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1. It is considered unethical for a counselor to: a. talk with a client any place other than the counseling office b. treat client problems that are beyond his skill level c. refuse treatment for certain clients
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a. talk with a client any place other than the counseling office
b. treat client problems that are beyond his skill level
c. refuse treatment for certain clients
d. discuss some personal feelings - ✔✔b. treat client problems that are beyond his skill level
a. consulting with other professionals
b. making referrals
c. family system dynamics
d. release of information forms - ✔✔b. making referrals
a. they must be avoided
b. they should be discouraged
c. they are left to the discretion of the counselor
d. they should first be discussed with one's superior - ✔✔a. they must be avoided
a. remain in denial about his/her addiction and leave against staff advice
b. have incorrect information and unanswered questions about the program
c. need to be referred to an outside agency for additional counseling
d. need additional education about addiction and its effects on the body. - ✔✔b. have incorrect information and unanswered questions about the program
a. processing the data collected from the client
b. asking too many questions and interrupting the client
c. moving too quickly from data collection to treatment planning
d. focusing on strengths and weaknesses rather than relationships - ✔✔c. moving too quickly from data collection to treatment planning
a. admitting to a drinking and/or drug problem
b. working all 12 steps of a 12-step program
c. inpatient treatment and aftercare
d. signature of client - ✔✔c. signature of counselor
a. to solve the client's presenting problem
b. to refer him/her to the nearest psychiatrist
c. to help convert the emergency into a solvable problem
d. to try not to get the client any more upset than they already are - ✔✔c. to help convert the emergency into a solvable problem
a. women have customarily been expected to live up to a higher standard of moral and social behavior
b. society perceives female substance abusers as promiscuous, immoral, and unfeminine
c. mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities
d. a number of roles traditionally deemed female - in particular, nurturing and maternal duties - are perceived as incompatible with drug-affected behavior - ✔✔c. mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities
a. counselors should take their clients to AA meetings
b. counselors should assign the client an AA sponsor
c. an AA representative should be invited to visit the program
d. counselors should visit AA meetings and have a list of meetings to share with clients - ✔✔d. counselors should visit AA meetings and have a list of meetings to share with clients
a. assist in client education
b. ensure continuity of client care
c. demonstrate counselor competence
d. identify client strengths and weaknesses - ✔✔b. ensure continuity of client care
a. they are mandated by most funding sources
b. they are reviewed and deemed medically necessary
c. counselor's caseloads are generally too large to manage alone
d. input and information from others will assist the treatment process - ✔✔d. input and information from others will assist the treatment process
a. tears
b. covert (hidden) prejudice
c. overt racism and hostility
d. the "color-blind" counselor - ✔✔d. the "color-blind" counselor
a. mixed blessing dilemma
b. approach-avoidance conflict
c. double-avoidance conflict
d. relapse conflict - ✔✔b. approach-avoidance conflict
a. a referral to a licensed family therapist
b. a period of sobriety for all family members
c. development of a 3-generation genogram
d. interruption of ongoing patterns with confrontation or disengagement - ✔✔d. interruption of ongoing patterns with confrontation or disengagement
a. synergy
b. synthesis
c. synesthesia
d. synaptic overload - ✔✔c. synesthesia
a. stronger in males than in females
b. not a problem after one year of sobriety
c. not a problem for the non-substance abusing family members
d. a common barrier to overcome in the early stage of accepting the abuse problem - ✔✔d. a common barrier to overcome in the early stage of accepting the abuse problem
a. self-assessment
b. attitude adjustment
c. medication evaluation
d. disputing of rational beliefs - ✔✔a. self-assessment
a. complete a mental status exam
b. engage the client's family in treatment
c. presence of withdrawal symptoms
d. the frequency of memory blackouts - ✔✔c. presence of withdrawal symptoms
a. a compete medical report
b. the client's problems and services to be provided
c. an overview of the client's educational and psychological history
d. a mental status exam including orientation to time, place, and person - ✔✔b. the client's problems and services to be provided
a. identify alternative courses of action
b. contact emergency personnel
c. offer emotional support
d. assess the degree of risk - ✔✔d. assess the degree of risk
a. challenging the client about behaviors that prompted the urge
b. detailing a schedule of increased AA attendance for the client
c. confronting the urge to drink by reinforcing the reality that the client can never return to drinking
d. normalizing the drinking urge and encouraging continued efforts towards relapse prevention - ✔✔d. normalizing the drinking urge and encouraging continued efforts towards relapse prevention
a. it is the coordination of services in an effort to reach the goals of the treatment plan
b. it is the clinical supervision of the counseling staff by case manager
c. it is management of treatment to assure collateral care with outside agencies
d. it is the process of monitoring the client's compliance with accreditation standards - ✔✔a. it is the coordination of services in an effort to reach the goals of the treatment plan
a. Sally's goals in life
b. Sally's social resources
c. Sally's internal conflict
d. Sally's familial relationships and social milieu - ✔✔d. Sally's familial relationships and social milieu
a. revise the treatment plan
b. refer the client to the agency psychiatrist
c. cancel the client's next individual counseling session
d. consult with supervisor and other members of the treatment team. - ✔✔d. consult with supervisor and other members of the treatment team.
a. Rational Emotive Therapy
b. Reality Therapy
c. Psychoanalysis
d. Gestalt Therapy - ✔✔c. Psychoanalysis
a. prevent the practice of alcohol and drug abuse counseling by unqualified and unauthorized persons
b. make provisions for the maintenance of confidentiality and the ultimate disposition of confidential reports
c. be concerned primarily with the reputation of the profession when in the presence of professional conflict
d. espouse objectivity and integrity and maintain the highest standards in the services provided - ✔✔c. be concerned primarily with the reputation of the profession when in the presence of professional conflict
a. an emphasis on the past
b. a focus on unfinished business
c. an emphasis on diagnostic considerations
d. a focus on the conflict between the id and the superego - ✔✔b. a focus on unfinished business
Of the five basic counseling styles that define how a non-minority counselor might deal with a minority client, which style will produce the most positive outcome when working with a minority client?
a. Overt Racism and Hostility
b. covert (hidden) prejudice
c. the "color-blind" counselor
d. the "culturally-liberated" counselor - ✔✔d. the "culturally-liberated" counselor
a. denying
b. mourning
c. repressing
d. rationalizing - ✔✔b. mourning
a. discuss this with his/her supervisor
b. refer the client to someone else
c. inform the client of this fact
d. do not inform the client of this fact - ✔✔c. inform the client of this fact
a. client's orientation
b. screening
c. client's education
d. assessment - ✔✔b. screening
a. depression and lethargy accompanied by radical mood swings
b. recurring incidents of driving under the influence
c. continued use despite experiencing problems that result from drinking
d. increased tolerance and withdrawal symptoms when abstinence is attempted - ✔✔d. increased tolerance and withdrawal symptoms when abstinence is attempted
a. treatment plans should relate to the counselor's treatment philosophy and methods
b. treatment plans need not be updated after the client agrees to the initial plan
c. client's own goals for treatment must be considered and discussed
d. client's family should agree with treatment plan - ✔✔c. client's own goals for treatment must be considered and discussed
a. analyze the denial
b. directly confront the denial
c. realize denial enhances entrance into treatment
d. realize denial does not reoccur after counseling begins - ✔✔b. directly confront the denial
a. they are fairly reliable indicators of emotional impairment
b. they involve the individual's conscious attempts to keep others at a distance
c. they are ways of coping that are used by everyone
d. they are not a counseling issue with essentially healthy clients - ✔✔c. they are ways of coping that are used by everyone
a. the client and family
b. the agency board of directors and their support staff
c. only persons directly involved in providing clinical services
d. the police department and/or judicial system officials connected to the case - ✔✔c. only persons directly involved in providing clinical services
a. best practices related to confidentiality
b. documentation of client problems
c. the client's ability to adapt
d. the client's aftercare plan - ✔✔a. best practices related to confidentiality
a. dementia
b. tuberculosis
c. wasting syndrome
d. chronic herpes simplex - ✔✔a. dementia
a. propose a plan for post-discharge services at the facility
b. work for an agency that provides a continuum of care
c. adhere to the policies and limitations of the agency
d. develop a plan for ongoing client support - ✔✔d. develop a plan for ongoing client support
a. sexual hatred
b. gay bashing
c. homophobia
d. homosexuality - ✔✔c. homophobia
a. the inequality of services provided
b. confusion caused by language barriers
c. viewing the Hispanic culture as heterogeneous
d. traditional techniques of psychodynamic treatment - ✔✔c. viewing the Hispanic culture as heterogeneous