IC & RC Exam Practice Questions with answers, Exams of Nursing

Download IC & RC Exam Practice Questions with answers and more Exams Nursing in PDF only on Docsity! IC & RC Exam Practice Questions with answers __________ is the essential first step in determining the possible cause of addiction for the person and the most appropriate treatment modality for his or needs ✔Assessment A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should ✔discuss these concerns with the client and make necessary changes in treatment goals A common error that counselors maken when conducting an assessment is ✔moving too quickly from data collection to treatment planning A female client reports that she has some concerns about that relationship between her husband and her 14-year-old daughter from a previous marriage. She reports that her husband and daughter frequently argue, that her daughter refuses to take direction from her stepfather, mid that her daughter regularly complains about her stepfather's "faults" and describes how her biological father is better. The MOST relevant professional to whom a referral should be made is a ✔Marriage and family therapist A key factor for counselors to consider is that in counseling relationship, the counselor has differential power. One of the best safeguards is ✔to be alert and understand the power relationship A pretreatment period is frequently the result of waiting lists or client reluctance to become fully engaged in primary treatment. What might be a danger of this pretreatment period? ✔The pretreatment period may be when clients lose interest in treatment According to Marlatt's model of the relapse process, which of the following statements is not true? ✔Clients should be helped to recognizethat one or more temporary lapses are likely to occur and are premitted According to the DSM-IV-TR, all of the following are criteira for pschoactive substance dependence EXCEPT ✔mark lack of intiative, interest or energy. All of the following are goals of person-centered therapy EXCEPT (Rogers) ✔teaching clients to formulate and carry out plans to chenge their behaviors Bob is a case manager in an intensive inpatient trestment 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 habe knowledge of all of the following except: ✔new medication used in treatment regimens Therapeutic communities differ from Synanon because ✔these communities try to return clients to society. During the screening process, a critical task that the counselor has is to ✔establish rapport with the client During the assessment process, your alcohol and tranquilizer abusing client reveals a history of self-destructiveness when frustrated and an inability to delay impulses. The MOST appropriate assessment battery in this case is ✔the Beck Depression Scale, the MAST (Minnisota) test, and the MMPI The primary purpose the screening process is to ✔determine one's appropriateness and eligibility for admission Effective case management for persons in need of multiple services requires: ✔monitoring, feedback, and evaluation of services In deterininig whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT ✔whether the patients job and family are likely to give him another chance is this treatment fails. Alcohol decreases resistance to HIV infection by ✔a. compromising T-cell functions. 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 Providing the client with information regarding program rules, and infractions that can lead to discharge, normally occurs during ✔orientation Which of the following is NOT a commonly used techinque for crisis ✔immediately refer the client to an agency to help change the situation. The CAGE test is a simple assessment that is administered to individuals with a drinking problem. THe questions in this test refer to ✔cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers. The focus of intervention in the criminal justice system is first to ✔protect the health, safety, and welfare of the public. The goal of Al-Anon is ✔To provide a fellowship and support for individuals in relationships with alcoholics. Which of the following modes of sexual transmission provides the LOWEST risk of HIV transmission? ✔female to female 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 in adulthood is: ✔Intimacy vs. Isolation The description of the client's rights typically occurs during the ✔orientation (clients rights officer). During the intake, a counselor can expect to address all of the following issues EXCEPT: ✔treatment planning. Comprehensive client documentation ✔facilitates communication and enhances accountability Relapse prevention efforts are aimed at ✔identifying high-risk situations and learning alternative coping skills. Before therapy or counseling begins, clients may be given information about the treatment they will receive, as well as possible risks involved. ✔obtaining informed consent to treatment. Which statement BEST describes how a counselor can avoid professional burnout? ✔attend to health through adequate sleep, an exercise program, and proper diet. 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? ✔denial, minimalization, and rationalization A client says to you, "I am getting to like you very much and I'd like us to get closer." You should first ✔talk openly about transference issues. The initial stage if crisis intervention invovles ✔determining the problem The measurement of progress toward treatment plan goals is best assessed by ✔reviewing documentation in progress notes. A fourteen-year-old male is being evaluated for cocaine abuse. He has no knowledge of any family history of abuse and has indicated that he began only in the past 6 months. Which of the following addiction factors is most likely the most influential on his drug use? (A) Family influence (B) Genetics (C) Peer influence (D) Television and media ✔There are many factors which may lead to addiction and they will vary for each individual. However, we can isolate and identify certain tendencies based on the variables of each case. In this situation, the subject is an adolescent. At this age the influence of peers can have the greatest impact on a person's behavior. This is when a person will begin to break away from the influence of the family which tends to have a larger impact during childhood. Genetics always play a large role in the susceptibility to addiction but since there is no family history, it is difficult to point to the extent of the influence it has in this case. Television and other media while can be somewhat influential, is most often only a minor factor in addiction tendency. The answer is (C) Which of the following is not a model for the causation of addiction? (A) Moral model (B) Blended model (C) Genetic model (D) Familial model ✔Models are an attempt to explain simply why people become addicted. Each model theorizes a different main factor in the causation of addiction. The moral model holds humans accountable for their own actions and states that addiction can be controlled by choice of the individual. Addiction therefore is a weakness and is not caused by any genetic or outside influence. The genetic model is the belief that a person's biological makeup is responsible for addiction tendencies. There is also the disease and cultural model which as it sounds sees addiction as a disease. The blended model is an approach that incorporates all potential factors. While family influence can be an influence on a person's addiction, there is no familial model for causation. The answer is (D) As an individual continues to use an addictive forming drug over a period of time, which of the following is a correct statement regarding the influence of outside factors (peers, family, stress) contributing to the habit of addiction? (A) As drug use continues the influence of outside factors remains about the same (B) As drug use continues the influence of outside factors increases (C) As drug use continues the influence of outside factors decreases (D) None of the above ✔As an individual continues the use of addictive drugs, the chemical effects of the drug begin to take over and the effect of other influences begins to decrease. The answer is (C) Which of the following is the most commonly abused substance in America? (A) Marijuana (B) Alcohol (C) Cocaine (D) Prescription Drugs ✔Due its wide availability and being legal, alcohol is the most widely abused substance in The United States. The answer is (B) Which of the following is a true statement regarding the abuse of alcohol? (A) Women have a higher risk of developing problems from alcohol abuse than men (B) Men are more likely to drink higher volumes of alcohol than women (C) Organ damage due to alcohol abuse is more likely in women than men (D) All of the above ✔There are significant gender differences in relation to the abuse of alcohol. Men in general will tend to drink more in terms of volume and are even more likely to drink alcohol in general. However, alcohol is absorbed differently in women than in men.