Ic&RC Alcohol And Drug Counselor (Adc) Practice Examination

50 Questions | Total Attempts: 1470

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Ic&RC Alcohol And Drug Counselor (Adc) Practice Examination

This practice exam has been developed to assist candidates preparing for their IC&RC Alcohol and Drug Counselor (ADC) examination. After completing the practice examination, candidates will receive a score report identifying their areas of strength and weakness. In addition, they will receive a copy of the questions, the correct answers, and the answer the candidate selected. It is important to note the practice examination was not developed to be an indicator of actual performance. Candidates should still ensure they prepare appropriately for their examination based on their individual knowledge and skills and not solely on the results of their practice examination. There is only one version of each practice examination. Purchasing multiple exams will result


Questions and Answers
  • 1. 
    A 32-year-old male client is being discharged after his first experience in inpatient treatment. His proposed aftercare plan includes a referral to participate in intensive outpatient counseling. The client does not see the need for further treatment as he has been clean and sober for the last 28 days. The next step in working with this client would be to
    • A. 

      Discuss the continuum care with and the reason for the referral.

    • B. 

      Notify the client that the recommendation is being made, regardless of his willingness to follow through.

    • C. 

      Explain that he cannot leave the inpatient facility without an aftercare plan.

    • D. 

      Inform the client that he will be considered non-compliant with treatment if he does not follow his aftercare plan.

  • 2. 
    A client is a 21-year-old Latino living with his mother. His mother regularly uses heroin and has engaged in prostitution for income. He has his high school diploma but has not had steady employment since he was 19. His substance use began when he was 16 with marijuana and alcohol. At age 18 he also began periodically using heroin and now reports using heroin daily. He is mandated to treatment after being arrested for robbery to support his substance use. Based on this summary, which level of care is most appropriate according to ASAM's Patient Placement Criteria?
    • A. 

      Outpatient

    • B. 

      Intensive Outpatient/Partial Hospitalization

    • C. 

      Residential/Inpatient

    • D. 

      Medically Managed Intensive Inpatient

  • 3. 
    In a session, a client discloses repeated instances of eating large amounts of food at once to the point of nausea. They indicate that they are not hungry when they eat and feel bad about their food consumption when finished. According to the DSM-5, this client meets the diagnostic criteria for which of the following?
    • A. 

      Binge-Eating Disorder

    • B. 

      Bulimia Nervosa

    • C. 

      Anorexia Nervosa

    • D. 

      Rumination Disorder

  • 4. 
    The purpose of an assessment is to
    • A. 

      Gather detailed information for the treatment plan.

    • B. 

      Gauge the validity of the instrument.

    • C. 

      Provide a diagnosis.

    • D. 

      Quantify any symptomatology.

  • 5. 
    • A. 

      Precontemplation

    • B. 

      Contemplation

    • C. 

      Action

    • D. 

      Maintenance

  • 6. 
    In treatment planning, efforts should lead toward
    • A. 

      Goal directed recovery.

    • B. 

      Compliance with program procedures.

    • C. 

      Abstinence and symptom alleviation.

    • D. 

      Attendance to self-help groups.

  • 7. 
    As part of informed consent, counselors should advise clients of the circumstances under which they must
    • A. 

      Call the police.

    • B. 

      Update the treatment plan.

    • C. 

      Cancel an appointment.

    • D. 

      Terminate treatment.

  • 8. 
    Clients with low levels of motivation to abstain from substance use should be placed in which type of group?
    • A. 

      Psychoeducational

    • B. 

      Skill building

    • C. 

      Process

    • D. 

      Support

  • 9. 
    The DSM-5 is a tool used to
    • A. 

      Make a diagnostic impression based on presenting symptoms.

    • B. 

      Identify risk and protective factors relevant to the client.

    • C. 

      Determine the appropriate level of care.

    • D. 

      Develop symptom specific treatments.

  • 10. 
    Which of the following best describes one of the causes of decreased ability to experience pleasure after long time substance use?
    • A. 

      Lower amounts of dopamine are produced causing feelings of depression.

    • B. 

      Dopamine receptors become damaged from continued substance use.

    • C. 

      Changes in the chemical makeup of dopamine alter its effects from pleasure to depression.

    • D. 

      Higher amounts of dopamine are produced causing a constant euphoria to which the user becomes accustomed.

  • 11. 
    Using Motivational Interviewing, which of the following statements would be best to begin discussing the findings of an assessment with a client?
    • A. 

      We went over a lot of information today. Is there anything you would like to discuss further?

    • B. 

      Those are all the questions I have to ask today. Before we move on, what caught your attention or what were you thinking as we went over the information?

    • C. 

      Thank you for all the information you gave me. Let me look this information over and we can discuss it during the next session. Is that ok for you?

    • D. 

      Do you have anything else you would like to share that would help me get to know you and why you are here?

  • 12. 
    Assisting a client in using community resources to meet the needs that a counselor is unable to provide is known as
    • A. 

      Referral.

    • B. 

      Treatment planning.

    • C. 

      Service coordination.

    • D. 

      Clinical evaluation.

  • 13. 
    When making amendments to a client record, counselors should
    • A. 

      Ensure to properly note the amendments according to agency policies.

    • B. 

      Never amend a clinical record because information might be skewed in the process.

    • C. 

      Get the amendment approved by their clinical supervisor before making any changes.

    • D. 

      Make sure that a very detailed description of the amendment and its purpose is added to the record.

  • 14. 
    A client often disagrees with their partner and feels guilty about their behavior when they have an argument. A treatment intervention for this client would be to
    • A. 

      Practice the use of "I" statements.

    • B. 

      Encourage the client to apologize to their partner.

    • C. 

      Ask the client to journal about their substance use prior to the argument.

    • D. 

      Use deep breathing techniques to process through their guilt.

  • 15. 
    To abstain from drug use and maintain abstinence, individualized counseling emphasizes short-term behavioral goals and helps the client develop
    • A. 

      Coping strategies and tools.

    • B. 

      Support systems.

    • C. 

      Community partners.

    • D. 

      Defense mechanisms.

  • 16. 
    Which term describes the process whereby clients project past feelings or attitudes they had toward significant people in their lives onto their counselor?
    • A. 

      Transference

    • B. 

      Projection

    • C. 

      Countertransference

    • D. 

      Displacement

  • 17. 
    How does the assessment process promote rapport with a client?
    • A. 

      It engages the client in their treatment process.

    • B. 

      It provides the clients with an orientation to the treatment.

    • C. 

      It demonstrates a counselor's thoroughness and capabilities.

    • D. 

      It establishes a standard of communication for future therapy sessions.

  • 18. 
    An 18-year-old female recently enrolled as a full-time student visits a campus counselor and indicates she is feeling symptoms of anxiety and depression. She has a full course load and works a campus job 10 hours a week. She indicates she has made many friends but is concerned that most of their social activities involve drinking. What would be the best treatment goal for this client to help her with her concerns about drinking?
    • A. 

      Help select college sponsored activities to attend with her friends.

    • B. 

      Refer to a campus self-help group to assist with her treatment.

    • C. 

      Develop a time management schedule to reduce stress.

    • D. 

      Encourage increased exercise to boost endorphins.

  • 19. 
    A client who recently moved to the United States expresses feelings of loneliness and isolation in the community. This is
    • A. 

      Acculturation stress.

    • B. 

      Cultural acceptance.

    • C. 

      Assimilation.

    • D. 

      Value conflicts.

  • 20. 
    Before a client in need of continued treatment is discharged, a counselor must
    • A. 

      Provide the client with a list of resources for further treatment.

    • B. 

      Make appropriate alternative arrangements.

    • C. 

      Have the client consent to the termination of treatment.

    • D. 

      Inform all concerned others involved in the treatment process.

  • 21. 
    A client's treatment plan contains the following statement ,"This individual has a history of chronic relapse during periods of high stress." This is an example of which of the following?
    • A. 

      Long term goal

    • B. 

      Problem statement

    • C. 

      Objective statement

    • D. 

      Short term goal

  • 22. 
    A client discloses that her husband is abusing her three year old daughter. Jurisdictional law mandates the abuse must be reported, however, previous experiences with child protective services have been ineffective. The counselor fears if the abuse is reported it will escalate as child protective services will investigate the matter but take no further action. The counselor's best course of action is to
    • A. 

      Consult with their immediate supervisor and follow the supervisor's directives on whether or not to report the abuse.

    • B. 

      Adhere to reporting protocols and determine if and when the client should be informed of the report.

    • C. 

      Develop a plan with the client to remove her and her daughter from the abusive situation and then report the abuse to appropriate authorities.

    • D. 

      Document as much detail as possible regarding the abuse and continue to monitor the situation until the counselor can make a clear decision about what is in the client's best interest.

  • 23. 
    A client has been working a 12 step program for the last 2 months but does not feel like they benefit from the process. The counselor's best approach would be to
    • A. 

      Encourage them to continue working their 12 step program, because it's normal to feel this at first.

    • B. 

      Discuss alternative ideologies that could support their recovery and suggest they try one.

    • C. 

      Recommend they stop working their 12 step program.

    • D. 

      Inform them that working the 12 steps is their best chance for recovery.

  • 24. 
    What is an ongoing process through which the counselor collaborates with the client and others to gather and interpret information necessary for planning treatment and evaluating client progress?
    • A. 

      Screening

    • B. 

      Assessment

    • C. 

      Intake

    • D. 

      Orientation

  • 25. 
    The ORT, SASSI and DAST are all examples of
    • A. 

      Assessment tools.

    • B. 

      Screening tools.

    • C. 

      Documentation tools.

    • D. 

      Counseling tools.

  • 26. 
    A client seeing a counselor for the first time indicates they were not able to complete high school after they were raped as a young teen. They are unable to keep steady employment and experience regular flashbacks of their rape. They have numerous health conditions including high cholesterol for which they are currently taking Lipitor. What information is most important when screening for a substance use disorder?
    • A. 

      Low level of education

    • B. 

      Regular flashbacks

    • C. 

      Inconsistent employment

    • D. 

      Prescription medications

  • 27. 
    Signs of opioid withdrawal may include
    • A. 

      Low blood pressure and drowsiness.

    • B. 

      Enlarged pupils and restlessness.

    • C. 

      Slurred speech and increased appetite.

    • D. 

      Low blood pressure and low body temperature.

  • 28. 
    What is a therapeutic approach that seeks to modify negative or self-defeating thoughts and behaviors?
    • A. 

      12-Step Facilitation Therapy

    • B. 

      Motivational Enhancement Therapy

    • C. 

      Cognitive Behavioral Therapy

    • D. 

      Psychodynamic Therapy

  • 29. 
    Client education on the expected outcomes and possible risks of the counseling process is an important part of
    • A. 

      Treatment planning.

    • B. 

      Placement criteria.

    • C. 

      Informed consent.

    • D. 

      Referral management.

  • 30. 
    When a client has appropriately consented to the transfer of client records to a third party, counselors must be sure to
    • A. 

      Send all original copies.

    • B. 

      Include records from other professionals.

    • C. 

      Document when, where, and what files were sent to whom.

    • D. 

      Transfer all documents, progress notes, and records the counselor created on the client.

  • 31. 
    A 45-year-old, male client discloses he drinks 30 cans of beer daily. When he does not drink his usual amount he experiences tremors. What level of care would be most appropriate for him?
    • A. 

      Outpatient treatment

    • B. 

      Intensive outpatient treatment

    • C. 

      Medically monitored inpatient treatment

    • D. 

      A halfway house

  • 32. 
    A 19-year-old female client is in need of immediate housing due to her boyfriend asking her to move out. After discussion with the client, she agrees to a referral to a local community shelter. What is the next step in assisting this client?
    • A. 

      Placing a phone call to the local community shelter to check on bed availability.

    • B. 

      Informing her boyfriend that she will be moving out of his apartment.

    • C. 

      Reviewing confidentiality guidelines and asking the client to sign a release of information for the community shelter.

    • D. 

      Connecting the client with other available resources to assist her in the move.

  • 33. 
    Motivational Interviewing can be described as a tool
    • A. 

      For clients who have a strong motivation to change.

    • B. 

      To encourage the client to agree with the counselor's treatment recommendations.

    • C. 

      Used to help enhance a client's intrinsic motivation.

    • D. 

      To help a counselor determine a client's current stage of change.

  • 34. 
    In an addictive family, the role that is most likely to be oppositional in school and reject authority figures is known as the
    • A. 

      Lost Child.

    • B. 

      Hero.

    • C. 

      Scapegoat.

    • D. 

      Mascot.

  • 35. 
    A client who is thinking about overcoming a problem but has not yet made a commitment to finding a resolution is in which Stage of Change?
    • A. 

      Preparation

    • B. 

      Precontemplation

    • C. 

      Action

    • D. 

      Contemplation

  • 36. 
    When developing a treatment plan with a client, what is the first step following the identification of a problem?
    • A. 

      Prioritize solutions

    • B. 

      Set goal dates for action steps

    • C. 

      Evaluate solutions

    • D. 

      Define long term goals

  • 37. 
    Treating a patient with both a substance use disorder and a co-occurring mental health disorder simultaneously but in different settings is
    • A. 

      Bilateral treatment.

    • B. 

      Sequential treatment.

    • C. 

      Integrated treatment.

    • D. 

      Parallel treatment.

  • 38. 
    Which of the following client behaviors do group leaders have the responsibility to limit?
    • A. 

      Influencing

    • B. 

      Clarifying

    • C. 

      Active listening

    • D. 

      Story telling

  • 39. 
    A counselor may breach the confidentiality of a client under the age of 18 when
    • A. 

      The client admits to committing a robbery.

    • B. 

      A parent requests information.

    • C. 

      A school requests information to lift suspension.

    • D. 

      There is suspicion of related child abuse.

  • 40. 
    After completing a decisional balance exercise regarding substance use with a client ambivalent to change, an appropriate follow up question would be,
    • A. 

      What are some obvious behavior changes you should make?

    • B. 

      Can you recognize the negative consequences of your behavior?

    • C. 

      What are your thoughts on the pros versus cons of your behavior?

    • D. 

      How do you want to change your behavior now?

  • 41. 
    What is the process of educating clients about treatment and preparing them to participate?
    • A. 

      Establishing rapport

    • B. 

      Informed consent

    • C. 

      Behavioral contracting

    • D. 

      Role induction

  • 42. 
    According to US Federal Guidelines 42 CFR part 2, a counselor can release client to the police without consent under which of the following circumstances?
    • A. 

      A client attacks an employee of a treatment center in the treatment center parking lot.

    • B. 

      A client admits to stealing money to pay for their treatment.

    • C. 

      A client discusses a plan to deface a local bowling alley in retaliation for being kicked out after paying for their lane when an employee claimed they were disorderly.

    • D. 

      A client decides to terminate use of anti-psychotics without consulting their physician and the counselor feels it is necessary to reach out to the physician and let them know.

  • 43. 
    A client who has not used substances for five years but has continuous flashbacks and visual distortions was most likely a regular user of
    • A. 

      Cannabis.

    • B. 

      LSD

    • C. 

      Crack cocaine.

    • D. 

      Heroin.

  • 44. 
    A brief intervention would be most useful for an individual that demonstrates which of the following characteristics?
    • A. 

      Drinks responsibly but demonstrates a low level of tolerance.

    • B. 

      Consumes more than 5 alcoholic beverages when at monthly social gatherings with friends.

    • C. 

      Has a glass of wine every Friday night with dinner.

    • D. 

      Is concerned about their drinking patterns and wants to find help.

  • 45. 
    A client recently completed a 30-day inpatient treatment. Their aftercare plan includes activities such as meditation, deep breathing, and progressive relaxation to cope with stress and anxiety. These activities are encompassed by which therapy method?
    • A. 

      Reality Therapy

    • B. 

      Mindfulness Therapy

    • C. 

      Person-Centered Therapy

    • D. 

      Cognitive Behavioral Therapy

  • 46. 
    Which of the following is produced at a higher than normal rate when an individual uses MDMA?
    • A. 

      Serotonin

    • B. 

      Adrenaline

    • C. 

      GABA

    • D. 

      Endorphins

  • 47. 
    Of the following, which is the most common method for ingesting cocaine?
    • A. 

      Smoking

    • B. 

      Injecting

    • C. 

      Taking pills

    • D. 

      Using dabs

  • 48. 
    Which of the following substances causes a decreased production of serotonin during acute use?
    • A. 

      Methamphetamine

    • B. 

      Cocaine

    • C. 

      LSD

    • D. 

      Alcohol

  • 49. 
    • A. 

      LSD

    • B. 

      Methamphetamine

    • C. 

      Heroin

    • D. 

      Alcohol

  • 50. 
    An individual consumes a gin and tonic everyday after work to help them relax for the rest of the evening. This is an example of
    • A. 

      Alcohol dependence.

    • B. 

      Negative reinforcement.

    • C. 

      Neutral stimulus.

    • D. 

      Sensitization.

  • 51. 
    Type description here