ADC/CASAC Alcohol And Drug Counselor Exam Practice Test!
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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.
- 1.___________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.
- A.
Screening
- B.
Assessment
- C.
Intake
- D.
Orientation
- 2.A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should:
- A.
Draw up a new contract with the client.
- B.
Talk to the client about possible denial.
- C.
Create new goals and objectives, and suggest alternate forms of therapy.
- D.
Discuss these concerns with the client and make necessary changes in treatment goals.
- 3.A common error that counselors make when conducting an assessment is:
- A.
Asking too many questions.
- B.
Moving too quickly from data collection to treatment planning.
- C.
Focusing on strengths and weaknesses.
- D.
Processing the data collected from the client.
- 4.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:
- A.
Social worker.
- B.
Clinical psychologist.
- C.
Licensed professional counselor.
- D.
Marriage and family therapist.
- 5.A key factor for counselors to consider is that in a counseling relationship, the counselor has differential power. One of the best safeguards is:
- A.
To be alert to and understand the power relationship.
- B.
To utilize the differential power to motivate the client.
- C.
To realize the importance of this power in client interventions.
- D.
To use differential power to get the client to try new behaviors.
- 6.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?
- A.
The pretreatment period may be when clients lose interest in treatment.
- B.
A client may receive enough help so as not to need the services of the program or agency.
- C.
Successful pretreatment may result in a client needing services that an agency doesn't have, thus losing the potential admission.
- D.
There is really no danger with pretreatment - recovery will require much more programming than pretreatment can offer.
- 7.According to Marlatt's model of the relapse process, which of the following statements is NOT true?
- A.
Clients should be taught skills for anticipating, avoiding, and coping with their personal high-risk situations.
- B.
Clients should be taught constructive responses to cope with lapses when they do occur.
- C.
Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted.
- D.
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.
- 8.According to the D.S.M IV-TR, all of the following are criteria for psychoactive substance dependence EXCEPT:
- A.
Substance often taken in larger amounts than the person intended.
- B.
Marked lack of initiative, interest or energy.
- C.
Frequent intoxication when expected to fulfill major role obligations.
- D.
One or more unsuccessful efforts to cut down substance use.
- 9.All of the following are goals of person-centered therapy EXCEPT:
- A.
Teaching clients to formulate and carry out plans to change their behavior.
- B.
Focusing on the person instead of the presenting problem.
- C.
Assisting clients in enhancing their coping skills.
- D.
Individualizing the treatment plan.
- 10.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:
- A.
AIDS epidemiology and transmission routes.
- B.
The disease's clinical progression.
- C.
New medication used in treatment regimens.
- D.
Available social services for AIDS clients.
- 11.Therapeutic communities differ from Synanon because:
- A.
These communities try to return clients to society.
- B.
These communities are based on individual psychotherapy rather than group encounter.
- C.
These communities keep the patients busy rather than engaging in contemplative thought.
- D.
These communities rely on professional psychologists rather than former addicts or abusers.
- 12.During the screening process, a critical task that the counselor has is to:
- A.
Complete a mental status exam.
- B.
Engage the client's family in treatment.
- C.
Develop a treatment plan.
- D.
Establish rapport with the client.
- 13.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:
- A.
The Beck Depression Scale , the MAST test, and the MMPI.
- B.
The Beck Depression Scale the MAST test, and the Stanford-Binet.
- C.
The MAST test, the Strong-Campbell, and the Stanford-Binet.
- D.
The MMPI, the Strong-Campbell, and the Stanford-Binet.
- 14.The primary purpose of the screening process is to:
- A.
Develop a treatment plan.
- B.
Have the client sign appropriate documents.
- C.
Determine one's appropriateness and eligibility for admission.
- D.
Identify the client's strengths and weaknesses.
- 15.Effective case management for persons in need of multiple services requires:
- A.
Monitoring, feedback, and evaluation of services.
- B.
Frequent face-to-face contact with the client.
- C.
Collaboration with family members.
- D.
Careful matching with appropriate 12-step groups.
- 16.In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:
- A.
Whether the patient has a history of sobriety during the last several years.
- B.
Whether the patient's job and family are likely to give him another chance if this treatment fails.
- C.
Whether the patient has family support for sobriety.
- D.
Whether the patient has a history of failed treatment on an outpatient or inpatient basis.
- 17.Alcohol decreases resistance to HIV infection by:
- A.
Compromising T-cell functions.
- B.
Impairing frontal cortical functions.
- C.
Increasing serotonin levels in the synaptic gap.
- D.
Decreasing cardiopulmonary functioning.
- 18.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?
- A.
Ask the client to participate, never-the-less, and suggest he simply "do his best" when dealing with the issue of powerlessness.
- B.
Let the client know that participation in AA is mandatory, and that if he doesn't participate, he could be discharged for "noncompliance."
- C.
Be sensitive to such cultural differences and seek out other recovery resources that are relevant to the individual's values.
- D.
Seek out another Somali who is in a local AA group and ask the he or she sponsor your client.
- 19.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?
- A.
"This counselor is a stranger, but maybe I can learn to trust her."
- B.
"My counselor will direct me to do what I need to do, and everything will be OK."
- C.
"My counselor will be a resource that I can use to resolve my problems."
- D.
"The counselor's main concern and responsibility is to help me achieve my goals and objectives."
- 20.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:
- A.
Assess Joe's potential for suicide without directly asking him about suicide plans, but assess his high-risk factors.
- B.
Assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors.
- C.
Determine if Joe has a gun or other weapon.
- D.
Initiate involuntary hospitalization procedures.
- 21.If the orientation process is neglected or incomplete a client may:
- A.
Remain in denial about his/her addiction.
- B.
Have incorrect information and unanswered questions about the program.
- C.
Need to be referred to an outside agency.
- D.
Need additional education about addiction.
- 22._________________is one of case management's hallmark characteristics.
- A.
Advocacy
- B.
Cooperation
- C.
Stabilization
- D.
Flexibility
- 23.When language is a barrier to treatment planning, this situation can be overcome by:
- A.
Employing an interpreter.
- B.
Training the counselor in cultural sensitivity.
- C.
Requiring the client to utilize a family member as an interpreter.
- D.
Getting the client a language tutor.
- 24.The first contact that a potential client would have with an agency would likely be for the purpose of:
- A.
Family therapy.
- B.
Education.
- C.
Psychosocial assessment.
- D.
Screening.
- 25.The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents ¡s lack of: -
- A.
Job skills.
- B.
Child care services.
- C.
Educational training.
- D.
Primary health care.
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