Deck 1: Criminal Justice Addictions

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?

A)Administer the TWEAK and give the results to the judge to decide.
B)Administer the TWEAK, interview the adolescence and parents to determine the extent of the drug usage. Recommend appropriate treatment outside of jail if the interview and assessment indicates a beginning drug dependency and one is available that is better.
C)Do your best to persuade the judge to keep the adolescent in jail until delivery as releasing her would put the child at risk.
D)Talk to the parents about begging the judge to refer the adolescent to your treatment center as you treat adolescents and have a good program.

Answer 1

Administer the TWEAK, interview the adolescence and parents to determine the extent of the drug usage. Recommend appropriate treatment outside of jail if the interview and assessment indicates a beginning drug dependency and one is available that is better.

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.

A)Do nothing. He will probably not stop until the effects of the drug levels out and stops giving relief. Expect him to return to jail,
B)Enroll the man in a methadone program.
C)Watch behavior and take unscheduled urine samples; give him one relapse chance, with the parole officer's permission.
D)Require weekly attendance to NA meetings and counseling.

Answer 2

Watch behavior and take unscheduled urine samples; give him one relapse chance, with the parole officer's permission.
Require weekly attendance to NA meetings and counseling.

Question 3

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

A)To avoid being arrested as his lab work is going to show positive and he is on probation requiring a clean state.
B)The client wants to try again.
C)You very likely will not know.

Answer 3

You very likely will not know.

Question 4

In motivational interviewing which term is not recommended?

A)Homosexual
B)Person first language
C)Schizophrenia
D)Alcoholic

Question 5

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

A)Groups of clients entering treatment
B)Interviews
C)Case management activities
D)The father's job performance

Question 6

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

A)Substance Abuse Mood disorder.
B)Obsessive-compulsive disorder.
C)Cognitive Disorders.
D)Acute Stress Disorder.

Question 7

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

A)Medical Status.
B)Employment.
C)Religions affiliation.
D)Legal status.

Question 8

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

A)Severe tremors
B)Confusion or delirium
C)A strong craving for a chocolate covered pickle.

Question 9

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

A)Due to the health problem the effect of client's alcohol consumption has probably been low.
B)Alcohol consumption may have increased the severity of the other health problem.
C)The effects of alcohol consumption may have been reduced by the mental health problem.
D)None of the above

Question 10

Which of the following are not considered a suicide risk?

A)Single and over 65
B)A long history of depression
C)Having an alcohol or drug abuse diagnosis
D)Female over the age of twenty one

Question 11

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

A)Treatment continuum.
B)Advocacy.
C)Planning.
D)Linking.

Question 12

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

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

Question 13

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

A)The Mental Status Exam
B)The Strong Interest Inventory
C)The Beck Depression Inventory 11
D)Family Tree Questionnaire

Question 14

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 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?

A)Family.
B)Community resources.
C)Treatment staff.
D)Adolescent.

Question 16

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

A)Hallucinations
B)Severe tremors
C)Uncontrollable agitation

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?

A)Administer CAGE Questionnaire that answers a yes to questions about alcohol dependency
B)Flag file for possibly withdrawal reaction to alcohol
C)Administer the TWEAK
D)None of the above

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?

A)Criminal Justice.
B)Substance Abuse.
C)Mental Health.
D)Social services.

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?

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

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.

A)This knowledge is needed to complete and interpret a comprehensive diagnostic impression of a client.
B)The counselor needs to be able to recognize disorders that might interfere with the course of treatment in order to know how best to deal with it.
C)It is not your concern; your concern is the course of a client's substance abuse treatment.
D)It is important to be able to describe these orders in detail to the client so that the client can correct it.

Question 21

What model utilizes the counselor as the case manager?

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

Question 22

It is important that quality case management insures that all serve a client cooperatively toward meeting the client's needs. Which consideration is not utilized by this case management system?

A)Familiarity with community resources
B)Self help groups
C)Social service providers
D)Criminal justice institutions

Question 23

Continuing care is another term for what of the following?

A)Aftercare
B)Primary treatment
C)Disengagement
D)Primary care

Question 24

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 25

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 26

What case management terms refer to the phases of substance abuse/dependence treatment, aftercare and disengagement?

A)Strength-based.
B)Advocacy.
C)Treatment continuum.
D)Monitoring.

Question 27

Most of these case management models were adopted from the mental heath treatment plan; one was not. Which one is not?

A)Assertive community treatment.
B)Clinical/ rehabilitation model.
C)Community treatment, strength-based.
D)Strength based model.

Question 28

You have an adolescent client that has suddenly withdrawn from group interactions. In the initial interview he denied any suicide attempts. Records show there have been suicide attempts in the past. What are the two most appropriate options?

A)Call the parents immediately.
B)Call a group meeting and confront him with past suicide attempts.
C)Schedule an interview and express concerns, continue with crisis intervention stages.
D)Flag the file as suicide watch, report concerns at staff meeting.

Question 29

Of these steps in crisis intervention which does not belong?

A)Give support
B)Assist with action plans.
C)Arrange for discharge plans.
D)Intervene right away.

Question 30

What is the most important task of a group leader is?

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

Question 31

What is storming?

A)Pecking group order.
B)A method of controlling the group.
C)The determination of power with in the group.
D)The attempt to take power from the leader.

Question 32

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 33

For a counselor what is the most important task of a group leader?

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

Question 34

Which is the correct statement?

A)Storming occurs as an establishment within the group occurs.
B)Performing is another name for fragmentation.
C)Performing is another way to confront in a group.
D)In a cohesive group they work together; they perform as a unit.

Question 35

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

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

Question 36

In which group developmental stage does the counselor see the most individual progress?

A)As storming occurs establishment within the group occurs.
B)Performing is another name for fragmentation.
C)Performing is another way to confront in a group.
D)In a cohesive group they work together; they perform as a unit.

Question 37

Denial is a defense mechanism that utilizes forces in our personality to override a belief. Which force, Id, superego or ego, is most likely used for individuals to continue drinking or drugging?

A)The Id operates on the reality principle.
B)The superego is our conscience providing our moral code and the awareness of right and wrong.
C)The ego operates on the reality principle taking care of the realistic and logical part of our personality.

Question 38

What counseling theories focused on unfinished business from the past and the here and now?

A)Gestalt
B)Person-Centered therapy
C)Reality Therapy

Question 39

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

A)AA
B)MCA
C)A cruise to as an award by for the work he had done in treatment.

Question 40

Observations of client's behavior are an important part of the gathering of assessments in a treatment plan. Which statement is not correct?

A)Observations by other treatment clients are often considered during the treatment process
B)Family member's observations about a client are always considered reliable
C)Client's lab tests are not considered part of the assessments. That information is kept in the lab so that it can be compared with other lab tests
D)None of the above

Question 41

Which of the following is NOT a reason 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 42

Which climate does Person-Centered Therapy strive to provide?

A)One that enables the clients to reach many of their own conclusions.
B)One that allows for the development of congruence.
C)One that examines the past.
D)One that encourages change and growth.

Question 43

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 44

When is a treatment plan due?

A)On the day of discharge.
B)Two weeks after discharge.
C)One week after a client admits to the group that the person is an alcoholic or an addict.
D)None of the above.

Question 45

These techniques, role playing, psychodrama and re-enactments are used by many addiction counselors to work with unfinished business that might cause relapse. Which therapy would be considered that type of therapy?

A)Adlerian Therapy.
B)Person Centered Therapy.
C)Gestalt Therapy.
D)Cognitive Behavioral Therapy.

Question 46

What questions do goal statements answer in a treatment plan?

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

Question 47

In deciding on a method for an elderly client that thinks he is alcoholic. What instruments are considered particularly useful?

A)ADS
B)TLFD
C)TWEAK
D)SASSI

Question 48

What are the reasons to include the precipitating event included in the treatment plan?

A)It helps to justify the reason for treatment.
B)It can be used if needed to confront client with the need for treatment.
C)It serves as the element that begins treatment.
D)It is not necessary to include the precipitating events in the treatment plan.

Question 49

What statement is incorrect?

A)There is no reason for a person to abstain from one behavior due to the addiction of another.
B)There is no reason for a person to abstain from one behavior due to the addiction of another
C)Over the counter medicines can enhance the benefits of alcohol.
D)Prescribed medicines can promote alcoholism.

Question 50

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 51

Which is not a good objective statements?

A)A newly sober adolescence will not hang out with Sylvia, a user.
B)A recovering mother will restrain from getting too lonesome.
C)The client will not drug.

Question 52

A Treatment has four components. Which of the statement is not correct?

A)Problem
B)Trauma list
C)Goals

Question 53

A woman enters treatment directly from jail. She was convicted of killing her husband shooting. She says she did kill him to stop the beating. She is addicted to heron. She has completed treatment, obtained a sponsor, and found employment that is in a different surrounding. She plans to return to the area where she lived before. One of these plans would not be contusive to continued recovery. Which one is it?

A)Obtain sponsor.
B)Retain to the same neighborhood
C)Obtain employment different than before.
D)Stay involved in NA.

Question 54

In deciding how best to determine the level of a client's depression as the symptoms vary, what would be the best instrument to use?

A)The Myers-Briggs Type Indicator
B)The Minnesota Multiphasic Personality Inventory
C)The Beck Depression inventory 11
D)None of the above

Question 55

A strategy is a component of a treatment plan. Which is the most appropriate description of a treatment plan strategy?

A)This describes the various ploys employed by a client to cover up the behavior as a result of the abuse before coming into treatment.
B)A client attempting to divert attention away from an issue he did not want to deal with would say to be using strategies.
C)Strategies are the techniques that will be used to achieve the treatment plan objectives.
D)This is one of the family tactics used to intervene on the progressive of a loved ones chemical usage.