date signed d. expiration date - Verified Answer a. date of last treatment As part of informed consent, counselors should advise clients of the exact circumstances under which they are legally required to do which of the following? a. break confidentiality b. call the police c. cancel an appointment d. terminate treatment - Verified Answer a. break confidentiality Administrative supervision provides an opportunity to address a. countertransference issues b. developing a therapeutic alliance c. mutuality, respect and connection for clients d. program policies and standards - Verified Answer d. program policies and standards Which of the following client attributes is an important predictor of treatment outcomes?

a. practicing self-care b. self-esteem c. self-efficacy d. ability to self-soothe - Verified Answer c. self-efficacy What potential factors of each change strategy are considered when developing a solid plan for change? a. potential outcomes b. financial cost c. time restrictions d. environmental impact - Verified Answer a. potential outcomes Knowledge of which of the following is MOST important for crisis management? a. client history of trauma b. patterns of violence demonstrated by client c. coping strategies used by the client d. continuum of client care - Verified Answer a. client history of trauma Nutritional counseling, wellness programs, and preventative healthcare education are part of an important service for clients with substance use disorders known as a. psychoeducation b. health promotion c. medical care d. life skills - Verified Answer b. health promotion Clients with low levels of motivation to abstain from substance use should be placed in which type of group? a. psychoeducational b. skill building c. process d. support - Verified Answer a. psychoeducational The assessment process begins when the client

a. admits they have a problem b. makes their first appoint for counseling c. attends their first counseling session d. first makes contact with their counselor - Verified Answer c. attends their first counseling session To abstain from drug use and maintain abstinence, individualized counseling emphasizes short term behavioral goals and helps the client develop a. coping strategies and tools b. natural support systems c. community partners d. defense mechanisms - Verified Answer a. coping strategies and tools A client who is thinking about overcoming a problem but has not yet made a commitment to finding a resolution is in which stage of change? a. preparation b. precontemplation c. action d. contemplation - Verified Answer d. contemplation The identification of client's needs that cannot be met by the counselor or agency and assisting the client to use the support systems and community resources available to meet those needs is a. referral b. treatment planning c. service coordination d. clinical evaluation - Verified Answer a. referral The purpose of an assessment is to a. gather detailed information for the treatment plan b. gauge the validity of the instrument c. provide a diagnosis d. quantify an symptomatology - Verified Answer a. gather detailed information for the treatment plan

Empty Chair, Behavior Contracts, Scaling Questions, Journaling and Art are all examples of techniques that help clients examine their a. behaviors, attitudes, and feelings b. unconscious feelings c. core belies d. creative self - Verified Answer a. behaviors, attitudes, and feelings Counselors should foster the client's entry into treatment by stressing the importance of a. ending all relationships that cause emotional distress b. avoiding any and all substances c. complying with treatment recommendation to ensure positive outcomes d. attending self-help meetings - Verified Answer c. complying with treatment recommendation to ensure positive outcomes The DSM-5 is a tool used to a. make a diagnostic impression based on presenting symptoms b. identify risk and protective factors relevant to the client c. determine the appropriate level of care d. develop symptom specific treatments - Verified Answer a. make a diagnostic impression based on presenting symptoms Before a client in need of continued treatment is discharged, a counselor MUST a. provide the client with a list of resources available to assist in procuring further treatment b. make appropriate alternative arrangements c. have the client consent to the termination of treatment d. inform all concerned others involved in the treatment process. - Verified Answer a. provide the client with a list of resources available to assist in procuring further treatment A clearly conceptualized treatment plan should have which of these three core elements? a. problem statements, goals, and objectives

b. goals, strengths, and barriers c. goals, resources, and supports d. objectives, estimated date of accomplishment, and responsible parties - Verified Answer a. problem statements, goals, and objectives The key attitude for counselors to have in order to facilitate a client's engagement in the treatment and recovery process is a. respect for the client's frame of reference and context b. appreciation for the value of the evaluation process c. agency specific protocols and procedures d. awareness of one's biases when presenting information - Verified Answer a. respect for the client's frame of reference and context Which of the following best describes one of the causes of decreased ability to experience pleasure after long time substance use? a. lower amounts of dopamine are produced causing feelings of depression b. dopamine receptors become damaged from continued substance use c. changes in the chemical makeup of dopamine alter its effects from pleasure to depression d. higher amounts of dopamine are produced causing a constant euphoria to which the user becomes accustomed - Verified Answer a. lower amounts of dopamine are produced causing feelings of depression MAKSS assessment stands for the a. multicultural Awareness, Knowledge, and Skills Survey b. multicultural Awareness, Knowledge, and Specialties Survey c. multicultural Assessment of Knowledge, Skills, and Services d. multicultural Awareness of Knowledge and Sensory Skills - Verified Answer a. multicultural Awareness, Knowledge, and Skills Survey During which stage of change is the stage specific task to raise doubts and increase concern and awareness around target behavior? a. precontemplation b. contemplation c. action d. maintenance - Verified Answer b. contemplation

Treating a patient with both co-occurring disorders simultaneously but in different settings is a. bilateral treatment b. sequential treatment c. integrated treatment d. parallel treatment - Verified Answer d. parallel treatment What is the process of educating clients about treatment and preparing them to participate? a. screening b. intake c. psychoeducational d. orientation - Verified Answer d. orientation The phenomenon associated with long term alcohol use when the liver is no longer efficient causing intoxication on small amounts of alcohol is a. dispositional tolerance b. cross tolerance c. reverse tolerance d. acute tolerance - Verified Answer c. reverse tolerance Without a high level of self-awareness, counselors may obstruct the progress of their client as a. the focus of therapy becomes about the counselor identifying with the client's ambivalence. b. the counselor becomes easily distracted and manipulated by the client c. the counselor becomes focused on comparing their own lack of self- awareness to their client d. the focus of therapy shifts from meeting the client's needs to meeting the needs of the counselor - Verified Answer d. the focus of therapy shifts from meeting the clients needs to meeting the needs of the counselor What is a therapeutic approach that seeks to modify negative or self- defeating thoughts and behaviors?

a. 12-step facilitation therapy b. motivational enhancement therapy c. cognitive behavioral therapy d. psychodyamic therapy - Verified Answer c. cognitive behavioral therapy In order to provide culturally sensitive services to a client, it is important that a counselor FIRST a. stays current with recent research on cultural competence b. has respect for multicultural service delivery c. understands the culture with which the client most closely identifies d. identifies their own personal and cultural biases - Verified Answer d. identifies their own personal and cultural biases Signs of opioid withdrawal may include a. low blood pressure b. slow pulse c. enlarged pupils d. slurred speech - Verified Answer c. enlarged pupils When completing screening, intake, and assessment reports for a referred client, the counselor should be sure to document the a. source of referral information b. methods used to gather outcome data c. client's attitude in a subjective description d. distinctions between process and outcome data - Verified Answer c. clients attitude in a subjective descriptive When developing a treatment plan with a client, what is the first step following the identification of a problem? a. prioritize solutions b. set goal dates for action steps c. evaluate solutions d. define long term goals - Verified Answer d. define long term goals A counselor may breach the confidentiality of a client over the age of 18 when

a. the client admits to committing a robbery b. a parent requests information c. an employer is seeking information to reinstate employment d. there is suspicion of related child abuse - Verified Answer d. there is suspicion of child abuse Which treatment approach is NOT generally used for clients with co- occuring disorders a. sequential b. parallel c. independent d. integrated - Verified Answer c. independent Relapse prevention plans are in integral part of any a. counseling session b. intervention c. initial assessment d. discharge plan - Verified Answer a. counseling session Counselors can influence change by developing a therapeutic relationship that respects and builds on the client's a. autonomy b. needs c. history d. weaknesses - Verified Answer a. autonomy Issues such as alcohol poisoning, acute pancreatitis, and acute cardiac arrhythmias represents the dangers linked to a. chronic drinking b. fetal alcohol syndrome c. binge drinking d. sick-quitter effect - Verified Answer a. chronic drinking The MOST important issue for a counselor to consider when a client invites them to dinner is the

a. intent of the client b. effect on other clients c. impact on the therapeutic alliance d. possibility for countertransference - Verified Answer c. impact on the theurapeutic alliance Which of the following client behaviors do group leaders have the responsibility to limit? a. influencing b. clarifying c. active listening d. story telling - Verified Answer d. story telling Using Motivation Interviewing, which of the following statements would be best to begin discussing the findings of an assessment with a client? a. " We went over a lot of information today. Is there anything you would like to discuss further?" b. "Those are all the questions I have to ask today. Before we move on, what caught your attention or what were you thinking as we went over the information?" c. Thank you for all the information you gave me. Let me look this information over and we can discuss it during the next session." d. "Let me tell you what I think about the information you provided, because I have lot of experience in that area." - Verified Answer c. Thank you for all the information you gave me. Let me look this information over and we can discuss it during the next session. In treatment planning, efforts should lead toward a. goal directed recovery b. compliance with program procedure c. abstinence an symptoms alleviation d. attendance to self help-groups - Verified Answer a. goal directed recovery Eduardo is a 21 year old Latino living with his mother. His mother regularly uses heroin and has engaged in prostitution for income. Eduardo has his

high school diploma but has not had steady employment since he was 19. Eduardo's substance use began when he was 16 with marijuana and alcohol. At age 18 he also began periodically using heroin and now reports using heroin and now reports using heroin daily and now reports using heroin daily. Eduardo is mandated to treatment after being arrested for robbery to support his substance use. Which level of care is most appropriate according to ASAM's Patient Placement Criteria? a. outpatient b. Intensive outpatient / partial hospitalization c. residential / inpatient d. Medically Managed Intensive Inpatient - Verified Answer d. Medically Managed Intensive Outpatient When a client has appropriately consented to the transfer of client records to third party, counselors MUST be sure to a. send all original copies b. include records from other professionals c. document when, where, and what files were sent to whom d. transfer all documents, progress notes, and records the counselor created on the client - Verified Answer c. document when, where, and what files were sent Which of the following is the MOST important principle to remember in promoting engagement when working with clients mandated to treatment? a. discussing the positive impact treatment will have on the client's life by helping them avoid the consequences of noncompliance. b. acknowledging the influence external pressures had on the client's decision to enter treatment and the anger and sense of dehumanization they could feel. c. promoting action-oriented treatment during the first session by identifying the type of treatment needed based on the referral source. d. praising the referral source and the opportunity it has provided the client to identify and end their problem. - Verified Answer b. acknowledging the influence external pressures had on the clients decision to enter treatment and the anger and sense of dehumanization they ciuld feel.

How does discussing the findings of an assessment with a client help promote engagement? a. clients will better understand the severity of their strengths, weaknesses, and goals to be incorporated in a treatment plan. b. it assists clients in identifying their strengths, weaknesses, and goals to be incorporated in a treatment plan. c. it demonstrates to the client that the counselor understands their problems and needs so they can accept the solutions determined by the counselor. d. it helps the client realize the level and complexity of their problem and they better work hard at treatment. - Verified Answer b. it assists clients in identifying their strenghts, weaknesses, and goals to be incorporated in a treatment plan. A client discloses that her husband is abusing her three year old daughter. Jurisdictional law mandates the abuse must be reported, however, previous experiences with child protective services have been ineffective. The counselor fears if the abuse is reported it will escalate as child protective services will investigate the matter but take no further action. The counselor's BEST course of action is to a. consult with their immediate supervisor and follow the supervisor's directives on whether or not to report the abuse b. adhere to reporting protocols and determine if and if and when the client should be informed of the report. c. develop a plan with the client to remove her and her daughter from the abusive situation and then report the abuse to appropriate authorities d. document as much detail as possible regarding the abuse and continue to monitor the situation until the counselor can make a clear decision abo - Verified Answer b. adhere to reporting protocols and determine if and if and when the client should be informed of the report.