ADC/CASAC Alcohol And Drug Counselor Exam Practice Test!

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  • 1/150 Questions

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

    • Regularly attend A.A. and/or N.A. meetings.
    • Stay well-informed and aware of recent developments in the field.
    • Teach classes about these topics.
    • Assume that the client will ask for what he/she needs.
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About This 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 around 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.

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

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  • 2. 

    Which of the following responses would be helpful ¡n establishing a therapeutic relationship with a client?

    • "What's the matter with you? Why didn't you just take care of the problem yourself?"

    • "Let's get right to the point. You've got a drinking problem"

    • "Let's talk about each of our expectations for counseling"

    • "Let me tell you what you need to stay sober"

    Correct Answer
    A. "Let's talk about each of our expectations for counseling"
    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. 

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

    • Remain in denial about his/her addiction.

    • Have incorrect information and unanswered questions about the program.

    • Need to be referred to an outside agency.

    • Need additional education about addiction.

    Correct Answer
    A. Have incorrect information and unanswered questions about the program.
    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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  • 4. 

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

    • Move from direct care to an administrative position.

    • Contact a supervisor and ask for fewer work hours.

    • Attend to health through adequate sleep, an exercise program, and proper diet.

    • Add more structure to work by using a commercial time management system.

    Correct Answer
    A. Attend to health through adequate sleep, an exercise program, and proper diet.
    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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  • 5. 

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

    • The client's ethnic background

    • A signature by a medical doctor

    • The purpose of the release of information

    • The client's social security number

    Correct Answer
    A. The purpose of the release of information
    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?

    • Identifying the client's problems and needs, strengths and weaknesses

    • Explaining the rules of the program

    • Having the client sign Release of Information forms

    • Confronting the client's denial

    Correct Answer
    A. Identifying the client's problems and needs, strengths and weaknesses
    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?

    • Guilt and anger are painful emotions that are part of grieving

    • Symptoms of grief typically disappear within six months

    • The grieving process should be hurried so the client can resume his life

    • Grief is only a response to situations involving death

    Correct Answer
    A. Guilt and anger are painful emotions that are part of grieving
    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. 

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

    • Draw up a new contract with the client.

    • Talk to the client about possible denial.

    • Create new goals and objectives, and suggest alternate forms of therapy.

    • Discuss these concerns with the client and make necessary changes in treatment goals.

    Correct Answer
    A. Discuss these concerns with the client and make necessary changes in treatment goals.
    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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  • 9. 

    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?

    • Ask the client to participate, never-the-less, and suggest he simply "do his best" when dealing with the issue of powerlessness.

    • Let the client know that participation in AA is mandatory, and that if he doesn't participate, he could be discharged for "noncompliance."

    • Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's values.

    • Seek out another Somali who is in a local AA group and ask the he or she sponsor your client.

    Correct Answer
    A. Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's values.
    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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  • 10. 

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

    • "We're here to discuss your alcohol problem - I don't want to talk about your marriage"

    • "Counseling is a very unstructured process - anything goes"

    • "Our meetings will consist of four 50 minute sessions at 10 a.m. each Wednesday"

    • "What's important is that I help you. I'll counsel you no matter what"

    Correct Answer
    A. "Our meetings will consist of four 50 minute sessions at 10 a.m. each Wednesday"
    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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  • 11. 

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

    • Confidentiality

    • Documentation of client problems

    • The client's aftercare plan

    • The level of commitment of the client to follow through

    Correct Answer
    A. Confidentiality
    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:

    • Social worker.

    • Clinical psychologist.

    • Licensed professional counselor.

    • Marriage and family therapist.

    Correct Answer
    A. Marriage and family therapist.
    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:

    • Develop a treatment plan.

    • Have the client sign appropriate documents.

    • Determine one's appropriateness and eligibility for admission.

    • Identify the client's strengths and weaknesses.

    Correct Answer
    A. Determine one's appropriateness and eligibility for admission.
    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?

    • Although Ralph did have a relapse, recovery should be easier the second time around.

    • This constitutes a relapse, and Ralph may need to begin the recovery process all over again.

    • Ralph should be reassured that this behavior is permissible as long as he did not lose control and become drunk.

    • The counselor should talk to Ralph about the implications of dangerous situations like this, but assure him that it is possible to continue his recovery process.

    Correct Answer
    A. The counselor should talk to Ralph about the implications of dangerous situations like this, but assure him that it is possible to continue his recovery process.
    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:

    • Screening.

    • Orientation.

    • Assessment.

    • Group therapy sessions.

    Correct Answer
    A. Orientation.
    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:

    • Getting him to gradually cut down on his drinking.

    • Encouraging him to change sponsors.

    • Referring him for additional treatment.

    • Asking him what worked before.

    Correct Answer
    A. Asking him what worked before.
    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. 

    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?

    • The pretreatment period may be when clients lose interest in treatment.

    • A client may receive enough help so as not to need the services of the program or agency.

    • Successful pretreatment may result in a client needing services that an agency doesn't have, thus losing the potential admission.

    • There is really no danger with pretreatment - recovery will require much more programming than pretreatment can offer.

    Correct Answer
    A. The pretreatment period may be when clients lose interest in treatment.
    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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  • 18. 

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

    • Family therapy.

    • Education.

    • Psychosocial assessment.

    • Screening.

    Correct Answer
    A. Screening.
    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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  • 19. 

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

    • Job skills.

    • Child care services.

    • Educational training.

    • Primary health care.

    Correct Answer
    A. Child care services.
    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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  • 20. 

    Relapse prevention efforts are aimed at:

    • Developing a therapeutic relationship for sobriety and maintenance.

    • Changing expectations regarding the effects of intervention.

    • Identifying high-risk situations and learning alternative coping skills.

    • Discussing aspects of evaluation and treatment.

    Correct Answer
    A. Identifying high-risk situations and learning alternative coping skills.
    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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  • 21. 

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

    • An understanding of self-help groups

    • An ethical code of conduct

    • Certification

    • An advanced degree

    Correct Answer
    A. An ethical code of conduct
    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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  • 22. 

    "Referral" pertains to:

    • Assisting a client to utilize the support systems and community resources available.

    • Meeting with other professionals for discussions and planning.

    • Providing drug and alcohol information to clients.

    • Attending an A.A. or N.A. meeting with a client.

    Correct Answer
    A. Assisting a client to utilize the support systems and community resources available.
    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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  • 23. 

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

    • Alateen

    • ACOA

    • Al-Anon

    • A.A.

    Correct Answer
    A. Al-Anon
    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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  • 24. 

    One goal of an effective aftercare program is:

    • To enhance a client's emotional rehabilitation.

    • To minimize the client's use of denial.

    • To support the gains made in treatment.

    • To assign sponsors to clients.

    Correct Answer
    A. To support the gains made in treatment.
    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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  • 25. 

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

    • Asking too many questions.

    • Moving too quickly from data collection to treatment planning.

    • Focusing on strengths and weaknesses.

    • Processing the data collected from the client.

    Correct Answer
    A. Moving too quickly from data collection to treatment planning.
    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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  • 26. 

    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:

    • Hallucinogens.

    • CNS depressants.

    • Opioids.

    • Dextro-amphetamines.

    Correct Answer
    A. Opioids.
    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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  • 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?

    • Contact child protective services to report this incident.

    • Explain to her the limits of confidentiality regarding drug use.

    • Admit her for treatment and arrange childcare services.

    • Contact law enforcement to have her arrested for child abuse and neglect.

    Correct Answer
    A. Contact child protective services to report this incident.
    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. 

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

    • Male to male

    • Male to female

    • Female to female

    • Female to male

    Correct Answer
    A. Female to female
    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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  • 29. 

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

    • Identify alternative courses of action.

    • Offer emotional support.

    • Contact emergency personnel.

    • Assess the degree of risk.

    Correct Answer
    A. Assess the degree of risk.
    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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  • 30. 

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

    • "she seems to be over-reacting"

    • "does she usually threaten you?"

    • "sounds like she needs Al-Anon"

    • "she's really serious about your sobriety"

    Correct Answer
    A. "she's really serious about your sobriety"
    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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  • 31. 

    Effective communication occurs in groups when:

    • Message receivers hear "you" messages.

    • Message receivers do not speak.

    • Message senders use third-person pronouns.

    • Message senders use "I" messages.

    Correct Answer
    A. Message senders use "I" messages.
    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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  • 32. 

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

    • Reviewing documentation in progress notes.

    • Consulting with the client's significant others.

    • Referring the client to a professional outside your agency for an objective review.

    • Asking the client to write a personal evaluation of his/her own progress.

    Correct Answer
    A. Reviewing documentation in progress notes.
    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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  • 33. 

    Bipolar mood disorder is distinguished from major depression by:

    • At least one episode of mania.

    • Evidence of earlier cyclothymia.

    • Evidence of earlier dysthymia.

    • Chronic forms of depression.

    Correct Answer
    A. At least one episode of mania.
    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. 

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

    • Including the client's family members in counseling.

    • Setting mutually-established goals.

    • Going to 12-step meetings with the client.

    • Offering to make home visits.

    Correct Answer
    A. Setting mutually-established goals.
    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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  • 35. 

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

    • Advise him to select a quit date within the next 2 weeks.

    • Encourage him to use the nicotine patch or gum.

    • Consult with his physician regarding nicotine/medication interaction.

    • Suggest he cut down the number of cigarettes daily for 2 weeks before quitting.

    Correct Answer
    A. Consult with his physician regarding nicotine/medication interaction.
    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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  • 36. 

    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:

    • Get his wife into counseling with him.

    • Take responsibility for his behavior.

    • Develop a more positive perception of himself.

    • Effect a behavioral intervention.

    Correct Answer
    A. Take responsibility for his behavior.
    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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  • 37. 

    An irresistible impulse is called a(an):

    • Compulsion.

    • Delusion.

    • Hallucination.

    • Obsession.

    Correct Answer
    A. Compulsion.
    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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  • 38. 

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

    • Provide the group members with insight into the counselor's background.

    • Convince group members that the counselor has more life experiences than they do.

    • Demonstrate how to react when other group members disclose personal information.

    • Facilitate the growth of the group by relating to client or group issues.

    Correct Answer
    A. Facilitate the growth of the group by relating to client or group issues.
    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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  • 39. 

    Personality disorders are:

    • Reactions to stress.

    • Episodic in nature.

    • Intra-psychic disturbances.

    • Maladaptive ways of perceiving, thinking, and relating.

    Correct Answer
    A. Maladaptive ways of perceiving, thinking, and relating.
    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. 

    Client files should be readily accessible to:

    • The client.

    • All staff of the facility.

    • The agency board of directors.

    • Only those persons directly involved in providing clinical services.

    Correct Answer
    A. Only those persons directly involved in providing clinical services.
    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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  • 41. 

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

    • A licensed physician should conduct a physical examination of the client.

    • The client should complete psychological tests to be used ¡n the evaluation.

    • The counselor should conduct an initial family therapy session in order to address problems caused by the client's use.

    • The counselor should provide the client with an overview describing the goal, objectives, rules, and obligations of the program.

    Correct Answer
    A. The counselor should provide the client with an overview describing the goal, objectives, rules, and obligations of the program.
    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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  • 42. 

    What was the PRIMARY ethical issue in this case?

    • The counselor and client were planning to carpool to aftercare

    • The client's motivation was questionable because he was forced into treatment.

    • The counselor minimized the client's employment problem

    • The counselor made a referral which was not directly related to the alcohol problem.

    Correct Answer
    A. The counselor and client were planning to carpool to aftercare
    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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  • 43. 

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

    • Monitoring, feedback, and evaluation of services.

    • Frequent face-to-face contact with the client.

    • Collaboration with family members.

    • Careful matching with appropriate 12-step groups.

    Correct Answer
    A. Monitoring, feedback, and evaluation of services.
    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. 

    Alcohol decreases resistance to HIV infection by:

    • Compromising T-cell functions.

    • Impairing frontal cortical functions.

    • Increasing serotonin levels in the synaptic gap.

    • Decreasing cardiopulmonary functioning.

    Correct Answer
    A. Compromising T-cell functions.
    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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  • 45. 

    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:

    • Assess Joe's potential for suicide without directly asking him about suicide plans, but assess his high-risk factors.

    • Assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors.

    • Determine if Joe has a gun or other weapon.

    • Initiate involuntary hospitalization procedures.

    Correct Answer
    A. Assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors.
    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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  • 46. 

    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:

    • Confrontation.

    • Immediacy.

    • Potency.

    • Concreteness.

    Correct Answer
    A. Concreteness.
    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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  • 47. 

    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?

    • The name of an attending physician, referrals made, diagnostic procedures used

    • Information about consultations, diagnosis, treatment, prognosis, and progress

    • Names of family members, emergency numbers, DSM-IV-TR diagnosis

    • Personal notes, insurance information, treatment notes

    Correct Answer
    A. Information about consultations, diagnosis, treatment, prognosis, and progress
    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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  • 48. 

    The initial stage of crisis intervention involves:

    • Discussing the client's plans for the future.

    • Helping the client adapt.

    • Determining the problem.

    • Determining a solution.

    Correct Answer
    A. Determining the problem.
    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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  • 49. 

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

    • The Hero.

    • The Scapegoat.

    • The Primary Enabler.

    • The Mascot.

    Correct Answer
    A. The Primary Enabler.
    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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  • Jan 08, 2025
    Quiz Edited by
    ProProfs Editorial Team
  • May 06, 2013
    Quiz Created by
    Tweeterbird
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