MAINE CADC EXAM-With 100% verified solutions.docx, Exams of Advanced Education

Download MAINE CADC EXAM-With 100% verified solutions.docx and more Exams Advanced Education in PDF only on Docsity! MAINE CADC EXAM-With 100% verified solutions The desire and yearning for a specific substance or substances is known as: b. craving The initial stage of crisis intervention involves: c. recognizing the crisis Which of the following is the BEST definition of insight? b. A sudden understanding of self, or realization of how a problem can be solved. MAT refers to: c. 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 outpatient basis. This process is BEST viewed as an example of: a. a referral. Referral Transfer of patient care from one physician to another. Consultation meeting for discussion or planning Case Management development of patient care plans to coordinate and provide care for complicated cases in a cost-effective manner. Aftercare Plan is designed to address the specific needs of an individual. Following are some common components of a typical aftercare treatment plan: Ongoing Counseling Sober Living Community Family Therapy 12-Step programs Vocational Rehabilitation Housing Educational Assistance Legal Assistance Mental Health Care Case Management Maintenance Medication Which type of therapy is directive, offering the greatest potential for abuse of power by the counselor? c. Gestalt Adlerian Therapy Adlerian therapy is a brief, psychoeducational approach that is both humanistic and goal oriented. It emphasizes the individual's strivings for success, connectedness with others, and contributions to society as being hallmarks of mental health. Rational-Emotive Behavior Therapy Autonomic hyperactivity, hand tremor, nausea or vomiting, psychomotor agitation, grand mal seizures are all signs or symptoms of: c. sedative, hypnotic, or anxiolytic withdrawal 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. c. client education Client Education Provision of information to individuals and groups concerning alcohol and other drug abuse and the available services and resources. In the United States, the population that experiences the lowest prevalence of alcohol use disorder is: d. Asian Americans and Pacific Islanders Classical and operant conditioning are associated with _________ therapy. b. 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: b. case management Studies indicate that counseling is most effective when: a. culture and values are taken into account One basic principle of documentation requires the counselor to: b. describe events in objective terms, using measurable language that can be easily understood The _________ model of addiction explains addiction as a consequence of personal choice. b. moral Disease model of addiction The disease model assumes that the origins of addiction lie within the individual him/herself. This model adopts a medical viewpoint and suggests that addiction is a disease or an illness that a person has. It believes that: -Addiction does not exist on a continuum - it is either present or it isn't. -Addicted people cannot control their intake of a given substance. Once they consume some of the substance (such as one drink of alcohol) they are powerless to stop themselves having any more and are overtaken by almost irresistible cravings when they cannot have it. -The disease of addiction is irreversible. It cannot be cured and can only be treated by lifelong abstinence. Alcoholics Anonymous (AA) is based on the disease model. Given the popularity of disease models, it is worth examining their advantages and disadvantages in greater detail. Moral Model of Addiction During the eighteenth and early nineteenth centuries, addiction was viewed as a sin. Drug-dependent people were considered morally weak, and addiction was seen as a fault of one's character. Under the influence of this model, users were punished with whippings, public beatings, stocks, fines, and public ridicule being relatively common. (In some British towns, people were made to walk around wearing nothing but beer barrels.) Spiritual direction was also a common treatment. Jail sentences were another form of punishment and at the turn of the century, many more drug users were put in mental hospitals as the jails became full. The tendency of the family to try and maintain balance when dealing with a loved one's substance use disorder is called: c. homeostasis Your client expresses growing feelings of rage. He has recurring nightmares in which he attacks random women on the street. If you followed through with what you believed was a duty to warn, under what circumstances would you be least likely to be disciplined? d. If the client discloses the name of a person he plans to harm In his second counseling session, a client reveals to the counselor that he is gay. Having never worked with a member if the special population, the counselors's BEST course of action is to: b. offer to refer the client to someone with experience with special issues associated with the gay community Determining a client's eligidility and appropriateness for treatment occurs during the _________ process. d. screening Highly structured daily routines, a system of reward and punishment, and frequent group confrontation are characteristics of: b. therapeutic communities Collateral Interviews: c. involve gathering from other persons who are, or have been, associated with the person being assessed A major criticism of the _________ is that the questions are so obvious that this test cannot possibly detect alcoholics who deny having a problem. a. MAST MAST Developed in 1971, the Michigan Alcohol Screening Test (MAST) is one of the oldest and most accurate alcohol screening tests available. ASI Addictive Severity Index- The ASI is a semi-structured interview designed to address seven potential problem areas in substance- abusing patients: medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status Sassi Substance Abuse Subtle Screening Inventory (SASSI) The SASSI is a brief self-report, easily administered psychological screening measure that is available in separate versions for adults and adolescents. The Adult SASSI-3 helps identify individuals who have a high probability of having a substance dependence disorder with an overall empirically tested accuracy of 93 percent. The Adolescent SASSI-A2 is designed to identify individuals who have a high probability of having a substance use disorder, including both substance abuse and substance dependence, with its decision rules yielding an overall accuracy of 94 percent. POSIT Problem Oriented Screening Instrument for Teenagers (POSIT)- Designed to identify potential problem areas that require further in- depth assessment. POSIT was designed to identify problems and potential treatment or service needs in 10 areas, including substance abuse, mental and physical health, and social relations. Related is the POSIT follow-up questionnaire that was derived from items on POSIT to screen for potential change in 7 out of the 10 problem areas represented on POSIT. The goal of complete abstinence is most consistent with the ______________ model of addiction b. disease Nonmaleficence is the ethical principle that means: c. 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. b. pharmacological The terminology now being used in the DSM-5 for diagnostic categories is: c. Substance Use Disorder Which statement BEST describes the relevance of counselor self- exploration? b. counselors can benefit greatly from being clients themselves, at some point __________ is the term used to describe the mental activities involved in acquired, retaining and using any type of knowledge. c. cognition In the DSM-5, for a substance use disorder severity indicator mild, how many criteria must be present? a. 2-3 In which situation is it acceptable to release confidential information without prior consent from the client? d. when the client admits to abusing a child Substance _________ is a syndrome that develops temporarily after ingestion of a psychoactive substance c. intoxication Toya 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 her mother's valium and managed to swallow a couple of pills. The father, an African American male, age 36 arrives and says he thinks his wife is addicted, however, he won't even make eye contact with you. During the interview with the mother, she has insisted she doesn't have a problem. What should you do? b. Talk with the husband about planning an intervention, using other family and friends to assist. Toya 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 her mother's valium and managed to swallow a couple of pills. The father, an African American male, age 36 arrives and says he thinks his wife is addicted, however, he won't even make eye contact with you. Do you have a responsibility to report the incident involving the child to authorities? a. Yes, because the child was put in danger because of the mother's addiction. Toya is a 35 year old African American woman who has brought her toddler to the emergency room with her. The baby is lethargic and A mental status exam does NOT assess: a. education level b. appearance c. speech d. thought processes Abstinence is to harm reduction as: c. Alcoholics Anonymous is to needle exchange Appropriate treatment goals must be: d. agreed upon by the client and counselor Arbitrary inferences and selective abstractions are examples of: a. cognitive distortions Arbitrary inference (Cognitive distortions) Arbitrary inference is a classic tenet of cognitive therapy created by Aaron T. Beck in 1979. He defines the act of making an arbitrary inference as the process of drawing a conclusion without sufficient evidence, or without any evidence at all. Selective abstraction (cognitive distortion) Selective abstraction is a type of cognitive bias or cognitive distortion in which a detail is taken out of context and believed whilst everything else in the context is ignored. It commonly appears in Aaron T. Beck's work in cognitive therapy. Beneficence is the ethical principle that means: a. help Client education on HIV and other sexually transmitted diseases: d. is important information to incorporate in the treatment process of every client Completing necessary documentation for admission to a particular treatment program occurs during the __________ process. a. intake Concise and accurate reporting is necessary in order to: b. ensure continuity of client care Counselor self-disclosure is BEST limited to: b. ideas and emotional reactions in the counseling session Drowsiness or coma, slurred speech, impairment in attention or memory are all signs or symptoms of: d. opioid intoxication Generally, the Tarasoff requirement has been interpreted as: d. a duty to warn the intended victim and/or the police In his second counseling session, a client reveals to the counselor that he is HIV positive. The counselor's best course of action is to: d. discuss the client's case with a clinical supervisor in order to meet the needs of the client