Substance abuse

Question 1

In alcohol and drug abuse, denial is

Answer 1

A common barrier to overcome in the early stage of accepting the abuse problem

Question 2

Burnout in counselors might be avoided by periodic

Answer 2

Self assessment

Question 3

During the screening process, a critic task is that the counselor has is to:

Answer 3

establish rapport with the client

Question 4

During the intake a counselor can expect to address all of the following issues EXCEPT

Answer 4

Treatment planning

Question 5

It is considered unethical for a counselor to

Answer 5

treat client problems that are beyond his skill level

Question 6

Which statement is TRUE regarding dual relationships with clients that might impair the counselor’s judgement?

Answer 6

they must be avoided

Question 6

When participating in the screening process, a counselor must also be skilled in

Answer 6

making referrals

Question 7

If the orientation process is neglected or incomplete a client may

Answer 7

have incorrect information and unanswered questions about the program

Question 8

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

Answer 8

moving too quickly from data collection to treatment planning

Question 9

Which of the following is essential for successful recovery from addiction?

Answer 9

admitting to a drinking and/or drug problem

Question 10

Interventions by a group counselor should:

Answer 10

address issues critical to the functioning of the group as a whole

Question 11

When clients ask directly for advice, it is usually helpful for counselors to:

Answer 11

encourage the client to explore various alternatives

Question 12

Which of the following does NOT have to appear on a “Release of Information” form?

Answer 12

signature of counselor

Question 13

A client experiences a crisis situation. As a counselor, your MOST important function is:

Answer 13

to help convert the emergency into a solvable problem

Question 14

While progress has been made, society still disapproves much more strongly of substance abuse by women than by men. Which of the following statements is NOT true?

Answer 14

mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities

Question 15

Which of the following would be MOST appropriate in providing linkage between a treatment program and AA?

Answer 15

counselors should visit AA meetings and have a list of meetings to share with clients

Question 16

Concise and accurate reporting is necessary in order to:

Answer 16

ensure continuity of client care

Question 17

Consultations are an important component of the treatment process because:

Answer 17

input and information from others will assist the treatment process

Question 18

. Which of the following bodily fluids has the highest risk of potential infection?

Answer 18

vaginal secretions

Question 19

Which of the following is an example of exploitation?

Answer 19

. leaking to the public the name of a celebrity who is in treatment at your facility

Question 20

In a crisis interview with a client, you are most concerned with:

Answer 20

focusing questions about the present situation and the client’s means of coping with the stress

Question 21

The style of counseling in which a counselor has made a decision to be committed to equality for all people and acts to treat all people alike, regardless of race or cultural background, is known as:

Answer 21

the “color-blind” counselor

Question 22

. A person wants to accept a party invitation because he/she is very social but is concerned because there will be a lot of drinking and he/she is a member of AA. He/she is experiencing a(an):

Answer 22

approach-avoidance conflict

Question 23

The first stage in the process of family change is:

Answer 23

interruption of ongoing patterns with confrontation or disengagement

Question 24

Hallucinogens work on the brain by interfering with various neurotransmitters, causing an overlap of the senses to occur. The term for this overlap of the senses is:

Answer 24

synesthesia

Question 25

In alcohol and drug abuse, denial is:

Answer 25

a common barrier to overcome in the early stage of accepting the abuse problem

Question 26

Burnout in counselors might be avoided by periodic

Answer 26

self-assessment

Question 27

During the screening process, a critic task is that the counselor has is to:

Answer 27

establish rapport with the client

Question 28

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

Answer 28

treatment planning

Question 29

According to Rational-Emotive Behavior Therapy, we develop emotional disturbances because of our

Answer 29

intrinsic beliefs about certain beliefs

Question 30

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

Answer 30

presence of withdrawal symptoms

Question 31

. Which of the following MUST be included in a treatment plan?

Answer 31

the client's problems and services to be provided

Question 32

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

Answer 32

assess the degree of risk

Question 33

. In an apologetic tone, a recovering client tells the counselor that he is still having urges to drink. The counselor can help by

Answer 33

normalizing the drinking urge and encouraging continued efforts towards relapse prevention

Question 34

. Which of the following is TRUE about case management?

Answer 34

. it is the coordination of services in an effort to reach the goals of the treatment plan

Question 35

Sally is a 16-year old girl who has been admitted to a program for chemical dependency. She has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. In assessing Sally, the counselor should first consider:

Answer 35

. Sally's familial relationships and social milieu

Question 36

It is appropriate for a counselor to teach a client about the physiological effects of the drugs he/she has been using during the administration of which of these core functions?

Answer 36

client education

Question 37

. Which of the following would be the MOST appropriate way to assure follow-through on a referral?

Answer 37

notify the referral resource of the referral and have client call to make an appointment

Question 38

Client files are reviewed by the clinical supervisor for the purpose of:

Answer 38

providing professional feedback to enhance the counseling process

Question 39

If a client is experiencing difficulties conforming to the rules and expectations of the program, the counselor's first course of action would be to:

Answer 39

consult with supervisor and other members of the treatment team

Question 40

All of the following counseling theories are appropriate for the direct care of recovering addicts during the first month of rehabilitation EXCEPT:

Answer 40

Psychoanalysis

Question 41

According to the addiction counselor code of ethics, a certified counselor must do all of the following EXCEPT:

Answer 41

be concerned primarily with the reputation of the profession when in the presence of professional conflict

Question 42

Which of the following is a characteristic of Gestalt therapy?

Answer 42

a focus on unfinished business

Question 43

Of the five basic counseling styles that define how a non-minority counselor might deal with a minority client, which style will produce the most positive outcome when working with a minority client?

Answer 43

the "culturally-liberated" counselor

Question 44

Which of the following defense-oriented behaviors is of the damage-repair type?

Answer 44

mourning

Question 45

. The primary factor in the development of young people's attitudes toward drugs is:

Answer 45

parental role models

Question 46

Marijuana is a unique compound which contains over 200 chemicals. One particular chemical, however, is the main psychoactive chemical that makes marijuana "go." The name of this psychoactive compound is:

Answer 46

Cannabinoid

Question 47

Which drug does NOT fall under the prescription drug classification of benzodiazepine?

Answer 47

Percodan

Question 48

If a counselor knows that he/she is unable to assure the client of confidentiality, he/she should:

Answer 48

inform the client of this fact

Question 49

The intake process is usually an extension of the:

Answer 49

screening

Question 50

While gathering an alcohol and other drug history, which of the following is a good clue to alcohol dependency?

Answer 50

increased tolerance and withdrawal symptoms when abstinence is attempted

Question 51

Which of the following is TRUE about a treatment plan?

Answer 51

client's own goals for treatment must be considered and discussed

Question 52

When a group faces denial by group members, the counselor should:

Answer 52

directly confront the denial

Question 53

Which of the following is TRUE of defense mechanisms?

Answer 53

they are ways of coping that are used by everyone

Question 54

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

Answer 54

use the group process to share mutual concerns

Question 55

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

Answer 55

acting out behavior

Question 56

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

Answer 56

stay well-informed and aware of recent developments in the field

Question 57

Client files should be readily accessible to:

Answer 57

only persons directly involved in providing clinical services

Question 58

The following issue MUST be considered when consulting with out-of-agency professionals

Answer 58

best practices related to confidentiality

Question 59

. Of the following AIDS associated illnesses, which may be less recognizable in substance abusers?

Answer 59

dementia

Question 60

. The agency you work for does not provide post-discharge services. It is your professional responsibility to:

Answer 60

develop a plan for ongoing client support

Question 61

. _________ is defined as "the revulsion toward homosexuals and often the desire to inflict punishment as retribution, and in the case of homosexuals themselves, self-loathing."

Answer 61

homophobia

Question 62

Factors often cited as responsible for unsuccessful treatment programs for Hispanic Americans include all of the following EXCEPT

Answer 62

. viewing the Hispanic culture as heterogeneous

Question 63

Phobic behaviors are reinforced by:

Answer 63

a reduction in one's feelings of anxiety

Question 64

. After several months in marital and family therapy the alcoholic spouse suffers a relapse. The MOST useful approach to the couple is to:

Answer 64

frame the relapse as a sign that marital therapy was moving too quickly, and it would be good to get back to the basics of early recovery

Question 65

If an individua were to take two barbiturates, such a phenobarbital and secobarbital simultaneously, the drug interaction effect would most appropriately be described as:

Answer 65

additive

Question 66

With regard to case management, which of the following is TRUE? a. the counselor should coordinate regular communication between professionals involved in the client's treatment b. good integration of services requires team meetings with the client present c. with a well-integrated team of professionals, the case manager's review of progress notes will alone determine how the treatment plan is being followed d. once the treatment plan is written, the use of other services is determined and will remain unchanged

Answer 66

the counselor should coordinate regular communication between professionals involved in the client's treatment

Question 67

Which of the following statements made by a client in a group would MOST warrant documentation in the client's progress notes?

Answer 67

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

Question 68

. A "speedball" is:

Answer 68

an injectable mixture of heroin and cocaine

Question 69

. The disease concept of addiction is a useful concept for treating alcoholics and addicts because it:

Answer 69

allows the client not to feel guilty for being addicted

Question 70

. "Pink Cloud" is an expression used to describe alcoholics in early recovery who:

Answer 70

are overly optimistic about their futures and don't predict normal stresses