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- It is considered unethical for a counsellor 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 d. discuss some personal feelings - ANS ✅b. treat client problems that are beyond his skill level
- When participating in the screening process, a counsellor must also be skilled in: a. consulting with other professionals b. making referrals c. family system dynamics d. release of information forms - ANS ✅b. making referrals
- Which statement is TRUE regarding dual relationships with clients that might impair the counsellor’s judgement? 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 - ANS ✅a. they must be avoided
- If the orientation process is neglected or incomplete a client may: 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. - ANS ✅b. have incorrect information and unanswered questions about the program
- A common error that counselors make when conducting an assessment is: 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 - ANS ✅c. moving too quickly from data collection to treatment planning
- Which of the following is essential for successful recovery from addiction? 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. resolving family issues - ANS ✅a. admitting to a drinking and/or drug 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 - ANS ✅c. to help convert the emergency into a solvable problem
- While progress has been made, society still disapproves much more strongly of substance abuse by women than by men. Which of the following statements is NOT true? 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 - ANS ✅c. mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities
- Which of the following would be MOST appropriate in providing linkage between a treatment program and AA? 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 - ANS ✅d. counselors should visit AA meetings and have a list of meetings to share with clients
- Concise and accurate reporting is necessary in order to:
a. assist in client education b. ensure continuity of client care c. demonstrate counselor competence d. identify client strengths and weaknesses - ANS ✅b. ensure continuity of client care
- Consultations are an important component of the treatment process because: 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 - ANS ✅d. input and information from others will assist the treatment process
- Which of the following bodily fluids has the highest risk of potential infection? a. tears b. breast milk c. spinal fluid d. vaginal secretions - ANS ✅d. vaginal secretions
- Which of the following is an example of exploitation? a. going to the same AA meeting as a former client b. purposely buying groceries at a store that you know is owned by your client c. leaking to the public the name of a celebrity who is in treatment at your facility
d. relapse conflict - ANS ✅b. approach-avoidance conflict
- The first stage in the process of family change is: 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 - ANS ✅d. interruption of ongoing patterns with confrontation or disengagement
- Hallucinogens work on the brain by interfering with various neurotransmitters, causing an overlap of the senses to occur. The term for this overlap of the senses is: a. synergy b. synthesis c. synesthesia d. synaptic overload - ANS ✅c. synesthesia
- In alcohol and drug abuse, denial is: 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 - ANS ✅d. a common barrier to overcome in the early stage of accepting the abuse problem
- Burnout in counselors might be avoided by periodic:
a. self-assessment b. attitude adjustment c. medication evaluation d. disputing of rational beliefs - ANS ✅a. self-assessment
- During the screening process, a critic task is that the counselor has is to: a. complete a mental status exam b. engage the client's family in treatment c. develop a treatment plan d. establish rapport with the client - ANS ✅d. establish rapport with the client
- During the intake, a counselor can expect to address all of the following issues EXCEPT: a. a client's fears and denial b. information gathering c. preliminary identification of client goals d. treatment planning - ANS ✅d. treatment planning
- According to Rational-Emotive Behavior Therapy, we develop emotional disturbances because of our: a. need to be accepted by most people b. intrinsic beliefs about certain beliefs c. overemphasis on childhood experiences d. need for systematic desensitization - ANS ✅b. intrinsic beliefs about certain beliefs
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 - ANS ✅d. normalizing the drinking urge and encouraging continued efforts towards relapse prevention
- Which of the following is TRUE about case management? 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 - ANS ✅a. it is the coordination of services in an effort to reach the goals of the treatment plan
- Sally is a 16-year old girl who has been admitted to a program for chemical dependency. She has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. In assessing Sally, the counselor should first consider: a. Sally's goals in life b. Sally's social resources c. Sally's internal conflict d. Sally's familial relationships and social milieu - ANS ✅d. Sally's familial relationships and social milieu
- It is appropriate for a counselor to teach a client about the physiological effects of the drugs he/she has been using during the administration of which of these core functions?
a. screening b. assessment c. crisis intervention d. client education - ANS ✅d. client education
- Which of the following woul be the MOST appropriate way to assure follow-through on a referral? a. give the client the phone number of the referral resource b. have the client sign a release form in case the resource calls c. take the client to the referral resource's facility for their initial interview d. notify the referral resource of the referral and have client call to make an appointment - ANS ✅d. notify the referral resource of the referral and have client call to make an appointment
- Client files are reviewed by the clinical supervisor for the purpose of: a. expanding the treatment plans b. identifying the counselor's incompetencies c. monitoring the counselor's utilization of time d. providing professional feedback to enhance the counseling process - ANS ✅d. providing professional feedback to enhance the counseling process
- If a client is experiencing difficulties conforming to the rules and expectations of the program, the counselor's first course of action would be to: a. revise the treatment plan b. refer the client to the agency psychiatrist
d. a focus on the conflict between the id and the superego - ANS ✅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 - ANS ✅d. the "culturally-liberated" counselor
- Which of the following defense-oriented behaviors is of the damage- repair type? a. denying b. mourning c. repressing d. rationalizing - ANS ✅b. mourning
- The primary factor in the development of young people's attitudes toward drugs is: a. peer pressure b. parental role models c. mass media d. societal expectation - ANS ✅b. parental role models
- Marijuana is a unique compound which contains over 200 chemicals. One particular chemical, however, is the main psychoactive chemical that makes marijuana "go." The name of this psychoactive compound is: a. Tetrahydroisoquinolone b. Cannabinoid c. Trideltagammanase d. Cannabis Sativa - ANS ✅b. Cannabinoid
- Which drug does NOT fall under the prescription drug classification of benzodiazepine? a. valium b. xanax c. ativan d. percodan - ANS ✅d. percodan
- If a counselor knows that he/she is unable to assure the client of confidentiality, he/she should: 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 - ANS ✅c. inform the client of this fact
- The intake process is usually an extension of the: a. client's orientation b. screening
- Which of the following is TRUE of defense mechanisms? 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 - ANS ✅c. they are ways of coping that are used by everyone
- The BEST way of dealing with individual needs in a group is to: a. conduct one-on-one sessions in the group b. not allow monopolizing by members in group c. use the group process to share mutual concerns d. see the client for individual counseling outside of group - ANS ✅c. use the group process to share mutual concerns
- A frequent client reaction during the termination phase of counseling is: a. acting out behavior b. defensiveness c. lack of trust d. apathy - ANS ✅a. acting out behavior
- In order to provide clients with updated information concerning addiction and recovery, the counselor must: a. regularly attend AA and/or NA meetings
b. stay well-informed and aware of recent developments in the field c. assume that the client will ask for what he/she needs d. memorize as much of the technical and scientific data available - ANS ✅b. stay well-informed and aware of recent developments in the field
- Client files should be readily accessible to: 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 - ANS ✅c. only persons directly involved in providing clinical services
- The following issue MUST be considered when consulting with out-of- agency professionals a. best practices related to confidentiality b. documentation of client problems c. the client's ability to adapt d. the client's aftercare plan - ANS ✅a. best practices related to confidentiality
- Of the following AIDS associated illnesses, which may be less recognizable in substance abusers? a. dementia b. tuberculosis c. wasting syndrome d. chronic herpes simplex - ANS ✅a. dementia
b. a reduction in one's feelings of anxiety c. significant repetition of the phobic behaviors d. sympathy received from others - ANS ✅b. a reduction in one's feelings of anxiety
- After several months in marital and family therapy the alcoholic spouse suffers a relapse. The MOST useful approach to the couple is to: a. frame the relapse as a sign that marital therapy was moving too quickly, and it would be good to get back to the basics of early recovery b. consider that family therapy may be needed since the basis of the relapse may be rooted in dynamics that involve other members of the family c. inquire what the non-addicted spouse might be doing to enable the return to drinking d. explore the relapse as a difficulty in the couple's ability to negotiate - ANS ✅a. frame the relapse as a sign that marital therapy was moving too quickly, and it would be good to get back to the basics of early recovery
- If an individua were to take two barbiturates, such a phenobarbital and secobarbital simultaneously, the drug interaction effect would most appropriately be described as: a. additive b. potentiating c. antagonistic d. synergistic - ANS ✅a. additive
- With regard to case management, which of the following is TRUE? a. the counselor should coordinate regular communication between professionals involved in the client's treatment
b. good integration of services requires team meetings with the client present c. with a well-integrated team of professionals, the case manager's review of progress notes will alone determine how the treatment plan is being followed d. once the treatment plan is written, the use of other services is determined and will remain unchanged - ANS ✅a. the counselor should coordinate regular communication between professionals involved in the client's treatment
- Which of the following statements made by a client in a group would MOST warrant documentation in the client's progress notes? a. "I'm finding the support from this group very helpful" b. "Getting caught for drunk driving was a mixed blessing" c. "Let's change the subject. Did anyone see the game last night" d. "Ever since I stopped drinking, my emotional swings have been quite intense" - ANS ✅d. "Ever since I stopped drinking, my emotional swings have been quite intense"
- A "speedball" is: a. another street name for crack b. another street name for freebasing c. an injectable mixture of heroin and cocaine d. a form of cocaine that is sniffed or snorted - ANS ✅c. an injectable mixture of heroin and cocaine
- The disease concept of addiction is a useful concept for treating alcoholics and addicts because it: a. allows the client not to feel guilty for being addicted
