Question 1

In case management, certain barriers may prevent successful treatment. Of those listed below, which is considered the most difficult to overcome?
A)Relationships with family and/or friends
B)Employment or lack thereof
C)Resources or lack thereof
D)Management of barriers to treatment

Accepted Answer

Unless a client decided to abstain from chemical substances before entering treatment, that option is often left open in the client's mind. When they encounter barriers, the will recall the option of using a chemical substance. This is the barrier that most prevents successful treatment.

Question 2

In motivational interviewing which term is not recommended?
A)Homosexual.
B)Person first language.
C)Schizophrenia.
D)Alcoholic.

Accepted Answer

Alcoholic is considered to be the most defensive to a client that has not accepted the possibility that he or she has the disease. Being titled that name reduces the acceptance of that person's alcoholism.

Question 3

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.

Accepted Answer

The Treatment Eagerness Stage is designed to access a client's willingness to make the positive changes necessary to recover. This instrument examines the numbers of thoughts and efforts to attempt to change behavior.

Question 4

In the administration of a client's assessment which of the statements is not appropriate?
A)The language the counselor uses during the administration should be nontechnical.
B)If possible the language used to administrate the assessment by the counselor is Clearly understood by the client.
C)Questions should not be allowed.

Accepted Answer

The statement that is inappropriate is the banning of questions. Although it might slow the assessment the interaction of a client by asking questions and hearing an understood language will enhance the results by promoting answer reliability and building trust on the counselor.

Question 5

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

Accepted Answer

The CAGE questionnaire would be the most appropriate choice. It is one of the instruments used to assess alcohol dependency. Though the woman's complaint could be a reaction to anxiety based on what she has heard in AA meetings it would be an appropriate time for that assessment. Later in treatment if the client begins to doubt her decision to enter treatment the results of CAGE reinforces the need for treatment. TWEAK is an instrument used to screen pregnant women.

Question 6

In these principles of case managements one below does not belong; which one does not?
A)Assertive Community Treatment.
B)Independent Strength Based Treatment.
C)Community Treatment, Strength- Based.
D)Clinical/ rehabilitation Model.

Accepted Answer

Independent strength based principal does not belong. All of the others rely on the strength of group support. Until an individual surrenders that independent concept, addicted clients will be in trouble.

Question 7

It is important that quality case management ensures 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.

Accepted Answer

Criminal justice institutions are often an important aspect of case management as many chemical dependency clients have broken the law. However there is little link between it and the other case management services.

Question 8

Most of the case management models listed below are used for mental heath treatment plans. Which one is not?
A)Community-based
B)Culturally sensitive
C)Client-driven
D)Strength-based model

Accepted Answer

A strength based model is not used in mental health treatment plans. Chemical dependency recovery plans utilize the resources of clinical programs. Their main strength comes from the spiritual and group support provided by others that are recovering, such as twelve step programs, or AA. The strength-based model does not utilize that approach.

Question 9

Most of these case management models were adopted from the mental health 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.

Accepted Answer

This is not a model adopted by the mental health treatment plan. Those other clinical dependency recovery plans utilize the resources of the clinical programs. Its main strength comes from the spiritual and group support that is provided by others that are recovering, such as a twelve step program, AA.

Question 10

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 all 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.

Accepted Answer

These two statements pertaining to the disorders outlined by the DSM-5 explain the reason to be familiar with these disorders. Increasing your knowledge acquired through a client's comprehensive diagnostic impression helps identify any mental disorders that might interfere with successful treatment. In most cases a client would be unable to correct the disorder. That knowledge, if it can be understood by the client, is not relevant to a client's recovery.

Question 11

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.

Accepted Answer

Clinical/rehabilitation is not a Treatment continuum phase; it is a case management model.

Question 12

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.

Accepted Answer

In this model the case manager supports clients in search for resources and encourages the use of informal helping networks as opposed to institutional ones. It involves an aggressive outreach and emphasizes advocacy.

Question 13

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.

Accepted Answer

The symptom considered not a withdrawal symptom would be the chocolate covered pickle. Though clients disclose weird withdrawal, the craving of a pickle is seldom reported.

Question 14

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.

Accepted Answer

The genogram would be the most appropriate instrument to establish a possible suicide risk linked to the family. It is done by the counselor and in most cases the client. However family members could contribute to better provide a comprehensive history of two generations of family behavior. Any suicides would be indicated to establish any suicidal pattern. Though the family interview should not be discounted the dynamics of a family involved with chemical and drug abuse could easily have been affected by the disease thus reducing the trust needed to reveal accurate family history to a stranger.

Question 15

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.

Accepted Answer

Treatment continuum refers to the phases involved with substance abuse/dependency treatment,

Question 16

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.

Accepted Answer

The tool that actuates the client's time, place and person is The Mental Status Exam. This assessment includes observation related to judgment, behavior, thought process, perception and memory.

Question 17

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.

Accepted Answer

The proper diagnosis for a direct physiological consequence of a drug or medication abuse would be substance abuse mood disorder.

Question 18

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's performance.

Accepted Answer

The father's job performance would not be scientifically and therapeutically significant to enter in record.

Question 19

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.

Accepted Answer

In this model the counselor provides the therapy and the resource acquisition help.

Question 20

What 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.

Accepted Answer

A counselor's accrued knowledge about substance relapse from working with clients does not compensate for knowledge available through the psychiatric assessments by the DSM-5. Answers A, B and D provide an assessment of comprehensive diagnostic psychiatric impressions outlining personality and behavioral descriptions.

Quiz 2: Case Management

In case management, certain barriers may prevent successful treatment. Of those listed below, which is considered the most difficult to overcome?

In motivational interviewing which term is not recommended?

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?

In the administration of a client's assessment which of the statements is not appropriate?

In these principles of case managements one below does not belong; which one does not?

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

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

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

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 all that apply.

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

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?

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

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

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

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

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

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

What model utilizes the counselor as the case manager?

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