Question 1

Why is it necessary to include goals in the written assessment?

Accepted Answer

The reason to include goals established together by the client and the counselor is so that this team will be in accordance with the goals. Though the client needs to agree with the goals; the client is not in a position to make the decisions alone. Though someone from a criminal justice system may request one or more goals are included, such as avoiding bars are a girlfriend that uses heroin, they seldom participate
in establishing the treatment goals

Question 2

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

Accepted Answer

The counselor and the client have the responsibility for the construction of the treatment plan. The two will identify and rank problems that need to be solved in the immediate time and in the future. The treatment director is seldom involved as the counselor and client are the key players in the client's treatment.

Question 3

A strategy is a stratagem included in a treatment plan. Which statement best describes that concept?

Accepted Answer

This describes strategies utilized by techniques to achieve treatment plan objectives. Though many clients would try many strategies in a group process the correct answer refers treatment plan strategies.

Question 4

Which of these statements would not considered a strategy.

Accepted Answer

To abstain from drinking until after 4 is an objective. The other three, as they include the results include a strategy.

Question 5

A client's treatment plan contains a list of strengths and weaknesses such as homeless, limited medical resources, and bachelors degree. Which would NOT be considered a weakness?

Accepted Answer

Strong family support is not considered a weakness. The family support of a person with chemical dependency is considered an important element of recovery. Alcohol substitutes for human interactions with others, and the absence of healthy social interactions for a recovering person would work as a barrier for recovery.

Question 6

What does the problem statement, family enmeshment, indicate to a counselor?

Accepted Answer

The symptoms of family enmeshment indicate that the dynamics of the family have been affected by substance disease as that type of dynamics indicates trust issues related to that disease.

Question 7

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

Accepted Answer

It is necessary to include the precipitating event in the treatment plan. It indicates the need for treatment and initiates the process.

Question 8

Which state is not appropriate for the reason to go into treatment?

Accepted Answer

A family member requesting treatment is not a consideration for another member going into treatment. The other statements indicate a pattern, either of one that is developing or has already established.

Question 9

When is a treatment plan due?

Accepted Answer

The treatment plan is due soon after the client is admitted into treatment, assessments have been done and a problem or problems have established.

Question 10

In a family the only worker, the father, after staying sober for a span of six months following inpatient treatment relapsed following a surgical procedure. What type of treatment is most appropriate for him?

Accepted Answer

Outpatient treatment would be the most appropriate for this father. The participating event of medication sedation necessary for surgery acerbated the relapse. However he has the knowledge accrued from the previous treatment and the opportunity to build a support system. if he is motivated, that should be sufficient.

Question 11

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

Accepted Answer

The family Tree Questionnaire and the Beck Depression Inventory are often given when suicide concerns are present. The Beck Depression Inventory name gives you one of the answers; it is often used as it can be used more than once in treatment and judge the changes that might have been taking place in the depressive mode. The Family Tree Questionnaire is sometimes given to signal past family suicide attempts.

Question 12

A former client called. He is 71 and has been sober for five years. He reports he binged with a quart of vodka last night but he is not drinking now. What should be done first?

Accepted Answer

The first action should be to get the alcoholic medically physically assessed. In situations when alcoholics have become physically dependent on the chemical and then without alcohol for a long period of time the reaction to consuming that much alcohol and then withdrawing again can be most severe. For example elevated blood pressure might need to be controlled.

Question 13

A heroin addict has been sentenced to a halfway house after being released from a one-year jail term. He has a history of many arrests and long term drug usage. What are the best strategies to follow to promote his continued chemical abstinence? Choose all that apply.

Accepted Answer

These two choices are considered the best for a long term heroin addict. Behavior should be watched, urine samples taken, and counseling meetings should be scheduled to best promote abstinence for this client. As this man has a long history of one of the most difficult addictions, he should be expected to relapse. Urine samples should be unscheduled and behavior should be observed closely even after lab results test negative. A methadone program is not recommended as some chemicals can be used to enhance the effect of the methadone and he is sophisticated in the use of drugs.

Question 14

A long-term heroin addict has been picked up for the third time for breaking and entering. There is no insurance to cover treatment and he does not have a job. What is the best option for him?

Accepted Answer

The best option for this long-term heroin addict is a methadone program. Counseling sohuld be directed to clients for rehabilitaiton purposes, not legal matters, and in any case it is often possible to acquire illicit substances in prison.

Question 15

A 6-month study will compare clinical case management to other types of case management. Which of the following factors is least helpful to include in the analysis?

Accepted Answer

Financial status is less important than alcohol use, medical status, and family relations for this analysis. Employment status would be a better factor to include.

Question 16

An assessment is a collaboration involving the counselor and the client during which information is gathered and interpreted for the purpose of planning treatment and evaluation progress. What tool is not utilized?

Accepted Answer

The Big Book of Alcoholics Anonymous is not used for an assessment. Though the information may be considered important to treatment it has no personal information regarding the client.

Question 17

A sixty year old woman is brought to the clinic by the police after being drunk and disorderly. She agrees to be assessed for appropriate treatment. She claims she has been sober for thirty-nine years, and is a history professor who has recently lost her husband. What are the two reasons to mark a suicide risk on her file?

Accepted Answer

The loss of a husband and longtime sobriety are major grief issues. The husband was probably her major companion and support. With the failure of relapsing after long-term sobriety and in a profession that influenced her self-esteem, she now may feel without any support. The threat of physical withdrawal is an automatic watch by staff; it does not institute being placed on suicide watch for withdrawal.

Question 18

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?

Accepted Answer

Calling the police would be the most appropriate answer to protect the woman and the others she might be in contact with. Sometimes waiting them out works and sometimes does supplying with booze. However, this is not in a safe neighborhood; noise might attract undesirables and the staff's comfort needs to be considered. It is best to opt for safety. The police may welcome the suggestion.

Question 19

Case management is one of the twelve cores brought together to provide services to clients. Which is not considered a case management approach?

Accepted Answer

The Criminal Justice System is not considered a part of a case management system. However, for those clients requiring substance abuse and mental health this service often becomes a needed part of the community system.

Question 20

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

Accepted Answer

Religions affiliation is not considered a service that case management services are associated with.

Quiz 4: Treatment Plan