Deck 8: Mental Health and Rehabilitation Counseling

Question 1

A client reports he typically drinks daily but tried to stop drinking two days ago. The client is vomiting, trembling, and sweating. This client is experiencing

A) tolerance.
B) hangover.
C) withdrawal.
D) relapse.

Answer 1

withdrawal.

Question 2

Harm reduction refers to

A) taking medications to ease withdrawal symptoms.
B) minimizing the social, legal, and medical problems due to uncontrolled substance use.
C) a foundation of the Twelve Step Model of recovery.
D) a foundation of the Medical Model of recovery.

Answer 2

minimizing the social, legal, and medical problems due to uncontrolled substance use.

Question 3

Approximately __________ of high school seniors have used alcohol at least once.

A) 15%
B) 30%
C) 50%
D) 80%

Answer 3

80%

Question 4

__________ is characterized by restricted food intake, a fear of gaining weight, and a distorted view of body shape and size.

A) Bulimia nervosa
B) Compensatory eating disorder
C) Anorexia nervosa
D) Body image disorder

Question 5

__________ treatment is probably most appropriate for a client who expresses the wish to harm herself and has a plan and the means to follow through with self-harm.

A) Outpatient
B) Inpatient
C) Support group
D) Intensive outpatient

Question 6

Rehabilitation counselors can be found in

A) employee assistance programs.
B) schools.
C) rehabilitation hospitals.
D) All of the above.

Question 7

Which of the following is NOT a characteristic of substance abuse?

A) It is a habitual misuse of intoxicating and addicting substances.
B) It often involves the consumption of more of the substance than the user intended to consume.
C) The user may fail to fulfill major role obligations.
D) The user may continue to use the substance despite interpersonal problems.

Question 8

Approximately ____ of high school seniors have used marijuana.

A) 46%
B) 80%
C) 64%
D) 18%

Question 9

__________ is the goal of treatment based on the medical model.

A) Coping with addiction
B) Avoiding relapse
C) Abstinence
D) All of the above

Question 10

The primary goal of vocational rehabilitation is

A) for people with disabilities to secure competitive employment, instead of merely job placement.
B) to help previously incarcerated clients find employment.
C) for recovering substance abusers to find stable employment.
D) All of the above.

Question 11

__________ is a risk factor for the development of substance dependence and other psychological disorders later in life.

A) Unprotected sex
B) Single parent family
C) Low socio-economic status
D) Early age of first use

Question 12

__________ is characterized by excessive/constant worry, restlessness, irritability, and disturbed sleep.

A) Depression
B) Substance dependence
C) Anxiety
D) Posttraumatic stress disorder

Question 13

_________ is a pattern of substance use that is maladaptive and creates significant distress and impairment.

A) Substance use disorder
B) Dependency
C) Relapse
D) Tolerance

Question 14

Rehabilitation counselors work with

A) clients.
B) service delivery systems.
C) institutions.
D) All of the above.

Question 15

The relationship between rehabilitation counseling and the State-Federal Rehabilitation Program is intertwined with

A) mandates regarding counseling, disabilities, and civil rights.
B) the best practice guidelines under the State-Federal Rehabilitation Program.
C) legislation regarding financial support, education, and civil rights of people with disabilities.
D) All of the above.

Question 16

__________ is NOT a characteristic of strengths based treatment?

A) An emphasis on personal choice
B) Solution-focused techniques
C) The cultivation of hope, meaning, and a sense of accomplishment
D) The development of a social support system

Question 17

The development of an eating disorder may be influenced by

A) family dynamics.
B) requirements of a sport.
C) the media.
D) All of the above.

Question 18

When dealing with a client in crisis, it is important to

A) follow an ethical decision making model.
B) consult with a supervisor or trusted colleague.
C) conduct a suicide risk assessment on an on-going basis.
D) All of the above.

Question 19

Clients with a substance __________ problem may continue to use the substance despite social and interpersonal problems they experience.

A) dependence
B) abuse
C) misuse
D) directive

Question 20

If a client reports that she has to consume more of a substance to get the same effect as she once did in this past, she is exhibiting the effects of

A) withdrawal.
B) relapse.
C) tolerance.
D) abuse.

Question 21

Treatment based on the medical model may include

A) detoxification.
B) medication.
C) increasing coping skills to prevent relapse.
D) All of the above.

Question 22

The __________ model is compatible with the medical model of treatment.

A) recovery
B) twelve Step
C) support
D) self-help

Question 23

__________ efforts are most important for adolescents and may include alcohol and drug education programs.

A) Awareness
B) Prevention
C) Extinction
D) Reduction

Question 24

Which of the following should be addressed when working with culturally diverse clients regarding substance abuse?

A) The client's level of acculturation.
B) Cultural values and norms.
C) Level of education.
D) All of the above.

Question 25

Clients from diverse cultures may report headaches, heart problems, guilt or imbalance which are signs of

A) anxiety.
B) depression.
C) anorexia.
D) bipolar disorder.

Question 26

The independence, integration, and inclusion of all people with disabilities in employment and in their communities is an underlying value of

A) career counseling goals.
B) career planning initiative.
C) rehabilitation philosophy.
D) Dictionary of Occupational Titles.

Question 27

__________ is the largest recovery program in the world.

A) Hazelden
B) Al-Anon
C) Alcoholics Anonymous
D) The Betty Ford Center

Question 28

The name of the division of the American Counseling Association concerned with improving the lives of individuals exhibiting addictive and/or criminal behaviors is:

A) Alcoholics Anonymous
B) International Association of Addictions and Offender Counselors
C) Association of Substance Abuse and Dependency Counselors
D) Association of Certified Addictions Counselors

Question 29

The level of mental health treatment with the highest level of client supervision and security is

A) intensive outpatient treatment.
B) partial hospitalization.
C) inpatient hospitalization.
D) outpatient treatment.

Question 30

__________ is to substance abuse as withdrawal is to substance dependence.

A) Avocation
B) Tolerance
C) Relapse
D) Detoxification

Question 31

Which of the following is NOT one of the primary approaches to the treatment of drug and alcohol abuse and dependence?

A) Medical model.
B) Intervention model.
C) Twelve step model.
D) Strength based approach.

Question 32

The __________ sees addiction as a chronic and progressive disease, much like diabetes or heart disease.

A) Twelve step model
B) Medical model
C) Prevention model
D) Strength-based approach

Question 33

Which of the following is NOT a goal of strengths based treatment?

A) Learning to control substance use.
B) Minimization of legal, social, and medical problems.
C) Cultivation of hope.
D) Finding an effective medication.

Question 34

__________ may be present when clients suffer from depression.

A) Suicidal ideation
B) Prevention efforts
C) Anorexia nervosa
D) All of the above

Question 35

Patients suffering from __________ may report a lump in their throat, sweating hands, a racing heart rate, and an upset stomach.

A) depression
B) anxiety
C) trauma
D) anorexia nervosa

Question 36

__________ can be diagnosed with eating disorders.

A) White women.
B) Women of color.
C) Men.
D) All of the above.

Question 37

__________ provide(s) care from psychiatrists, nurses, professional counselors, and social workers.

A) Outpatient treatment facilities
B) Inpatient treatment facilities
C) Partial hospitalization
D) Career counseling

Question 38

__________ is NOT one of the categories of disabilities used by the American Community Survey.

A) Hearing
B) Visual
C) Social
D) Cognitive

Question 39

__________ prohibits discrimination against individuals with disabilities in employment, transportation, public accommodations, and activities at state and local governments.

A) The Rehabilitation Act of 1974
B) The Americans with Disabilities Act of 1990
C) Ticket to Work and Work Incentives Improvement Act of 1999
D) The Barden-LaFollette Act

Question 40

There has been a global increase in the prevalence rate of disabilities. Factors for contributing to this increase include all of the following EXCEPT

A) an aging population.
B) improved methodology for diagnosis.
C) increases in chronic mental health.
D) increased diversity in the population.

Question 41

Tolerance is a characteristic of

A) substance use disorder.
B) substance dependence.
C) withdrawal.
D) lessened substance use.

Question 42

A Twelve Step Program is compatible with the __________ model of treatment.

A) experiential
B) strengths-based
C) medical
D) abstinence

Question 43

Harm reduction is the goal of

A) the twelve stop model.
B) the medical model.
C) strengths-based treatment.
D) All of the above.

Question 44

__________ is (are) one of the most common client issues a counselor encounters.

A) Substance abuse
B) Depression
C) Delirium
D) Eating disorders

Question 45

__________ is/are NOT a characteristic of residential treatment programs.

A) A structured living environment
B) Housing for clients struggling with mental health and substance abuse and dependency
C) Diversion programs
D) Intensive therapy

Question 46

Substance abuse in adolescence is linked with higher rates of

A) unprotected sex.
B) sexual assault and rape.
C) car accidents.
D) All of the above.

Question 47

Bulimia nervosa includes all of the following, EXCEPT

A) the use of diuretics.
B) the use of laxatives.
C) severely restricted food intake.
D) excessive patterns of exercise.

Question 48

Wilderness therapy programs are also referred to as

A) outdoor behavioral health care programs.
B) residential treatment programs.
C) alternative juvenile corrections programs.
D) All of the above.

Question 49

Establishing a private practice provides

A) the easiest, entry-level career option.
B) an immediate opportunity to specialize.
C) business-related challenges.
D) the most money with the least risk.

Question 50

The counseling skills needed to serve clients in community/agency settings compared to private practice settings

A) are very similar.
B) are incompatible.
C) require specific training in separate specialties.
D) None of the above.

Question 51

Mental health counselors who work with clients who have substance abuse issues may work in

A) community/agency settings.
B) correctional settings.
C) private practice.
D) All of the above.

Question 52

The shift from providing care for mental illness primarily in state psychiatric hospitals to community-based settings was

A) supported by legislative action.
B) a result of medical advances, such as new drugs.
C) the beginning of entrepreneurial alternatives.
D) All of the above.

Question 53

Mental health counselors

A) have limited employment opportunities.
B) work primarily in state psychiatric hospitals.
C) may work in a variety of settings.
D) became a category of the NIMH in 1940.

Question 54

Diversion programs

A) are primarily a specialty of private practice.
B) offer an alternative to incarceration.
C) exist only in prisons.
D) divert funds to corrections facilities.

Question 55

Advantages of working with court committed clients in diversion programs include a client's

A) universal desire to change.
B) requirement to show up.
C) dependable family support.
D) lack of substance abuse issues or history.

Question 56

Hospital settings today

A) handle primarily severe psychiatric conditions.
B) extend their services into community settings.
C) are dominated by psychiatrists.
D) are not a viable employment option for professional counselors.

Question 57

Counselors who work in community/agency settings in the field of criminal justice

A) need to be savvy about the counselor's role relative to the specific setting.
B) need not be concerned about funding sources.
C) are immune to political decisions.
D) are apt to find a position, currently, in popular boot camp programs.

Question 58

Pastoral counselors who are credentialed by the American Association of Pastoral Counselors (AAPC)

A) may have training in either theology/ministry or mental health.
B) are all from Christian faiths.
C) are required to have approved training in both mental health and theology/ministry.
D) do not make a connection between addiction and spirituality.

Question 59

Rehabilitation counselors do NOT

A) work with family members of children who have an autism spectrum disorder.
B) serve clients without a disability.
C) assist their clients with career development.
D) use "people first" language.

Question 60

Diversion programs may include

A) drug courts.
B) mental health courts.
C) treatment programs.
D) All of the above.

Question 61

__________ refers to the receipt of counseling services outside of the hospital setting.

A) Inpatient
B) Client
C) Outpatient
D) Inmate

Question 62

Consider the various settings in which counseling can take place in the mental health field (e.g., private practice, community/agency, wilderness therapy programs, pastoral counseling, hospital, corrections). What are some elements that these settings have in common? What are the distinct differences between the settings?

Question 63

Briefly discuss the background of each type of counseling setting and how it came to be a popular setting for mental health professionals.

Question 64

When you hear the words "addict" or "alcoholic" what images come to mind? What does an addict or alcoholic look like, act like, etc.? What other characteristics are typical of addicts or alcoholics? How might your views and biases influence your work as a professional counselor?

Question 65

Do you think it is possible for someone with a substance abuse or dependency problem to learn how to use substances in moderation or do you believe total abstinence should be the goal of addictions treatment? Support your answer.

Question 66

Identify and describe the three primary approaches to the treatment of drug and alcohol use disorders.

Question 67

Briefly define rehabilitation counseling and identify the underlying values of the rehabilitation philosophy.

Question 68

As a future professional counselor, which treatment approach for drug and alcohol use disorders do you most closely align with? Why?

Question 69

Do you think it is ethical for a counselor who works in the addictions field to use drugs and alcohol in their personal life? Explain. How may substance use by a counselor positively or negatively influence work with clients?

Question 70

Cultural variables affect the way many mental health issues are experienced and expressed. Investigate cultural variations in expression of depression. What did you learn? How will this information help you in assisting your future clients?

Question 71

Reflect on your views related to eating disorders. What factors do you think are related to the development of eating disorders? How would your views influence your work with clients who are experiencing an eating disorder? How would you respond to the family member of a client with an eating disorder who states they do not understand why the client just won't eat?

Question 72

Which disability would you find most difficult to cope with? Which disability would you find least difficult to cope with? How does your response relate to your personal values? Cultural values? Worldview?

Question 73

Define and discuss the terms tolerance and withdrawal regarding substance use disorder.

Question 74

Give examples of community/agency mental health counseling settings.

Question 75

Describe the role of a professional counselor in a hospital setting.

Question 76

Today, rehabilitation counseling has moved away from the traditional medical model viewpoint to a more progressive model, such as the empowerment model of rehabilitation counseling. How were people with disabilities who needed rehabilitation counseling viewed under the more traditional model compared to the more progressive one?

Question 77

What is "people first language" and with which model does this align?

Question 78

What are some unique advantages and challenges of maintaining a private practice?

Question 79

In what ways is rehabilitation counseling distinct from mental health counseling? Consider specific client populations and the specific intentions of rehabilitation counseling.

Question 80

What are the two mistaken assumptions made by beginning counselors about private practice settings?