Deck 1: Alcohol and Drug Counselor

Question 1

What would not be a good treatment goal to use for a young adult man enrolled at a large state university?

A)Join the local AA
B)Attend the next semester of college
C)Attend his next high school reunion
D)Apply for housing with his fraternity

Answer 1

Apply for housing with his fraternity

Question 2

Which of these element words would not be dealt with in Gestalt therapy?

A)Rage
B)Unresolved grief
C)Resentments
D)Childhood issues

Answer 2

Childhood issues

Question 3

What questions do goal statements answer in a treatment plan?

A)They identify the precipitating events needed for discharge and the establishment of a temporary NA sponsor
B)They identify the consequences leading to the decision to change the client's abuse pattern and the acceptance of the client of a chemical abuse problem
C)The establishment of a temporary NA sponsor and the acceptance of the client of a chemical abuse problem
D)They identify the consequences leading to the decision to change the client's abuse pattern and the establishment of a temporary NA sponsor

Answer 3

The establishment of a temporary NA sponsor and the acceptance of the client of a chemical abuse problem

Question 4

A therapeutic community adheres to the concept that substance abuse is a disorder of the whole person. Which of these statements is wrong?

A)Members contribute to all daily life activities in the therapeutic community.
B)Peers share observations about each other and their behavior.
C)The members agree in writing norms and values they all share such as respecting authority.
D)The support of others is discouraged.

Question 5

What should a counselor advise clients to tell children about the client's disease?

A)Children have a fifty perhaps chance of developing the disease of addiction if one of their parents have had it .
B)There is no need to mention it; it is not contagious.
C)Never drink; you will never know when you catch it.
D)Drink with caution. Be aware that you are more likely than others to develop the disease.

Question 6

A treatment plan is an assessment of the resources a client can use to achieve the goals established by the client and the counselor. The goals will be both long- term and short-term. The plan will identify the strengths and weaknesses, along with planned treatment methods that will be used to reach the goals. What treatment resources might be listed for a fifty-year-old widowed man, employed as an investment broker for thirty years, who lives alone in a large city, and whose goal is to continue sobriety?

A)A local AA chapter

B)A local poker group

C)A local Kiwanis club

D)All of the above

Question 7

What of the above does not need to be included in a treatment plan assessment?

A)Grade average of high school and college attendances.
B)Living situation
C)Past and present relationships with others
D)Vocational history

Question 8

Which of the following is a reason some counselors feel it is not necessary to be familiar with the DSM-5?

A)Counselors use these codes of psychiatric descriptions as it quickly provides information needed to outline a required diagnostic client impression.
B)LCDC counselors sometimes find it necessary to update their copy of this psychiatric code as it is revised periodically.
C)Experienced counselors may have accrued enough knowledge while working with clients to be able to establish the extent of the client's substance abuse relapse potential and do not need to consult this text.
D)Counselors need to be able to identify disorders in this assessment to better plan for successful long term recovery.

Question 9

Which of the following statements is NOT a reason for why it is necessary for a client to agree with a problem statement?

A)It will enhance the corporation of client's efforts to achieve treatment goals.
B)The complaint can not be made that problem statements are not suitable for the client's situation.
C)It will ensure that client and counselor are in accord with problem to be address.
D)Actually it does not manner. Problem statements are selected by a counselor from a list of problem statements provided by the administration of the center.

Question 10

What therapy approaches uses the empty chair?

A)Person-Centered Therapy.
B)Existential Therapy
C)Gestalt Therapy

Question 11

Which of the following is not a good statement of an objective?

A)A newly sober adolescent will not hang out with Sylvia, who is a user
B)A recovering mother will restrain from getting too lonesome
C)The client will not use drugs

Question 12

The mother of three preschool children works and is a single parent. She has arrived at the emergency room asking for help. She has relapsed on heroin after being clean for two years. However she has a history of chemical multi-abuse. She will lose custody of her children if the state learns of her relapse. She has been living with her boyfriend and is pregnant. What might two option goals be?

A)Attend NA meetings and obtain a sponsor.
B)Identify situations that might have caused the relapse.
C)Go the probation officer and confess all.
D)Move away from the live in.

Question 13

A 75-year-old retired colonel, widowed, with two living children has entered treatment. The precipitating event was the intervention of the family physician that had treated him for years and threatened to stop if he did not go to treatment. The man sees no reason to quit. He says he probably is an alcoholic but he has good medical coverage and resources. He has never been to an AA meeting. What strategy is recommended?

A)Send him to two weeks of treatment including AA meetings and require that he attend them to stay in treatment.
B)Enlist the help of an older AA member that often is used to work with clients, with the permission of the client.
C)Assess the client's progress in two weeks and interview him concerning his willingness to change.
D)None of the above

Question 14

What is re-framing?

A)Re-framing is utilized when after a relapse, while in treatment, the client and counselor feels the treatment plan needs to be revised.
B)The second page of third generation of a genogram.
C)A reestablishment of the power of a group.
D)A counselor's different perception of a situation that a client is facing.

Question 15

A treatment plan strategy is:

A)A client's techniques to complete treatment as smoothly as possible
B)A client's strategy to achieve the counselor's treatment plan objectives
C)A client's plan developed with their counselor to achieve their treatment plan objectives
D)A counselor's strategy to help the client achieve the treatment plan objectives

Question 16

Denial is a defense mechanism that utilizes parts of our personality to override a belief. Which is most likely used for individuals to continue drinking or drugging?

A)The id
B)The ego
C)The superego

Question 17

What state would the group process be in if there were lapses of talk and members appear uncomfortable with each other?

A)The group is going through a fragmentation stage.
B)The trust of the group is being threatened.
C)The intimacies of the group is building.

Question 18

What is not one of the broad goals of most groups?

A)Interpersonal learning.
B)A growing empathetic understanding of the needs of others.
C)The learning of the ability to trust one's self and others.
D)To learn to confront aggressively with few regard to other.

Question 19

Disengagement takes place over time and is used to discuss certain aspects following discharge by counselor and client. Which of the following do they discuss?

A)The progress in the life goals the client set while in treatment.
B)The people contacted to apologize following discharge.
C)The resources the client has assessed.

Question 20

Where in a client file is a treatment plan usually found? Choose all that apply.

A)At the very last page of the file.
B)At the very first page or just after the photograph in the file.
C)After the diagnostic impression.
D)After all signatures are attached it is faxed to the country clerk's office.

Question 21

A biopsychosocial perspective is necessary for an assessment. What statement is not relevant to that perspective?

A)Biological factors
B)Genetic factors
C)Friend's genetic factors

Question 22

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

A)Primary treatment.
B)Disengagement.
C)Family assessment.
D)Psychological assessment.

Question 23

These are phases of Treatment Continuum. Which listed is not one of those phrases?

A)Case finding Pretreatment.
B)Primary Treatment.
C)Aftercare.
D)Clinical/rehabilitation.

Question 24

Which of the following assessment tools might a counselor consider a less important tool while assessing treatment options for a client with a long history of alcohol abuse and several treatments?

A)Counselor's observations
B)Clinical interviews
C)Measurement instruments
D)None of above

Question 25

What is the proper diagnosis for anxiety that is a direct consequence of drugs?

A)Substance-induced anxiety disorder.
B)Mental Retardation.
C)Substance abuse.
D)Substance dependence.

Question 26

Of the factors considered in writing a Treatment Plan for an individual suffering from substance abuse what factor is not considered important to the building of a treatment plan?

A)List of strengths and weaknesses
B)Neighborhood ethnic makeup
C)The client's objectives
D)Treatment goals

Question 27

In the 6 month study that compared clinical case management to that of others which factors had better outcomes for clinical case? What factor listed was not studied?

A)Alcohol use
B)Medical status
C)Family relations
D)Financial status

Question 28

During the counselor's interview with a potential client the client kept calmly asking that the knife be removed from her stomach. What would be the most important for the counselor to act on?

A)Take the opportunity early on to persuade the client that she is a drug addict. Argue there is no knife. Ask her to describe it.
B)If the client's other responses seem reasonable complete the interview saying you would get some help as soon as this interview was completed. Refer the client to the appropriate medical staff.
C)Now is the time to assert your authority and set bounds. Tell her she is faking and this behavior will interfere with her treatment.

Question 29

What is not considered one of the functions of case management?.

A)Assessment
B)Planning.
C)Disconnecting.
D)Monitoring.

Question 30

In order to be effective, counselor interventions must match the client's stage of readiness. Which of these instruments can be used to signal a client's willingness to change?

A)The SADS Persons Scale
B)Treatment Eagerness Stage
C)Prevention Severity Index
D)Family Tree Questionnaire

Question 31

What response answers the question: what do others need to know to respond therapeutically?

A)A question asked by the group leader indicating a member is unresponsive?
B)The question asked by a counselor to a client.
C)The question asked during client staffing.

Question 32

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

A)Problems.
B)Goals.
C)Summary.
D)Strategies.

Question 33

In order to be effective, counselor interventions must match the client's stage of readiness. Which of these instruments can be used to signal a client's willingness to change?

A)The SADS Persons Scale.
B)Treatment Eagerness Stage.
C)Prevention Severity Index.
D)Family Tree Questionnaire.

Question 34

During what phases does the Treatment Continuum Case Management model support the client during substance abuse treatment?

A)During the planning and discharge.
B)When the client's case requires an outside resource.
C)During family treatment.
D)The Treatment Continuum supports the client and family through out all phrases of substance abuse treatment.

Question 35

In the stages of crisis intervention assessment which stage is least important?

A)Discover what led to the crisis.
B)Look at precipitating events.
C)Assess the client's present psychosocial state.
D)Collaboratively define the problem with the client.

Question 36

What is a counselor's most important task as a group leader?

A)Help build group cohesion.
B)Dismantle subgroups.
C)Deal with relapse.
D)Manage conflicts.

Question 37

CSAT represents which of the following?

A)Cocaine substance abuse treatment
B)Collective summary alcohol treatment
C)Client substance assessment treatment

Question 38

An assessment is a collaboration involving the counselor and the client during which information is gathered and interpreted for the purpose of planning treatment and evaluation progress. What tool is not utilized?

A)Laboratory tests
B)Interviews
C)The Big Book of Alcoholics Anonymous
D)Counselor's observations

Question 39

Which of the following statements would not be an example of case management advocacy?

A)Giving or receiving information about a specific client.
B)Keeping another agency informed about the client's treatment process.
C)Communicating with other agencies in planning aftercare.
D)Investigating a furniture sale for a client's needed apartment.

Question 40

Of the four models of case management adopted below from the mental health treat field for use with substance abusing and dependent clients, which does not emphasis ongoing mentoring?

A)Brokerage/generalist.
B)Assertive community treatment.
C)Strengths-based.
D)Clinical/rehabilitation .

Question 41

Why should you epxlain the need for an assessment to adult clients?

A)To encourage the client to enlist the help of a spouse to approve the questions
B)To assist in building client rapport and cooperation
C)So that the client will not interrupt and ask questions
D)To allow the client to reword the questions

Question 42

Which cluster are the personality disorders featuring odd and isolative behaviors grouped into?

A)Cluster A
B)Cluster B
C)Cluster C
D)Cluster D

Question 43

In evaluating case management effectiveness, counselors are not expected to monitor the effectiveness of case management activities for individual clients. Which of the following are responsibilities of case management staff?

A)Tracking frequency of certain groups of client relapses
B)Tracking urine screen results
C)Tracking the progress of individual clients
D)All of the above

Question 44

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

A)The Mental Status Exam
B)The Strong Interest Inventory
C)Family Tree Questionnaire
D)The Beck Depression Inventory

Question 45

Most of the case management models listed below are used for mental heath treatment plans. Which one is not?

A)Assertive community treatment model
B)Clinical/ rehabilitation model
C)Community treatment model
D)Strength based model

Question 46

Kaz wants to stop biting his nails, so he rubs a strong bitter paste under his nails to make his nails taste bad. What technique is Kaz using to stop biting his nails?

A)Avulsion
B)Aversion
C)Avian
D)Cognitive Dissonance

Question 47

Fentanyl is legal for some applications.