ADC/CASAC Alcohol And Drug Counselor Exam Practice Test!

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1. In order to provide clients with updated information concerning addiction and recovery, the counselor must:

Explanation

The correct answer is to stay well-informed and aware of recent developments in the field. This is because in order to provide clients with updated information concerning addiction and recovery, it is crucial for the counselor to stay up-to-date with the latest advancements, research, and practices in the field. Attending A.A. and/or N.A. meetings may provide personal insights and experiences, but it does not necessarily guarantee access to the most current information. Teaching classes about these topics or assuming that the client will ask for what they need may not be sufficient to ensure that clients receive accurate and relevant information.

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About This Quiz
ADC/CASAC Alcohol And Drug Counselor Exam Practice Test! - Quiz

ADC/CASAC Alcohol and Drug Counselor Exam Practice Test! As human beings, there is much that is still unexplained about our behavior towards others and how it affects those... see morearound us. When we cannot explain some of the things, we go through; we seek the help of counselors to break the walls that inhibit our capabilities. This test is all about Credentialed Alcoholism and Substance Abuse Counselor (CASAC). Let's see how much knowledge you carry.
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2. Which of the following responses would be helpful ¡n establishing a therapeutic relationship with a client?

Explanation

The answer "Let's talk about each of our expectations for counseling" would be helpful in establishing a therapeutic relationship with a client because it shows a willingness to engage in open communication and collaboration. By discussing expectations, both the client and the counselor can establish a shared understanding of the goals and objectives of the counseling process. This helps to build trust, rapport, and a sense of partnership between the client and the counselor, which are essential for a successful therapeutic relationship.

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3. Which statement BEST describes how a counselor can avoid professional burnout?

Explanation

The best way for a counselor to avoid professional burnout is by attending to their health through adequate sleep, an exercise program, and a proper diet. Taking care of one's physical and mental well-being is crucial in preventing burnout. By ensuring that they get enough rest, engage in regular physical activity, and eat a balanced diet, counselors can maintain their energy levels and cope better with the demands of their job. This approach helps in reducing stress and maintaining overall well-being, which in turn prevents burnout.

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4. If the orientation process is neglected or incomplete a client may:

Explanation

If the orientation process is neglected or incomplete, the client may have incorrect information and unanswered questions about the program. This can lead to confusion and uncertainty about the treatment process, which may hinder their progress in recovery. It is important for clients to have a clear understanding of the program and its components to ensure they can fully engage and benefit from the services provided.

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5. A "Release of Information" form must include, in addition to the client's name, address and date of birth, which of the following?

Explanation

A "Release of Information" form must include the purpose of the release of information. This is important because it ensures that the client understands why their information is being shared and gives them the opportunity to consent to the release. Including the purpose also helps to maintain transparency and accountability in the handling of sensitive information.

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6. When conducting an assessment, what is the counselor's primary focus?

Explanation

The counselor's primary focus when conducting an assessment is to identify the client's problems and needs, as well as their strengths and weaknesses. This is important in order to gain a comprehensive understanding of the client's situation and develop an appropriate treatment plan. Explaining the rules of the program and having the client sign Release of Information forms are important steps in the assessment process, but they are not the primary focus. Confronting the client's denial may be a part of the assessment process, but it is not the primary focus either.

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7. Which statement about the grief process is TRUE?

Explanation

Guilt and anger are commonly experienced emotions during the grieving process. When someone experiences loss, they may feel guilty about things they did or didn't do, or they may feel anger towards themselves, others, or even the situation itself. These emotions are a normal part of the grieving process and can vary in intensity and duration for each individual.

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8. Lt is crucial for the case manager to be aware of what may inhibit minorities' participation in the substance abuse treatment continuum. Suppose that you are a case manager, working in an outpatient program with a Somali client. AA is an integral part of your program, yet you are aware of the fact that while "accepting one's powerlessness" is a central tenet of 12-Step self-help programs, members of oppressed groups may not accept it, given their own societal powerlessness. What would be the best thing to do in such a case?

Explanation

In this scenario, the best thing for the case manager to do is to be sensitive to the cultural differences of the Somali client and seek out other recovery resources that align with the client's values. This is important because the client may not accept the central tenet of 12-Step self-help programs, which involves accepting powerlessness, due to their experience of societal powerlessness as a member of an oppressed group. By being aware of this and finding alternative resources that are more culturally relevant, the case manager can better support the client's recovery journey.

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9. Which of the following is the BEST example of a counselor setting limits with a client?

Explanation

The answer "Our meetings will consist of four 50 minute sessions at 10 a.m. each Wednesday" is the best example of a counselor setting limits with a client because it establishes a clear structure and schedule for the counseling sessions. This demonstrates that the counselor is setting boundaries and expectations for the client regarding the duration and timing of their meetings. It also implies that the counselor values punctuality and consistency in the therapeutic process.

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10. A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should:

Explanation

The correct answer is to discuss these concerns with the client and make necessary changes in treatment goals. This is the most appropriate response because it acknowledges the client's dissatisfaction and addresses it by engaging in a conversation about their concerns. By discussing these concerns with the client, the counselor can gain a better understanding of their needs and make any necessary adjustments to the treatment goals in order to improve the client's satisfaction and progress.

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11. Which of the following issues must always be considered when consulting with out-of-agency professionals?

Explanation

When consulting with out-of-agency professionals, it is crucial to always consider confidentiality. This is because sharing sensitive client information without their consent can violate their privacy rights and undermine trust in the therapeutic relationship. Respecting confidentiality ensures that clients feel safe and comfortable sharing their personal information, allowing professionals to provide effective and ethical support.

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12. A female client reports that she has some concerns about the relationship between her husband and her 14-year-old daughter from a previous marriage. She reports that her husband and daughter frequently argue, that her daughter refuses to take direction from her stepfather, mid that her daughter regularly complains about her stepfather's "faults" and describes how her biological father ¡s better. The MOST relevant professional to whom a referral should be made is a:

Explanation

A marriage and family therapist would be the most relevant professional to refer the client to in this situation. The client is expressing concerns about the relationship between her husband and her daughter, which falls under the domain of family dynamics and relationships. A marriage and family therapist is specifically trained to address these types of issues and can provide guidance and support to help improve the family dynamic and resolve conflicts.

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13. The primary purpose of the screening process is to:

Explanation

The primary purpose of the screening process is to determine one's appropriateness and eligibility for admission. This means that the screening process is used to assess whether or not an individual is suitable and meets the necessary criteria to be admitted into a particular program or facility. It helps to ensure that the individual's needs can be adequately met and that they will benefit from the services provided. The screening process may involve evaluating the individual's medical history, mental health status, substance use, and other relevant factors to make an informed decision about their admission.

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14. Ralph is a recovering alcoholic. He as been sober for several months, and has managed to find gainful employment and re-establish family relationships. He is in a twelve-step program as well as individual counseling. One day, he arrives to a counseling session quite upset. He reveals that he had a "slip" and drank a beer at a party. He did not get drunk, but feels terribly remorseful and has promised himself that he will not do it again. Which of the following is MOST true?

Explanation

Ralph's slip, or drinking a beer at a party, does constitute a relapse, but it does not mean that he needs to start the recovery process all over again. Instead, the counselor should discuss with Ralph the potential risks and implications of such situations and reassure him that it is still possible to continue his recovery process. This acknowledges the seriousness of the slip while providing support and guidance to help Ralph stay on track in his sobriety journey.

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15. Providing the client with information regarding program rules, and infractions that can lead to discharge, normally occurs during the:

Explanation

During the orientation phase, clients are typically provided with information about program rules and regulations, as well as the consequences of any infractions that may lead to discharge. This is an important step in familiarizing clients with the program and ensuring they understand the expectations and guidelines they are expected to follow. Screening and assessment focus more on gathering information about the client's needs and determining the appropriate treatment approach, while group therapy sessions involve therapeutic interventions and discussions among clients.

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16. You begin working with a drinking alcoholic who recently had eight months of sobriety. He asks how he can stay sober. You respond by:

Explanation

Asking the alcoholic what worked before is a helpful response because it allows them to reflect on their previous successful strategies for maintaining sobriety. By understanding what worked for them in the past, they can identify and implement those strategies again in their current situation. This approach acknowledges their previous progress and empowers them to take ownership of their recovery journey. It also demonstrates a supportive and non-judgmental attitude, which can foster trust and open communication between the alcoholic and the person providing support.

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17. Relapse prevention efforts are aimed at:

Explanation

Relapse prevention efforts are focused on identifying high-risk situations and learning alternative coping skills. This means that individuals who are in recovery from addiction are taught to recognize situations or triggers that may lead them to relapse, and then they are equipped with alternative ways to cope with these situations without turning to substance abuse. By being able to identify and manage high-risk situations, individuals are better prepared to maintain their sobriety and avoid relapse. This approach emphasizes the importance of self-awareness, self-control, and developing effective strategies for dealing with challenges in a healthy way.

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18. A pretreatment period is frequently the result of waiting lists or client reluctance to become fully engaged in primary treatment. What might be a danger of this pretreatment period?

Explanation

During the pretreatment period, clients may lose interest in treatment. This could happen due to the waiting lists or client reluctance to fully engage in primary treatment. If clients become disengaged during this period, they may not continue with the necessary programming and support that is required for their recovery. This can hinder their progress and potentially lead to a relapse or lack of improvement in their condition.

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19. The first contact that a potential client would have with an agency would likely be for the purpose of:

Explanation

When a potential client first contacts an agency, it is most likely for the purpose of screening. Screening involves an initial assessment to determine the client's needs, suitability for services, and the appropriate course of action. This initial contact is usually made to gather basic information about the client's situation and to determine if further assessment or intervention is required. It is the first step in the process of determining the client's needs and the agency's ability to meet those needs. Family therapy, education, and psychosocial assessment may be subsequent steps in the process, but the initial contact is primarily for screening purposes.

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20. The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents ¡s lack of: -

Explanation

The lack of child care services is the most significant barrier to effective treatment for alcohol and other drug abuse for single parents. This is because without access to reliable child care, single parents may struggle to attend treatment sessions or support groups. They may also be unable to fully focus on their recovery if they are constantly worried about the well-being of their children. Child care services are essential in allowing single parents to prioritize their own treatment and recovery.

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21. Which self help group would be most appropriate for a mother whose drug and alcohol-abusing son is causing her distress?

Explanation

Al-Anon would be the most appropriate self-help group for a mother whose drug and alcohol-abusing son is causing her distress. Al-Anon is a support group specifically designed for family members and friends of individuals struggling with alcoholism. It provides a safe and understanding environment where individuals can share their experiences, gain support, and learn coping strategies to deal with the challenges they face. By joining Al-Anon, the mother can connect with others who are going through similar situations and receive guidance on how to effectively deal with her son's addiction and the impact it has on her life.

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22. One goal of an effective aftercare program is:

Explanation

An effective aftercare program aims to support the gains made in treatment. This means that the program is designed to provide continued assistance and resources to clients in order to help them maintain the progress they achieved during their treatment. By offering ongoing support, the program can help clients avoid relapse and continue their journey towards emotional rehabilitation. The other options, such as enhancing emotional rehabilitation, minimizing denial, and assigning sponsors, may also be important aspects of an aftercare program, but they are not the primary goal as stated in the correct answer.

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23. Which of the following is MOST helpful for counselors in defining their professional roles for counseling clients?

Explanation

An ethical code of conduct is most helpful for counselors in defining their professional roles for counseling clients because it provides a set of guidelines and principles that counselors must adhere to in their practice. This code outlines the ethical responsibilities, boundaries, and standards of behavior that counselors should follow to ensure the well-being and safety of their clients. It helps counselors establish professional boundaries, maintain confidentiality, and make ethical decisions in their practice. By following an ethical code of conduct, counselors can ensure that they are providing ethical, competent, and effective counseling services to their clients.

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24. "Referral" pertains to:

Explanation

The term "referral" refers to the act of assisting a client in accessing and utilizing the various support systems and community resources that are available to them. This may involve connecting them with appropriate services, organizations, or professionals that can provide the necessary assistance or support for their specific needs. Referrals are an important part of the client's overall care and can help ensure that they receive the comprehensive help they require.

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25. You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; gooseflesh; lacrimation; muscle jerks; flu syndrome; vomiting; diarrhea; nervousness; yawning; and severe anxiety. You conclude that the client is withdrawing from:

Explanation

Based on the given symptoms, such as dilated pupils, gooseflesh, lacrimation, muscle jerks, flu syndrome, vomiting, diarrhea, nervousness, yawning, and severe anxiety, it can be concluded that the client is experiencing withdrawal symptoms. These symptoms are commonly associated with opioid withdrawal. Opioids are known to cause physical dependence, and withdrawal symptoms occur when the drug is stopped or significantly reduced. Therefore, the correct answer is opioids.

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26. When a client discloses suicidal thoughts, the counselor's first step is to:

Explanation

When a client discloses suicidal thoughts, the counselor's first step is to assess the degree of risk. This is crucial in order to determine the level of danger the client is in and the appropriate course of action to take. Assessing the degree of risk involves evaluating the seriousness of the client's thoughts, the presence of a plan, access to means, and any previous attempts or self-harm behaviors. This assessment helps the counselor make informed decisions about the client's safety and whether immediate intervention, such as contacting emergency personnel, is necessary.

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27. A single mother with three young children enters your clinic and begins to discuss her current drug use. She tells you that she hasn't been home for several days and has left the 8 year old in charge. What do you do?

Explanation

In this scenario, the best course of action is to contact child protective services to report the incident. The mother's neglectful behavior of leaving her young children at home alone for several days is a clear indication of potential child abuse and neglect. By reporting the incident, the appropriate authorities can intervene to ensure the safety and well-being of the children. It is important to prioritize the welfare of the children in such situations.

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28. A client says that his wife has vowed to leave him if he resumes drinking. The best response by the counselor would be:

Explanation

The best response by the counselor would be "she's really serious about your sobriety" because it acknowledges the importance of the client's wife's concern and emphasizes the significance of maintaining sobriety in their relationship. This response shows empathy towards the client's situation and recognizes the potential consequences of resuming drinking for their marriage.

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29. Which of the following modes of sexual transmission provides the LOWEST risk of HIV transmission?

Explanation

Female to female sexual transmission provides the lowest risk of HIV transmission. This is because the transmission of HIV typically occurs through the exchange of bodily fluids, such as blood, semen, vaginal fluids, and breast milk. Female to female sexual activity involves a lower likelihood of direct contact with these fluids compared to other modes of transmission. However, it is important to note that while the risk may be lower, it is not zero, and practicing safe sex and using barrier methods like dental dams or gloves is still recommended to further reduce the risk of transmission.

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30. A common error that counselors make when conducting an assessment is:

Explanation

Moving too quickly from data collection to treatment planning is a common error that counselors make when conducting an assessment. This error can lead to a lack of thorough understanding of the client's situation and needs, which may result in ineffective or inappropriate treatment planning. It is important for counselors to take the time to carefully analyze and process the data collected from the client before moving on to treatment planning, in order to ensure that the treatment approach is tailored to the client's specific needs and goals.

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31. The measurement of progress toward treatment plan goals is best assessed by:

Explanation

The best way to assess the measurement of progress toward treatment plan goals is by reviewing documentation in progress notes. This is because progress notes provide a detailed record of the client's treatment journey, including the interventions used, the client's response to treatment, and any changes or improvements observed. By reviewing these notes, the therapist can objectively evaluate the client's progress, identify areas of improvement, and make necessary adjustments to the treatment plan. Consulting with the client's significant others or referring the client to an external professional may provide additional perspectives, but reviewing progress notes is the most direct and reliable method for assessing progress. Asking the client to write a personal evaluation may be subjective and may not provide an accurate reflection of progress.

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32. Effective communication occurs in groups when:

Explanation

Effective communication occurs in groups when message senders use "I" messages. "I" messages are statements that express the speaker's thoughts, feelings, and beliefs, without blaming or accusing others. By using "I" messages, message senders take responsibility for their own thoughts and emotions, which promotes open and honest communication. This approach encourages active listening and understanding among message receivers, fostering a collaborative and respectful group dynamic.

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33. Bipolar mood disorder is distinguished from major depression by:

Explanation

The correct answer is "at least one episode of mania." Bipolar mood disorder is characterized by the presence of both depressive episodes and manic episodes. Major depression, on the other hand, does not involve episodes of mania. The presence of at least one episode of mania is what distinguishes bipolar mood disorder from major depression. The other options, such as evidence of earlier cyclothymia or dysthymia, or chronic forms of depression, are not specific criteria for distinguishing bipolar mood disorder from major depression.

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34. The therapeutic reasoning for self-disclosure in group counseling is to:

Explanation

Self-disclosure in group counseling is a therapeutic technique used to facilitate the growth of the group by relating to client or group issues. By sharing personal experiences or thoughts, the counselor creates a sense of trust and connection with the group members. This can help group members feel understood and validated, leading to increased engagement and participation in the group process. It also provides a model for healthy self-expression and encourages group members to explore their own thoughts and feelings. Overall, self-disclosure can contribute to the overall growth and development of the group.

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35. What was the PRIMARY ethical issue in this case?

Explanation

The primary ethical issue in this case is a potential violation of professional boundaries. Carpooling with a client to aftercare blurs the line between a professional relationship and a personal one, which can compromise the counselor's objectivity and create potential conflicts of interest. It is important for counselors to maintain clear boundaries to ensure the best interests and well-being of their clients.

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36. A major method of reinforcing the therapeutic alliance and spirit of collaboration between the client and the counselor is:

Explanation

Setting mutually-established goals is a major method of reinforcing the therapeutic alliance and spirit of collaboration between the client and the counselor because it involves the client in the decision-making process. By involving the client in setting goals, it promotes a sense of ownership and empowerment, which can enhance motivation and engagement in the counseling process. Additionally, setting mutually-established goals ensures that the client's needs and preferences are taken into account, fostering a sense of trust and partnership between the client and the counselor.

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37. Your dually-diagnosed client, stabilized on medication for his psychiatric disorder, decides he wants to quit smoking. You should:

Explanation

It is important to consult with the client's physician regarding the interaction between nicotine and his medication. Nicotine can interact with certain psychiatric medications and may affect their effectiveness or cause adverse side effects. Therefore, it is crucial to seek medical advice to ensure a safe and effective approach to quitting smoking.

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38. A 42-year-old male has just completed intake admission forms and is considered appropriate and eligible for treatment. Which step should occur next?

Explanation

After completing the intake admission forms and being deemed appropriate and eligible for treatment, the next step should be for the counselor to provide the client with an overview of the program. This is important as it helps the client understand the goals, objectives, rules, and obligations of the program they will be participating in. It allows the client to have a clear understanding of what to expect and what will be expected of them during the treatment process. This step helps set the foundation for the client's engagement and commitment to the program.

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39. Personality disorders are:

Explanation

Personality disorders refer to maladaptive ways of perceiving, thinking, and relating. This means that individuals with personality disorders have distorted and unhealthy patterns of thinking, perceiving the world, and relating to others. These patterns are typically long-lasting and pervasive, causing significant impairment in various areas of life. Unlike reactions to stress, which are temporary responses to challenging situations, personality disorders are enduring and chronic. Additionally, personality disorders are not episodic in nature, meaning they do not occur in discrete episodes but rather persist over time. Lastly, while personality disorders may involve intra-psychic disturbances, this is not the defining characteristic of these disorders.

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40. You have assessed your client and determined that he is a problem drinker. He insists that the reason he drinks is because of his wife's behavior. Your initial objective should be to help him:

Explanation

The correct answer is to take responsibility for his behavior. By taking responsibility for his own actions, the client can begin to acknowledge that his drinking is a choice he makes, rather than solely blaming his wife's behavior. This shift in mindset can empower him to take control of his drinking habits and work towards making positive changes in his life.

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41. An irresistible impulse is called a(an):

Explanation

An irresistible impulse refers to a strong urge or desire that one feels compelled to act upon, even if they are aware that it may be irrational or harmful. This aligns with the definition of a compulsion, which is an uncontrollable urge to perform certain behaviors or rituals repeatedly. Delusion refers to a false belief, hallucination refers to perceiving something that is not actually present, and obsession refers to a persistent and intrusive thought or idea. Therefore, out of the given options, compulsion is the most appropriate term to describe an irresistible impulse.

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42. Client files should be readily accessible to:

Explanation

Client files should only be accessible to those persons directly involved in providing clinical services. This is because client files contain sensitive and confidential information that should only be accessed by individuals who have a legitimate need to know. Allowing all staff of the facility or the agency board of directors to have access to client files could compromise the privacy and confidentiality of the clients. Therefore, limiting access to only those directly involved in providing clinical services ensures the protection of client information.

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43. Effective case management for persons in need of multiple services requires:

Explanation

Effective case management for persons in need of multiple services requires monitoring, feedback, and evaluation of services. This is because by monitoring the services provided, case managers can ensure that the needs of the clients are being met and that the services are being delivered effectively. Feedback allows for continuous improvement and adjustment of services based on the client's needs and preferences. Evaluation helps to assess the effectiveness of the services and identify any gaps or areas for improvement. By implementing these practices, case managers can ensure that the clients are receiving the necessary support and that their needs are being addressed appropriately.

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44. The initial stage of crisis intervention involves:

Explanation

In the initial stage of crisis intervention, determining the problem is crucial because it helps the crisis intervention professional understand the root cause of the crisis. By identifying the problem, they can develop an appropriate plan of action and provide the necessary support and resources to address the crisis effectively. This step allows the interventionist to gather essential information, assess the severity of the crisis, and establish a foundation for further intervention strategies.

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45. Alcohol decreases resistance to HIV infection by:

Explanation

Alcohol compromises T-cell functions, which are an essential part of the immune system. T-cells play a crucial role in recognizing and destroying infected cells, including those infected with HIV. When alcohol is consumed, it can impair the ability of T-cells to function properly, weakening the immune system's response to HIV infection. This can lead to increased susceptibility to HIV and a higher risk of developing AIDS.

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46. Joe is a 27-year old addict who has begun counseling, but has not yet been able to give up using drugs. During one session, he tells his counselor that he is beginning to feel that "it is useless to try to stop," and that "sometimes life is not worth living." The counselor is concerned that Joe could be suicidal. The counselor should:

Explanation

The counselor should assess Joe's potential for suicide by asking him about his intent and evaluating high-risk factors. Joe's statement that "it is useless to try to stop" and "sometimes life is not worth living" indicate feelings of hopelessness and despair, which are common signs of suicidal ideation. By directly asking Joe about his intent and evaluating high-risk factors such as a history of suicide attempts, access to lethal means, and social isolation, the counselor can determine the severity of the situation and provide appropriate intervention and support.

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47. One of the counselor's tasks is to guide the client in relating and communicating in specific terms, rather than in general or abstract terms. That characteristic or ability is called:

Explanation

The counselor's task of guiding the client in relating and communicating in specific terms, rather than in general or abstract terms, is referred to as concreteness. This means that the counselor encourages the client to be specific and precise in their language, focusing on concrete and tangible details rather than vague or abstract concepts. This helps to enhance clarity and understanding in the therapeutic process, allowing for more effective communication and problem-solving.

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48. Record keeping is an important part of the counseling process. Which of the following best reflects the type of information which should be kept in a client's record?

Explanation

The correct answer reflects the type of information that should be kept in a client's record. This includes information about consultations, diagnosis, treatment, prognosis, and progress. Keeping track of these details is important for maintaining an accurate and comprehensive record of the counseling process and the client's journey. It helps ensure that the counselor has a complete understanding of the client's situation and can provide effective and appropriate treatment. Additionally, this information can be useful for future reference, collaboration with other healthcare professionals, and monitoring the client's progress over time.

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49. In a dysfunctional family system, the traditional role which the spouse plays is referred to as:

Explanation

In a dysfunctional family system, the primary enabler is the spouse who enables the dysfunctional behavior of other family members. They often cover up or make excuses for the destructive actions of others, allowing the dysfunction to continue. This role is characterized by a sense of responsibility and a desire to keep the peace, even at the expense of their own well-being. The primary enabler often sacrifices their own needs and enables the unhealthy behaviors of others, contributing to the dysfunction within the family.

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50. During the screening process, a critical task that the counselor has is to:

Explanation

During the screening process, it is crucial for the counselor to establish rapport with the client. Building a positive and trusting relationship with the client is essential for effective counseling. It helps create a safe and comfortable environment where the client feels understood, supported, and willing to share their thoughts and feelings. Establishing rapport also lays the foundation for effective communication and collaboration between the counselor and the client, which is necessary for developing an appropriate treatment plan and engaging the client's family in treatment if needed.

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51. _________________is one of case management's hallmark characteristics.

Explanation

Advocacy is one of case management's hallmark characteristics because it involves actively supporting and speaking up for clients to ensure their rights and needs are met. Case managers act as advocates by providing information, resources, and assistance to help clients navigate systems and access necessary services. They also collaborate with other professionals and agencies to coordinate and facilitate the best possible outcomes for clients. Advocacy is an essential aspect of case management as it empowers and promotes the well-being of individuals and communities.

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52. When language is a barrier to treatment planning, this situation can be overcome by:

Explanation

When language is a barrier to treatment planning, employing an interpreter is the most effective solution. An interpreter can bridge the communication gap between the counselor and the client, ensuring that accurate information is exchanged and understood. This allows for effective treatment planning and ensures that the client's needs are properly addressed. Training the counselor in cultural sensitivity is important but may not fully overcome the language barrier. Requiring the client to utilize a family member as an interpreter can be problematic as it may compromise confidentiality and may not be feasible in all cases. Getting the client a language tutor may help improve their language skills but may not be sufficient for treatment planning.

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53. You are having difficulty with a client early on in the case. The BEST thing for you to do is:

Explanation

When facing difficulties with a client early on in a case, seeking out supervision with a colleague or supervisor is the best course of action. This allows the counselor to gain guidance, support, and valuable insights from a more experienced professional. Supervision can help the counselor reflect on their approach, explore strategies to address the client's concerns, and develop a better understanding of the client's needs. It also ensures that the counselor continues to provide effective and ethical treatment while maintaining their own well-being. Transferring the client may not address the underlying issues, challenging the client may damage the therapeutic relationship, and letting the relationship develop without seeking guidance may prolong the difficulties.

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54. Which of the following patterns of drinking is accurately associated with the term "alcoholism"?

Explanation

The term "alcoholism" is accurately associated with the pattern of drinking where an individual is unable to control the amount of alcohol they consume. This lack of control over their drinking habits is a defining characteristic of alcoholism. It indicates that the person may have developed a dependence on alcohol and struggles to limit their intake.

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55. A client says to you, "I am getting to like you very much and I'd like us to get a lot closer." You should first:

Explanation

In this scenario, the client expresses feelings of liking and wanting to get closer to the therapist. This indicates a potential transference issue, where the client may be projecting their feelings onto the therapist based on past experiences or relationships. The appropriate response is to address this transference openly and explore the client's feelings and motivations behind them. This allows for a deeper understanding of the client's emotions and can contribute to the therapeutic process. Terminating treatment or reciprocating feelings would not be appropriate, and referring the client to another professional may not be necessary at this stage.

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56. The term "late-onset" as it applies to chemical dependency refers to:

Explanation

The term "late-onset" as it applies to chemical dependency refers to elderly people who develop chemical dependency late in life. This means that they start to develop a dependency on drugs or alcohol at an older age, rather than during their youth or earlier adulthood. This could be due to various factors such as changes in health, loss of social support, or increased stressors in their lives.

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57. When assessing the signs and symptoms of alcohol withdrawal, all of the following may be noted EXCEPT:

Explanation

When assessing the signs and symptoms of alcohol withdrawal, it is common to observe restlessness, irritability, anxiety, agitation; tremor, elevated heart rate, increased blood pressure; and decreased appetite, nausea, and vomiting. However, decreased sensitivity to sounds and oversensitivity to tactile sensations are not typically associated with alcohol withdrawal.

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58. Your client has been advised by his sponsor to discontinue a needed antidepressant medication. You believe this advice to be premature and possibly harmful. What action should you take as a first step?

Explanation

The best first step in this situation would be to obtain the client's authorization and contact the sponsor to discuss the situation further. This allows for open communication and collaboration between all parties involved. By discussing the client's needs and concerns with the sponsor, a resolution can be reached that takes into account the client's well-being and the sponsor's perspective. It is important to address the issue directly rather than encouraging the client to ignore the sponsor's advice or seek a different sponsor.

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59. A mutually-agreed-upon treatment plan should include:

Explanation

A mutually-agreed-upon treatment plan should include clear expectations, specific goals, and methods of achievement. This ensures that both the counselor and the client have a shared understanding of what is expected, what the specific goals are, and how they will be achieved. It allows for effective communication and collaboration between the counselor and the client, leading to a more successful treatment outcome. A detailed explanation of goals and objectives, more than one goal established by the counselor, and a well-developed outline for the discharge summary are not mentioned as necessary components of a mutually-agreed-upon treatment plan.

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60. Which of the following is a TRUE statement?

Explanation

Alcohol accounts for one-half of the ten leading causes of death in the Native American population. This statement suggests that alcohol-related issues are a significant factor in the mortality rate of Native Americans. It implies that alcoholism is a prevalent problem within this population and has a direct impact on their overall health and well-being.

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61. In order to fill gaps in services to minority clients, communities should include all of the following EXCEPT:

Explanation

Communities should include education and training, diagnosis and intervention, and integrated treatment programs with cultural programming to fill gaps in services to minority clients. However, segregated treatment programs should be excluded as they promote separation and isolation rather than inclusivity and equality. These programs can perpetuate discrimination and hinder the progress towards providing equal access to quality healthcare for all individuals, regardless of their cultural background or ethnicity.

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62. Relating with in-house and other professionals to assure comprehensive, quality care for the client BEST describes the process of:

Explanation

The process of relating with in-house and other professionals to assure comprehensive, quality care for the client is best described as consultation. In this process, professionals collaborate and exchange information to provide the best possible care for the client. This may involve sharing expertise, seeking advice, and coordinating efforts to ensure that all aspects of the client's needs are addressed effectively.

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63. During a session you notice that the client is getting progressively more agitated. You suspect a potential for violence unless something is done immediately. Your BEST course of action would be to:

Explanation

In a situation where a client is becoming increasingly agitated and there is a potential for violence, the best course of action would be to call for assistance. This ensures the safety of both the client and the therapist. By seeking help from others, such as colleagues or security personnel, the situation can be effectively managed and de-escalated. Confronting the client's behavior may further agitate them and increase the risk of violence. Instructing the client in relaxation techniques may not be effective in an agitated state. Therefore, calling for assistance is the most appropriate and necessary action in this scenario.

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64. The treatment plan is developed based on information collected during:

Explanation

The treatment plan is developed based on information collected during the assessment. This process involves gathering comprehensive information about the client's physical, mental, and emotional health, as well as their history, needs, and goals. The assessment helps to identify the client's strengths, challenges, and specific areas that require intervention. This information is crucial in formulating an individualized treatment plan that addresses the client's unique needs and promotes their overall well-being.

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65. Which term refers to a client's projecting past emotional feelings and/or attitudes onto the counselor?

Explanation

Transference refers to a client projecting past emotional feelings and/or attitudes onto the counselor. This can occur when the client unconsciously transfers feelings and expectations from previous relationships onto the therapist. It is a common phenomenon in therapy and can provide valuable insights into the client's experiences and relationships. Counter-transference, on the other hand, refers to the therapist's emotional reactions and feelings towards the client. Reaction formation and sublimation are defense mechanisms, unrelated to the projection of feelings onto the counselor.

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66. There are several psychological and sociological differences between male and female alcohol abusers. Which of the following BEST describes one of those differences?

Explanation

One of the psychological and sociological differences between male and female alcohol abusers is that women more often than men will cite a traumatic event that precipitated their drinking. This means that women are more likely to attribute their alcohol abuse to a specific traumatic experience, whereas men may have other reasons for their drinking. This difference highlights the potential role of trauma in women's alcohol abuse and suggests that addressing trauma may be an important aspect of treatment for female alcoholics.

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67. A cocaine-dependent client admits being fired from his job for absenteeism, losing his home and car by defaulting on his loans, and associating only with peers who use cocaine. He states that he does not require residential treatment because his problem is not serious enough. He further states that he has lost his house and car because his wife didn't work enough hours. Which defense mechanisms is this client displaying?

Explanation

The client is displaying denial, minimization, and rationalization as defense mechanisms. Denial is evident in his belief that his problem is not serious enough to require residential treatment. Minimization is seen in his downplaying of the consequences of his actions, such as losing his home and car. Rationalization is demonstrated by his blaming his wife for not working enough hours as the reason for losing his house and car. These defense mechanisms allow the client to avoid taking responsibility for his actions and the impact of his drug dependency.

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68. It is important to understand clients and their expectations for counseling. Clients coming in for treatment carry with them both helpful and harmful expectations. Which of the following is a harmful client expectation?

Explanation

This statement suggests that the client expects the counselor to have all the answers and to take complete control of their situation. It is a harmful expectation because counseling is a collaborative process where the client and counselor work together to explore and find solutions. The counselor's role is to support and guide the client, but ultimately, the client is responsible for their own actions and outcomes. Expecting the counselor to have all the answers and solve everything can lead to dependency and hinder the client's personal growth and autonomy.

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69. When making a referral you should do all of the following EXCEPT:

Explanation

The correct answer is "follow through with the referral agency to ensure you get your referral fee." This option is not a necessary step when making a referral. While it is important to share information about the referral agency with the client, offer to make the initial contact, and have the client sign a release of confidentiality form, following through with the referral agency to ensure a referral fee is not a requirement. The focus should be on providing the client with the appropriate resources and support, rather than on financial gain.

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70. Which of the following client behaviors contributed the most to the counselor's development of the provisional diagnosis of "alcohol dependency?"

Explanation

The client's report of increased use of alcohol and occasional memory loss is the most significant behavior that contributed to the counselor's development of the provisional diagnosis of "alcohol dependency." This behavior indicates a pattern of excessive alcohol consumption and potential cognitive impairment, which are common symptoms of alcohol dependency. The client's admission of legal problems and conviction for a DUI offense may also suggest alcohol-related issues, but the report of increased alcohol use and memory loss provides more direct evidence of alcohol dependency. The denial of prescription medication use is not directly related to alcohol dependency.

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71. Which of the following is a cognitive-based therapy, developed by Ellis, which is designed to confront a client's irrational thinking?

Explanation

Rational-Emotive Therapy, developed by Ellis, is a cognitive-based therapy that aims to confront a client's irrational thinking. This therapy focuses on identifying and challenging irrational beliefs and replacing them with more rational and adaptive thoughts. It emphasizes the importance of understanding the connection between thoughts, emotions, and behaviors, and aims to help individuals develop healthier and more rational ways of thinking.

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72. What was the most prominent instance of the counselor's effective recording and record-keeping in the following case? Case: A counselor's interactions with a client during a therapy session.

Explanation

The counselor completing a progress note for the client's chart is the primary example of effective recording and record keeping in this case. This is because progress notes are an essential part of a client's record and provide a detailed account of the client's sessions, interventions, and progress. Progress notes serve as a reference for future sessions, help track the client's goals and progress, and ensure continuity of care among different counselors or healthcare providers. By completing a progress note, the counselor demonstrates their commitment to maintaining accurate and comprehensive records for the client's benefit.

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73. Some populations suffer greater rates of addiction than others. The Native American population, for example, have addiction rates of:

Explanation

The given answer states that the addiction rates among the Native American population are greater than 50%. This suggests that more than half of the Native American population is affected by addiction. This could be due to various factors such as historical trauma, socioeconomic disparities, limited access to healthcare and treatment, and cultural factors. It is important to acknowledge and address these disparities in order to provide appropriate support and resources for the Native American community.

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74. Of the following statements made by a client in a group, which would MOST warrant documentation in the client's progress notes?

Explanation



Ever since I stopped drinking, my emotional swings have been quite intense."

is the most clinically significant and warrants documentation in the client's progress notes. It provides insight into the client's current challenges associated with recovery and could be crucial for therapeutic planning and intervention. This documentation can help in assessing the client's coping mechanisms, emotional stability, and need for additional support or adjustments in treatment modalities.
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75. A mental status exam does NOT assess:

Explanation

A mental status exam is a clinical assessment tool used to evaluate a person's current mental state. It includes various components such as appearance, speech, and thought processes. However, educational level is not assessed during a mental status exam as it focuses more on the individual's cognitive and emotional functioning rather than their educational background or level of knowledge.

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76. Brian is a 15-year old boy who has been admitted to a program for chemical dependency. He has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. In assessing Brian, the counselor should first consider which of the following before making a treatment recommendation?

Explanation



In assessing Brian, the counselor prioritizes understanding his familial relationships and social milieu. This involves examining family dynamics, support systems, and social influences, which significantly impact Brian's behaviors and substance use. Evaluating these factors helps tailor treatment recommendations to address underlying issues effectively and support Brian's recovery journey.
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77. The completion of various forms, including releases of information, financial, and consent for treatment, happens during the client's:

Explanation

During the client's intake, various forms such as releases of information, financial forms, and consent for treatment are completed. Intake refers to the initial process of gathering information about the client, which includes filling out necessary paperwork and forms. This step is crucial in establishing a client's background, needs, and goals, and is typically done at the beginning of the therapeutic relationship. The completion of these forms during the intake helps ensure that all necessary information is obtained and documented accurately.

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78. If a client appears to be in denial due to discrepancies stated during an intake interview, which of the following statements by the counselor would  be MOST appropriate?

Explanation

The most appropriate statement by the counselor in this situation is "I'm not sure I understand. Let me check this out." This response shows empathy and a willingness to clarify any discrepancies or misunderstandings. It allows the counselor to gather more information and validate the client's concerns without making assumptions or judgments. This approach promotes open communication and trust between the counselor and the client, which is crucial for effective counseling.

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79. Your client, Eric, discloses to the group that he is homosexual. Another member of the group shifts in his seat and changes the subject, talking about a superficial incident that happened earlier in the day. The facilitator's MOST appropriate response would be to:

Explanation

The facilitator's most appropriate response would be to ask questions that facilitate a group response to Eric's disclosure and elicit more feeling content from Eric. This response shows support and inclusivity towards Eric, allowing him to express his feelings and experiences in a safe and non-judgmental environment. It also encourages the other group members to engage in a meaningful discussion and provide support to Eric. This approach promotes empathy, understanding, and open communication within the group, which can be beneficial for everyone's recovery process.

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80. Which of the following is the BEST indicator if an individual is physically dependent upon alcohol or another drug?

Explanation

The presence of withdrawal symptoms is the best indicator if an individual is physically dependent upon alcohol or another drug. Withdrawal symptoms occur when the body has become accustomed to the substance and experiences negative effects when it is no longer present. These symptoms can include tremors, sweating, nausea, anxiety, and insomnia. The presence of withdrawal symptoms indicates that the individual's body has developed a physical dependence on the substance, which is a clear sign of addiction.

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81. One of the earliest models for case management services in the criminal justice system was created in 1972, when the White House launched a demonstration program known as:

Explanation

In 1972, the White House launched a demonstration program called Treatment Alternatives to Street Crime (TASC). This program was one of the earliest models for case management services in the criminal justice system. It aimed to provide alternatives to incarceration for individuals involved in street crime by offering treatment and rehabilitation services. TASC focused on addressing the underlying issues that contribute to criminal behavior, such as substance abuse and mental health issues, in order to reduce recidivism rates and promote community safety.

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82. The tendency of the family to try and maintain balance is called:

Explanation

Homeostasis refers to the tendency of a family to maintain balance and stability within its dynamics and functioning. It involves the ability to adapt and adjust to changes and challenges while preserving a sense of stability and harmony. Homeostasis ensures that the family system remains functional and healthy by regulating and balancing various factors such as communication, roles, and boundaries. It promotes a sense of equilibrium within the family, allowing it to effectively cope with stressors and maintain a cohesive unit.

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83. Concise and accurate reporting is necessary in order to:

Explanation

The correct answer is "ensure continuity of client care." Concise and accurate reporting is crucial in healthcare settings to ensure that all relevant information about a client's condition, treatment, and progress is communicated effectively between healthcare professionals. This helps to maintain the consistency and quality of care provided to the client, as it allows for seamless transitions between different healthcare providers and reduces the risk of errors or miscommunication.

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84. Which of the following actions by the counselor is an example of a referral?

Explanation

The counselor scheduling an appointment with a credit counseling agency is an example of a referral because they are connecting the client with a specialized service that can provide assistance and guidance in managing their finances. This indicates that the counselor recognizes the need for additional support and is taking proactive steps to ensure the client receives the appropriate help.

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85. Sarah, a counselor in a drug treatment center, grew up in an alcoholic home and still has strained relationships. Which statement BEST describes Sarah's situation?

Explanation

Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center. This is because Sarah grew up in an alcoholic home and still has strained relationships, which indicates that she has unresolved issues related to her upbringing. Working in a drug treatment center, where she will likely encounter individuals with similar struggles, may trigger these unresolved conflicts and bring them to the surface. This can be a challenging but potentially healing experience for Sarah as she confronts and works through her own personal pain.

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86. The BEST way of dealing with individual needs in a group is to:

Explanation

The best way of dealing with individual needs in a group is to use the group process to share mutual concerns. This approach allows individuals to express their needs and concerns within the group setting, providing an opportunity for support and understanding from other group members. It fosters a sense of community and allows for the exploration of common experiences and challenges. By sharing mutual concerns, the group can collectively offer insights, suggestions, and empathy, creating a supportive environment for all members. This approach also promotes a sense of equality and prevents the monopolization of the group by any individual member.

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87. The focus of intervention in the criminal justice system is first to:

Explanation

The focus of intervention in the criminal justice system is to protect the health, safety, and welfare of the public. This means that the primary goal is to ensure that society is safe from potential harm caused by offenders. While rehabilitation is an important aspect of the criminal justice system, it is not the primary focus. Similarly, using the threat of incarceration as a motivator to change and keeping chronic, chemically dependent individuals off the streets are important considerations, but they are not the main focus of intervention. The ultimate goal is to prioritize the well-being and security of the public.

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88. What ethical principle is particularly challenging for alcohol and drug counselors?

Explanation

Non-maleficence, or the principle of "do no harm," is particularly challenging for alcohol and drug counselors because they must balance the duty to help clients with the potential risks of intervention, such as unintentionally exacerbating addictive behaviors or causing harm through withdrawal. Balancing the desire to support clients with the need to avoid harm can present ethical dilemmas in treatment planning and intervention strategies.

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89. If Seconal is taken in combination with one of the following drugs, it leads to a "potentiation" of effect. Which drug will cause this effect?

Explanation

When Seconal, a barbiturate sedative, is taken in combination with alcohol, it leads to a "potentiation" of effect. This means that the effects of both substances are enhanced when taken together. Both Seconal and alcohol depress the central nervous system, so when they are combined, they can cause increased sedation, drowsiness, and respiratory depression. This combination is particularly dangerous and can lead to overdose or even death. It is important to avoid mixing Seconal with alcohol due to the potential for severe side effects.

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90. After a counselor has made a summary statement, the most important thing the counselor should do is:

Explanation

After a counselor has made a summary statement, it is important for the counselor to remain quiet for a time to allow the client to consider the summarized material. This allows the client to process and reflect on the information that has been shared, and it gives them the opportunity to respond or ask questions if they feel comfortable doing so. By remaining quiet, the counselor creates a space for the client to actively engage with their thoughts and feelings, promoting a deeper understanding and potential for growth.

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91. A frequent client reaction during the termination phase of counseling is:

Explanation

During the termination phase of counseling, clients may exhibit various reactions. Acting out behavior refers to the manifestation of emotions or frustrations through actions rather than verbal communication. This can include engaging in disruptive or aggressive behavior, disregarding rules or boundaries, or displaying impulsive actions. It is a common response during the termination phase as clients may struggle with the impending end of the therapeutic relationship and may express their feelings in unconventional ways.

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92. Before therapy or counseling begins, clients may be given information about the treatment they will receive, as well as possible risks involved. This process is known as:

Explanation

Obtaining informed consent to treatment refers to the process in which clients are provided with information about the treatment they will receive, including any potential risks involved. This ensures that clients have a clear understanding of what to expect and allows them to make an informed decision about whether or not to proceed with therapy or counseling. It is an important ethical practice that respects the autonomy and rights of the client.

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93. In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:

Explanation

The given answer states that the factor that should not be considered in determining whether a chemically dependent patient should be treated in an inpatient or outpatient program is whether the patient's job and family are likely to give him another chance if this treatment fails. This means that the patient's job and family support should not be a determining factor in selecting the appropriate treatment program.

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94. Because addiction affects so many facets of the addicted person's life,_____________________promotes recovery and enables the substance abuse client to fully integrate into society as a healthy, substance-free individual.

Explanation

A comprehensive continuum of services is the best answer because addiction is a complex issue that affects various aspects of a person's life. To promote recovery and enable the individual to fully integrate into society as a healthy, substance-free individual, a range of services is needed. This can include detoxification and stabilization to address the physical dependence on substances, psychological evaluation and treatment to address the underlying psychological factors contributing to addiction, and integration into a self-help recovery program for ongoing support. A comprehensive continuum of services ensures that all aspects of the addiction are addressed, increasing the chances of successful recovery.

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95. While taking an alcohol drug history, which of the following is a good clue to alcohol dependency?

Explanation

Increased tolerance and withdrawal symptoms when abstinence is attempted are good clues to alcohol dependency because they indicate that the individual has developed a physical dependence on alcohol. Tolerance refers to the need for increasing amounts of alcohol to achieve the desired effect, while withdrawal symptoms occur when the person stops or reduces their alcohol intake. These symptoms can be both physical and psychological, such as tremors, anxiety, irritability, and insomnia. Therefore, experiencing these signs suggests that the person's body has adapted to the presence of alcohol and relies on it to function normally.

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96. The goal of Al-Anon is:

Explanation

The goal of Al-Anon is to provide a fellowship and support for individuals in relationships with alcoholics. This means that Al-Anon aims to create a community where people who have loved ones struggling with alcoholism can come together, share their experiences, and support each other. Al-Anon provides a safe space for these individuals to discuss their challenges, learn coping strategies, and find solace in knowing that they are not alone in their struggles. It does not provide therapy, educate about the risk of becoming an alcoholic, or offer interventions to prevent substance abuse.

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97. The NIDA-financed Drug Abuse Reporting Program found that:

Explanation

The answer states that therapeutic communities reduce drug use compared to untreated clients or those who are simply detoxified and released. This implies that individuals who enter therapeutic communities have a higher chance of staying drug-free compared to those who do not receive any treatment or are only detoxified. The information provided in the question supports this statement.

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98. The quality of counseling is directly related to the counselor's ability to:

Explanation

The quality of counseling is directly related to the counselor's ability to formulate and carry out realistic personal and professional goals. This is because setting clear and achievable goals helps the counselor to provide a focused and effective counseling experience for their clients. By formulating goals, the counselor can establish a roadmap for the counseling process, ensuring that they address the client's needs and concerns in a systematic and purposeful manner. Additionally, the ability to carry out these goals demonstrates the counselor's competence and commitment to helping their clients achieve positive outcomes.

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99. According to the D.S.M IV-TR, all of the following are criteria for psychoactive substance dependence EXCEPT:

Explanation

The correct answer is "marked lack of initiative, interest or energy." This is because the DSM-IV-TR criteria for psychoactive substance dependence include the following: substance often taken in larger amounts than intended, frequent intoxication when expected to fulfill major role obligations, and one or more unsuccessful efforts to cut down substance use. However, a marked lack of initiative, interest, or energy is not specifically mentioned as a criterion for substance dependence.

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100. A reward is something given for a special behavior, whereas positive reinforcement is:

Explanation

Positive reinforcement is something specifically designed to increase the occurrence of a particular behavior. It involves providing a reward or incentive to encourage the repetition of a desired behavior. This can be done by giving praise, recognition, or tangible rewards such as treats or privileges. The purpose of positive reinforcement is to strengthen the connection between the behavior and the reward, making it more likely for the behavior to be repeated in the future.

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101. AIl of the following are benzodiazepines EXCEPT:

Explanation

The question asks to identify the benzodiazepine that is NOT included in the given options. Benzodiazepines are a class of drugs commonly used to treat anxiety and insomnia. Valium, Halcion, and Xanax are all well-known benzodiazepines. However, Trazodone is not a benzodiazepine. It is actually an antidepressant medication that is sometimes used off-label to treat insomnia. Therefore, the correct answer is Trazodone.

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102. Written consent to release client information is required EXCEPT when the release is to the client's:

Explanation

In general, written consent is required to release client information to any third party. However, in the case of a spouse who participates in joint counseling sessions, it can be assumed that the client has already provided consent for the spouse to have access to their information. Therefore, written consent is not required in this specific scenario.

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103. Good case management requires the integration of services within a treatment plan. With this in mind, which of the following is TRUE?

Explanation

Good case management requires the coordination of regular meetings with all professionals involved in the client's treatment. This ensures effective communication and collaboration among the team members, allowing them to discuss the progress, make necessary adjustments to the treatment plan, and address any challenges or concerns. By coordinating these meetings, the counselor can ensure that all professionals are working together towards the client's goals and providing comprehensive and integrated services.

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104. In a crisis interview with a client, you are MOST concerned with:

Explanation

In a crisis interview with a client, the most important concern is to focus on the present situation and the client's means of coping with the stress. This is because during a crisis, the immediate priority is to address the current situation and help the client manage their stress effectively. Understanding the client's coping mechanisms can provide valuable insights into their ability to handle the crisis and guide the appropriate response. Family dynamics and gathering information are also important, but they are secondary concerns compared to addressing the client's present situation and coping strategies.

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105. Morning drinking ¡s not an uncommon occurrence with alcoholics. Which of the following is NOT a true statement?

Explanation

Morning drinking will not lessen the need for alcohol during the remainder of the day.

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106. Which statement MOST accurately describes the relationship between Alcoholics Anonymous and the professional treatment community?

Explanation

The correct answer states that a partnership between Alcoholics Anonymous (AA) and the professional treatment community was repeatedly emphasized by the founders of AA. This suggests that the founders of AA believed in the importance of collaboration and working together with professionals in order to support recovery from alcoholism. It indicates that AA does not view professionals as a hindrance to recovery, but rather as potential allies in the journey towards sobriety.

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107. During the intake, a counselor can expect to address all of the following issues EXCEPT:

Explanation

During the intake process, a counselor typically addresses various issues such as a client's fears and denial, confidentiality, and information gathering. However, treatment planning is not typically addressed during the intake session. Treatment planning usually occurs after the counselor has gathered sufficient information about the client's concerns and needs. It involves developing a comprehensive plan for the client's therapy or treatment, which may include setting goals, determining appropriate interventions, and outlining a timeline for progress.

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108. Pointing out parallels between a client's interpersonal relationships and the client/counselor interaction serves to focus awareness on:

Explanation

Pointing out parallels between a client's interpersonal relationships and the client/counselor interaction serves to focus awareness on the "here and now." By drawing attention to the similarities between the client's relationships outside of therapy and the therapeutic relationship itself, the counselor helps the client become more aware of their current thoughts, feelings, and behaviors. This approach encourages the client to explore and address immediate issues and challenges, rather than getting caught up in past events or future concerns. By focusing on the "here and now," the client can gain insight and make meaningful changes in their present life.

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109. All of the following are symptoms of the manic phase of bipolar mood disorder EXCEPT:

Explanation

During the manic phase of bipolar mood disorder, individuals typically experience symptoms such as euphoria, high levels of verbal output, and pressured speech. These symptoms are characteristic of the manic episode, where individuals feel extremely energized, talkative, and have an elevated mood. However, deflated self-esteem is not a symptom of the manic phase. In fact, individuals with bipolar disorder during this phase often have an inflated self-esteem and grandiose beliefs about their abilities and accomplishments.

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110. The provision of information concerning alcohol and other drug abuse and the available services and resources, is termed:

Explanation

Client education is the correct answer because it refers to the provision of information to clients about alcohol and drug abuse, as well as the available services and resources. This education helps clients understand the risks and consequences of substance abuse and empowers them to make informed decisions about their health and well-being. It is an essential component of any comprehensive treatment or prevention program.

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111. Comprehensive client documentation:

Explanation

Comprehensive client documentation facilitates communication and enhances accountability. This is because thorough documentation allows for effective communication between healthcare professionals, ensuring that all relevant information about the client's care is accurately conveyed. It also enhances accountability by providing a clear record of the client's progress, interventions, and outcomes, which can be reviewed and assessed by the primary counselor and other members of the healthcare team. Additionally, comprehensive documentation helps in continuity of care, as it provides a comprehensive overview of the client's history, assessment, and treatment plan, allowing for better coordination and collaboration among healthcare professionals.

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112. The process of termination should be discussed:

Explanation

Termination should be discussed as part of the therapeutic contract, which typically outlines the goals, duration, and terms of therapy. Setting clear expectations about the ending of therapy from the beginning ensures that both the therapist and the client are on the same page regarding the treatment process and its conclusion.

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113. A key factor for counselors to consider is that in a counseling relationship, the counselor has differential power. One of the best safeguards is:

Explanation

In a counseling relationship, the counselor holds a position of power and authority over the client. It is crucial for counselors to be aware of this power dynamic and to understand its implications. By being alert to and understanding the power relationship, counselors can ensure that they do not misuse their power and that they create a safe and ethical environment for the client. This includes being mindful of the potential for coercion or manipulation and actively working to empower the client rather than using their power to control or manipulate them.

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114. Barbiturates can be sub-classified into groups based upon:

Explanation

Barbiturates can be sub-classified into groups based on the speed of the onset and duration of their effects. This classification helps to categorize barbiturates according to their pharmacokinetic properties, such as how quickly they take effect and how long their effects last. This information is important for medical professionals as it helps in determining the appropriate use of different barbiturates in various clinical situations. By understanding the speed of onset and duration of effects, healthcare providers can make informed decisions regarding the selection and administration of barbiturates for different patients and conditions.

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115. Regarding a "seropositive" result, which of the following is NOT a meaning of HIV antibody test results?

Explanation

The correct answer is "The person has the AIDS virus." This is not a meaning of HIV antibody test results because the test only indicates whether the person has been infected with HIV, not whether they have progressed to AIDS. HIV and AIDS are related but distinct conditions, with AIDS being the advanced stage of HIV infection. The antibody test result does not provide information about the person's current health status or the presence of AIDS.

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116. Bob is a case manager in an intensive inpatient treatment facility. He recently was assigned a client, Mary, who presents not only with alcoholism but has also been diagnosed with AIDS. To assist Mary in her treatment and recovery needs, Bob would probably need to have knowledge of all of the following areas EXCEPT:

Explanation

While it is important for Bob to be generally aware of the treatment options available for AIDS, detailed knowledge of new medications and treatment regimens is typically the domain of medical professionals like doctors and pharmacists. Bob's primary role as a case manager would involve understanding AIDS epidemiology and transmission routes, the disease's clinical progression, and available social services for AIDS clients to effectively assist Mary in her treatment and recovery.

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117. Therapeutic communities differ from Synanon because:

Explanation

Therapeutic communities aim to reintegrate individuals back into society by providing support, education, and rehabilitation within a structured environment. In contrast, Synanon was primarily focused on group encounter therapy and did not emphasize reintegration into society as a primary goal.

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118. What was one of Bill's primary treatment goals during his counseling? (refer question 138)

Explanation

Bill's primary treatment goal during counseling was to spend at least four hours every other weekend with his children. Despite initial resistance to attending A.A. meetings, he worked with his counselor to set this goal along with others, aiming for sobriety and completing the 12-week Intensive Outpatient Treatment program.

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119. What intervention did Bill's counselor employ to address his resistance to attending A.A. meetings? (Refer question 138)

Explanation

Bill's counselor employed the "A, B, C" technique to address his resistance to attending A.A. meetings. This involved encouraging Bill to analyze and reframe his thoughts about potential judgment, helping him cope with fears. The technique was documented in the client's chart as a part of the counseling process.

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120. Which of the following counselor actions is an example of the use of a consultation?

Explanation

The correct answer is seeking the advice of his clinical supervisor about the client's financial problems. This is an example of consultation because the counselor is seeking guidance and advice from a more experienced professional in order to better assist the client.

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121. The organization founded as an alternative to programs with spiritual overtones, whose publication is called "The Small Book," is:

Explanation

Rational Recovery is the correct answer because it is an organization that was founded as an alternative to programs with spiritual overtones. Their publication, "The Small Book," is a key resource for individuals seeking recovery from addiction without the inclusion of spiritual or religious elements. This organization focuses on self-reliance and cognitive techniques to overcome addiction, emphasizing personal responsibility and rational decision-making.

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122. Which of the following is NOT a commonly abused substance?

Explanation

While caffeine is a stimulant and can be habit-forming, it is not typically considered a substance with a high potential for abuse or addiction compared to alcohol, opioids, and stimulants.

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123. Counselors rely heavily on the work of developmental theorists as they attempt to stimulate clients to initiate relevant growth. According to Erickson, one of the leaders in developmental theory, the task to be accomplished ¡n adulthood is:

Explanation

According to Erikson's theory, the task to be accomplished in adulthood is the stage of Intimacy vs. Isolation. This stage typically occurs during young adulthood, where individuals are faced with the challenge of forming intimate and meaningful relationships with others, or risk feeling isolated and disconnected. Counselors rely on this theory to help clients navigate and address issues related to forming and maintaining healthy relationships, as well as overcoming feelings of loneliness and isolation.

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124. As a certified Alcohol and Drug Counselor, maintaining client confidentiality is a fundamental responsibility. Under which of the following circumstances might it be permissible to break confidentiality?

Explanation



Counselors must maintain confidentiality unless there's a direct threat to safety. If a client reveals plans to harm themselves or others, the counselor is obligated under "duty to warn" laws to intervene, possibly requiring them to break confidentiality to prevent imminent harm, aligning with legal and ethical standards.
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125. The interpersonal style in which a member of a minority group has made a conscious or subconscious decision to reject the general attitudes, behaviors, customs, rituals, and stereotypic behaviors associated with his/her own minority group to assimilate into the mainstream white culture is known as:

Explanation

The correct answer is the Acculturated Interpersonal Style. This refers to the interpersonal style of a member of a minority group who consciously or subconsciously rejects the attitudes, behaviors, customs, rituals, and stereotypic behaviors associated with their own minority group in order to assimilate into the mainstream white culture. This individual may adopt the values, beliefs, and behaviors of the dominant culture in an effort to fit in and be accepted.

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126. Which of the following statements about dysfunctional families is TRUE?

Explanation

This statement suggests that the divorce rate in dysfunctional families is highest after the recovery process has started. This implies that the process of seeking help and working towards recovery can put a strain on the family dynamics, leading to a higher likelihood of divorce. It highlights the challenges that families face during the recovery process and the potential impact on their relationships.

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127. Stress inoculation focuses primarily on:

Explanation

Stress inoculation is a psychological technique that aims to build resilience and improve individuals' ability to cope with stressors. By increasing coping skills, individuals are better equipped to manage and adapt to stressful situations effectively. This involves developing strategies to regulate emotions, problem-solve, and engage in positive thinking patterns. Increasing self-control may be a part of the process, but it is not the primary focus of stress inoculation. Similarly, while decreasing anxious responding and negative thought patterns may be outcomes of stress inoculation, they are not the main goal.

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128. Which of the following is NOT a commonly used technique for crisis intervention?

Explanation

The correct answer is "Immediately refer the client to an agency to help change the situation." This is not a commonly used technique for crisis intervention because crisis intervention focuses on providing immediate support and assistance to individuals in crisis. Referring the client to an agency may be a step taken in the long-term treatment plan, but it is not a commonly used technique for immediate crisis intervention.

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129. Based upon the initial interview, Bill was given a provisional Axis I diagnosis of "alcohol dependence" and admitted to an Intensive outpatient program. After completion of the initial interview, Bill was given a tour of the facility, a client ' handbook, and introduced to his primary counselor and scheduled an appointment the next day to discuss what the client could expect during treatment and what would be expected of him in return. During his treatment Bill worked with his counselor to develop four primary treatment goals: 1) To spend at least four hours every other weekend with his children; 2) To attend three A.A. meetings a week for the next three months; 3) To abstain from alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12 week Intensive outpatient treatment program. Bill was quite resistant to attending A.A. meetings because of fear of being seen by his friends at meetings. The counselor helped Bill deal with his feelings by encouraging him to "A, B, C" his thoughts about what people might think of him if seen at meetings and documented the client's progress in his chart with a process note. In addition, Bill was provided a set of videotapes which provided information about the disease concept of addiction, family dynamics, relapse prevention and problem solving strategies to review during his first two weeks of treatment. In the sixth week of counseling, Bill became quite agitated and insisted he was going to have to stop treatment because his work schedule had been changed - four of his employees had quit their jobs and he was going to have to fill in the irresponsibility. His counselor met with him and encouraged him to calm down and accept a change in his daily treatment schedule. Given his limited financial means and approximately $7,500 of debt on his Visa card and the fact that Bill talked excessively about his enormous debt, his counselor sought the advice of his clinical supervisor since financial problems were outside his scope of expertise. The clinical supervisor suggested that the counselor schedule an appointment with a non-profit credit counseling agency near his home. After explaining the discussion with his supervisor, Bill agreed to the appointment. Upon completion of the 12 week program, the client was discharged with instructions to attend 90 A.A. meetings in 90 days and twice weekly aftercare sessions. It was noted that the counselor lived less than two blocks from the client and so they agreed to car pool to aftercare meetings. Based on the information found in the case history, please select the BEST response to each of the following questions. What counseling theory was applied to the client's resistance to attending AA Meetings?

Explanation

The counseling theory that was applied to the client's resistance to attending AA meetings is Rational Emotive. This theory focuses on identifying and challenging irrational beliefs and thoughts that lead to negative emotions and behaviors. In this case, the counselor helped Bill deal with his fear of being seen at AA meetings by encouraging him to "A, B, C" his thoughts about what people might think of him. This technique is a key component of Rational Emotive Therapy, which aims to replace irrational beliefs with more rational and adaptive ones.

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130. Heroin is an example of a(an):

Explanation

Heroin is classified as a semi-synthetic narcotic because it is derived from morphine, which is a natural substance extracted from the opium poppy plant. However, heroin undergoes a chemical modification process to enhance its potency and effects, making it a semi-synthetic drug. This process involves acetylating morphine, resulting in the creation of heroin. Therefore, heroin is not entirely synthetic, as it starts from a natural source but is chemically altered to produce a more potent substance.

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131. Which of the following is a primary goal of motivational interviewing in addiction counseling?

Explanation

Motivational interviewing is a counseling approach that aims to help clients explore and resolve ambivalence to change their behavior. In the context of addiction counseling, its primary goal is to enhance the client's intrinsic motivation for change, rather than confronting them about their substance use, prescribing medication, or focusing primarily on educating them about the dangers of substance use. This technique relies on collaboration between the counselor and the client, drawing out the client's own reasons for wanting to change.

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132. The description of the client's rights typically occurs during the:

Explanation

During the orientation phase, the client is typically provided with information about their rights. This includes explaining their rights to confidentiality, informed consent, and the right to refuse or terminate services. The orientation phase is designed to familiarize the client with the counseling process, establish rapport, and ensure that they have a clear understanding of their rights and responsibilities. Therefore, it is during the orientation phase that the description of the client's rights typically occurs.

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133. ___________is the essential first step in determining the possible causes of addiction for the person and the most appropriate treatment modality for his or her needs.

Explanation

Assessment is the essential first step in determining the possible causes of addiction for the person and the most appropriate treatment modality for his or her needs. It involves gathering detailed information about the individual's history, substance use patterns, physical and mental health, and social circumstances. This information helps to identify the underlying factors contributing to the addiction and guides the development of a personalized treatment plan. Screening, intake, and orientation are important steps in the treatment process, but assessment is the initial and crucial step in understanding the individual's needs and designing an effective treatment approach.

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134. According to Marlatt's model of the relapse process, which of the following statements is NOT true?

Explanation

Any positive expectations that clients have about drug use should be countered with reminders about the lows that follow the highs and about the long-term negative consequences of substance abuse.

While Marlatt's model emphasizes identifying and addressing high-risk situations and developing coping mechanisms, it doesn't focus solely on negative reinforcement.

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135. During the assessment process, your alcohol and tranquilizer abusing client reveals a history of self-destructiveness when frustrated and an inability to delay impulses. The MOST appropriate assessment battery in this case is:

Explanation

The given answer is the most appropriate assessment battery in this case because it includes three specific tests that are relevant to the client's presenting issues. The Beck Depression Scale is a widely used tool for assessing depression, which is commonly associated with self-destructiveness and difficulty delaying impulses. The MAST test (Michigan Alcohol Screening Test) is designed to assess alcohol abuse, which is mentioned as a concern with the client. The MMPI (Minnesota Multiphasic Personality Inventory) is a comprehensive personality assessment tool that can provide valuable insights into the client's psychological functioning and potential underlying issues.

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136. All of the following statements about the effects of alcohol abuse on the body are true EXCEPT:

Explanation

Alcohol abuse can lead to various negative effects on the body, including malnutrition, liver deterioration, and vitamin B6 deficiency. However, the statement that stimulation of the brain's frontal lobe can occur as a result of alcohol abuse is not true. In fact, alcohol has a depressant effect on the central nervous system, including the brain, and can impair cognitive functions and judgment.

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137. Significant others should be involved in the treatment process - 

Explanation



This option provides a balanced approach, ensuring that the involvement of significant others is considered carefully based on its potential impact on the client's progress. It prioritizes the therapeutic goals and the client's well-being, making it a prudent strategy to decide when and how significant others should be involved.
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138. Which situation requires a client's informed consent?

Explanation

Informed consent is required whenever there is a change in the treatment plan or when information about the client's treatment is shared with parties outside the normal scope of the treatment team. Specifically:

A counselor refers a client back to the referring source at completion of treatment: This situation requires informed consent because it involves sharing the client's information with an external party (the referring source) and the client must be informed and agree to this referral process.

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139. Despite vast personality differences, virtually all substance abusers experience:

Explanation

Substance abusers often experience remorse, self-hatred, and shame due to their actions and the consequences of their substance abuse. Remorse refers to a feeling of regret or guilt for their behavior. Self-hatred is a strong dislike or hatred towards oneself, often stemming from feelings of worthlessness or failure. Shame is a painful emotion caused by the belief that one has violated societal or personal values. These three emotions are commonly associated with substance abuse and can contribute to the cycle of addiction.

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140. The branch of pharmacology that deals with the biological, biochemical, and physical characteristics of natural drugs is:

Explanation

Pharmacognosy is the branch of pharmacology that focuses on the study of natural drugs and their biological, biochemical, and physical characteristics. It involves the identification, isolation, and analysis of active compounds derived from natural sources such as plants, animals, and microorganisms. Pharmacokinetics, pharmacotherapeutics, and pharmacodynamics, on the other hand, deal with different aspects of drug action and utilization, but not specifically with natural drugs.

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141. What critical treatment planning activity was overlooked in the process of working with this client? Scenario: A counselor's engagement with a client seeking therapy.

Explanation

While the listed activities (formulating goals, identifying problems, expressing goals behaviorally) are all important steps, they all contribute to the creation of a comprehensive treatment plan.

The treatment plan itself would outline the specific interventions and approaches to be used in therapy sessions to address the client's identified problems and achieve the established goals. It might include the frequency of sessions, homework assignments, and collaboration with other professionals if needed.

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142. The CAGE test is a simple assessment that is administered to individuals with a drinking problem. The questions on this test refer to:

Explanation

The CAGE test is a simple assessment that is administered to individuals with a drinking problem. The questions on this test refer to cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers. These questions help assess whether the individual may have a drinking problem or not.

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143. The PRIMARY purpose of a professional code of ethics is to:

Explanation

A professional code of ethics serves as a guide in helping clients by providing a set of principles and standards that professionals should adhere to in their interactions with clients. It also emphasizes the importance of treating colleagues fairly and respectfully. This ensures that professionals maintain a high level of integrity and professionalism in their practice, which ultimately benefits both clients and colleagues. The code of ethics helps professionals navigate ethical dilemmas and make decisions that prioritize the well-being of clients while upholding professional standards.

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144. A treatment professional utilizing case management will do all of the following EXCEPT:

Explanation

A treatment professional utilizing case management will do all of the following except advocate for the treatment center's approach to care. Case management focuses on assisting the client with needs outside the realm of substance abuse treatment, providing them a single point of contact for multiple health and social services systems, and being flexible, community-based, and client-oriented. However, advocating for the treatment center's approach to care is not a responsibility of case management, as the focus is on meeting the client's individual needs rather than promoting a specific treatment approach.

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145. What critical aspect of client education is lacking in this scenario? Scenario: A patient begins a new medical treatment at a hospital.

Explanation

In the context of receiving any form of medical or therapeutic treatment, it is crucial to inform the client of their rights and responsibilities. This includes ensuring they understand their role in the treatment process, their rights to consent or refuse treatment, and what they can expect during the course of their treatment. Providing this information is fundamental to promoting informed and empowered decision-making by the client. While informing the client of legal responsibilities and community recovery resources is important, establishing their rights and responsibilities within the treatment process itself is a fundamental step that was missing in this case.

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146. An example of the use of effective case management with this case was:

Explanation

The use of effective case management in this case involved scheduling an appointment for the client to talk to a college admissions counselor. This action shows proactive support for the client's education and encourages them to continue their studies. By connecting the client with a professional who can provide guidance and resources, the counselor is helping to address the client's needs and goals in a comprehensive manner. This approach demonstrates a proactive and holistic approach to case management, promoting the client's overall well-being and success.

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147. All of the following are goals of person-centered therapy EXCEPT:

Explanation

Person-centered therapy is a humanistic approach that emphasizes the importance of the individual and their subjective experience. The therapy aims to create a supportive and non-judgmental environment where clients can explore their feelings, thoughts, and experiences. The goals of person-centered therapy include focusing on the person instead of the presenting problem, assisting clients in enhancing their coping skills, and individualizing the treatment plan. However, teaching clients to formulate and carry out plans to change their behavior is not a goal of person-centered therapy. Instead, the therapy focuses on facilitating self-discovery and personal growth, allowing clients to find their own solutions and make their own choices.

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148. Assessment, according to the behavioral approach, involves:

Explanation

According to the behavioral approach, assessment involves specifying the problematic behavior and collecting baseline data. This means that the first step in assessing a client is to clearly define the behavior that is causing concern or is in need of change. Once the behavior is identified, baseline data is collected to establish a starting point for measuring progress or change. This data helps to determine the severity or frequency of the behavior, as well as to track any improvements or changes over time.

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149. According to the American Society of Addiction Medicine (ASAM), which of the following is NOT one of the five categories of primary treatment?

Explanation

The American Society of Addiction Medicine (ASAM) defines five broad levels of care for the treatment of substance use disorders. These levels are based on the severity of the addiction and the individual's needs. While medication-assisted treatment (MAT) is an important component of addiction treatment, it is not considered a separate level of care by ASAM. MAT can be incorporated into any of the levels of care, depending on the individual's needs.

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150. Which of the following essential tasks was NOT completed during the client's intake process? (Refer Question 138)

Explanation



During the intake process, the client's admission to the program is typically finalized after completion of essential tasks like assigning a primary counselor, conducting an initial assessment, and obtaining signed consent forms. Admission often occurs after these prerequisites are fulfilled, ensuring a structured and informed entry into the program.
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In order to provide clients with updated information concerning...
Which of the following responses would be helpful ¡n...
Which statement BEST describes how a counselor can avoid professional...
If the orientation process is neglected or incomplete a client may:
A "Release of Information" form must include, in addition to...
When conducting an assessment, what is the counselor's primary...
Which statement about the grief process is TRUE?
Lt is crucial for the case manager to be aware of what may inhibit...
Which of the following is the BEST example of a counselor setting...
A client tells a counselor that she is unhappy with the way her...
Which of the following issues must always be considered when...
A female client reports that she has some concerns about the...
The primary purpose of the screening process is to:
Ralph is a recovering alcoholic. He as been sober for several months,...
Providing the client with information regarding program rules, and...
You begin working with a drinking alcoholic who recently had eight...
Relapse prevention efforts are aimed at:
A pretreatment period is frequently the result of waiting lists or...
The first contact that a potential client would have with an agency...
The MOST SIGNIFICANT barrier to effective treatment for alcohol and...
Which self help group would be most appropriate for a mother whose...
One goal of an effective aftercare program is:
Which of the following is MOST helpful for counselors in defining...
"Referral" pertains to:
You are asked to see a client in the emergency room for a...
When a client discloses suicidal thoughts, the counselor's first...
A single mother with three young children enters your clinic and...
A client says that his wife has vowed to leave him if he resumes...
Which of the following modes of sexual transmission provides the...
A common error that counselors make when conducting an assessment is:
The measurement of progress toward treatment plan goals is best...
Effective communication occurs in groups when:
Bipolar mood disorder is distinguished from major depression by:
The therapeutic reasoning for self-disclosure in group counseling is...
What was the PRIMARY ethical issue in this case?
A major method of reinforcing the therapeutic alliance and spirit of...
Your dually-diagnosed client, stabilized on medication for his...
A 42-year-old male has just completed intake admission forms and is...
Personality disorders are:
You have assessed your client and determined that he is a problem...
An irresistible impulse is called a(an):
Client files should be readily accessible to:
Effective case management for persons in need of multiple services...
The initial stage of crisis intervention involves:
Alcohol decreases resistance to HIV infection by:
Joe is a 27-year old addict who has begun counseling, but has not yet...
One of the counselor's tasks is to guide the client in relating...
Record keeping is an important part of the counseling process. Which...
In a dysfunctional family system, the traditional role which the...
During the screening process, a critical task that the counselor has...
_________________is one of case management's hallmark...
When language is a barrier to treatment planning, this situation can...
You are having difficulty with a client early on in the case. The BEST...
Which of the following patterns of drinking is accurately associated...
A client says to you, "I am getting to like you very much and...
The term "late-onset" as it applies to chemical dependency...
When assessing the signs and symptoms of alcohol withdrawal, all of...
Your client has been advised by his sponsor to discontinue a needed...
A mutually-agreed-upon treatment plan should include:
Which of the following is a TRUE statement?
In order to fill gaps in services to minority clients, communities...
Relating with in-house and other professionals to assure...
During a session you notice that the client is getting progressively...
The treatment plan is developed based on information collected during:
Which term refers to a client's projecting past emotional feelings...
There are several psychological and sociological differences between...
A cocaine-dependent client admits being fired from his job for...
It is important to understand clients and their expectations for...
When making a referral you should do all of the following EXCEPT:
Which of the following client behaviors contributed the most to the...
Which of the following is a cognitive-based therapy, developed by...
What was the most prominent instance of the counselor's effective...
Some populations suffer greater rates of addiction than others. The...
Of the following statements made by a client in a group, which would...
A mental status exam does NOT assess:
Brian is a 15-year old boy who has been admitted to a program for...
The completion of various forms, including releases of information,...
If a client appears to be in denial due to discrepancies stated during...
Your client, Eric, discloses to the group that he is homosexual....
Which of the following is the BEST indicator if an individual is...
One of the earliest models for case management services in the...
The tendency of the family to try and maintain balance is called:
Concise and accurate reporting is necessary in order to:
Which of the following actions by the counselor is an example of a...
Sarah, a counselor in a drug treatment center, grew up in an alcoholic...
The BEST way of dealing with individual needs in a group is to:
The focus of intervention in the criminal justice system is first to:
What ethical principle is particularly challenging for alcohol and...
If Seconal is taken in combination with one of the following drugs, it...
After a counselor has made a summary statement, the most important...
A frequent client reaction during the termination phase of counseling...
Before therapy or counseling begins, clients may be given information...
In determining whether a chemically dependent patient should be...
Because addiction affects so many facets of the addicted person's...
While taking an alcohol drug history, which of the following is a good...
The goal of Al-Anon is:
The NIDA-financed Drug Abuse Reporting Program found that:
The quality of counseling is directly related to the counselor's...
According to the D.S.M IV-TR, all of the following are criteria for...
A reward is something given for a special behavior, whereas positive...
AIl of the following are benzodiazepines EXCEPT:
Written consent to release client information is required EXCEPT when...
Good case management requires the integration of services within a...
In a crisis interview with a client, you are MOST concerned with:
Morning drinking ¡s not an uncommon occurrence with alcoholics....
Which statement MOST accurately describes the relationship between...
During the intake, a counselor can expect to address all of the...
Pointing out parallels between a client's interpersonal...
All of the following are symptoms of the manic phase of bipolar mood...
The provision of information concerning alcohol and other drug abuse...
Comprehensive client documentation:
The process of termination should be discussed:
A key factor for counselors to consider is that in a counseling...
Barbiturates can be sub-classified into groups based upon:
Regarding a "seropositive" result, which of the following is...
Bob is a case manager in an intensive inpatient treatment facility. He...
Therapeutic communities differ from Synanon because:
What was one of Bill's primary treatment goals during his...
What intervention did Bill's counselor employ to address his...
Which of the following counselor actions is an example of the use of a...
The organization founded as an alternative to programs with spiritual...
Which of the following is NOT a commonly abused substance?
Counselors rely heavily on the work of developmental theorists as they...
As a certified Alcohol and Drug Counselor, maintaining client...
The interpersonal style in which a member of a minority group has made...
Which of the following statements about dysfunctional families is...
Stress inoculation focuses primarily on:
Which of the following is NOT a commonly used technique for crisis...
Based upon the initial interview, Bill was given a provisional Axis I...
Heroin is an example of a(an):
Which of the following is a primary goal of motivational interviewing...
The description of the client's rights typically occurs during...
___________is the essential first step in determining the possible...
According to Marlatt's model of the relapse process, which of the...
During the assessment process, your alcohol and tranquilizer abusing...
All of the following statements about the effects of alcohol abuse on...
Significant others should be involved in the treatment process - 
Which situation requires a client's informed consent?
Despite vast personality differences, virtually all substance abusers...
The branch of pharmacology that deals with the biological,...
What critical treatment planning activity was overlooked in the...
The CAGE test is a simple assessment that is administered to...
The PRIMARY purpose of a professional code of ethics is to:
A treatment professional utilizing case management will do all of the...
What critical aspect of client education is lacking in this scenario? ...
An example of the use of effective case management with this case was:
All of the following are goals of person-centered therapy EXCEPT:
Assessment, according to the behavioral approach, involves:
According to the American Society of Addiction Medicine (ASAM), which...
Which of the following essential tasks was NOT completed during the...
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