Deck 1: Chemical Addictions

Question 1

A vocabulary of counseling theories help counselors communicate with client and other staff better. What statement is true?

A)Repression is involuntary removal of threatening thoughts, experiences, and feelings from our consciousness.
B)Denial is pretending that something that is true is not true.
C)The Id is the force of our personality utilized to obtained goals.

Answer 1

The Id is the force of our personality utilized to obtained goals.

Question 2

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

Answer 2

None of above

Question 3

One of the hyperactive adolescence clients threatens to try to overdose. It is suspected it is a ploy to get sympathy. How should the suicide threat be handled? What two options would you take?

A)Check his records, social history and see if there were other suicide threats
B)Interview the client. if he reveals he has attempted or had thoughts of suicide find out how; search the room.
C)Discharge him immediately; threatening suicide is counterproductive for him and the other clients.
D)Ignore the threat; he is faking, but keep a watch.

Answer 3

Check his records, social history and see if there were other suicide threats
Interview the client. if he reveals he has attempted or had thoughts of suicide find out how; search the room.

Question 4

Why it is necessary for a client to agree with a problem statement? What statement is not correct?

A)It will enhance the corporation of client's efforts to achieve treatment goals.
B)The complaint cannot 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 5

Which does not describe Reality Therapy?

A)The focus is to help clients change in the here and now.
B)The major goal is to hold people accountable for their behavior and to teach them better and more effective ways of getting their needs met.
C)One focus of this therapy is to help clients see how issues from their past continue to influence them and to help them with it.

Question 6

A couple arrives at a treatment center. The spouse is in insisting that her husband be admitted for alcoholism. It seems he became quite intoxicated while playing bridge after having several drinks and taking an antihistamine at the couples' bridge group and she feels something needs to be done before the disease progresses. What should the counselor do?

A)Assess the man's insurance. If it covers chemical treatment admits him.
B)Interview the man to determine if there is a pattern of alcohol abuse during the past six weeks that might indicate impairment that might warrant,
C)Refer the couple to Alcoholic Anonymous and Al-Anon for a few meetings to learn more about the disease.

Question 7

Which of the following distinguishes Person-Centered Therapy from other forms of counseling?

A)Enabling the clients to reach their own conclusions
B)Allowing for the development of congruence
C)Examining the past
D)Encouraging change and growth

Question 8

You have an adolescent that has suddenly withdrawn from group interactions. In the initial interview he denied any suicide attempts however 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 as seen appropriate.
D)Flag the file as suicide watch, report concerns at staff meeting.

Question 9

What term best names the process during which the group is the most effective?

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 10

Which statement would be appropriate for objectives of treatment plan goals?

A)The client will accept her alcoholism.
B)The client will attend NA following discharge.
C)The client will abstain from alcohol forever.
D)The client will disclose in group ten times that she is an alcoholic.

Question 11

When is it appropriate for a treatment plan to list abstinence as a treatment goal?

A)To abstain from attending chicken fights if the precipitating event involved attendance at a chicken fight.
B)When chemicals are used during and after surgery.
C)The client does not agree with a treatment goal.
D)The spouse does not agree with the treatment goal.

Question 12

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 13

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 14

Of these steps in crisis intervention which is or are considered the most important? Choose those that apply.

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

Question 15

What are the reasons to include the precipitating event 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 16

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 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

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)Client's objectives.
D)Treatment goals.

Question 19

Which statement is incorrect?

A)If you addicted to one substance, there is no reason to abstain from using another substance.
B)Over-the-counter medications are never addictive and cannot be abused.
C)Prescription medications are never addictive and cannot be abused.
D)None of the above

Question 20

A 75 year old man, a colonel, widowed, with two children living with him 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 alcohol but he has good medical coverage and resources. He has never been to an AA meeting. What strategy is recommended? What might the best strategy?

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)Do nothing; that is one of those many cases that is hopeless.
D)In two weeks assess the client's progress. Interview him concerning his willingness to change. If he is not, attempt transference to long term treatment. An intervention is recommended with families, friends and the doctor if he is resistant. Long term treatment of several months in a continued sober state and exposure of members and staff working on recovery may make a difference. He needs to find a reason to live without alcohol.

Question 21

Which of these group development stages is the least demanding stage for the councilor in the development of an effective group?

A)Forming.
B)storming.
C)Morming.
D)Performing.

Question 22

Discharge plans are often included in the treatment plan. What statement might not be found in a discharge plan?

A)Client has obtained NA sponsor.
B)Client will illustrate motivation related to continuing a recovery program to remain sober.
C)Client has identified events leading up to relapse.
D)Client experiences continued physical altercations with a family

Question 23

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 24

While a group begins Norming what has previously been happening?

A)The group is going through a fragmentation stage.
B)The trust of the group is being threatened.
C)The power and control stage during which the members vie for power.

Question 25

An eighteen year old foreign student has been arrested for using drugs. That boy had moved into this state three weeks ago from another country. He lives with a couple that have no children. What might the most important group treatment goals for this foreign student to integrate safety into a new culture without risking encountering further substance abuse problems.

A)Identify behavior that might put client at risk for further chemical abuse...
B)Learn how his behavior might be viewed by peers.
C)Learning to trust self and others
D)Develop a greater empathetic understanding of the needs of others.

Question 26

Which of the below are not considered good objectives for treatment plans? Choose those that apply.

A)An alcoholic client will abstain from alcohol forever.
B)An alcoholic client will attend three meetings a week for one year.
C)An off shore driller will attend three meetings a week for one year.
D)A client will disclose information about his self during group.

Question 27

A foreign student has been arrested for carrying drugs. That boy moved into this country a few weeks ago. He lives with a couple that have no children. Ah admits he may have developing a substance abuse problem. What might be used as one of the group treatment goals?

A)Identify behavior that needs to be changed
B)Learn how one's culture affects personal decisions
C)Learn to trust one's and others
D)Develop a greater empathetic understanding of the needs of others.

Question 28

Problem statements should be in the client's words if possible and may take the form of an answer of the problem. What statement is not a good problem statement?

A)Continuous driving while intoxicated.
B)The visitation at strip bars.
C)The attendance of two AA meetings a week.

Question 29

Who is involved in treatment planning? Choose those that apply.

A)The treatment center directory.
B)The counselor.
C)The client.

Question 30

Why might a twenty eight wife, married eight months, complaining to counselor of being bossed by her wife use as a goal of her treatment plan. What options would you choose for her?

A)Interpersonal learning.
B)Develop a greater empathetic understanding of the needs for others
C)Learn to confront appropriately
D)Develop conflict resolution skills

Question 31

Which one of these counseling approaches listed below are not recommended for clients involved in substance abuse?

A)Active listening.
B)Emphasis.
C)Catharsis.
D)None of the above.

Question 32

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 33

Which of the following items is not a reason to be familiar with the DSM-5?

A)Counselors often refer to these psychiatric codes for assistance in assessing a comprehensive, diagnostic personality 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 without consulting this instrument.
D)Counselors need to be able to identify disorders by this assessment to better help client plan for successful long term recovery.

Question 34

What measuring tool evaluates the client's orientation to time, place and person?

A)The Minnesota Multiphasic Personality Inventory
B)The Strong interest Inventory
C)The Wechsler Adult Intelligence
D)The Mental Status Exam.

Question 35

A woman calls from a seedy part of the city saying she needs treatment and gives insurance information and her address. Two staff members go to pick her up; but she refuses to leave the room. During the conversation she reveals she is a history professor from out of town, divorced with no children and sober for thirty nine years. She demands that we leave, saying she has changed her mind. She becomes increasingly hostile. What should be done?

A)Leave a card, leave and say a prayer for her safety.
B)Don't leave, wait her out, at some point she may give up.
C)Supply her with booze until she passes out; then take her to the clinic.
D)Call the police complaining about the noise and the drunken woman that has threatened to do harm. When the police arrive explain the situation, that the woman may harm self or others and suggest the police give the woman the choice of being taking to the precinct and jailed for assessment or to the clinic you represent.

Question 36

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 37

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 38

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

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

Question 39

What are some of the social factors involved in assessments? Choose those that apply.

A)Family Dynamics.
B)Social and leisure activities.
C)Vocational training.
D)The list of the previous psychiatric treatment is not relevant to the social aspects of a client's life.

Question 40

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 than jail.
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.

Question 41

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 42

What instrument evaluates a client's person, place and time while taking the assessment?

A)The Minnesota Multiphasic Personality Inventory.
B)The Strong interest Inventory.
C)The Wechsler Adult Intelligence.
D)The Mental Status Exam.

Question 43

To assess families while establishing a possible suicide risk for a client which assessment is recommended?

A)FTQ.
B)Genogram.
C)Family interview.
D)A & C.

Question 44

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.

Question 45

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 46

Some of the Cluster B personality disorders in the DSM-5 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 47

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 48

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 49

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 50

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 51

Are Psilocybin "Magic" mushrooms as addictive as opioids?

Question 52

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 heroine 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 is pregnant. What two options would be most appropriate for her?

A)Outpatient Treatment.
B)Intensive Outpatient Treatment.
C)Inpatient Treatment.
D)Chemical Substitution Program.

Question 53

Which of the following is not a part of crisis intervention?

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

Question 54

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 55

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 56

In the principles of case management which of those statements do not apply?

A)The principle of consolidating client to a single point of responsibility.
B)The principle of always being community-abased, culturally sensitive, pragmatic and client driven.
C)The principle that strives for interventions that intrudes on client's life as little as possible.
D)The principle of striving to fit the client to the services.

Question 57

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

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

Question 58

What steps might the counselor do to assist the client in successfully entering Aftercare?

A)When Staff collaborates with each other to avoid rivalry and when pre-contracting services are provided to ensure availability is arranged.
B)When the client is given a list of services by the counselor upon discharge.
C)When the client is allowed to locate their own needed services.

Question 59

Of the four models of case management adopted below from the mental health treat field for use with substance abusing and dependent clients, which encourages the use of informal helping networks as opposed to institutional ones.

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

Question 60

What treatment plan element is not necessary to document for a client's record file.

A)Laboratory records.
B)Treatment Plan
C)Discharge Summary.
D)Client's Treatment Diary.

Question 61

What might the case resources not be used by the 16 to 60 year old group?

A)Family primary physician.
B)A STD screening clinic.
C)An abortion clinic.
D)An AARP meeting.