Question 1

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

Accepted Answer

Applying for housing with his fraternity would not be appropriate. Though he may be able to stay sober in that environment, the high exposure to alcohol that is likely to occur would not be wise.

Question 2

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

Accepted Answer

Childhood issues do not belong in the present. That therapy concentrates on the here and now of today.

Question 3

What questions do goal statements answer in a treatment plan?

Accepted Answer

The establishment of a temporary NA sponsor and the acceptance of the client of a chemical abuse problem relate to the behavior needed to recover. The the precipitating events needed for discharge and the consequences leading to the decision to change the client's abuse patter, pertain to the reason for identifying a problem and the reason to change behavior.

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?

Accepted Answer

The support of others is encouraged not discourages. This concept is an important element of recovery and the therapeutic treatment community. It reflects the working together as a team.

Question 5

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

Accepted Answer

The examination of the past is not encouraged in the examination of issues. It strives to concentrate on today.

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?

Accepted Answer

A sobriety support group like AA and a volunteer organization like Kiwanis would be excellent sources for a newly sober single man living alone. These two resources would provide the possibility for social interaction without the temptation of proximity to alcohol. A poker group would probably expose this man to alcohol and possibly lead him to develop a gambling addiction as well, so it is not recommended as a resource.

Question 7

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

Accepted Answer

Grade average is not important to the formulation of the treatment plan as it serves no capacity to evaluate and enhance recovery.

Question 8

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

Accepted Answer

Some counselors may feel that their experience in working with clients over a long period of time exempts them from consulting the DSM-5. This is an unprofessional viewpoint, as all counselors should use the latest guidelines in their diagnosis, assessment, and treatment of patients, in addition to staying on otp of advances in the field.

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?

Accepted Answer

The problem statement should be individualized by both the counselor and the client.

Question 10

What therapy approaches uses the empty chair?

Accepted Answer

Gestalt therapy has the client sit in a chair and converse with an empty chair to resolve issues.

Question 11

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

Accepted Answer

"The client will not use drugs" is not a good objective statement. It is too vague and lacks the specifics incluided in the other statements. Objectives should focus on the behaviors, persons, and real-life scenarios that can trigger recovering addicts to relapse. Avoiding certain people, places, and emotional states are good exmaples of objectives.

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?

Accepted Answer

Utilize NA meetings and sponsorship for long time sobriety and social support and use treatment to identify possible relapse events. If the protective service does not pick up on a relapse she was given a home free; she can continue to work on her sobriety and keep her children. It has not yet been established that the live in relationship is inappropriate. It should be investigated further.

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?

Accepted Answer

Assessing the client's progress in two weeks to see if he is ready for treatment is the only strategy that includes a possible resolution. The other options are just objectives.
If the client is not willing to enter treatment, attempt transference to long term treatment. An intervention is recommended with families, friends and the doctor if he is resistant.

Question 14

What is re-framing?

Accepted Answer

Re-framing is a verbal description, usually given by a counselor, of a situation that a client is facing. Very often due to anxiety or mental exhaustion a client reaches an apex, unable to move farther. This re-framing sometimes helps the client see more opportunities.

Question 15

A treatment plan strategy is:

Accepted Answer

A treatment plan strategy is developed by both the counsleor and the client to help the client achieve their treatment plan objectives. Though many clients would try many strategies in a group process, the correct answer refers to treatment plan strategies developed individually with a counselor.

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?

Accepted Answer

The id unconsciously controls your pain center. It is a principle part of our personality and its main role is to avoid pain and obtain pleasure.
The ego operates on the reality principle taking care of the realistic and logical part of our personality. The superego is our conscience providing our moral code and the awareness of right and wrong.

Question 17

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

Accepted Answer

This is one of the beginning stages where the trust is low. More than likely it is a forming group.

Question 18

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

Accepted Answer

One of the broad goals of a group is not to learn to confront aggressively with no regards to others feelings. The goal would be to confront with regard to others.

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?

Accepted Answer

These are the resources that were established before discharge that the client plans to utilize to advocate recovering.

Question 20

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

Accepted Answer

The treatment plan is usually placed just after the photo- graph as the file is opened so that it is easily assessable. The diagnostic impression is included in the written assignment.

Quiz 1: Alcohol and Drug Counselor