Question 1

A seventeen year old girl is arrested for possession. She denies using drugs saying she was given some just before arrested. She is pregnant. Recently the procedure has been to jail pregnant chemical abusers until delivery to protect the unborn child. As this is the child's first arrest the judge is reluctant to do that. As your treatment center provides education to that precinct your center was called. What course would you advise?

Accepted Answer

The best course for a jailed pregnant adolescent would be to use the TWEAK to assess tolerance. This test targets the current concern of relatives and friends along with an interview of the parents and adolescence regarding the woman's drug usage. if the results indicate the girl might have used drugs several times the family's medical insurance and the community resources should be assessed for possible admission into treatment. It would be a conflict of interest if all of these options were not explained to the parents and the judge. To jail a pregnant adolescent is not an inappropriate decision. However it exposes her to other prisoners' experiences and knowledge that might not be in her best interest.

Question 2

A heroin addict has been sentenced to a half way house following released from jail a year. He had a history of many arrests and long term drug usage. What are best choices to follow to promote continued chemical abstinence? Choose those that apply.

Accepted Answer

These two choices are considered the best for a long term heroine addict. Behavior should be watched, urine samples taken and counseling meetings should be scheduled to best promote abstinence for this client. As this man has a long history of one of the most difficult addictions for which to cover he should be expected to relapse. Urine samples should be unscheduled and behavior should be observed closely even after lab results show negative. A methadone program is not recommended as some chemicals can be used to enhance the effect of the methadone and he is sophisticated in the use of drugs. To do nothing would go against what you are attempting to achieve as a counselor. The client is now experiencing a different life than jail time and he knows he can easily return to that life style of incarceration. At some point and time he may hear what he needs and make the decision to change.

Question 3

In a Service-driven case management model if a client quickly enters substance abuse treatment what might be his or her motivation?

Accepted Answer

This is not the time to question motivation. That comes later. Your job is to provide the education and therapy that will help intervene in thinking that is a barrier of recovery.

Question 4

In motivational interviewing which term is not recommended?

Accepted Answer

Alcoholic is considered to be the most defensive to a client that has not accepted the possibility that he or she has the disease. Being titled that name reduces the acceptance of that person's alcoholism.

Question 5

What items are counselors not expected to evaluate in monitoring the effectiveness of case management activities for individual clients?

Accepted Answer

The father's job performance would not be scientifically and therapeutically significant to enter in record.

Question 6

What is the proper diagnosis for a direct physiological consequence of a drug or medication abuse?

Accepted Answer

The proper diagnosis for a direct physiological consequence of a drug or medication abuse would be substance abuse mood disorder.

Question 7

Case management supports clients through all phases of treatment. Which term is not considered a case management consideration?

Accepted Answer

Religions affiliation is not considered a service that case management services are associated with.

Question 8

Though it seldom occurs withdrawal from substances can cause a physical threat. What one symptom would not be considered withdrawal symptom?

Accepted Answer

The symptom considered not a withdrawal symptom would be the chocolate covered pickle. Though clients disclose weird withdrawal, the craving of a pickle is seldom reported.

Question 9

If a client entering treatment presents a physical health problem such as diabetes. What of the following might that indicate?

Accepted Answer

Many health problems are acerbated by the use of alcohol. One example is diabetes. For example alcohol consumption can elevate cholesterol that in turn clogs blood vessels needed for oxygen distribution.

Question 10

Which of the following are not considered a suicide risk?

Accepted Answer

A female over the age of twenty one would be considered the one in four at risk for suicide if there is no predicating factor that might indicate a suicide risk. However, as alcohol is a depressive, all clients' suicide risk should be assessed. Sustaining from heavy or moderate alcohol or drug abuse, especially cocaine, should be considered a grief issue that might exacerbate depression. Assessments such as Suicide Assessment Checklist, the Suicide Intent Scale and the SAD Persons Scale can be used to access that possibility of suicide.

Question 11

Which of the following functions described intercede on behalf of the client to obtain needed resources?

Accepted Answer

Advocacy is a case management function of assisting clients in assessing services as the inability to access these services can serve as a barrier for continued recovery.

Question 12

Which is not considered one of the four main components of a treatment plan?

Accepted Answer

Summary is not considered to be one of the main components to a treatment plan. The items of problems, goals, and strategies are major elements of a comprehensive treatment plan. Though the summary gives the most important aspects of the plan that might be used to peruse to review, the detailed outline of the problems that brought the client to treatment, the goals the client wishes to reach, and the strategies that will be used to reach these goals are what is composed of a treatment plan.

Question 13

A client that is expected of being suicidal is often given which two of the tests below?

Accepted Answer

The family Tree Questionnaire and the Beck Depression Inventory are often given when suicide concerns are present. The Beck Depression Inventory name gives you one of the answers; it is often used as it can be used more than once in treatment and judge the changes that might have been taking place in the depressive mode. The Family Tree Questionnaire is sometimes given to signal past family suicide attempts.

Question 14

Which of the following phrase best pertains to the resources that might be needed after discharge from treatment?

Accepted Answer

The disengagement phrase is the phrase that covers many resources related to remaining sober. This phase takes place over time during which the client and the counselor discuss the interactions with the different appropriate service providers. The client will be encouraged to continue utilizing these providers to successfully manage recovery.

Question 15

With adolescence, as they are minors, the management of case falls primarily in the following aspects involved: family, school, community resources, the adolescent, other youth and the treatment staff. Which aspect is considered the most important in determining the outcome of treatment?

Accepted Answer

The adolescent is the determining factor. Though many or several of these factors may make a difference, the final decision or decisions, in almost all cases, , is made by the adolescent. The adolescent makes the behavioral decision.

Question 16

What symptoms indicate immediate medical evaluation for a client entering treatment? Choose that apply?

Accepted Answer

Are all symptoms that indicate the need to have quick, trained medical professionals evaluate the client. The physical health may very well be at risk. With many clients there is the danger of the consumption of an unknown drug or toxic poison.

Question 17

In the initial interview the client complained of not being able to stop drinking. The reason she said was when attending AA meetings they had talked about tumors and seizures. When she did not drink she became afraid because she would start shaking inside. Which would be the most appropriate action to take regarding the client's disclosure?

Accepted Answer

The Cage Questionnaire would be the most appropriate choice. It is one of the instruments used to assess alcohol dependency. Though the woman's complaint could be a reaction to anxiety based on what she has heard in AA meetings it would be an appropriate time for that assessment. Later in treatment if the client begins to doubt her decision to enter treatment the results of CAGE reinforces the need for treatment. TWEAK is an instrument used to screen pregnant women.

Question 18

Case management is one of the twelve cores brought together to provide services to clients. Which is not considered a case management approach?

Accepted Answer

The Criminal Justice System is not considered a part of a case management system. However, for those clients requiring substance abuse and mental health this service often becomes a needed part of the community system.

Question 19

The value of traditional substance abuse treatment is that it gives straightforward structure to a life that may have lacked rules and structure. Which of the below gives that structure?

Accepted Answer

In this model the case manager supports clients in search for resources and encourages the use of informal helping networks as opposed to institutional ones. It involves an aggressive outreach and emphasizes advocacy.

Question 20

Some of the Cluster B personality disorders in the DSM-V code often co-occur with substance abuse. Which statements explain the importance of being familiar these disorders? Choose those that apply.

Accepted Answer

These two statements pertaining to the disorders outlined by the DSM-V explain the reason to be familiar with these disorders. Increasing your knowledge acquired through a client's comprehensive diagnostic impression helps identify any mental disorders that might interfere with successful treatment. In most cases a client would be unable to correct the disorder. That knowledge, if it can be understood by the client, is not relevant to a client's recovery.

Quiz 1: Criminal Justice Addictions