Question 1

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?

Accepted Answer

The referral to appropriate staff is needed as she is hallucinating. Many clients with mental health problems believe what they tell others and they live with images that are not there. She could easily describe that knife. For a client just entering treatment she could be off meditation or suffering from chemically produced hallucination. As the client is probably not stable make sure staff is close.

Question 2

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

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 3

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

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 4

If a client entering treatment presents a physical health problem such as diabetes. What of the following might that indicate?

Accepted Answer

Many health problems are acerbated by the use of alcohol. One example is diabetes. For example alcohol consumption can elevate cholesterol that in turn clogs blood vessels needed for oxygen distribution.

Question 5

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

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. Severe tremors and confusion/delirium are more likely, and can pose a threat to the patient or others around them.

Question 6

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.

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 7

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?

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

Which of the following functions described intercede on behalf of the client to obtain needed resources?

Accepted Answer

Advocacy is a case management function of assisting clients in assessing services as the inability to access these services can serve as a barrier for continued recovery.

Question 9

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

Accepted Answer

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

Question 10

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

Accepted Answer

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

Question 11

Are Psilocybin "Magic" mushrooms as addictive as opioids?

Accepted Answer

Evidence points to psilocybin mushrooms lacking the same addictive chemical potential as more common drugs of abuse (e.g., opioids, stimulants). However, clients may continue to use psilocybin mushrooms to attain pleasurable feelings associated, which can lead to somewhat problematic, compulsive patterns of behavior.
Note: this is replacement question implemented December 8, 2022 for this exam, replacing an outdated question

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 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?

Accepted Answer

Inpatient treatment and outpatient treatment would be the most effective for this employed mother with small children and a child protection case. Let her use the system. Inpatient is needed until the woman has withdrawn sufficiently from withdrawal cramps, possible relapse risks have subsided and her child is born. She could then be transferred into outpatient treatment.

Question 13

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

Accepted Answer

Arranging for discharge plans is not a crisis intervention step. A counselor does not know how soon a client can be discharged until investigation reveals the seriousness of the crisis. The crisis can be that taking a sleeping pill on no sleep for five days alarmed the client; or their blood pressure may have increased to life-threatening levels. To find the most accurate information you must give support and assess the crisis. Action plans may have unconsciously or consciously been discarded; more plans may be needed.

Question 14

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?

Accepted Answer

The Brokerage generalist does not emphasis client monitoring or advocacy. It does identify client's needs and helps access the resources.

Question 15

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.

Question 16

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

Accepted Answer

It strives to fit the client to the service.

Question 17

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

Accepted Answer

Disconnecting does not happen in case management. To manage in this situation means to link. It is not possible to link if you disconnect.

Question 18

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

Accepted Answer

The assistance in locating needed services at a time of discharge is a time that itself can be anxious provoking. The assistance from a counselor trained in helping could make all the difference in the world in a successful continued recovery.

Question 19

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.

Accepted Answer

This Strength-based model focuses on helping the clients develop their own goals and emphasis the role of advocacy.

Question 20

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

Accepted Answer

The treatment diary is not considered information that is needed to respond to therapeutically. Though exerts might be considered important to respond to they might, with permission, be entered into the file.

Quiz 1: Chemical Addictions