Counseling Role and Theory Application in Substance Abuse Cases, Exams of Nursing

Download Counseling Role and Theory Application in Substance Abuse Cases and more Exams Nursing in PDF only on Docsity! [Type the document title] 31) While the overall national suicide rate has increased slightly but consistently in recent years, disproportionate increases have occurred among: A. Females and the elderly. B. Females and the young. C. Males and the elderly. D. Males and the young. - correct answer B. Females and the young. 11) Comprehensive client documentation: A. Is best achieved when done independently from direct client care. B. Facilitates communication and enhances accountability. C. Is used primarily by the primary counselor. D. Is a standardized process. - correct answer B. Facilitates communication and enhances accountability. 14) 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" - correct answer A. "I'm not sure I understand. Let me check this out" 17) 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 relationship. D. The unique qualities of the client/counselor relationship. - correct answer A. The "here and now." 19) A frequent client reaction during the termination phase of counseling is: [Type the document title] A. Defensiveness. B. Acting out behavior. C. Apathy. D. Lack of trust. - correct answer B. Acting out behavior. 25) The branch of pharmacology that deals with the biological, biochemical, and physical characteristics of natural drugs is: A. Pharmacokinetics. B. Pharmacognosy. C. Pharmacotherapeutics. D. Pharmacodynamics. - correct answer B. Pharmacognosy. 29) 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. - correct answer C. The divorce rate in dysfunctional families is highest after recovery has been initiated. 40) Assessment, according to the behavioral approach, involves: A. Taking a client history and specifying problematic behavior. B. Specification of the problematic behavior and collection of baseline data. C. Identification of the problematic behavior and evaluation of the client's motivation to change. D. Specification of the problematic behavior and evaluation of the client's motivation to change. - correct answer B. Specification of the problematic behavior and collection of baseline data. [Type the document title] quite resistant to attending A.A. meetings because of fear of being seen by his friends at meetings. The counselor helped Bill deal with his feelings by encouraging him to "A, B, C" his thoughts about what people might think of him if seen at meetings and documented the client's progress in his chart with a process note. In addition, Bill was provided a set of videotapes which provided information about the disease concept of addiction, family dynamics, relapse prevention and problem solving strategies to review during his first two weeks of treatment. In the sixth week of counseling, Bill became quite agitated and insisted he was going to have to stop treatment because his work schedule had been changed - four of his advice of his clinical supervisor since financial problems were outside his scope of expertise. The clinical supervisor suggested that the counselor schedule an appointment with a non-profit credit counseling agency near his home. After explaining the discussion with his supervisor, Bill agreed to the appointment. Upon completion of the 12 week program, the client was discharged with instructions to attend 90 A.A. meetings in 90 days and twice weekly aftercare sessions. It was noted that the counselor lived less than two blocks from the client and so they agreed to car pool to aftercare meetings. Based on the information found in the case history, please select the BEST response to each of the following questions. What counseling theory was applied to the client's resistance to attending AA Meetings? A. Motivational Interviewing B. Rational Emotive C. Client Centered D. Gestalt - correct answer B. Rational Emotive 81) Which situation requires a client's informed consent? A. A counselor refers a client back to the referring source at completion of treatment B. A counselor discusses a client's case with the counselor's supervisor C. A counselor discusses a client's case with another counselor in the treatment facility D. A client reports recent child abuse - correct answer D. A client reports recent child abuse 83) 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 [Type the document title] B. Denial, minimization, and rationalization C. Sub-limitation, displacement, and compensation D. Identification, minimization, and Sub-limitation - correct answer B. Denial, minimization, and rationalization 86) 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 change. - correct answer A. Formulate and carry out realistic personal and professional goals. 88) The process of termination should be discussed: A. When the client appears to have gained all that he or she can from therapy. B. At the point specified in the therapeutic contract. C. At the onset of therapy. D. When the client brings it up. - correct answer D. When the client brings it up. 89) What are the PRIMARY factors that made the client appropriate for this level of care? A. There were no physical complications and the client was motivated B. The client was court-ordered and had the ability to pay for services C. The client was intelligent and highly motivated D. The client lived close by and was gainfully employed - correct answer A. There were no physical complications and the client was motivated 95) 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 [Type the document title] 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 - correct answer B. The counselor identified and ranked the client's problems needing resolution 116) 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. - correct answer C. Protect the health, safety, and welfare of the public. 141) According to Marlatt's model of the relapse process, which of the following statements is NOT true? A. Clients should be taught skills for anticipating, avoiding, and coping with their personal high-risk situations. B. Clients should be taught constructive responses to cope with lapses when they do occur. C. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. D. Any positive expectations that clients have about drug use should be countered with reminders about the lows that follow the highs and about the long-term negative consequences of substance abuse. - correct answer C. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. 146) Stress inoculation focuses primarily on: A. Increasing self-control. B. Increasing coping skills. C. Decreasing anxious responding. D. Decreasing negative thought patterns. - correct answer B. Increasing coping skills. 147) According to the American Society of Addiction Medicine (ASAM), which of the following is NOT one of the five categories of primary treatment? [Type the document title] 140) 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." - correct answer B. "My counselor will direct me to do what I need to do, and everything will be OK." 139) 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. - correct answer D. A partnership between AA and the professional community was repeatedly emphasized by the founders of AA. 138) ___________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 - correct answer B. Assessment 137) In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT: [Type the document title] 31) While the overall national suicide rate has increased slightly but consistently in recent years, disproportionate increases have occurred among: A. Females and the elderly. B. Females and the young. C. Males and the elderly. D. Males and the young. - correct answer B. Females and the young. 11) Comprehensive client documentation: A. Is best achieved when done independently from direct client care. B. Facilitates communication and enhances accountability. C. Is used primarily by the primary counselor. D. Is a standardized process. - correct answer B. Facilitates communication and enhances accountability. 14) 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" - correct answer A. "I'm not sure I understand. Let me check this out" 17) 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 relationship. D. The unique qualities of the client/counselor relationship. - correct answer A. The "here and now." 19) A frequent client reaction during the termination phase of counseling is: [Type the document title] A. Defensiveness. B. Acting out behavior. C. Apathy. D. Lack of trust. - correct answer B. Acting out behavior. 25) The branch of pharmacology that deals with the biological, biochemical, and physical characteristics of natural drugs is: A. Pharmacokinetics. B. Pharmacognosy. C. Pharmacotherapeutics. D. Pharmacodynamics. - correct answer B. Pharmacognosy. 29) 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. - correct answer C. The divorce rate in dysfunctional families is highest after recovery has been initiated. 40) Assessment, according to the behavioral approach, involves: A. Taking a client history and specifying problematic behavior. B. Specification of the problematic behavior and collection of baseline data. C. Identification of the problematic behavior and evaluation of the client's motivation to change. D. Specification of the problematic behavior and evaluation of the client's motivation to change. - correct answer B. Specification of the problematic behavior and collection of baseline data. [Type the document title] quite resistant to attending A.A. meetings because of fear of being seen by his friends at meetings. The counselor helped Bill deal with his feelings by encouraging him to "A, B, C" his thoughts about what people might think of him if seen at meetings and documented the client's progress in his chart with a process note. In addition, Bill was provided a set of videotapes which provided information about the disease concept of addiction, family dynamics, relapse prevention and problem solving strategies to review during his first two weeks of treatment. In the sixth week of counseling, Bill became quite agitated and insisted he was going to have to stop treatment because his work schedule had been changed - four of his advice of his clinical supervisor since financial problems were outside his scope of expertise. The clinical supervisor suggested that the counselor schedule an appointment with a non-profit credit counseling agency near his home. After explaining the discussion with his supervisor, Bill agreed to the appointment. Upon completion of the 12 week program, the client was discharged with instructions to attend 90 A.A. meetings in 90 days and twice weekly aftercare sessions. It was noted that the counselor lived less than two blocks from the client and so they agreed to car pool to aftercare meetings. Based on the information found in the case history, please select the BEST response to each of the following questions. What counseling theory was applied to the client's resistance to attending AA Meetings? A. Motivational Interviewing B. Rational Emotive C. Client Centered D. Gestalt - correct answer B. Rational Emotive 81) Which situation requires a client's informed consent? A. A counselor refers a client back to the referring source at completion of treatment B. A counselor discusses a client's case with the counselor's supervisor C. A counselor discusses a client's case with another counselor in the treatment facility D. A client reports recent child abuse - correct answer D. A client reports recent child abuse 83) 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 [Type the document title] B. Denial, minimization, and rationalization C. Sub-limitation, displacement, and compensation D. Identification, minimization, and Sub-limitation - correct answer B. Denial, minimization, and rationalization 86) 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 change. - correct answer A. Formulate and carry out realistic personal and professional goals. 88) The process of termination should be discussed: A. When the client appears to have gained all that he or she can from therapy. B. At the point specified in the therapeutic contract. C. At the onset of therapy. D. When the client brings it up. - correct answer D. When the client brings it up. 89) What are the PRIMARY factors that made the client appropriate for this level of care? A. There were no physical complications and the client was motivated B. The client was court-ordered and had the ability to pay for services C. The client was intelligent and highly motivated D. The client lived close by and was gainfully employed - correct answer A. There were no physical complications and the client was motivated 95) 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 [Type the document title] 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 - correct answer B. The counselor identified and ranked the client's problems needing resolution 116) 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. - correct answer C. Protect the health, safety, and welfare of the public. 141) According to Marlatt's model of the relapse process, which of the following statements is NOT true? A. Clients should be taught skills for anticipating, avoiding, and coping with their personal high-risk situations. B. Clients should be taught constructive responses to cope with lapses when they do occur. C. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. D. Any positive expectations that clients have about drug use should be countered with reminders about the lows that follow the highs and about the long-term negative consequences of substance abuse. - correct answer C. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. 146) Stress inoculation focuses primarily on: A. Increasing self-control. B. Increasing coping skills. C. Decreasing anxious responding. D. Decreasing negative thought patterns. - correct answer B. Increasing coping skills. 147) According to the American Society of Addiction Medicine (ASAM), which of the following is NOT one of the five categories of primary treatment? [Type the document title] 140) 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." - correct answer B. "My counselor will direct me to do what I need to do, and everything will be OK." 139) 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. - correct answer D. A partnership between AA and the professional community was repeatedly emphasized by the founders of AA. 138) ___________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 - correct answer B. Assessment 137) In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT: [Type the document title] 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. - correct answer B. Whether the patient's job and family are likely to give him another chance if this treatment fails. 136) A single mother with three young children enters your clinic and begins to discuss her current drug use. She tells you that she hasn't been home for several days and has left the 8 year old in charge. What do you do? A. Contact child protective services to report this incident. B. Explain to her the limits of confidentiality regarding drug use. C. Admit her for treatment and arrange childcare services. D. Contact law enforcement to have her arrested for child abuse and neglect. - correct answer A. Contact child protective services to report this incident. 135) 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. - correct answer B. Assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors. 134) "Referral" pertains to: [Type the document title] 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. - correct answer A. Assisting a client to utilize the support systems and community resources available. 133) 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 ¡s 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 ¡s being followed. - correct answer A. The counselor should coordinate regular meetings with all professionals involved in the client's treatment. 132) You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; gooseflesh; lacrimation; muscle jerks; flu syndrome; vomiting; diarrhea; nervousness; yawning; and severe anxiety. You conclude that the client is withdrawing from: A. Hallucinogens. B. CNS depressants. C. Opioids. D. Dextro-amphetamines. - correct answer C. Opioids. 131) An irresistible impulse is called a(an): A. Compulsion. B. Delusion. C. Hallucination. [Type the document title] B. The Beck Depression Scale the MAST test, and the Stanford-Binet. C. The MAST test, the Strong-Campbell, and the Stanford-Binet. D. The MMPI, the Strong-Campbell, and the Stanford-Binet. - correct answer A. The Beck Depression Scale , the MAST test, and the MMPI. 122) Written consent to release client information is required EXCEPT when the release is to the client's: A. Spouse who participates in joint counseling sessions. B. Employer when confirmation of attendance is needed for continued employment. C. Attorney when verification of admission status ¡s needed for a court hearing. D. Physician when information on medications prescribed in treatment is requested. - correct answer A. Spouse who participates in joint counseling sessions. 121) 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 MOST true? 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 recovery process. - correct answer 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. 120) 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. [Type the document title] D. Asking the client to write a personal evaluation of his/her own progress. - correct answer A. Reviewing documentation in progress notes. 119) During the intake, a counselor can expect to address all of the following issues EXCEPT: A. A client's fears and denial. B. Confidentiality. C. Information gathering. D. Treatment planning. - correct answer D. Treatment planning. 118) Which of the following responses would be helpful ¡n 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" - correct answer C. "Let's talk about each of our expectations for counseling" 117) 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. - correct answer A. Intake 116) 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. - correct answer C. Protect the health, safety, and welfare of the public. [Type the document title] 115) Which of the following is a TRUE statement? A. Alcohol accounts for one-half of the ten leading causes of death in the Native American population. B. Cultural issues no longer play a role in alcoholism rates with the Native American population. C. Past efforts to treat the Native American alcoholic have proven highly successful. D. Revia has proven to be a popular intervention in the effective treatment of Native American populations. - correct answer A. Alcohol accounts for one-half of the ten leading causes of death in the Native American population 114) 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 of the client's feelings. B. Confront the client's behavior. C. Instruct the client in relaxation techniques. D. Call for assistance. - correct answer D. Call for assistance 113) 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. - correct answer B. Orientation. 112) In order to provide clients with updated information concerning addiction and recovery, the counselor must: A. Regularly attend A.A. and/or N.A. meetings. B. Stay well-informed and aware of recent developments in the field. C. Teach classes about these topics. [Type the document title] C. Referring him for additional treatment. D. Asking him what worked before. - correct answer D. Asking him what worked before. 106) 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. - correct answer C. To support the gains made in treatment. 104) 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. - correct answer B. Have incorrect information and unanswered questions about the program. 102) 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. - correct answer D. Focusing questions about the present situation and the client's means of coping with the stress. 103) All of the following are symptoms of the manic phase of bipolar mood disorder EXCEPT: A. Deflated self-esteem. B. Euphoria. C. High levels of verbal output. D. Pressured speech. - correct answer A. Deflated self-esteem. [Type the document title] 100) 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 B. Continued use despite experiencing problems that result from drinking C. Recurring incidents of driving under the influence D. Depression and lethargy - correct answer A. Increased tolerance and withdrawal symptoms when abstinence is attempted 101) Morning drinking ¡s not an uncommon occurrence with alcoholics. Which of the following is NOT a true statement? A. Morning drinking will reduce the symptoms of withdrawal B. Morning drinking will keep the alcoholic's blood alcohol level from dropping. C. Morning drinking will lessen the need for alcohol during the remainder of the day D. Morning drinking reduces anxiety that effects the alcoholic's ability to start the day - correct answer C. Morning drinking will lessen the need for alcohol during the remainder of the day 98) 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). - correct answer A. Treatment Alternatives to Street Crime (TASC). 99) Bob is a case manager in an intensive inpatient treatment facility. He recently was assigned a client, Mary, who presents not only with alcoholism but has also been diagnosed with AIDS. To assist Mary in her treatment and recovery needs, Bob would probably need to have knowledge of all of the following areas EXCEPT: A. AIDS epidemiology and transmission routes. B. The disease's clinical progression. C. New medication used in treatment regimens. [Type the document title] D. Available social services for AIDS clients. - correct answer C. New medication used in treatment regimens 96) 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 values. D. Seek out another Somali who is in a local AA group and ask the he or she sponsor your client. - correct answer C. Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's values. 94) The tendency of the family to try and maintain balance is called: A. Equilibrium. B. Stability. C. Homeostasis. D. Accommodation. - correct answer C. Homeostasis. 95) 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 - correct answer B. The counselor identified and ranked the client's problems needing resolution [Type the document title] C. Analyze client problems. D. Convince clients to change. - correct answer A. Formulate and carry out realistic personal and professional goals. 83) 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, minimization, and rationalization C. Sub-limitation, displacement, and compensation D. Identification, minimization, and Sub-limitation - correct answer B. Denial, minimization, and rationalization 84) A 42-year-old male has just completed intake admission forms and is considered appropriate and eligible for treatment. Which step should occur next? A. A licensed physician should conduct a physical examination of the client. B. The client should complete psychological tests to be used ¡n the evaluation. C. The counselor should conduct an initial family therapy session in order to address problems caused by the client's use. D. The counselor should provide the client with an overview describing the goal, objectives, rules, and obligations of the program. - correct answer D. The counselor should provide the client with an overview describing the goal, objectives, rules, and obligations of the program. 80) Some populations suffer greater rates of addiction than others. The Native American population, for example, have addiction rates of: A. 20%. B. 30%. C. 40%. D. >50%. - correct answer D. >50%. [Type the document title] 81) Which situation requires a client's informed consent? A. A counselor refers a client back to the referring source at completion of treatment B. A counselor discusses a client's case with the counselor's supervisor C. A counselor discusses a client's case with another counselor in the treatment facility D. A client reports recent child abuse - correct answer D. A client reports recent child abuse 82) All of the following are goals of person-centered therapy EXCEPT: A. Teaching clients to formulate and carry out plans to change their behavior. B. Focusing on the person instead of the presenting problem. C. Assisting clients in enhancing their coping skills. D. Individualizing the treatment plan. - correct answer A. Teaching clients to formulate and carry out plans to change their behavior. 79) Sarah, a counselor in a drug treatment center, grew up in an alcoholic home and still has strained relationships. Which statement BEST describes Sarah's situation? A. Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center. B. Sarah can resolve her personal pain by working professionally with addicted family units in a treatment center. C. Sarah may be more comfortable with her clients because she is familiar with their behavior. D. Sarah may have unfinished business with her parents. - correct answer A. Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center. 78) Effective communication occurs in groups when: A. Message receivers hear "you" messages. B. Message receivers do not speak. C. Message senders use third-person pronouns. D. Message senders use "I" messages. - correct answer D. Message senders use "I" messages. [Type the document title] 77) Based upon the initial interview, Bill was given a provisional Axis I diagnosis of "alcohol dependence" and admitted to an Intensive outpatient program. After completion of the initial interview, Bill was given a tour of the facility, a client ' handbook, and introduced to his primary counselor and scheduled an appointment the next day to discuss what the client could expect during treatment and what would be expected of him in return. During his treatment Bill worked with his counselor to develop four primary treatment goals: 1) To spend at least four hours every other weekend with his children; 2) To attend three A.A. meetings a week for the next three months; 3) To abstain from alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12 week Intensive outpatient treatment program. Bill was quite resistant to attending A.A. meetings because of fear of being seen by his friends at meetings. The counselor helped Bill deal with his feelings by encouraging him to "A, B, C" his thoughts about what people might think of him if seen at meetings and documented the client's progress in his chart with a process note. In addition, Bill was provided a set of videotapes which provided information about the disease concept of addiction, family dynamics, relapse prevention and problem solving strategies to review during his first two weeks of treatment. In the sixth week of counseling, Bill became quite agitated and insisted he was going to have to stop treatment because his work schedule had been changed - four of his employees had quit their jobs and he was going to have to fill in the irresponsibility. His counselor met with him and encouraged him to calm down and accept a change in his daily treatment schedule. Given his limited financial means and approximately $7,500 of debt on his Visa card and the fact that Bill talked excessively about his enormous debt, his counselor sought the advice of his clinical supervisor since financial problems were outside his scope of expertise. The clinical supervisor suggested that the counselor schedule an appointment with a non-profit credit counseling agency near his home. After explaining the discussion with his supervisor, Bill agreed to the appointment. Upon completion of the 12 week program, the client was discharged with instructions to attend 90 A.A. meetings in 90 days and twice weekly aftercare sessions. It was noted that the counselor lived less than two blocks from the client and so they agreed to car pool to aftercare meetings. Based on the information found in the case history, please select the BEST response to each of the following questions. What counseling theory was applied to the client's resistance to attending AA Meetings? A. Motivational Interviewing B. Rational Emotive C. Client Centered D. Gestalt - correct answer B. Rational Emotive 76) The first contact that a potential client would have with an agency would likely be for the purpose of: [Type the document title] D. The client signed all required consent forms - correct answer D. The client signed all required consent forms 67) Your dually-diagnosed client, stabilized on medication for his psychiatric disorder, decides he wants to quit smoking. You should: A. Advise him to select a quit date within the next 2 weeks. B. Encourage him to use the nicotine patch or gum. C. Consult with his physician regarding nicotine/medication interaction. D. Suggest he cut down the number of cigarettes daily for 2 weeks before quitting. - correct answer C. Consult with his physician regarding nicotine/medication interaction. 66) 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 D. An advanced degree - correct answer B. An ethical code of conduct 65) Therapeutic communities differ from Synanon because: A. These communities try to return clients to society. B. These communities are based on individual psychotherapy rather thanm group encounter. C. These communities keep the patients busy rather than engaging in contemplative thought. D. These communities rely on professional psychologists rather than former addicts or abusers. - correct answer A. These communities try to return clients to society. 64) 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. [Type the document title] 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. - correct answer C. The scheduling of an appointment for the client to talk to a college admissions 63) 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. - correct answer D. Seek out supervision with a colleague or supervisor. 62) 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 - correct answer A. Guilt and anger are painful emotions that are part of grieving 61) 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. I'll counsel you no matter what" - correct answer C. "Our meetings will consist of four 50 minute sessions at 10 a.m. each Wednesday" 60) AIl of the following are benzodiazepines EXCEPT: A. Valium. B. Halcion. [Type the document title] C. Trazodone. D. Xanax. - correct answer C. Trazodone 59) When making a referral you should do all of the following EXCEPT: A. Share what you know about the referral agency with your client. B. Follow through with the referral agency to ensure you get your referral fee. C. Offer to make the initial contact in order to ensure that the client sees the right person. D. Have the client sign a release of confidentiality form before following through with the referral. - correct answer B. Follow through with the referral agency to ensure you get your referral fee. 58) When language is a barrier to treatment planning, this situation can be overcome by: A. Employing an interpreter. B. Training the counselor in cultural sensitivity. C. Requiring the client to utilize a family member as an interpreter. D. Getting the client a language tutor. - correct answer A. Employing an interpreter. 57) Counselors rely heavily on the work of developmental theorists as they attempt to stimulate clients to initiate relevant growth. According to Erickson, one of the leaders in developmental theory, the task to be accomplished ¡n adulthood is: A. Trust vs. Mistrust. B. Integrity vs. Despair. C. Identity vs. Role Confusion. D. Intimacy vs. Isolation. - correct answer D. Intimacy vs. Isolation. 55) Which of the following issues must always be considered when consulting with out-of-agency professionals? A. Confidentiality B. Documentation of client problems [Type the document title] 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. - correct answer C. Decreased sensitivity to sounds, oversensitivity to tactile sensations. 47) 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. - correct answer D. Ask questions which facilitate a group response to Eric's disclosure and elicit more feeling content from Eric. 46) 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 ¡s 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. - correct answer D. Marriage and family therapist. 43) 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. [Type the document title] D. Identify the client's strengths and weaknesses. - correct answer C. Determine one's appropriateness and eligibility for admission. 44) In order to fill gaps in services to minority clients, communities should include all of the following EXCEPT: A. Education and training. B. Diagnosis and intervention. C. Segregated treatment programs. D. Integrated treatment programs with cultural programming.. - correct answer C. Segregated treatment programs 45) 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. - correct answer C. Determining the problem. . 41) 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. - correct answer A. To be alert to and understand the power relationship. 40) Assessment, according to the behavioral approach, involves: A. Taking a client history and specifying problematic behavior. B. Specification of the problematic behavior and collection of baseline data. [Type the document title] C. Identification of the problematic behavior and evaluation of the client's motivation to change. D. Specification of the problematic behavior and evaluation of the client's motivation to change. - correct answer B. Specification of the problematic behavior and collection of baseline data. 42) If Seconal is taken in combination with one of the following drugs, it leads to a "potentiation" of effect. Which drug will cause this effect? A. Alcohol B. Amphetamines C. Opiates D. Cocaine - correct answer A. Alcohol 39) The PRIMARY example of the counselor's use of effective recording and record keeping 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 - correct answer D. The counselor completed a progress note for the client's chart 40) Assessment, according to the behavioral approach, involves: A. Taking a client history and specifying problematic behavior. B. Specification of the problematic behavior and collection of baseline data. C. Identification of the problematic behavior and evaluation of the client's motivation to change. - correct answer B. Specification of the problematic behavior and collection of baseline data. 38) Which of the following is the BEST indicator if an individual is physically dependent upon alcohol or another drug? A. The amount consumed daily [Type the document title] 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. - correct answer C. The divorce rate in dysfunctional families is highest after recovery has been initiated. 30) 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. - correct answer D. The speed of the onset and duration of the effects. 27) 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. - correct answer B. Talk openly about transference issues. 28) The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents ¡s lack of: - A. Job skills. B. Child care services. C. Educational training. D. Primary health care. - correct answer B. Child care services. 25) The branch of pharmacology that deals with the biological, biochemical, and physical [Type the document title] characteristics of natural drugs is: A. Pharmacokinetics. B. Pharmacognosy. C. Pharmacotherapeutics. D. Pharmacodynamics. Discuss this Question - correct answer B. Pharmacognosy. 26) The therapeutic reasoning for self-disclosure in group counseling is to: 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. - correct answer D. Facilitate the growth of the group by relating to client or group issues. 23) 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. - correct answer C. Advocate for the treatment center's approach to care. 24) 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" - correct answer D. "she's really serious about your sobriety" [Type the document title] 21) The BEST way of dealing with individual needs in a group is to: A. Use the group process to share mutual concerns. B. See the client for individual counseling outside of group. C. Conduct one-on-one sessions in the group. D. Not allow monopolizing by members in group. Discuss this Question - correct answer A. Use the group process to share mutual concerns. 22) Which statement BEST describes how a counselor can avoid professional 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. - correct answer C. Attend to health through adequate sleep, an exercise program, and proper diet. 19) A frequent client reaction during the termination phase of counseling is: A. Defensiveness. B. Acting out behavior. C. Apathy. D. Lack of trust. Discuss this Question - correct answer B. Acting out behavior. 20) 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. - correct answer C. Al-Anon [Type the document title] 9) 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 - correct answer B. Information about consultations, diagnosis, treatment, prognosis, and progress 10) Before therapy or counseling begins, clients may be given information about the treatment they will receive, as well as possible risks involved. This process is known as: A. Self-disclosure. B. Releasing information. C. Protecting confidentiality. D. Obtaining informed consent to treatment. - correct answer D. Obtaining informed consent to treatment. 7) One of the counselor's tasks is to guide the client in relating and communicating in specific terms, rather than in general or abstract terms. That characteristic or ability is called: A. Confrontation. B. Immediacy. C. Potency. D. Concreteness. - correct answer D. Concreteness. 8) Relapse prevention efforts are aimed at: A. Developing a therapeutic relationship for sobriety and maintenance. B. Changing expectations regarding the effects of intervention. C. Identifying high-risk situations and learning alternative coping skills. D. Discussing aspects of evaluation and treatment. - correct answer C. Identifying high-risk situations and learning alternative coping skills. [Type the document title] 5) A mental status exam does NOT assess: A. Educational level. B. Appearance. C. Speech. D. Thought processes. - correct answer A. Educational level. 6) 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. B. Strengthen the appearance of professionalism among addiction counselors. C. Clarify the difference between acceptable and unacceptable client behavior. D. Provide legal recourse and concrete consequences for unethical behavior. - correct answer A. Serve as a guide in helping clients while behaving in a fair way to colleagues. 3) A major method of reinforcing the therapeutic alliance and spirit of collaboration between the client and the counselor is: A. Including the client's family members in counseling. B. Setting mutually-established goals. C. Going to 12-step meetings with the client. D. Offering to make home visits. - correct answer B. Setting mutually-established goals. 4) 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 - correct answer C. The inability to control the amount one drinks u1) A reward is something given for a special behavior, whereas positive reinforcement is: [Type the document title] 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 consequences. - correct answer B. Something specifically designed to increase the occurrence of a particular behavior. 2) 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. - correct answer B. Moving too quickly from data collection to treatment planning.