tCADC Study

A client indicates that they always feel peer pressure when out with friends. He blames them and calls them bad influences implying that others would do the same in his situation. What type of resistance is the client exhibiting? a) Blaming b) Challenging c) Unwillingness d) Hostility

a) Blaming

Which of the following crisis stressors can be categorized as a transitional? a) Divorce b) Hopelessness c) Trauma d) Depression

a) Divorce

Which of the following drug test types is not appropriate for the use of monitoring compliance on a regular basis? a) Hair b) Urine c) Saliva d) Sweat

a) Hair

Which of the following substances does not have enough research to support if behavioral therapies cane used effectively for treatment? a) Inhalants b) Cocaine c) Marijuana d) Methamphetamine

a) Inhalants

What hallucinogenic substance is often consumed by means of brewing into a tea? a) Peyote b) Ketamine c) LSD d) PCP

a) Peyote

What is most likely not a recommended strategy to increase retention in treatment? a) Rigid treatment schedule b) Motivational interviewing c) Increased early frequency d) Using additional services upfront

a) Rigid treatment schedule

What is the most accurate estimate of individuals in recovery who sought out or used professional help? a) 5% b) 25% c) 75% d) 90%

b) 25%

When assessing the effectiveness of a referral it is noted that a client had a decrease in criminal activity over a substantial time period. This can be classified as what type of measurement outcome? a) Client satisfaction b) Client outcome d) Service system d) Counselor evaluation

b) Client outcome

Which of the following non-opioid analgesics is addictive? a) Anticonvulsants b) Muscle relaxants c) NSAIDs d) Acetaminophen

b) Muscle relaxants

A counselor is considering sharing a personal story to a client. What is the least appropriate means of evaluating if the counselor should self-disclose the information? a) The story may increase the connection with the client b) The story is uncomfortable for the counselor to share but may benefit the client c) The story may cause the client to have a revelation about themselves d) The client will likely see this as helpful

b) The story is uncomfortable for the counselor to share but may benefit the client

Which of the following is the most commonly abused substance in America? a) marijuana b) alcohol c) cocaine d) prescription drugs

b) alcohol

What is the most reasonable estimate for the success rate of antidepressants? a) 5-10% b) 20-30% c) 40-60% d) 85-95%

c) 40-60%

Which of following populations are not generally considered especially at risk for contracting HIV/AIDS? a) Gay men b) Minorities c) Gay women d) Heterosexual women

c) Gay women

Which of the following is not consistent with the methodologies for the American Psychiatric Association DSM-5 criteria? a) All people are not automatically susceptible to developing substance abuse disorders b) The brain's reaction to drugs of creating a rewarding feeling is an essential part of the substance abuse process c) Substance induced disorders may be a result of a preexisting condition d) Not all people are equally susceptible to substance abuse

c) Substance induced disorders may be a result of a preexisting condition

Which of the following responses would be helpful in establishing a therapeutic relationship with a client? a. "What's the matter with you? Why didn't you just take care of the problem yourself?" b. "Let's get right to the point. You've got a drinking problem" c. "Let's talk about each of our expectations for counseling" d. "Let me tell you what you need to stay sober"

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

The description of the client's rights typically occurs during the: a. assessment. b. intake. c. orientation. d. referral.

c. orientation.

Which of the following is not a basic function of the intake process? a) Determine if the client in fact needs services b) Collection of data c) Determine a plan for treatment d) All of the above

d) All of the above

What is not a common means of concealing substances or their use? a) Writing utensils b) Apples c) Books d) None of the above

d) None of the above

What is not an example of evidence-based therapy? a) Pharmacotherapy b) Cognitive Behavioral Therapy c) Solution Focused Brief Therapy d) None of the above

d) None of the above

Which situation requires a client's informed consent? a. A counselor refers a client back to the referring source at completion of treatment b. A counselor discusses a client's case with the counselor's supervisor c. A counselor discusses a client's case with another counselor in the treatment facility d. A client reports recent child abuse

d. A client reports recent child abuse

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

* b. Assessment

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.

*d. discuss these concerns with the client and make necessary changes in treatment goals.

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: a. Confrontation. b. Immediacy. c. Potency. d. Concreteness.

D, Concreteness.

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.

D, Establish rapport with the client.

What is the most reasonable estimate for the percentage of people with some level of substance abuse disorder that actually receive treatment? a) 10% b) 40% c) 75% d) 90%

a) 10%

Which of the following is not a proper characteristic of the development of a treatment plan? a) A treatment plan can be developed concurrently with the late stages of diagnosis b) The client's needs should be prioritized according to the urgency of the concern c) Treatment plans are individualized to the client's needs d) Treatment plans require regular review for adjustments

a) A treatment plan can be developed concurrently with the late stages of diagnosis

A client is having difficulty with group therapy. When asked about the experience he indicates a difficulty to concentrate and is always being told to stop talking to others during sessions. He also mentioned the difficulty in staying focused during the longer 3-hour sessions. What is the most likely cause of the difficulties as described? a) AD/HD b) Anxiety disorder c) Antisocial personality disorder d) HIV

a) AD/HD

A case manager should have all of the following essential characteristics to ensure an effective process except: a) Ability to recognize substance abuse b) Ability to establish rapport c) Awareness of appropriate boundaries d) A non-judgmental approach

a) Ability to recognize substance abuse

A client who identifies primarily with a single culture can be considered: a) Acculturated b) Bi-cultured c) Culturally immersed d) Traditional-interpersonal

a) Acculturated

What substance listed below is generally considered to have a greater relative harmful effect on friends, family and others relative to the user themselves? a) Alcohol b) Methamphetamines c) Cocaine d) Cannabis

a) Alcohol

Four clients can be classified by some defining characteristics as determined in their assessment. Which is least likely to benefit from a traditional 12-set program recovery? a) Alcohol abuser with sever social anxiety b) Alcohol abuser with co-occurring mental disorder c) Cocaine abuser with a history of religious involvement d) Meth abuser with a fear of isolation

a) Alcohol abuser with sever social anxiety

What is a false statement regarding narcotics? a) All narcotics are illegal b) AIDS is linked to narcotics use c) Narcotics can be naturally occurring substances d) Narcotics can be synthetic

a) All narcotics are illegal

What is the least accurate statement describing the assumptions behind motivational interviewing? a) Ambivalence towards substance abuse is an atypical reaction b) Ambivalence towards substance abuse can be resolved c) Ambivalence towards substance abuse is common d) Ambivalence towards substance abuse must be overcome to achieve recovery

a) Ambivalence towards substance abuse is an atypical reaction

Of the substances listed below, which is classified as a non-controlled substance? a) Amoxicillin b) Oxycodone c) Testosterone d) Methadone

a) Amoxicillin

After an assessment and medical examination, the client is diagnosed with having long term damage to their ability to concentrate and memory. Which of the following is most likely the substance of abuse? a) Amphetamines b) Heroin c) Marijuana d) Steroids

a) Amphetamines

What substance listed below can cause a reverse tolerance? a) Amphetamines b) Stimulants c) Nicotine d) Hallucinogens

a) Amphetamines

For Person-centered therapy to be effective the counselor must adhere to all of the following attitudes except: a) Analysis of resistance b) Congruence c) Unconditional positive regard d) Accurate empathic understanding

a) Analysis of resistance

What is not an example of an open-ended question related to the use of marijuana by a client? a) Are you feeling angry about your smoking? b) What emotions did you feel the first time you smoked? c) What is your family's feelings about your smoking? d) What was your experience the last time you smoked?

a) Are you feeling angry about your smoking?

What is not an effective strategy for deescalating a crisis situation? a) Ask questions about the client's past that may identify the root of the problem b) Use verbal de-escalation c) Take steps to establish a rapport with the client d) Whenever possible, meet with a client in person to deal with a crisis

a) Ask questions about the client's past that may identify the root of the problem

If a counselor takes the approach of ensuring they are seen as an expert, what type of leadership style is being employed? a) Authoritarian b) Democratic c) Laissez-Faire d) None of the above

a) Authoritarian

What personality disorder is characterized by a pervasive pattern of social inhibition and hypersensitivity to being judged? a) Avoidant b) Borderline c) Dependent d) Obsessive-compulsive

a) Avoidant

Which of the following is not a reason for confidential information to be released as per a client's right to confidentiality? a) By authorization of a significant other b) To report child abuse c) For a medical emergency d) If the court determines a "good cause"

a) By authorization of a significant other

What is the main difference between the Marlatt and Gordon Model of Relapse Prevention and the CENAPS Model? a) CENAPS uses abstinence-based treatment b) CENAPS encourages lifestyle changes as essential c) CENAPS teaches early identification of warnings d) All of the above

a) CENAPS uses abstinence-based treatment

What are the early signs of a potential relapse that needs to be documented if identified? a) Changes in daily structures or attitudes b) A new found defensive demeanor c) Change in social behavior d) Exhibiting lack of judgement

a) Changes in daily structures or attitudes

What is the least appropriate action for a counselor when setting up a referral? a) Check with the client to ensure a follow-up on attendance b) Ensure the selected organization can handle the situation c) Familiarize the client with the selected organization d) Provide contact information for the client

a) Check with the client to ensure a follow-up on attendance

What model type of behavior therapy includes changing an associated response from unconditioned to conditioned? a) Classical conditioning b) Operant conditioning c) Social Learning d) Positive and negative reinforcement

a) Classical conditioning

What is not one of the four primary modules of Dialectical Behavior Therapy? a) Client motivation b) Mindfulness c) Distress tolerance d) Interpersonal effectiveness

a) Client motivation

What therapy type is most effective as a means for establishing rapport in the early stages of treatment with a client? a) Client-centered b) Existential c) Group d) Behavior

a) Client-centered

A personality disorder which can be characterized as including eccentric behavior such as paranoia, can be classified into which cluster as per the DSM-5? a) Cluster A b) Cluster B c) Cluster C d) Personality disorder not otherwise specified

a) Cluster A

What clinical supervision type specifically focuses on the consequences of both the client and supervisee's thoughts and feelings on their interactions, issues and concerns? a) Cognitive-behavioral based supervision b) Systematic therapies c) Psychodynamic supervision d) Feminist model of supervision

a) Cognitive-behavioral based supervision

If a complaint is filed with an ethics board, which of the following is most likely not an appropriate action to take? a) Contact the client or individual responsible for the complaint b) Only distribute records after seeking legal counsel c) Refrain from altering any records d) Avoid assuming a lack of harm will have the complaint negated

a) Contact the client or individual responsible for the complaint

A client who has difficulty in situations where they are influenced by others to use substances again needs help in which of the following categories of self-efficacy? a) Coping b) Treatment behavior c) Recovery d) Control

a) Coping

Which of the following information types should most likely be obtained through interviewing and not from existing data sources? a) Current mental state b) Medical history c) Current employment status d) History of mental health

a) Current mental state

What is not generally a task which takes place during the orientation of a client? a) Discussion of confidentiality b) Presentation of rules and regulations of the program c) Present client's rights d) All of the above

a) Discussion of confidentiality

What medication when used to treat alcoholism causes the user to become physically ill if they consume alcohol while the substance is in the body? a) Disulfiram b) Naltrexone c) Acamprostate d) Methadone

a) Disulfiram

Evidence based practices and programs have all of the following goals except? a) Eliminate unverified practices b) Incorporate the opinions of clinical experts c) Use science to determine usable evidence d) Incorporate the individual tendencies of the client and caregiver into the plan of treatment

a) Eliminate unverified practices

After a trigger occurs, the client will enter the first stage of relapse which is: a) Emotional relapse b) Actor relapse c) Mental relapse d) Physical relapse

a) Emotional relapse

Aversive conditioning can best be defined as which of the following? a) Enforcing negative rewards for unwanted behavior b) Enforcing positive rewards for acceptable behavior c) Reassociation of the mental state during triggers d) None of the above

a) Enforcing negative rewards for unwanted behavior

When referring the client to a new primary care service, all of the following will help to avoid being charged with abandonment except: a) Ensure the client proceeds with the referral despite any willingness to change b) Discuss the specific reasoning for termination c) Provide termination sessions d) Provide an emergency plan for the client

a) Ensure the client proceeds with the referral despite any willingness to change

As per Taleff (2010) what is not a specific criterion concerning ethics? a) Ethics may be internal or external b) Intent is relevant to ethical considerations c) Ethics must be impartial d) Ethics judge human behavior

a) Ethics may be internal or external

When evaluating a client for drug recognition, you note clear physical signs and responses that differ from normal functioning. Using your knowledge of substance, you infer that the potential drug of choice may be a central nervous system stimulant. Which of the following must be performed to complete the process of drug recognition? a) Evaluate any other potential cause of noted physical elements b) Interview peers about behavior c) Determine the specific substance of abuse d) Look for signs self-inflicted harm

a) Evaluate any other potential cause of noted physical elements

What is not an effective example of empathy towards a client? a) Express your sincere remorse when the client explains a difficult time b) Provide an example of experience with a similar feeling c) State the feelings you believe the client is going through d) Use active listening to ensure the client knows you understand the story

a) Express your sincere remorse when the client explains a difficult time

All of the answers below are a common method of evaluating the success or effectiveness of case management for a particular case except: a) Extended services survey b) Client satisfaction questionnaire c) Client outcome measurements d) System outcomes

a) Extended services survey

What model of family therapy is most often associated with members of the family not addicted to substances developing a codependence? a) Family disease model b) Structural model c) Cognitive-Behavioral model d) Systems model

a) Family disease model

At what time interval should progress notes be developed and filed? a) For each interaction with the client b) For only agreed upon interactions with the client c) On a monthly basis d) For notable interactions or instances

a) For each interaction with the client

A treatment facility has a policy of documentation retention to keep files for a minimum period of seven years. Which of the following scenarios is a common reason for maintaining files for longer than the minimum timeframe? a) For minors b) For clients with records of violence c) For clients with a recorded relapse d) For multiple substance abusers

a) For minors

Which of the these scenarios is it acceptable for there to be no client consent in which a third party can obtain client information? a) For the use of payment for health care operations b) A new counselor seeking continuity of care c) A co-worker asking for an example to compare to another client d) All of the above

a) For the use of payment for health care operations

Of the substances listed below, which is least likely to cause physical dependence due to common use patterns? a) Hallucinogens b) Cannabis c) Opioids d) Caffeine

a) Hallucinogens

The compression of cannabis resins into concentrate creates which of the following? a) Hashish b) Kief c) Shatter d) BHO

a) Hashish

Collaboration with the client is an important part of the treatment process. Which of the following is not an appropriate way to engage the client? a) Have the client determine their appropriate treatment or diagnosis b) Review identifies strengths and concerns with the client c) Review proposed goals of the treatment process d) Have the client sign off on the treatment plan

a) Have the client determine their appropriate treatment or diagnosis

A client who suffered from alcohol abuse has shown signs of relapse and you fear the condition may be deteriorating. What is mostly not an effective technique for interrupting the process of the relapse? a) Have the client ignore any thoughts of having a drink b) Have the client tell someone immediately when they feel in danger of relapse c) Encourage socializing in a safe and sober environment d) Have the client recall the negative feelings and actions associated with drinking

a) Have the client ignore any thoughts of having a drink

What is not considered an effective form of motivational strategy most appropriate for a client in the action stage of change? a) Have the client publicly announce any plans to change b) Have the client identify new means of positive life style habits c) Have the client evaluate their support system d) Have the client form strategies to avoid high risk situations

a) Have the client publicly announce any plans to change

Substance abuse recorded among pregnant women under the age of 18 is: a) Higher than those aged 18 or older b) Lower than those aged 18 or older c) About the same as those aged 18 or older d) More research needed

a) Higher than those aged 18 or older

What question or statement below would be classified as an action response? a) How does your brother's dealing of substances make you feel? b) I think it is clear you are feeling angry right now c) I believe you are saying you feel a lack of control at home. Is this correct? d) As I see it you are afraid to contact your brother, would you agree?

a) How does your brother's dealing of substances make you feel?

Which of the following emphasizes self-actualization, freedom of choice and critical thinking as a basis for moral decision making? a) Humanistic ethics b) Clinical pragmatism c) Situational ethics d) Religious ethics

a) Humanistic ethics

Reflection of feeling is often an effective way to express that the counselor is understanding the client's emotional state. What is not an appropriate way to phrase an expression of reflection? a) I see you feel ... b) You appear to be feeling ... c) I sense that you feel ... d) Is what you're saying mean you feel ...

a) I see you feel ...

When defining counseling, which of the following is not consistent with its intention? a) Identification of a problem b) Exploration of a problem c) Examinations of a person's thoughts and emotions d) Consideration of solutions

a) Identification of a problem

If a counselor perceives a client as potentially violent during a session, what is the least appropriate course of action a) Immediately stop trying to interpret the client's feelings and focus on listening b) Show empathy c) Reaffirm commitment to helping d) Use appropriate self-disclosure to relate

a) Immediately stop trying to interpret the client's feelings and focus on listening

Which of the following withdrawal management programs can be classified as ambulatory? a) Intensive outpatient treatment (IOP) b) Therapeutic communities (TC) c) Halfway house d) Medication assisted treatment

a) Intensive outpatient treatment (IOP)

Which of the following is most commonly the main reason for a client deciding to begin the process of treatment? a) Internal motivation b) Family or Peer encouragement c) Diagnosed medical issues d) Financial issues

a) Internal motivation

In general, what is a true statement regarding the identification of a problem for someone at risk of substance abuse? a) It is common that a significant event will trigger concern b) Habits may remain consistent despite the presence of substance abuse c) Action is often taken before full addiction is achieved d) None of the above

a) It is common that a significant event will trigger concern

Which of the following is not a characteristic of the intake process? a) It is the first phase of the treatment process b) It may involve any significant others of the client c) It mostly serves a more administrative than clinical function d) The intake process is standardized according to the institution of use

a) It is the first phase of the treatment process

Which of the following is an accurate generalization of the lesbian, gay, and bisexual community as it relates to the use of alcohol and drugs? a) LGB community is more likely to use than the general population b) LGB community is less likely to use than the general population c) LGB community is just as likely to use than the general population

a) LGB community is more likely to use than the general population

When establishing rapport during a verbal assessment, what is not a recommended tactic? a) Maintain a physical boundary b) Make minimal interruptions c) Use both yes/no and open-ended questions d) Do not let silence be uncomfortable

a) Maintain a physical boundary

After alcohol what is the second most common substance detected at crashes where individuals were driving under the influence? a) Marijuana b) Cocaine c) Heroine d) Opioids

a) Marijuana

Which of the following is a false statement about marijuana use? a) Marijuana is not an addictive substance b) Marijuana can contribute to depression and suicide c) Research shows Marijuana users generally have a lower level of fulfillment in life d) Marijuana increases the risk of heart disease

a) Marijuana is not an addictive substance

Which of the following statements can be considered counter-motivational? a) Marijuana makes me a more fun person b) I can be sober if I wanted to be c) What can I do to change d) I didn't realize the type of person I am when under the influence

a) Marijuana makes me a more fun person

Which of the following substances does not have any known additional effects when used in combination with alcohol? a) Mescaline b) Methamphetamines c) PCP d) Prescription Opioids

a) Mescaline

What is a medication that may have benefits for the treatment of someone with an opioid addiction? a) Methadone b) Disulfiram c) Acamprosate d) None of the above

a) Methadone

Which of the following Medications for the treatment of opioid addiction has not been formally accepted by the FDA? a) Methadone b) Buprenorphine c) Naltrexone d) Naloxone

a) Methadone

Which of the following is a screening instrument for co-occurring disorders? a) Modified Mini-Screen (MMS) b) Michigan Alcohol Screening Test (MSAT) c) CAGE Questionnaire d) Global Appraisal of Individual Needs (GAIN)

a) Modified Mini-Screen (MMS)

If a client is in a group session and uses the phrase "The same thing happened to me but worse. Listen to this!" The client is exhibiting what category of behavior? a) Monopolizing client b) Self-righteous client c) Hostile client d) Motivated client

a) Monopolizing client

Which therapeutic approach can be characterized by including battery assessment sessions to incur rapid development? a) Motivational enhancement b) Contingency management c) Cognitive-Behavioral d) Trauma

a) Motivational enhancement

What is not a true statement regarding the requirements for a client to participate in a research study? a) No incentives shall be provided in exchange for participation b) The client must be informed as to the reason they have been selected c) The client must be told the risk and benefits d) The specific amount of time commitment must be specified

a) No incentives shall be provided in exchange for participation

What stage of pregnancy has research confirmed it is safe to consume small amounts of alcohol? a) None b) 1st trimester c) 2nd trimester d) 3rd trimester

a) None

Dextromethorphan (DXM) is most commonly found in which of the following substances? a) OTC Cough suppressants b) Peyote cactus c) Nutmeg d) Air fresheners

a) OTC Cough suppressants

In accordance with the Johari Window Model for Soliciting and Giving Feedback, what is most often the appropriate "pane" for the use of self-disclosure in counseling? a) Open b) Hidden c) Blind d) Unknown

a) Open

A client who is still employed is addicted to opioids and requires treatment. He is also physically disabled which makes it difficult for him to leave the home. His family life while impacted is still supporting and intact. Which of the following treatment options is most likely appropriate? a) Outpatient treatment b) Halfway house c) Therapeutic community d) None of the above

a) Outpatient treatment

What is a research-based fact for PTSD in women as opposed to men? a) PTSD is more common in women and has a longer duration b) PTSD is less common in women and has a longer duration c) PTSD is more common in women and has a shorter duration d) PTSD is less common in women and has a shorter duration

a) PTSD is more common in women and has a longer duration

A client has both substance abuse disorder and mental health disorder. The agreed upon plan indicates that treatment for both will occur simultaneously but separate. What type of treatment is being implemented? a) Parallel treatment b) Sequential treatment c) Integrated treatment d) Bi-integration treatment

a) Parallel treatment

When a counselor ensures they are sitting facing the client in an open and relaxed way, they are using what type of counseling skill? a) Physical attending b) Psychological attending c) Self attending d) Responding

a) Physical attending

A person who is reluctant to stop drinking due to fear of withdrawal symptoms is falling into which of Maslow hierarchy of needs? a) Physiological b) Safety c) Esteem d) Self Actualization

a) Physiological

Teenagers are often susceptible to substance abuse since they have not yet developed an ability to make sound judgements or resist impulses. This is often attributed to a lack of development in which part of the brain? a) Prefrontal cortex b) Basal ganglia c) Temporal lobe d) Cerebellum

a) Prefrontal cortex

What is not an effective technique for helping a client utilize a mutual self-help group? a) Prescribe the best group for the client b) Have exit surveys to evaluate the client's reactions c) Provide a briefing on the dynamics of the group d) Help to overcome logistical issues

a) Prescribe the best group for the client

What is not a main element of establishing a case management system? a) Primary Screener b) Case Manager c) Core Agency d) None of the above

a) Primary Screener

A counselor is trying to elicit self-motivational statements from a client. If the counselor says: "What difficulties have you had in your life related to substance abuse?", the counselor's using which of the following techniques? a) Problem recognition b) Concern c) Intention to change d) Optimism

a) Problem recognition

What is not a role of a primary agency during collaboration? a) Provide an all-inclusive assessment for use by all agencies b) Designate the primary contact c) Determine all final assessments d) None of the above

a) Provide an all-inclusive assessment for use by all agencies

What type of group counseling is effective in providing information to the client about substance abuse? a) Psychoeducational b) Skills development c) Support d) Interpersonal process

a) Psychoeducational

Which of the following substances are no longer legally manufactured? a) Quaaludes b) Minor tranquilizers c) Barbiturates d) None of the above

a) Quaaludes

The more traditional measurement of client progress involving tracking the achievement of goals is what type of assessment? a) Qualitative b) Quantitative c) A combination of both qualitative and quantitative d) Neither qualitative or quantitative

a) Qualitative

Which of the following is a true statement regarding the connection between alcohol and sleep? a) REM sleep does not occur after heavy drinking b) Use of alcohol makes someone sleep less c) Small amounts of alcohol will not affect the REM cycle d) None of the above

a) REM sleep does not occur after heavy drinking

What is most often not an appropriate motivational strategy for the preparation stage of change? a) Raise doubts about substance using patterns b) Clarify the client's goals c) Have the client publicly announce plans d) Explore options for change and treatment

a) Raise doubts about substance using patterns

If a client fails to improve or if the situation continues to deteriorate, which of the following is the most appropriate course of action? a) Re-evaluate the treatment plan and make adjustments based on the individual b) Re-conduct the screening process c) Interview the client to determine what is not working d) None of the above

a) Re-evaluate the treatment plan and make adjustments based on the individual

Alcoholics Anonymous encourages members to complete all of the following tasks except ________ a) Realize that they have the power to overcome substances b) Assessment of character defects c) Committing to a higher power d) None of the above

a) Realize that they have the power to overcome substances

A counselor learns that a client is an undocumented worker. The client is very reluctant to share any information personal or otherwise. What most likely is a helpful point of emphasis for this particular client? a) Reassurance of confidentiality b) Co-occurring assessment c) Family dynamics d) Basic needs

a) Reassurance of confidentiality

What is the most common method for adolescents who abuse opioids to obtain the substance? a) Received from friends or family b) Prescribed through doctor c) Theft d) Sought out illegal dealer

a) Received from friends or family

Vicarious liability of a supervisor includes all of the following except: a) Recommending to seek legal advice b) Improper advice to a supervisee c) Failure to listen fully to a concern d) Improper assignment of task

a) Recommending to seek legal advice

A client says they will often just stay in bed and not go to work when they know they have a difficult situation at work. What type of mental defense mechanism is being utilized? a) Regression b) Intellectualization c) Repression d) Reaction formation

a) Regression

The Code of Federal Regulations for Confidentiality (42 CFR) is consistent with all of the following statements except: a) Regulations for former personnel have different requirements for current personnel b) All records whether written or not are covered under unauthorized disclosure c) Clients must be provided with a summary of the regulations d) Minors must be the ones to provide written consent in regard to their own case

a) Regulations for former personnel have different requirements for current personnel

When evaluating assessment tools, which of the following can be defined as a measure of the test's ability to provide results without error? a) Reliability b) Validity c) Consistency d) Repeatability

a) Reliability

A client in the precontemplation stage has indicated a feeling of hopelessness to change and just feels tired thinking about the effort it would take to make a dramatic shift away from the current lifestyle. What classification best describes the client? a) Resigned precontemplation b) Rationalizing precontemplation c) Reluctant precontemplation d) Rebellious precontemplation

a) Resigned precontemplation

What statement is true regarding caffeine and addiction? a) Scientist believe caffeine use does not release dopamine and therefore is not addictive b) The National Institute on Drug Abuse recognizes caffeine as an addictive substance c) Caffeine does not produce withdrawal symptoms and therefore cannot be addictive d) None of the above

a) Scientist believe caffeine use does not release dopamine and therefore is not addictive

A client indicates that they witnessed an act of terror which involved the loss of life. They ave developed night terrors and have trouble sleeping as a result of the incident. What type of trauma is the client experiencing? a) Single trauma b) Repeated trauma c) Sustained trauma d) None of the above

a) Single trauma

HIV can be transmitted through all of the following except ________. a) Sneezing or cough b) Blood c) Breast milk d) Semen

a) Sneezing or cough

A client indicates that they first started using substances at a party. During this event, people he did not know were congratulatory and excited when he showed that he could drink a large volume compared to others. What type of social cause of substance abuse is this? a) Social learning b) Social control c) Subculture perspective d) Social interaction

a) Social learning

Of the goals shown below, which is not a part of an effective recovery management? a) Stabilize the client's substance abuse b) Avoidance of tempting situations c) Improved internal health d) Re-establishment as a part of the community

a) Stabilize the client's substance abuse

Which of the following assessment instrument format is the most appropriate for a 45 year old woman who has an addiction to alcohol and is recently divorced? The woman has a single child and will be entering into a custody battle with her previous husband. a) Standardized interview b) Structured interview c) Self administered test d) None of the above

a) Standardized interview

What is an acceptable exception to needing consent for a third-party observation of client interaction? a) Students in field placement b) Direct supervisor of the counselor c) Any relative of the client d) There are no exceptions

a) Students in field placement

A client begins to make references to suicide and exhibits feelings of hopelessness. What is the next stage in the natural progression in suicide ideation? a) Talking about suicide b) Devising a plan for suicide c) Actions being taken to carry out the plan d) Attempting suicide

a) Talking about suicide

Which of the following is not an effective means of dealing with a suicidal client? a) Tell the client what good things there are in their life b) Have a treatment plan ready c) Request they postpone the act d) Try to identify the precipitating event

a) Tell the client what good things there are in their life

Which of the following is not consistent with the role that a Peer Recovery Support Specialist (PRSS) plays in helping the recovery of a client? a) The PRSS may provide direction to the client's recovery process b) The PRSS must have more recovery experience than the client c) The main role of the PRSS is to support and motivate the client d) The PRSS may provide access to recovery resources

a) The PRSS may provide direction to the client's recovery process

What statement is most likely to occur in the advanced phase of recovery? a) The client begins to develop independence from the treatment facility b) The client acknowledges the need for lifestyle changes c) The client verbalizes the struggles with ambivalence d) The client begins to recognize triggers

a) The client begins to develop independence from the treatment facility

If a client and counselor engage in technology assisted counseling (TAC), what is not an associated disclosure? a) The client is not protected under certain state or federal laws b) The connection is not secure c) Possibility of technological failure d) Emergency procedures

a) The client is not protected under certain state or federal laws

A client indicates that their depression continues even after 30 days of abstinence. What conclusion can be drawn from the information? a) The client likely has a presence of a co-occurring disorder b) The client does not have a co-occurring disorder c) There is not enough

a) The client likely has a presence of a co-occurring disorder

When referring a client, which of the following is not true about the process? a) The client should always initiate and follow up on the referral themselves b) Rationale for the referral should be thoroughly explained c) Continue to evaluate the referral as the client progress

a) The client should always initiate and follow up on the referral themselves

All of the following are statements documented from observations during a session with a client. Which statement is most consistent with effective documentation recommendations? a) The client was saying very few words whenever asked a question b) The client appeared to be shady during time with groups c) The client does not appear to have a strong marriage d) The client does not appear to have what it takes to succeed at this point

a) The client was saying very few words whenever asked a question

What is most often the appropriate reason to issue a referral for a client's specific need? a) The counselor or agency does not have the resources to address a client's need b) The client suggests additional treatment c) The counselor does not see an acceptable amount of progress d) None of the above

a) The counselor or agency does not have the resources to address a client's need

Which of the following is not a true statement regarding the connection between mental health disorders and substance abuse? a) The effect of drug use is equal for those with or without mental health disorders despite the increased risk b) An undiagnosed mental health issue can lead to substance abuse c) Some drugs may cause diagnosable mental illness after extended use d) The risk of mental health disorders can be increased with drug abuse

a) The effect of drug use is equal for those with or without mental health disorders despite the increased risk

What type of therapy model has been found to be effective specifically for users of stimulants? a) The matrix model b) Family behavior c) Community reinforcement d) Cognitive-behavioral

a) The matrix model

Post detoxification, which of the following statements is true regarding a rapid relapse? a) The rate of rapid relapse decreases significantly with immediate additional treatment b) The rate of rapid relapse does not change with immediate additional treatment c) Detoxification decreases the chances of a rapid relapse over unassisted withdrawal d) Detoxification has no effect on the chances of a rapid relapse over unassisted withdrawal

a) The rate of rapid relapse decreases significantly with immediate additional treatment

What is a false statement regarding an overdose from the use of cocaine? a) There is medication available to relive symptoms b) Overdose can often cause heart attacks c) Overdose can cause seizures d) Overdose can cause stroke

a) There is medication available to relive symptoms

What is a true statement regarding those who are forced to be in rehab vs. those who willingly decide to participate? a) There is no significant difference in success rates b) Those who are forced in have a higher success rate c) Those who willingly participate have a higher success rate d) Only women who voluntarily enter treatment have a higher success rate. That is not true for males

a) There is no significant difference in success rates

What is not a true statement regarding the fundamentals of professional codes of ethics? a) There is now an agreement among professionals of a universally accepted code of ethics b) The code of ethics may include vague statements c) The code of ethics may not include contemporary ideals d) There may be multiple codes of ethics which conflict

a) There is now an agreement among professionals of a universally accepted code of ethics

Regarding treatment for substance abuse disorders among individuals with physical disabilities, which of the following statements are true? a) They are less likely to seek treatment b) They are more likely to seek treatment c) There is no difference from the general population in their likelihood to seek treatment d) None of the above

a) They are less likely to seek treatment

What is mostly considered a false statement about the assessment of a client for co-occurring disorders? a) They should only be assessed using tools given the sensitive nature b) Always attempt to involve other parties c) If you have inconclusive information involve other parties d) Use multiple approaches to assessment if needed

a) They should only be assessed using tools given the sensitive nature

Which of the following is not healthy behavior as it relates to enabling in a relationship? a) Trying to repair relationships that may have been affected by the substance abuse b) Striving for autonomy in the relationship c) Evaluating decisions based on long-term consequences d) Not intervening in the consequences of poor decisions related to substance abuse

a) Trying to repair relationships that may have been affected by the substance abuse

What is the appropriate classification of blocking behavior for group counseling when a client does not feel they can relate to others who have issues of substance abuse? a) Type 1 b) Type 2 c) Type 4 d) Type 5

a) Type 1

According to SAMSHA TAP 21, which of the following competencies fall under Transdisciplinary Foundation I? a) Understand models of addiction b) Provide appropriate treatment services based on the individual c) Understand diverse cultures d) Understand methods for measuring treatment outcomes

a) Understand models of addiction

A reduction in the minimum drinking age for a population can be considered which of the following types of prevention interventions? a) Universal b) Selective c) Indicated d) None of the above

a) Universal

An organization is evaluating its cultural competence at all levels. Which of the following would be classified under an organizational task? a) Update the mission statement of the organization b) Develop cultural advisory boards c) Develop a cultural competence plan d) Develop culturally responsive procedures

a) Update the mission statement of the organization

Which of the following is most often the biggest source of disagreement during collaboration efforts amongst agencies? a) Use of differing assessment tools b) Agreement of treatment plan c) Timeline of events d) Which agency is primary

a) Use of differing assessment tools

When counseling a client with a co-occurring disorder, what specific techniques is most appropriate to be emphasized? a) Using repetition to ensure an understanding of expectations b) Identify high risk situations the client may not be aware of c) Help the client find a sponsor d) Use positive reinforcement such as privileges to reward progress

a) Using repetition to ensure an understanding of expectations

What is not an accurate statement regarding women and substance abuse? a) When given the opportunity, men are more likely try drugs for the first time b) The effects of drugs are physically different for women than for men c) For the general population more males than females suffer from substance abuse d) Men are more likely to be put in a situation to use drugs for the first time

a) When given the opportunity, men are more likely try drugs for the first time

Which of the following ranges is the amount of time alcohol stays in the body after ingestion? a) a few hours b) 12 to 24 hours c) 1 to 3 days d) about a week

a) a few hours

If Seconal is taken in combination with one of the following drugs, it leads to a "potentiation" of effect. Which drug will cause this effect? a. Alcohol b. Amphetamines c. Opiates d. Cocaine

a. Alcohol

Which of the following is a TRUE statement? a. Alcohol accounts for one-half of the ten leading causes of death in the Native American population. b. Cultural issues no longer play a role in alcoholism rates with the Native American population. c. Past efforts to treat the Native American alcoholic have proven highly successful. d. Revia has proven to be a popular intervention in the effective treatment of Native American populations.

a. Alcohol accounts for one-half of the ten leading causes of death in the Native American population.

Which of the following issues must always be considered when consulting with out-of-agency professionals? a. Confidentiality b. Documentation of client problems c. The client's aftercare plan d. The level of commitment of the client to follow through

a. Confidentiality

When conducting an assessment, what is the counselor's primary focus? a. Identifying the client's problems and needs, strengths and weaknesses b. Explaining the rules of the program c. Having the client sign Release of Information forms d. Confronting the client's denial

a. Identifying the client's problems and needs, strengths and weaknesses

While taking an alcohol drug history, which of the following is a good clue to alcohol dependency? a. Increased tolerance and withdrawal symptoms when abstinence is attempted b. Continued use despite experiencing problems that result from drinking c. Recurring incidents of driving under the influent d. Depression and lethargy

a. Increased tolerance and withdrawal symptoms when abstinence is attempted

Which of the following essential orientation functions were NOT performed with this client? a. The client was provided an estimate of the cost of his treatment b. The client' rights were explained to him c. The client was provided a copy of the programs goals and objectives d. The client was provided information about schedule times for meetings

a. The client was provided an estimate of the cost of his treatment

What was the PRIMARY ethical issue in this case? a. The counselor and client were planning to carpool to aftercare b. The client's motivation was questionable because he was forced into treatment. c. The counselor minimized the client's employment problem d. The counselor made a referral which was not directly related to the alcohol problem.

a. The counselor and client were planning to carpool to aftercare

Good case management requires the integration of services within a treatment plan. With this in mind, which of the following is TRUE? a. The counselor should coordinate regular meetings with all professionals involved in the client's treatment. b. Good integration of services requires team meetings with the client present. c. Once the treatment plan is written, the use of other services is determined and will remain unchanged. d. 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.

a. The counselor should coordinate regular meetings with all professionals involved in the client's treatment

Regarding a "seropositive" result, which of the following is NOT a meaning of HIV antibody test results? a. The person has the AIDS virus b. HIV infection occurred at some point in the past c. The person is infectious and will remain so for life d. The HIV infection has been in the system long enough to produce antibodies

a. The person has the AIDS virus

A pre-treatment 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 pre-treatment period? a. The pre-treatment 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 pre-treatment 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 pre-treatment - recovery will require much more programming than pre-treatment can offer.

a. The pre-treatment period may be when clients lose interest in treatment.

What are the PRIMARY factors that made the client appropriate for this level of care? a. There were no physical complications and the client was motivated b. The client was court-ordered and had the ability to pay for services c. The client was intelligent and highly motivated d. The client lived close by and was gainfully employed

a. There were no physical complications and the client was motivated

Which term refers to a client's projecting past emotional feelings and/or attitudes onto the counselor? a. Transference b. Countertransference c. Reaction formation d. Sublimation

a. Transference

Bipolar mood disorder is distinguished from major depression by: a. at least one episode of mania. b. evidence of earlier cyclothymia. c. evidence of earlier dysthymia. d. chronic forms of depression.

a. at least one episode of mania.

All of the following are symptoms of the manic phase of bipolar mood disorder EXCEPT: a. deflated self-esteem. b. euphoria. c. high levels of verbal output. d. pressured speech.

a. deflated self-esteem.

A mental status exam does NOT assess: a. educational level. b. appearance. c. speech. d. thought processes.

a. educational level.

The quality of counseling is directly related to the counselor's ability to: a. formulate and carry out realistic personal and professional goals. b. interpret the deeper meaning of problems. c. analyze client problems. d. convince clients to change.

a. formulate and carry out realistic personal and professional goals.

The completion of various forms, including releases of information, financial, and consent for treatment, happens during the client's: a. intake. b. orientation. c. case review. d. psychosocial assessment.

a. intake.

The PRIMARY purpose of professional standards of practice is to: a. provide recognition of demonstrated competency in addictions counseling. b. ensure that each client receives equal treatment regardless of ability to pay. c. help programs qualify for Medicaid and other third-party reimbursement d. allow unlicensed counselors to work in licensed facilities.

a. provide recognition of demonstrated competency in addictions counseling.

After a counselor has made a summary statement, the most important thing the counselor should do is: a. remain quite for a time to allow the client to consider the summarized material. b. document the summary as soon as possible as part of the treatment plan. c. recommend that the client discuss the session with his/her sponsor. d. terminate the session immediately.

a. remain quite for a time to allow the client to consider the summarized material.

The interpersonal style in which a member of a minority group has made a conscious or subconscious decision to reject the general attitudes, behaviors, customs, rituals, and stereotypical behaviors associated with his/her own minority group to assimilate into the mainstream white culture is known as: a. the Acculturated Interpersonal Style. b. the Bi-Cultural Interpersonal Style. c. the Culturally-Immersed Interpersonal Style. d. the Traditional Interpersonal Style.

a. the Acculturated Interpersonal Style.

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.

a. these communities try to return clients to society.

The BEST way of dealing with individual needs in a group is to: a. use the group process to share mutual concerns. b. see the client for individual counseling outside of group. c. conduct one-on-one sessions in the group. d. not allow monopolizing by members in group.

a. use the group process to share mutual concerns.

Regarding alcohol use, which of the following BAC levels is a strong indicator of an alcoholic? a) 0.10 b) 0.20 c) 0.30 d) 0.40

b) 0.20

At what number of drinks per week is there a significant jump in a male's risk for cirrhosis of the liver? a) 5 b) 14 c) 20 d) 32

b) 14

How many fluid ounces of wine is the U.S. standard drink equivalent? a) 4 b) 5 c) 7 d) 8

b) 5

What is the minimum number of depressive symptoms a client must exhibit to be considered for major depressive disorder? a) 3 b) 5 c) 8 d) 10

b) 5

The concept of "Duty to Warn" applies to which of the following scenarios? a) A client indicating that they know of the potential for violence committed by a friend b) A client indicating that they will commit violence on a co-worker c) A client indicating that they will randomly commit an act of violence d) All of the above

b) A client indicating that they will commit violence on a co-worker

Which of the following characteristics is more representative of sympathy rather than empathy? a) Awareness of others experiences b) A more automatic or effortless action c) More concern for understanding rather than alleviating pain d) Sharing feeling with the client

b) A more automatic or effortless action

Which of the following is not a stage of change as recognized in the DiClemente and Prochaska Model of Change? a) Contemplation b) Acceptance c) Action d) Termination

b) Acceptance

Which of the following tests is most appropriate for the assessment process and not the screening process? a) Michigan Alcoholism Screening Test (MAST) b) Addiction Severity Index (ASI) c) Alcohol Use Disorders Test (AUDIT) d) Cut down, annoyed, guilty, eye-opener (CAGE)

b) Addiction Severity Index (ASI)

Which of the following is an example of cultural adaptation for the use of evidence-based practices? a) Translating questions b) Adjusting the progression of steps c) Providing an interpreter d) None of the above

b) Adjusting the progression of steps

A client says the following statement: "I think I am more concerned about my health than I realized." What type of motivational statement is the client using? a) Cognitive recognition b) Affective expression of change c) A direct intention to change d) Optimism of an ability to change

b) Affective expression of change

Which of the following substances is most likely to be associated with withdrawal symptoms of increased physical activity such as elevated blood pressure, agitation and anxiety? a) Cocaine b) Alcohol c) Ecstasy d) Steroids

b) Alcohol

Which of the following classifications can be defined as inappropriate use of alcohol which is not deliberate and causes an altered mental, physical, and emotional state? a) Alcohol use b) Alcohol misuse c) Alcohol abuse d) Alcohol dependence

b) Alcohol misuse

A type of substance that prevents other neurons transmitters from binding to a neuron thus blocking activation is which of the following? a) Agonist b) Antagonist c) Partial agonist-antagonist d) Glutamate

b) Antagonist

A counselor suspects that another provider has committed an act which violates ethical conduct. However, there is no evidence of harm resulting from the action. What is the most appropriate course of action? a) There is no action needed b) Attempt first to resolve the issue informally if feasible c) Report the action immediately d) Document the action but take no action

b) Attempt first to resolve the issue informally if feasible

What is not often a constraint specific to a counselor treating clients in jail? a) The durations are often too short to be effective b) Attendance is often lower c) The funding is insufficient d) There are often not enough counselors

b) Attendance is often lower

What best describes the most common pattern of use for a session of cocaine? a) Single sitting over a short period of time b) Binges lasting 12-36 hours, consuming all available c) Binges of extended periods of time ranging from days to weeks d) All of the above

b) Binges lasting 12-36 hours, consuming all available

Which of the following prescription drug classes is used to treat anxiety? a) Opioids b) CNS Depressants c) Stimulants d) Ritalin

b) CNS Depressants

What statement below would not be consistent with the established principle of case management? a) A client should lead in determining which resources presented are appropriate b) Case management should remain firm on prior established processes c) Case management will determine the appropriate action of intervening if problems arise d) Case management ensures that a client's individual strengths are emphasized as a part of the process

b) Case management should remain firm on prior established processes

If it is determined that a client suffering from co-occurring disorders has a more severe mental disorder and a less severe substance abuse disorder, what level of care quadrant can the client be categorized into? a) Category I b) Category II c) Category III d) Category IV

b) Category II

When discussing the process of recovery, what is the most appropriate statement of advice when managing the client's expectations of the process? a) Changes most often will occur suddenly b) Change is most often a gradual process c) Change randomly occurs as instantaneous or gradual d) None of the above

b) Change is most often a gradual process

What product below does not contain caffeine? a) Yerba mate b) Cheroot c) Yoco d) Guarana

b) Cheroot

What is considered a long-term effect of the use of Marijuana? a) Deterioration of senses b) Chronic Bronchitis c) Distorted perception d) Irregular heartbeat

b) Chronic Bronchitis

Management of an agency wants to implement a new evidence-based program into the current framework. What is not necessary for the full integration of the new practice? a) Training for counselors on the expectations of the new practice b) Client interviewing for the potential of use c) Implementation of new policies regarding the program d) Evaluation of how the new practice may affect other partners

b) Client interviewing for the potential of use

What is not a characteristic of an effective and successful therapeutic alliance? a) A strong bond between client and counselor b) Collaboration between counselor and third-party entities c) Agreement on treatment techniques d) Agreement on treatment goals

b) Collaboration between counselor and third-party entities

When evaluating assessment tools for acceptable validity, which of the following types refer to the test's ability to produce consistent statistical results with a separate measure intended to address the sanity trait? a) Content Validity b) Concurrent Validity c) Predictive Validity d) Construct Validity

b) Concurrent Validity

The chemical compound that is more prevalent in dark liquors and is a contributor to hangovers is called ________. a) Endorphins b) Congeners c) Ethanol d) Nabilone

b) Congeners

What statement below is true regarding smokeless tobacco products? a) Does not cause cancer b) Contains less harmful chemicals than cigarettes c) Is not addictive d) Is recommended as an aid to slowly quit cigarettes

b) Contains less harmful chemicals than cigarettes

After a relapse, what stage of change is the client most likely to return to? a) Preparation b) Contemplation c) Action d) Maintenance

b) Contemplation

What is not a distinct advantage of individual treatment? a) More emphasis on the individual needs b) Cost c) Flexible time and schedule d) Adapts well to those with personality disorders

b) Cost

Which of the following drug paraphernalia is not often associated with marijuana? a) Dabbing tool b) Cotton balls c) Grinder d) Scales

b) Cotton balls

According to 42 CFR Part 2. What is not a required element of a written consent to disclose information? a) Name of patient b) Counselor signature c) Expiration date d) Name of individual receiving disclousre

b) Counselor signature

Which of the following statements is true regarding the number of deaths resulting from opioid use for the 45-56 age range? a) Death from opioids is less than all illegal drugs b) Death from opioids is more than all illegal drugs c) Death from opioids is about the same as all illegal drugs d) There is not enough research to make a determination

b) Death from opioids is more than all illegal drugs

Which of the following is not a typical phase of the treatment process? a) Engagement b) Detoxification c) Stabilization d) Primary Treatment

b) Detoxification

Peer pressure can be classified into which of the following types of traumas related to crisis prevention? a) Situational b) Developmental c) Intrapsychic d) Existential

b) Developmental

When utilizing probing as a counselor technique, what is not an essential component? a) Identification b) Direction c) Open ended question d) None of the above

b) Direction

What is not an FDA approved method for quitting smoking? a) Nicotine gum b) E-cigarettes c) Prescription cessation medicines d) Skin patches

b) E-cigarettes

What actions as described below is not consistent with the technique of motivational interviewing? a) Summarizing what the client says to show good listening b) Ensure an argument is dealt with quickly and sternly c) Continue to reinforce agreed upon goals d) Make the client aware of actions inconsistent with their goals

b) Ensure an argument is dealt with quickly and sternly

When counseling a parent on how to have constructive discussions with their child about substance abuse, what is not an example of appropriate advice? a) Be calm and patient b) Ensure the child knows they are to blame and should take responsibility for their own actions c) Use thought provoking questions d) Prepare for the encounter with a plan

b) Ensure the child knows they are to blame and should take responsibility for their own actions

Case management should be pragmatic to ensure the client's needs are met so that there is a foundation of living for treatment. Which of the following is not consistent with the intention of this aspect of case management? a) Ensuring the client has suitable food and water b) Ensuring a stable living situation for an extended period of time before treatment c) Taking action for the health and safety of a client's child d) Teaching a client necessary daily skills

b) Ensuring a stable living situation for an extended period of time before treatment

What action related to recovery management would be a poor decision to maintain sobriety? a) Making amends with anyone who was wronged by the client b) Establish a better relationship with peers who also use substances c) Healthy eating habits and exercise d) Avoid social interactions where substances are present

b) Establish a better relationship with peers who also use substances

Which of the following best describes the primary purpose and goal of the screening process? a) Engage the client in a comfortable manner b) Establish if there is a need for further assessment based on the likelihood of substance abuse c) Determine the appropriate course of action for the client d) Provide information on the process of treatment

b) Establish if there is a need for further assessment based on the likelihood of substance abuse

When providing feedback during counseling, what is not consistent with the appropriate guidelines? a) Feedback should be given in a timely manner b) Feedback should be general to avoid misinterpretation c) Feedback should focus on adjustable aspects of someone's life only d) Feedback should not be judgmental

b) Feedback should be general to avoid misinterpretation

What is not a characteristic of brief therapy? a) Less but more intense sessions b) Focus on progress not a defined goal c) Helpful for a large number of clients d) Works with greater client commitment

b) Focus on progress not a defined goal

A client is explaining her group of friends with whom she does hallucinogens. The client says "We like to expand our minds, to be free thinkers, and be creative artistically. We don't think there is anything harmful in the types of drugs we take unlike the heavy stuff. We accept anyone who is tired of the classic perception of taking psychedelics." From the statement the counselor can infer that the drug culture is based on all of the following except: a) Age b) Gender c) Drug type d) Common interests

b) Gender

According to the Stokes and Tate model of group therapy stages, which stage is mainly characterized by the group experiencing conflict? a) Acquaintance stage b) Groundwork Stage c) Working Substage d) Closing Substage

b) Groundwork Stage

Which of the following drug tests can be used to detect drug use over a period of several months? a) Breath b) Hair c) Saliva d) Sweat

b) Hair

Which of the following is not an established approach to case management for any aspect of the process? a) Intensive b) High Intensity c) Brokerage d) Integrated

b) High Intensity

According to SAMSHA TAP 21, what practice dimension includes competency 48: Reassess the treatment plan at regular intervals? a) I b) II c) IV d) VI

b) II

What is a key defining characteristics of intensive outpatient treatment (IOT) as opposed to traditional methods? a) IOT has a minimum of 90 days duration b) IOT involves a greater frequency of contact and services c) IOT is followed by continuing care d) IOT involves specific counseling methods

b) IOT involves a greater frequency of contact and services

Which of the following is not a part of the screening process? a) Identify the presence of a problem b) Identify the likely solution to problem c) Measuring the severity of an identified problem d) Identify the need for further evaluation

b) Identify the likely solution to problem

An LGBT client is beginning to show signs of entertaining the idea of being gay. What sexual identity acceptance level is the client experiencing? a) Identity confusion b) Identity comparison c) Identity tolerance d) Identity acceptance

b) Identity comparison

When determining the presence of a crisis, what statement is true? a) A crisis occurs if there is a perceived traumatic event regardless of the mental state of the client b) If a traumatic event occurs but the client has a stable mental state there is no crisis c) A crisis involves only short-term consequences d) A crisis may not include a catalyst

b) If a traumatic event occurs but the client has a stable mental state there is no crisis

What type of drug test produces rapid results by using antibodies to detect the presence of substances? a) Thin layer chromatography b) Immunoassay test c) Gas chromatography d) Hair analysis

b) Immunoassay test

Which of the following substances does not mostly past through in the liver? a) Opioids b) Inhalants c) Barbiturates d) Cocaine

b) Inhalants

What is not a method in which inhalants may be administered into the body? a) Sniffing b) Injecting c) Bagging d) Vaporizing

b) Injecting

At what point in the process is the primary counselor generally assigned to a client? a) Screening b) Intake c) Orientation d) Assessment

b) Intake

What is not most often an intended purpose when utilizing paraphrasing as a counseling skill? a) It exhibits counselor understanding b) It allows the client to feel like they are running the session c) It helps clarify complicated or confusing thoughts d) It can help the client to continue in the right direction

b) It allows the client to feel like they are running the session

What is most commonly not an intended purpose when using the counseling skill of interpreting? a) Helps the client realize a different perspective b) It breaks down the defense of the client c) It helps clarify the problem d) It helps to identify and understand the client's feelings about a particular situation

b) It breaks down the defense of the client

What is not a statement consistent with the characteristics of Motivational Enhancement Theory (MET)? a) It evokes rapid change b) It guides the client through a step by step process c) It focuses on a change in internal motivation d) It is especially successful with alcohol and marijuana disorders

b) It guides the client through a step by step process

What statement about Fentanyl is false? a) It is significantly more potent than morphine b) It is only obtained illegally c) It relives chronic pain d) Can cause an overdose

b) It is only obtained illegally

Which of the following activities related to alcohol abuse has the highest estimated economic impact? a) Crashes, fires, and other damage b) Lost earnings due to alcohol-related illness c) Lost earnings due to premature death d) Medical consequences

b) Lost earnings due to alcohol-related illness

What nonverbal response is most likely to not be associated with feelings of anger? a) Shaking of head b) Lowered, drawn together eyebrows c) Open unfolded arms d) Tight lips

b) Lowered, drawn together eyebrows

Which of the following is the basis behind cognitive behavioral therapy? a) A user must become abstinent to achieve recovery b) Managing a person's thoughts, not their circumstances, affects their internal well-being c) Triggers for relapse are avoidable d) Employ a plan or traumatic events

b) Managing a person's thoughts, not their circumstances, affects their internal well-being

What stage in Gorski's Developmental Model is associated with the task of repairing any addiction caused social damage? a) Early Recovery b) Middle Recovery c) Late Recovery d) Maintenance

b) Middle Recovery

When counseling a client who is describing some of the events he attended over the weekend, he describes an action that does not quite "feel right" to you. Which of the following elements of morality are you experiencing? a) The counselor as a person b) Moral sense c) Values d) None of the above

b) Moral sense

Which of the following is not a true statement regarding goals and objectives as defined in an individual treatment plan? a) Goals should be broad b) Objectives should be broad c) Goals should be measurable d) Objectives should be measurable

b) Objectives should be broad

In general, how often should a treatment plan be reviewed? a) Every day b) Once every 7-10 days c) Once per month d) Once every six months

b) Once every 7-10 days

What type of peer group program can be described as one designed to have peer to peer information sharing? a) Positive peer influence b) Peer teaching programs c) Peer counseling, facilitating, and helping programs d) Peer participation program

b) Peer teaching programs

What statement below is characteristic of Hepatitis B not of Hepatitis C? a) It can be both acute and chronic b) People who recover from the virus develop immunity c) It causes liver damage d) It is contracted through the blood stream

b) People who recover from the virus develop immunity

The study of the effects a drug has on an individual and the mechanisms of their action is which of the following? a) Pharmacokinetics b) Pharmacodynamics c) Pharmaceutics d) Pharmacoeconomics

b) Pharmacodynamics

What is most likely not a reason to begin discussions of the termination stage of the counseling process? a) Clear client improvement b) Philosophical differences between the client and counselor c) Counseling goals have been met d) Determination of a client's independence

b) Philosophical differences between the client and counselor

What is not a category of techniques which can be used for coping as a part of relapse prevention therapy? a) Behavioral b) Physical c) Cognitive d) None of the above

b) Physical

Referrals by substance abuse agencies are typically made to all the following except: a) Marriage counselors b) Physical therapy c) Religious support d) Financial counseling

b) Physical therapy

Recovery capital that falls under personal recovery capital is all of the following except: a) Financial assets b) Problem solving skills c) Shelter d) Food

b) Problem solving skills

What in contemporary terms is the most prevalent way to describe the goal of relapse prevention? a) Have the proper tools necessary to intervene when warning signs arise b) Promote healthy and positive changes in one's life to prevent relapse c) Prepare the client for the inevitable by having an appropriate plan in place d) None of the above

b) Promote healthy and positive changes in one's life to prevent relapse

When treating a relapse, what is not a recommended practice for a counselor? a) Avoid scare tactics b) Provide limited, specific options c) Minimize confrontation d) Do not label the event as a mistake

b) Provide limited, specific options

What is most likely a poor example of self-disclosure during a counseling session? a) Telling the client that you observe a certain emotion in today's session b) Providing detailed stories to try to connect with the client c) Acknowledging a similar interest to build rapport d) None of the above

b) Providing detailed stories to try to connect with the client

Which of the following is not an effective technique for establishing rapport with a client during the initial interview? a) Observing and noting the dress and appearance of the client b) Providing reassurance that things will be ok no matter how dire the individuals situation c) Exhibit acceptance regardless of the clients prior actions d) Use of open-ended questions

b) Providing reassurance that things will be ok no matter how dire the individuals situation

What type of group counseling is mostly for teaching clients about substance abuse? a) Skills development b) Psychoeducational c) Cognitive-Behavioral d) Interpersonal Process

b) Psychoeducational

When a counselor observes a client's physical appearance, what the of skill is being used? a) Physical attending b) Psychological attending c) Self attending d) Responding

b) Psychological attending

A substance abuser admits to not feeling normal without the use of the substance. This is a sign of which of the following? a) Physical dependence b) Psychological dependence c) Tolerance d) None of the above

b) Psychological dependence

A client maintaining a job is satisfying which of the four dimensions of a recover-oriented system? a) Home b) Purpose c) Health d) Community

b) Purpose

Which of the following is an example of a conditioned response? a) Providing praise after a period of abstinence b) Reassociation of alcohol with positive feelings to nausea c) Understanding how a trigger is associated with substance use d) Providing punishment for undesirable behavior

b) Reassociation of alcohol with positive feelings to nausea

When preparing to screen an adolescent for the use of alcohol, what is not a recommended practice to help encourage honest participation? a) Provide alone time b) Reassure that adolescent drinking is normal c) Fully explain confidentiality rules d) Reassure them they are not in trouble

b) Reassure that adolescent drinking is normal

When dealing with crisis intervention what is not an appropriate action for the resolution of the issue? a) Ensure the client takes responsibility for making decisions b) Reassure the client that the situation will be ok c) Remain calm at all times d) Avoid making self-interpretations of the situation

b) Reassure the client that the situation will be ok

A client is currently identified as being in the precontemplation stage of change. You make observations to suggest that they have a fear of losing control of their life and are reluctant to let go of the world they live in involving substances. What category of precontemplation does the client most associate with? a) Reluctant b) Rebellious c) Resigned d) Rationalizing

b) Rebellious

A counselor is beginning to document a client's conduct that includes repeated instances of drug seeking behavior resulting in using substances after a year of abstinence. Which of the following best defines this type of behavior? a) Relapse b) Recidivism c) Post-acute withdrawal d) Reduced tolerance

b) Recidivism

What is a defining characteristic of the competence and proficiency stage of cultural competence? a) Acknowledging the need for training in cultural competency b) Recognizing the need to adopt culturally responsive practices c) Implementing culturally responsive practices d) Understanding that there are differences between cultural groups

b) Recognizing the need to adopt culturally responsive practices

Which statement below is not consistent with the SAMHSA principles of recovery? a) Cultural differences impact recovery b) Recovery requires the direction of professional help c) Recovery is self-directed d) Recovery can be achieved in many ways

b) Recovery requires the direction of professional help

What is a common misconception related to relapse? a) Relapse can often be predicted by clear signs b) Relapse is commonly a result of a lack of willpower c) Relapse can occur with any type of addiction d) Relapse is based on the individuals perception of an event, not the event itself

b) Relapse is commonly a result of a lack of willpower

An individual can be diagnosed with schizophrenia by exhibiting 2 or more of each of the following characteristics over a month time frame except: a) Delusional b) Restlessness c) Hallucinations d) Gross disorganization

b) Restlessness

A client who is constantly motivated as needing to be right in any situation can be categorized as what? a) Monopolizing client b) Self-righteous client c) Boring client d) Hostile client

b) Self-righteous client

Which of the following is not an essential item in a comprehensive service plan? a) Long term goals b) Short term goals c) Writeup of the current status d) Required services for the client

b) Short term goals

What statement below regarding individualized treatment is false? a) Those in individual treatment do better than those in group b) Specific types of individualized treatment are better than others c) Individualized treatment is especially effective for those with psychiatric problems d) None of the above

b) Specific types of individualized treatment are better than others

Which of the following is not an ASAM criteria for the documentation of a treatment plan? a) Problems or priorities must be identified b) Specified time intervals for assessment of the treatment process c) Realistic goals identified d) The process made must be measured

b) Specified time intervals for assessment of the treatment process

What model of substance abuse treatment is consistent with having a philosophy related to the cause of abuse as being a "defect of character"? a) Medical Model b) Spiritual Model c) Sociocultural Model d) Psychological Model

b) Spiritual Model

A counselor is employing reflection during a session. They constantly use the same phrase of "It appears you feel..." What common error is this counselor using? a) Timing b) Stereotypical language c) Shallow response d) Deep response

b) Stereotypical language

What is least likely to be considered a gateway drug? a) Alcohol b) Steroids c) Marijuana d) Tobacco

b) Steroids

What statement is most often true regarding caloric intake from food for people with an alcoholic substance abuse disorder? a) The caloric intake from food is more for those with a SUD b) The caloric intake from food is less for those with a SUD c) The caloric intake from food is not affected for those with a SUD d) There is no correlation between caloric intake from food and those with a SUD

b) The caloric intake from food is less for those with a SUD

What is most often not an indicator that the client is ready to move on from the preparation stage of change to the action stage? a) The clients resistance decreases b) The client becomes more excitable about the potential for change c) The client asks fewer questions about the problem d) The client asks more questions about the process of change

b) The client becomes more excitable about the potential for change

The statements below are recorded in the screening documentation for a new client. Determine which statement is an example of an A/P progress note. a) The client entered showing signs of withdrawal such as excessive sweating and shaking. b) The client is potentially showing signs of a co-occuring disorder c) The client mentioned having alcohol within the last 3 days on 6 different occasions d) The client began to become angry when asked about their spouse

b) The client is potentially showing signs of a co-occuring disorder

What correlation can be drawn between the speed at which a substance reaches the brain and the likelihood of addiction? a) The faster a drug reaches the brain, the less addicting the substance will be b) The faster a drug reaches the brain the more addicting the substance will be c) There is no correlation between speed and addiction d) There is only a correlation for specific types of substances

b) The faster a drug reaches the brain the more addicting the substance will be

What is a characteristic of mutual support groups that differentiates it from group therapy? a) Crisis is resolved b) The group empowers change c) Membership is selective d) Focus on process

b) The group empowers change

What is the primary indicator of an individual who moves from the seance stage of addiction (Abuse) to the final stage (Dependency)? a) The behavior of the individual becomes evident b) The individual experiences a physical or psychological distress when use is stopped c) The individual may begin lying about whereabouts or activities d) Use becomes a regular part of daily activities

b) The individual experiences a physical or psychological distress when use is stopped

The ARISE Intervention Method consists of three stages. Stages III can only be achieved by which of the following actions? a) The individual agrees to take action towards change b) The network members agree to enact consequences for the individual if treatment is not sought out c) The network works to motivate the individual toward treatment d) The individual accepts a lack of control

b) The network members agree to enact consequences for the individual if treatment is not sought out

Which of the following statements is true if a safety sensitive worker refuses to take a drug test? a) The test must be rescheduled within 1 week b) The test is treated as if it is positive c) The test is treated as if it is negative d) The employee mat refuse on two separate occasions without consequences

b) The test is treated as if it is positive

When implementing withdrawal management or detoxification, what is not an appropriate expectation of the process? a) It will last typically less than ten days b) This is an opportunity to evaluate the client's mental state while intoxicated c) There is a potential for medical issues and a professional should be present d) All of the above

b) This is an opportunity to evaluate the client's mental state while intoxicated

Which of the following statements is not true regarding the connection between substance abuse disorder (SUD) and HIV/AIDS? a) Treatment for SUD actually doubles as HIV prevention b) Those who have both SUD and HIV/AIDS are subject to higher rates of mental disorders than those with only SUD c) Risk reduction is essential for both SUD and HIV d) SUD treatment can help prevent the spreading of HIV/AIDS

b) Those who have both SUD and HIV/AIDS are subject to higher rates of mental disorders than those with only SUD

What is the primary purpose of interpreting as an effective counseling technique? a) To ensure the client you understand their needs b) To provide a different perspective the client may not have seen or considered c) To help understand the emotions of the client d) To evaluate the potential risks for the client

b) To provide a different perspective the client may not have seen or considered

An incarcerated individual who is receiving treatment for substance abuse disorder is planned to be released soon. What support program is most likely applicable to complete the continuity of care upon release? a) Group therapy b) Transitional housing c) Detoxification d) Outpatient treatment

b) Transitional housing

A client with a substance abuse disorder has also been diagnosed with having depression. What behavior is least likely to be typical with this type of client? a) Quick to come to conclusions b) Unquestioning belief in others opinions c) Discounting positives d) Extremist world view

b) Unquestioning belief in others opinions

Which of the following does not most appropriately characterize a person's methods of obtaining substances if they are in stage of dependency? a) Will use any means necessary b) Will take some of the substance while dealing c) Likely to take severe risks to obtain d) Willing to perform criminal acts to obtain

b) Will take some of the substance while dealing

A discharge summary and continuing care plan form should include all of the following elements except: a) discharge reason b) client compliance c) objectives for continuing care d) diagnosis

b) client compliance

Which of the following is MOST helpful for counselors in defining their professional roles for counseling clients? a. An understanding of self-help groups b. An ethical code of conduct c. Certification

b. An ethical code of conduct

A cocaine-dependent client admits being fired from his job for absenteeism, losing his home and car by defaulting on his loans, and associating only with peers who use cocaine. He states he does not require residential treatment because his problem is not serious enough. He further states he has lost his house and car because his wife didn't work enough hours. Which defense mechanisms is this client displaying? a. Projection, denial, and displacement b. Denial, minimalization, and rationalization c. Sublimination, displacement, and compensation d. Identification, minimization, and sublimination

b. Denial, minimalization, and rationalization

132. According to the American Society of Addiction Medicine (ASAM), which the following is NOT one of the five categories of primary treatment? a. Early intervention b. Detoxification services c. Intensive outpatient or partial hospitalization d. Residential or inpatient services

b. Detoxification services

The branch of pharmacology that deals with the biological, biochemical, and physical characteristics of natural drugs is: a. Pharmacokinetics. b. Pharmacognosy. c. Pharmacotherapeutics. d. Pharmacodynamics.

b. Pharmacognosy.

Based upon the initial interview, Bill was given a provisional Axis I diagnosis of "alcohol dependence" and admitted to an Intensive outpatient program. After completion of the initial interview, Bill was given a tour of the facility, a client handbook, and introduced to his primary counselor and scheduled an appointment the next day to discuss what the client could expect during treatment and what would be expected of him in return. During his treatment Bill worked with his counselor to develop four primary treatment goals: 1) To spend at least four hours every other weekend with his children; 2) To attend three A.A. meetings a week for the next three months; 3) To abstain from alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12 week Intensive outpatient treatment program. Bill was quite resistant to attending A,A. meetings because of fear of being seen by his friends at meetings. The counselor helped Bill deal with his feelings by encouraging him to "A, B, C" his thoughts about what people might think of him if seen at meetings and documented the client's progress in his chart with a process note. In addition, Bill was provided a set of videotapes which provided information about the disease concept of addiction, family dynamics, relapse prevention and problem solving strategies to review during his first two weeks of treatment. In the sixth week of counseling, Bill became quite agitated and insisted he was going to have to stop treatment because his work schedule had been changed -four of his employees had quit their jobs and he was going to have to fill in their responsibilities. His counselor met with him and encouraged him to calm down and accept a change in his daily treatment schedule. Given his limited financial means and approximately $7,500 of debt on his Visa card and the fact that Bill talked excessively about his enormous debt, his counselor sought the advice of his clinical supervisor since financial problems were outside his scope of expertise. The clinical supervisor suggested that the counselor schedule an appointment with a non-profit credit counseling agency near his home. After explaining the discussion with his supervisor, Bill agreed to the appointment. Upon completion of the 12 week program, the client was discharged with instructions to attend 90 A.A. meetings in 90 days and twice weekly aftercare sessions. It was noted that the counselor lived less than two blocks from the client and so they agreed to car pool to aftercare meetings. Based on the information found in the case history, please select the BEST response to each of the following questions. 138. What counseling theory was applied to the client's resistance to attending AA Meetings? a. Motivational Interviewing b. Rational Emotive c. Client Centered d. Gestalt

b. Rational Emotive

Which of the following important treatment planning activities were NOT accomplished in working with this client? a. The counselor formulated appropriate short term goals for the client b. The counselor identified and ranked the client's problems needing resolution c. The counselor worked with the client in establishing the client's treatment goals d. The client's treatment goals were expressed in measurable behavioral terms

b. The counselor identified and ranked the client's problems needing resolution

a. The counselor sought the advice of his clinical supervisor regarding the client's finances b. The counselor scheduled an appointment with a credit counseling agency c. The counselor arranged for the client to change his work schedule d. The counselor helped the client find an AA meeting

b. The counselor scheduled an appointment with a credit counseling agency

A frequent client reaction during the termination phase of counseling is: a. defensiveness. b. acting out behavior. c. apathy. d. lack of trust.

b. acting out behavior.

The provision of information concerning alcohol and other drug abuse and the available services and resources, is termed: a. consultation. b. client education. c. counseling. d. case management.

b. client education.

Concise and accurate reporting is necessary in order to: a. assist in client education. b. ensure continuity of client care. c. promote team work among the clinical staff. d. identify client strengths and weaknesses.

b. ensure continuity of client care.

While the overall national suicide rate has increased slightly but consistently in recent years, disproportionate increases have occurred among: a. females and the elderly. b. females and the young. c. males and the elderly. d. males and the young.

b. females and the young.

Stress inoculation focuses primarily on: a. increasing self-control. b. increasing coping skills. c. decreasing anxious responding. d. decreasing negative thought patterns.

b. increasing coping skills

Providing the client with information regarding program rules, and infractions that can lead to discharge, normally occurs during the: a. screening. b. orientation. c. assessment. d. group therapy sessions.

b. orientation.

Heroin is an example of a(an): a. natural narcotic. b. semi-synthetic narcotic. c. synthetic narcotic. d. quasi-narcotic.

b. semi-synthetic narcotic.

A reward is something given for a special behavior, whereas positive reinforcement is: a. a mutual reward to reinforce behavior by the same amount. b. something specifically designed to increase the occurrence of a particular behavior. c. the process of observing behavior of others. d. a type of learning in which behaviors are increased as the result of the, consequences.

b. something specifically designed to increase the occurrence of a particular behavior

Assessment, according to the behavioral approach, involves: a. taking a client history and specifying problematic behavior. b. specification of the problematic behavior and collection of baseline data. c. identification of the problematic behavior and evaluation of the client's motivation to change. d. specification of the problematic behavior and evaluation of the client's motivation to change.

b. specification of the problematic behavior and collection of baseline data

In order to provide clients with updated information concerning addiction and recovery, the counselor must: a. regularly attend A.A. and/or N.A. meetings. b. stay well-informed and aware of recent developments in the field. c. teach classes about these topics. d. assume that the client will ask for what he/she needs.

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

The goal of Al-Anon is: a. to provide group and individual therapy for family members of alcoholics. b. to provide a fellowship and support for individuals in relationships with alcoholics. c. to educate family members of their risk of becoming alcoholics. d. to provide families of alcoholics with the intervention necessary to prevent their substance abuse.

b. to provide a fellowship and support for individuals in relationships with alcoholics.

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.

b.moving too quickly from data collection to treatment planning

While understanding every individual is different, what is the most common length of time for a client to reach the maintenance phase of recovery? a) 2 months b) 6 months c) 18 months d) 3 years

c) 18 months

For a substance to be considered schedule 5, what is the maximum amount of codeine per 100 ml for a cough preparation? a) 100 mg b) 150 mg c) 200 mg d) 500 mg

c) 200 mg

A counselor engaging in family therapy has reached the point where they are able to assess and address the feelings of family members of the client with substance abuse disorder. What level of family counsel involvement is the the counselor in? a) 1 b) 2 c) 3 d) 4

c) 3

A supervisor of a counselor begins to acknowledge that the supervisee is beginning to exhibit a level of autonomy in their approach. What level of progression is the counselor most likely in? a) 1 b) 2 c) 3 d) 3i

c) 3

According to DSM-5 after what time period of being clear of any of the eleven criteria is a person said to be in early remission? a) 1 month b) 2-3 months c) 3-12 months d) 1 year

c) 3-12 months

What is an accurate estimation of the percentage of homeless people who also have a substance or mental disorder? a) 10% b) 40% c) 66% d) 90%

c) 66%

What is the most reasonable percentage of women with a substance abuse disorder that have been physically or sexually abused? a) 10% b) 40% c) 70% d) 95%

c) 70%

What is the most appropriate percentage of first-time marijuana users who are aged 12-20 years old? a) 20% b) 50% c) 75% d) 95%

c) 75%

What proof is the standard drink for 1.5 ounce serving of hard liquor? a) 40 b) 60 c) 80 d) 100

c) 80

What best describes the characteristics of a client with borderline personality disorder? a) A disregard for the rights of others b) An inability to form meaningful relationships c) A clear pattern of instability of relationships and self-image with associated impulsivity d) Severe fluctuations in mood

c) A clear pattern of instability of relationships and self-image with associated impulsivity

Which of the following occurrences typically warrants the development of a new treatment plan? a) Any time there is change in service b) When the client achieves a specified goal c) A client who is readmitted to treatment d) Any time the client has had a setback

c) A client who is readmitted to treatment

During which stage of change do withdrawal symptoms most often occur? a) Contemplation b) Preparation c) Action d) Maintenance

c) Action

A client with substance abuse is also suffering from depression. Which of the following is not a true statement regarding the use of antidepressants? a) Effects can be expected after 4-6 weeks b) If one type doesn't work, another can be tried c) Antidepressants have a high risk of abuse d) There is no predictor of the best type of medicine

c) Antidepressants have a high risk of abuse

A client is unwilling to accept the extent of the goals a counselor is suggesting. She is willing to give up cocaine but does not see the harm relinquishing marijuana use. If the counselor agrees this is what type of goal resolution? a) Giving up b) Negotiation c) Approximation d) Referral

c) Approximation

The Short Michigan Alcohol Screening test provides a question of whether or not the participant feels guilty when drinking. This test would provide inconclusive data for which of the following cultures? a) African American b) Asian American c) Arab Muslim d) Caucasian

c) Arab Muslim

As an individual continues to use an addictive forming drug over a period of time, which of the following is a correct statement regarding the influence of outside factors (peers, family's stress) contributing the habit of addiction? a) As drug use continues the influence of outside factors remains about the same b) As drug use continues the influence of outside factors increases c) As drug use continues the influence of outside factors decreases d) None of the above

c) As drug use continues the influence of outside factors decreases

A parent has a child whom they fear may be experimenting with substances. What is most likely not a reasonable form of advice to help enforce positive parental supervision? a) Have some non-negotiable rules b) Communicate regularly c) Avoid checking in regularly d) Have consistency in rule application

c) Avoid checking in regularly

A counselor has a client who also has a child in the same school system. There is no harm that results from the relationship. Which of the following would categorize the situation? a) Boundary issue b) Boundary violation c) Boundary crossing d) Boundary indifference

c) Boundary crossing

What is not a true characteristic of the methodology behind the stages of change model? a) There are five distinct stages b) Clients may move back and forth between stages c) Clients move through the stages linearly d) Relapses are to be expected and are common

c) Clients move through the stages linearly

When considering different cultural worldview, which of the following can be defined as putting a greater emphasis on the wellbeing of the group rather than the individual? a) Holistic b) Spiritual c) Community oriented d) None of the above

c) Community oriented

What type of discrepancy is present if a client says, "Sobriety is my number one focus." at one time but then later says "I really just want to drink to be with my friends."? a) Contradiction of behavior b) Discrepancy in self-perception c) Contradictory statements d) Difference from normal behavior

c) Contradictory statements

What can be defined as the continuous practice of self-reflection and self-critique that enables the individual to engage in diverse interpersonal relationships? a) Cultural diversity b) Cultural competency c) Cultural humility d) Cultural sensitivity

c) Cultural humility

A client who wishes to seek treatment has an established co-occurring disorder of substance abuse and mental disorder. The facility at which she applies does not have the specific necessary services to treat the mental disorder but can adequately address the substance abuse. What is the most appropriate ethical decision? a) Admit the client b) Deny the client c) Deny the client but ensure proper referral d) Admit the client but only perform an assessment

c) Deny the client but ensure proper referral

Which of the following is not one of the eight stages of effect for alcohol? a) Euphoria b) Confusion c) Depression d) Coma

c) Depression

Which of the following is most often not a step for counselors in the assessment of co-occurring disorders? a) Screening of co-occurring disorder b) Determine the severity of the potential disorder c) Diagnose the mental disorder d) Determine the effect the disability has on the client in relation to substance abuse

c) Diagnose the mental disorder

A physical condition assessment would fall under which dimension of the American Society of Addiction Medicine (ASAM) Multidimensional Assessment? a) Dimension 1: Acute Intoxication and Withdrawal Potential b) Dimension 2: Biomedical Conditions and Complications c) Dimension 4: Readiness to change d) Dimension 6; Recovery/Living Environment

c) Dimension 4: Readiness to change

Which of the following withdrawal symptoms is common in nearly all types of drugs when use is stopped? a) Seizures b) Itchy feeling all over skin c) Dysphoria d) Delirium Tremens

c) Dysphoria

What disorder can be defined by two or more years of depressed moods that occur more often than not but without meeting the criteria for major depressive disorder? a) Hypersomnia b) Bipolar I c) Dysthymia d) Agoraphobia

c) Dysthymia

What substance effects the serotonin neurotransmitter? a) Opioids b) Alcohol c) Ecstasy d) Nicotine

c) Ecstasy

Which of the following actions can be classified under a trauma-specific approach? a) Explaining the impact of trauma on the mental state of a client b) Ensuring the client feels the safety of the space around them c) Enrolling a client in a PTSD program d) Reassurance of recovery being possible

c) Enrolling a client in a PTSD program

What is not a key component to administering motivational incentives? a) Identify desired behavior b) Evaluate frequency of distribution c) Ensure an expression of empathy d) Evaluate the right choice of incentive

c) Ensure an expression of empathy

Which of the following does not fall under the specified responsibilities of a facilitator? a) Gather together the service implementation team b) Lead team meetings c) Ensure the client is making progress towards specified goals d) Guiding discussions in meetings

c) Ensure the client is making progress towards specified goals

All of the following are exceptions to privileged communication except: a) Court ordered exam b) Harm of others c) Established dual relationship d) Abuse of others

c) Established dual relationship

If a family is classified as an "alcoholic family" what is not a general characteristic of this dynamic? a) Alcohol is the most important thing in the family b) Blame is directed away from the alcohol c) Everyone shies away from protecting the alcoholic from consequences resulting in isolation d) The family situation is not discussed

c) Everyone shies away from protecting the alcoholic from consequences resulting in isolation

Regarding confidentiality laws, which of the following statements is false? a) State laws govern over federal laws if they are more strict b) Federal laws govern over state laws which are less stringent c) Federal laws apply no matter the type of program d) None of the above

c) Federal laws apply no matter the type of program

When gathering information for the use in the assessment process, what is least likely a potential source of information? a) Existing information b) Individual and peer interviews c) Field observations d) Testing

c) Field observations

A safety-sensitive transportation employee has never had a positive result for a drug test. Which of the following testing scenarios is not appropriate? a) Pre-employment b) Reasonable cause c) Follow-Up d) Random

c) Follow-Up

When evaluating cultural considerations for a client, which of the following is an appropriate way to approach the determination of any relevant facts? a) Stereotypes can be used as a basis for understanding b) Stereotypes can be used as a determination of understanding c) Generalizations can be used as a basis for understand d) Generalizations can be used as a determination for understanding

c) Generalizations can be used as a basis for understand

The need statement of an individualized treatment plan will likely include all of the following except: a) Examples of difficulties the client is facing b) Specific challenges to the client c) Goals for the client d) Any issues the client has identified

c) Goals for the client

Research has linked the heavy use of marijuana for teens with all of the following except? a) Lower self esteem b) Less likely to graduate c) Greater change of chronic pain d) Drop in IQ

c) Greater change of chronic pain

When faced with an ethical dilemma, what is most likely the first appropriate step to take for decision making? a) Implement a course of action b) Generate a list of actions c) Identify the dilemma d) Consult with others

c) Identify the dilemma

Which of the following is not an example of an effective screening process? a) Evaluating the subject in multiple locations b) Evaluating the subject by gathering information from multiple process c) In-depth initial screening questions to provide a thorough process d) Obtaining information from multiple sources

c) In-depth initial screening questions to provide a thorough process

Which of the following is not an expected symptom of withdraw from alcohol? a) Hallucinations b) Tremors c) Increased pupil size d) Convulsions

c) Increased pupil size

Which of the following is an acceptable person for the use of a translator for an assessment involving a low English proficient client? a) Family member b) A community insider c) Independent translator d) All of the above

c) Independent translator

When developing substance abuse prevention programs, which of the following types is designed to target individuals who are already experimenting with substances? a) Universal b) Selective c) Indicated d) Individual

c) Indicated

What element as listed below is most likely not appropriately included in the screening process documentation? a) Referral source b) Client strengths c) Informed consent d) Observations of mental state

c) Informed consent

What hallucinogenic substance has a currently accepted medical use? a) LSD b) Salvia c) Ketamine d) Peyote

c) Ketamine

If a counselor uses role playing as a teaching method, what type of learning style is being used? a) Auditory b) Visual c) Kinesthetic d) All of the above

c) Kinesthetic

In comparison to voluntary treatment versus legally mandated treatment, which of the following statements are true? a) Voluntary treatment is generally more successful b) Voluntary treatment has higher retention rates c) Legally mandated individuals often remain in the program for longer d) Legally mandated individuals have lower attendance

c) Legally mandated individuals often remain in the program for longer

When setting rules initially for counseling sessions, what is not an appropriate way to establish limits? a) Limit the length of the season b) Limit the amount of sessions c) Limit the topics available for discussion d) None of the above

c) Limit the topics available for discussion

Case management involves the advocacy of the client as needed. What situation below is not an example of this? a) Educating other agencies about substance abuse b) Lobby to adjust agency procedures for the individual if appropriate c) Lobby to law enforcement against any sanctions on the client d) Informing family members of the process

c) Lobby to law enforcement against any sanctions on the client

Of the substances shown below, ______ is not classified as a central nervous system stimulant a) Amphetamines b) Cocaine c) Marijuana d) Caffeine

c) Marijuana

Which of the following is not an entity that may hold record keeping and documentation to a specific standard? a) Single State authority b) Accreditation bodies c) Medical services d) Insurance companies

c) Medical services

Which of the following substances is classified as DEA Schedule I? a) Rohypnol b) Prescription Sedatives c) Mescaline d) None of the above

c) Mescaline

Which of the following substances is there no conclusive evidence to support an effectiveness of any medication for abuse treatment? a) Alcohol b) Tabaco c) Methamphetamine d) Heroin

c) Methamphetamine

In evaluating a client using the DSM-5 criteria, you note that they show symptoms of five of the eleven SUD criteria. Which of the following is the severity of the substance abuse disorder? a) No diagnostic of SUD b) Mild c) Moderate d) Severe

c) Moderate

A client has not specifically expressed an intent or thoughts of suicide but exhibits extreme distress and has been using substances excessively which includes violent behavior. What level of risk can the client be classified as? a) Minimal risk of harm b) Low risk of harm c) Moderate risk of harm d) Serious risk of harm

c) Moderate risk of harm

In relation to the rewarding effect of substances, what is not an example of positive reinforcement for the continuation of use? a) Peer acceptance b) Euphoria c) Pain relief d) Increased self esteem

c) Pain relief

What is not identified as one of the most common triggers for a relapse? a) Unpleasant emotions b) Interpersonal conflict c) Physical pain d) Social pressure

c) Physical pain

What is least likely to be a challenge specific to counseling adolescents? a) Low self-esteem b) Rebelliousness c) Private lifestyle d) Pessimistic

c) Private lifestyle

What is not one of the four types of motivational statements as per Miller and Rollnick, 1991? a) Cognitive recognition b) Effective expression of concern c) Process recognition d) Direct intention to change

c) Process recognition

A client is discussing her relationships with friends and indicates her frustration with certain behaviors of theirs. If the client says in relation to her friend: "She only goes on trips so that she can show off to other people. She doesn't even like to travel!", what type of defense mechanism can be identified? a) Denial b) Displacement c) Projection d) Rationalization

c) Projection

Which of the following is not an example of proper active listening? a) Restating specific words the client has used b) Refocusing the clients attention on a specific topic of interest c) Providing stories from your own experience that relate to the clients struggle d) Summarizing key feelings that the client has shared

c) Providing stories from your own experience that relate to the clients struggle

A client mentions that an associate at work is to blame for all of her financial troubles and it has led to her current substance issues. If the counselor wants to find out more information by saying "Can you please explain and further elaborate what you mean?", what technique is being used? a) Paraphrasing b) Clarification c) Reflection d) Summarization

c) Reflection

When dealing with confrontation, if a client accepts it well, what is the most appropriate follow-up response? a) Focus on current feelings b) Provide empathetic response c) Reinforce positive behavior d) All of the above

c) Reinforce positive behavior

A new client is scheduled to arrive for counseling. From background information you see the client is a woman of Asian-American decent who has difficulty with English. What is not an appropriate means of cultural accommodation for the first meeting with the client? a) Ensure any material is in multiple languages b) Encourage family involvement to support the client c) Research common methods of greeting in the client's culture d) Provide a translator

c) Research common methods of greeting in the client's culture

Of the following examples of treatment programs, which is considered a long-term method? a) Residential treatment b) Medication-assisted treatment c) Residential therapeutic community treatment d) Outpatient counseling

c) Residential therapeutic community treatment

What group technique employs using a story or problem stated by a member that others can relate to? a) Group commentary b) Here and now focus c) Role playing d) Commonality

c) Role playing

Of the following options listed below, _______ is not one of the consecutive stages of a comprehensive assessment. a) Recognition of risk b) Comprehensive assessment c) Secondary assessment d) Process evaluation and outcome determination

c) Secondary assessment

A client enters and shows visual signs of withdrawal. They appear to have significant nausea, agitation, and are indicating the intention for self-inflicted harm. Which of the following is the most appropriate initial reaction? a) Attempt to calm the client and begin an initial assessment b) Alert the clients friends and family c) Seek medical attention for the client d) All of the above

c) Seek medical attention for the client

A client you are treating says "I think smoking has been more detrimental than I realized." What type of statement can this be classified as? a) Motivational b) Counter-motivational c) Self-motivational d) None of the above

c) Self-motivational

Which of the following is not linked to causing false positives on drug tests? a) Doxylamine b) Poppy seeds c) Sesame seeds d) Sertraline

c) Sesame seeds

What is mostly not a realistic expectation that should be set from a counselor to prepare the client for sessions? a) Confidentiality will be kept b) Start times will be enforced c) Sessions where the client arrives under the influence will be analyzed for further insight d) There may not be any contact outside of the predetermined times

c) Sessions where the client arrives under the influence will be analyzed for further insight

A client indicates that they always feel peer pressure when out with friends. He blames them and calls them bad influences implying that others would do the same in his situation. If the counselor responds as "We still need to explore your family dynamics. We're not ready to discuss your friends." What type of client resistance reaction technique is being used? a) Simple reflection b) Amplified reflection c) Shifting focus d) Agreement with twist

c) Shifting focus

What substance administration method is the fastest for the effects to reach the brain? a) Injection b) Snorting c) Smoking d) Ingestion

c) Smoking

What is not considered an acceptable way of maintaining appropriate boundaries with a client? a) Avoiding a plutonic relationship with a client outside of treatment b) Avoiding any physical contact c) Strongly encouraging a 12-step program due to the counselor's own experiences d) Avoiding any romantic relationships with the client

c) Strongly encouraging a 12-step program due to the counselor's own experiences

According to psychoanalytical theory, what structure of the mind is responsible for conscience thought? a) Id b) Ego c) Superego d) Antiego

c) Superego

Which of the following statement are true regarding adolescents and the what classifies a session as binge drinking? a) The amount of drinks for adolescents is the same as adults for binge drinking b) The amount of drinks for adolescents girls and boys are the same for binge drinking c) The amount of drinks for adolescent boys increases with age for binge drinking d) The amount of drinks for adolescent girls increases with age or binge drinking

c) The amount of drinks for adolescent boys increases with age for binge drinking

Which of the following is not consistent with proper informed consent? a) The client must have a rational capacity to provide consent b) The client must show an understanding of what is being consented to c) The client must consult with a third party for consent regarding medical issues d) The client must feel they are acting voluntarily

c) The client must consult with a third party for consent regarding medical issues

According to the Gorski Developmental Model, what is the first step in the stage of stabilization? a) Determine the impetus of abuse b) The client needs to recognize the issue c) The client needs to recover from withdrawal symptoms d) The client needs to commit to a path of recovery

c) The client needs to recover from withdrawal symptoms

Which of the following is not a shared characteristic between crack and cocaine? a) contains coca b) Can lead to an overdose c) The effect is instantaneous d) Classified as a stimulant

c) The effect is instantaneous

What can be mostly considered a false statement in regard to the therapeutic alliance between a client and a counselor? a) The alliance has just as much influence on success as the chosen treatment method b) The alliance needs to be continuously monitored c) The effect of the alliance is most prevalent in psychodynamic counseling styles d) Practices should be chosen which accentuate the alliance

c) The effect of the alliance is most prevalent in psychodynamic counseling styles

Which of the following defines the mental state of a client who is ready to enter into the preparation stage of change? a) The person recognizes there is a problem with how substances have affected their life b) The person has had adverse experiences directly related to substance abuse c) The person can recognize that the disadvantages of continuing substance abuse outweigh any perceived advantages d) The person is prepared to decide on how to change

c) The person can recognize that the disadvantages of continuing substance abuse outweigh any perceived advantages

Which of the following is true concerning the primary diagnosis of an individual? a) The primary diagnosis is always the substance disorder b) The primary diagnosis is always the mental health disorder c) The primary diagnosis is whichever disorder diagnosed first d) The primary diagnosis includes both the substance and mental health disorders

c) The primary diagnosis is whichever disorder diagnosed first

What is not a special consideration that must be accounted for during the assessment of women for substance abuse? a) Sexual abuse b) Hesitation to use male counselors c) Typically, higher self-esteem d) Dependency issues

c) Typically, higher self-esteem

Which of the following is not a key element in the development of cultural competency as per Cross et al., 1989? a) Valuing diversity b) Make a cultural self-assessment c) Understanding and awareness of cultural differences d) Incorporating cultural knowledge

c) Understanding and awareness of cultural differences

A counselor is reviewing results from a specific assessment instrument. She notices that there is a difference often in the intended goal of the evaluation and the results. The assessment likely has a low ____________. a) Usability b) Reliability c) Validity d) Content Validity

c) Validity

Which of the following types of ethics is concerned with a question such as "What are my own core beliefs as a person?" a) Principle ethics b) Positive ethics c) Values ethics d) Virtue ethics

c) Values ethics

Which of the following is not a true statement regarding women and substance abuse? a) Women have different physical responses to substances than men b) Women develop health problems due to substance abuse at lower doses than men c) Women develop health problems due to substance abuse over longer period of times than men d) Women with substance abuse are more likely than other women to have co-occuring disorders

c) Women develop health problems due to substance abuse over longer period of times than men

A fourteen year old male is being evaluated for cocaine abuse. He has no knowledge of any family history of abuse and has indicated that he began only in the past 6 months. Which of the following addiction factors is most likely the most influential on his drug use? a) family influence b) genetics c) peer influence d) television and media

c) peer influence

Which of the following is the BEST example of a counselor setting limits with a client? a. "We're here to discuss your alcohol problem - I don't want to talk about your marriage" b. "Counseling is a very unstructured process - anything goes" c. "Our meetings will consist of four 50 minute sessions at 10 a.m. each Wednesday" d. "What's important is that I help you. Ill counsel you no matter what"

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

Which self help group would be most appropriate for a mother whose drug and alcohol-abusing son is causing her distress? a. Alateen b. ACOA c. Al-Anon d. A.A.

c. Al-Anon

Which of the following modes of sexual transmission provides the LOWEST risk of HIV transmission? a. Male to male b. Male to female c. Female to female d. Female to male

c. Female to female

Morning drinking is not an uncommon occurrence with alcoholics. Which of the following is NOT a true statement? a. Morning drinking will reduce the symptoms of withdrawal b. Morning drinking will keep the alcoholic's blood alcohol level from dropping. c. Morning drinking will lessen the need for alcohol during the remainder of the day d. Morning drinking reduces anxiety that effects the alcoholic's ability to start the day

c. Morning drinking will lessen the need for alcohol during the remainder of the day

What was the crisis in this case? a. The client was deeply in debt because of his credit card use b. The client's wife had left him because of his physical abuse of her c. The client wanted to leave treatment because of his work schedule d. The client did not want to attend AA meetings in the community

c. The client wanted to leave treatment because of his work schedule

What essential component of client education is missing in this case? a. The client was not informed of his rights and responsibilities at the start of his treatment. b. The client was not informed of his legal responsibilities and obligations related to his DUI. c. The client was not informed of community recovery resources available to him upon discharge d. The client was not offered the opportunity to participate in weekend family education seminars

c. The client was not informed of community recovery resources available to him upon discharge

Which of the following client behaviors contributed the most to the counselor's development of the provisional diagnosis of "alcohol dependency?" a. The client admitting all of his legal problems were alcohol related b. The client's denial of use of prescription medication c. The client's report of increased use of alcohol and occasional memory loss d. The client's conviction for his second DUI offense

c. The client's report of increased use of alcohol and occasional memory loss

Which of the following statements about dysfunctional families is TRUE? a. The family cannot get well until the dependent person seeks help. b. The children in a dysfunctional family can be protected from the problems cause by chemical dependency. c. The divorce rate in dysfunctional families is highest after recovery has been initiated. d. Family problems develop in the later phases of the addiction process.

c. The divorce rate in dysfunctional families is highest after recovery has been initiated.

All of the following are benzodiazepines EXCEPT: a. Valium. b. Halcion. c. Trazodone. d. Xanax.

c. Trazodone.

A treatment professional utilizing case management will do all of the following EXCEPT: a. assist the client with needs generally thought to be outside the realm of substance abuse treatment. b. provide the client a single point of contact for multiple health and social services systems. c. advocate for the treatment center's approach to care. d. be flexible, community-based, and client-oriented.

c. advocate for the treatment center's approach to care.

The process of termination should be discussed: a. when the client appears to have gained all that he or she can from therapy. b. at the point specified in the therapeutic contract. c. at the onset of therapy. d. when the client brings it up.

c. at the onset of therapy.

Your dual-diagnosed client, stabilized on medication for his psychiatric disorder, decides he wants to quit smoking. You should: a. advise him to select a quit date within the next 2 weeks. b. encourage him to use the nicotine patch or gum. c. consult with his physician regarding nicotine/medication interaction. d. suggest he cut down the number of cigarettes daily for 2 weeks before quitting.

c. consult with his physician regarding nicotine/medication interaction.

When assessing the signs and symptoms of alcohol withdrawal, all of the following may be noted EXCEPT: a. restlessness, irritability, anxiety, agitation. b. tremor, elevated heart rate, increased blood pressure. c. decreased sensitivity to sounds, oversensitivity to tactile sensations. d. decreased appetite, nausea, and vomiting.

c. decreased sensitivity to sounds, oversensitivity to tactile sensations.

51. The initial stage of crisis intervention involves: a. discussing the client's plans for the future. b. helping the client adapt. c. determining the problem. d. determining a solution.

c. determining the problem.

The term "late-onset" as it applies to chemical dependency refers to: a. adolescents who avoid use till their late teen years. b. women who don't begin use till after marriage. c. elderly people who develop chemical dependency late in life. d. alcoholics who develop medical complications after years of exposure to alcohol.

c. elderly people who develop chemical dependency late in life.

The tendency of the family to try and maintain balance is called: a. equilibrium. b. stability. c. homeostasis. d. accommodation.

c. homeostasis

In order to fill gaps in services to minority clients, communities should include all of the following EXCEPT: a. education and training. b. diagnosis and intervention. c. segregated treatment programs. d. integrated treatment programs with cultural programming..

c. segregated treatment programs.

To assist them in handling termination issues, effective counselors use appropriate levels of: a. counter-transference. b. investigation. c. self-disclosure. d. role-playing.

c. self-disclosure.

In a dysfunctional family system, the traditional role which the spouse plays is referred to as: a. the Hero. b. the Scapegoat. c. the Primary Enabler. d. the Mascot.

c. the Primary Enabler.

The treatment plan is developed based on information collected during: a. screening. b. orientation. c. the assessment. d. intake.

c. the assessment.

An example of the use of effective case management with this case was: a. the counselor referring the client to the credit counseling agency. b. the counselor helping the client stay in treatment by accepting a change in his work schedule. c. the scheduling of an appointment for the client to talk to a college admissions counselor to encourage the client to continue his education. d the counselor documenting the client's tour of the facility and general orientation.

c. the scheduling of an appointment for the client to talk to a college admissions counselor to encourage the client to continue his education.

One goal of an effective aftercare program is: a. to enhance a client's emotional rehabilitation. b. to minimize the client's use of denial. c. to support the gains made in treatment. d. to assign sponsors to clients.

c. to support the gains made in treatment.

A potential client takes a Drug Abuse Screening Test 20 (DAST-20). Which of the following score ranges would indicate the potential for a severe substance abuse disorder? a) 0-5 b) 6-10 c) 11-15 d) 16-20

d) 16-20

Without "good cause" a HIPAA complaint should be filed no later than how many days after the subject incident? a) 30 b) 90 c) 120 d) 180

d) 180

What ASAM Criteria level is least appropriate for the use of brief interventions? a) 0.5 b) 1 c) 2 d) 3

d) 3

An adult client is describing her patterns of alcohol use. Which of the following scenarios would classify as binge drinking (all drinks standard US size)? a) 1 glass of wine everyday over a week b) 8 glasses of wine over two days c) 6 glasses of wine over a 12 hour period d) 4 glasses of wine over a 2 hour period

d) 4 glasses of wine over a 2 hour period

The approach to the recovery process can best be described as: a) Primarily reaching abstinence as the goal b) A crisis management process c) A professionally directed process d) A long-term self-growth process

d) A long-term self-growth process

What is not consistent with the strategies in relapse prevention therapy? a) Identify relapse as a process b) Learn to cope with urges and cravings c) Learn techniques to minimize damage if a relapse does occur d) After a relapse, be prepared to move on completely

d) After a relapse, be prepared to move on completely

A client indicates that they always feel peer pressure when out with friends. He blames them and calls them bad influences implying that others would do the same in his situation. If the counselor responds as "You make a good point, it can be difficult to resist this, but you need to recognize a different perspective." What type of client resistance reaction technique is being used? a) Simple reflection b) Amplified reflection c) Shifting focus d) Agreement with twist

d) Agreement with twist

All of the following are common problems that may arise with referrals except: a) Client dropout b) Eligibility requirements c) Incomplete client information d) All of the above

d) All of the above

What should be captured during a verbal assessment? a) Story of first use of substance b) Story of heaviest use of substance c) Current use patterns d) All of the above

d) All of the above

Which of the following conditions must be present for a counselor to contact a parent or guardian without the minor's consent? a) The minor is determined incapable of making a rational choice b) The situation is life-threatening c) The risk may be reduced by contacting the parent or guardian d) All of the above

d) All of the above

Which of the following is a true statement regarding the abuse of alcohol? a) women have a higher risk of developing problems from alcohol abuse than men b) men are more likely to drink higher volumes of alcohol than women c) Organ damage due to alcohol abuse is more likely in women than men d) All of the above

d) All of the above

Which of the following situations allow a parent or guardian the ability to communicate with a program director without the adolescent as per federal regulations? a) The adolescent previously applied for services b) There is a reasonable assumption that the adolescent does not have the capacity to rationally decide on consent c) There is a substantial threat to life or health present d) All of the above

d) All of the above

Which of the following is not a factual statement regarding suicide prevention? a) Suicide is most often associated with depression b) Men commit suicide more often than women c) Women are more likely to attempt suicide d) Almost half attempted suicides are successful

d) Almost half attempted suicides are successful

Of the following demographic groups, which has been reported to have the lowest rate of alcohol use? a) Hispanic/Latino b) White c) African American d) Asian American

d) Asian American

In which of the following scenarios may an adolescent revoke consent? a) As determined by specific federal law situations b) When agreed upon by client and counselor c) When parental permission is granted d) At any time

d) At any time

What is not a recommended criterion of documentation for a treatment plan as per ASAM? a) Identify individual problems or obstacles b) Identify individual strengths, skills, and resources c) Treatment progress must be measurable d) Avoid specific goals and maintain general concepts

d) Avoid specific goals and maintain general concepts

A negative test result for HIV indicates which of the following? a) The person being tested has not been infected b) The person being tested was infected too recently and could still have HIV c) The person being tested is not able to contract the disease d) Both A or B

d) Both A or B

What substance below is not classified as an anesthetic? a) Ether b) Chloroform c) Nitrous oxide d) Butane

d) Butane

Which of the following is not a common method for a case manager to help establish a successful working relationship between agencies? a) The use of quid pro quo arrangements b) Develop a memorandum of understanding c) Determine the points of contact for services in key agencies d) Capitalize on personal relationships the client may have

d) Capitalize on personal relationships the client may have

What is the final step of the twelve for Alcoholics Anonymous? a) Make a fearless inventory of the self b) Make direct amends c) Prayer and meditation to improve contact with God d) Carry the message to alcoholics and practice the principals in all affairs

d) Carry the message to alcoholics and practice the principals in all affairs

What substance can not be classified as a narcotic? a) Opium b) Morphine c) Heroin d) Cocaine

d) Cocaine

A counselor has a high intensity client that has suffered a variety of traumas. The counselor has often had constant emotional reactions to the suffering experienced by this client and is exhausted from the intensity of the required empathy. If the counselor begins to experience a lack of focus and emotional stability elsewhere, what condition is being suffered? a) Dual relationship b) Professional impairment c) Value conflict d) Compassion fatigue

d) Compassion fatigue

Which of the following assessment instruments is not considered a self-report type test? a) Adolescent Drinking Index b) Adolescent Drinking Inventory c) CAGE Questionnaire d) Comprehensive Drinker Profile

d) Comprehensive Drinker Profile

Which of the following can be defined as a projection of feelings or attitudes from the counselor to the client? a) Disclosure b) Self-disclosure c) Transference d) Countertransference

d) Countertransference

What is a typically acceptable time frame for the expiration of consent forms? a) One month b) One year c) Five years d) Determined on a case by case basis

d) Determined on a case by case basis

As per the Mini-International Neuropsychiatric interview (M.I.N.I), what indicator below has the highest applied points for the assessment? a) Thought about being better off dead b) Wanted to harm oneself c) Suicidal thoughts d) Developed a suicide plan

d) Developed a suicide plan

Which of the following is most often included in the individualized treatment plan but not the initial treatment plan? a) Problem identified b) Goals c) Objectives d) Diagnosis

d) Diagnosis

Which of the following techniques is least likely considered for a form of motivational interviewing? a) Client assessment b) Brief interventions c) Counseling d) Drug informational sessions

d) Drug informational sessions

What statement regarding driving under the influence of substances is false? a) Men are more likely than women to drive under the influence b) Teenagers are more likely than adults to drive under the influence c) More people drive under the influence of alcohol than all other drugs combined d) Drunk drivers are most likely to be caught within the first five attempts

d) Drunk drivers are most likely to be caught within the first five attempts

Which of the following is not an element of good clinical documentation? a) Include the clients name clearly b) All entries need to be signed c) All entries should be clearly dated d) Errors should be removed entirely

d) Errors should be removed entirely

What is not a generally an identified step in the process of crisis intervention? a) Assess the extent of the crisis b) Identify the problem at hand c) Determine potential solutions d) Establish a relapse strategy

d) Establish a relapse strategy

What is not an essential element when forming a discharge plan? a) Referral source b) Outcomes of treatment c) Condition of client d) Exit interview with client

d) Exit interview with client

What is an ineffective method for a counselor to develop a strong relationship with a client? a) Exhibit a thorough knowledge of expertise in addiction treatment b) Use facts to support recommendations c) Make connections between the client's experiences and the counselor's clinic knowledge d) Explain to the client what to expect from experiences the counselor is familiar with from other clients

d) Explain to the client what to expect from experiences the counselor is familiar with from other clients

What is the regulation with the highest precedence for ethical considerations? a) Common Sense b) Administrative regulations c) Contracts d) Federal Law

d) Federal Law

A client indicates that she has this feeling at parties that she needs to ensure she gets positive approval from everyone she meets. It gives her anxiety about going and when she leaves a party it makes her drink more often. What mental behavior most appropriately describes the clients situation? a) Negative reinforcement b) Operant conditioning c) Codependence d) Fictional finalism

d) Fictional finalism

A client with substance abuse disorder decide to attend an acupuncturist for chronic pain management. The client indicates that the acupuncturist is recommending certain herbs and medicines for to go along with the pain. What is the most appropriate response below? a) Forbid the client from taking any medication that is not specifically prescribed from the network of care b) Allows the client to continue without any action c) Document the interaction and take no additional action d) Have the client indicate any medication that is being taken for evaluation in the treatment plan

d) Have the client indicate any medication that is being taken for evaluation in the treatment plan

Which of the following is not an example of a substance use disorder? a) A person leaving work early due to the need for drug use b) Constantly saying they need to cut down on use but never managing to do so c) Entering into knowingly dangerous situations to obtain the drugs d) Having feelings of severe depression

d) Having feelings of severe depression

An adolescent of age 10 has been screened and has indicated that there was an incident in which he had alcohol with friends. At which level of risk is most appropriate for the client? a) None b) Low c) Moderate d) High

d) High

Which of the following is an opioid but not an opiate? a) Morphine b) Codeine c) Thebaine d) Hydrocodone

d) Hydrocodone

What type of substance administration provides the longest half-life? a) Inhalation b) Injection c) Snorting d) Ingestion

d) Ingestion

Which of the following programs allows the client the ability to remain in their primary residence with structured treatment sessions? a) Detoxification treatment b) Inpatient treatment c) Residential treatment d) Intensive outpatient

d) Intensive outpatient

What is not consistent with the philosophies of motivational interviewing? a) Collaboration b) Acceptance c) Compassion d) Intervene

d) Intervene

The role within a chemically dependent family which most often will use humor to mask the situation is: a) Enabler b) Scapegoat c) Hero d) Mascot

d) Mascot

What culture is often associated with embracing silence instead of attributing it to awkwardness or inefficiency? a) White b) Latino c) African American d) Native American

d) Native American

All of the following are examples of client resistantance except _______. a) Arguing b) Interrupting c) Ignoring d) None of the above

d) None of the above

As defined by Corey et al., what is not one of the six guidelines for daily ethical conduct? a) Provide informed consent b) Ensure client confidentiality c) Honor cultural values d) None of the above

d) None of the above

Cocaine withdrawal can be counteracted with all of the following drugs except ___________. a) Amantadine b) Bromocriptine c) Buprenorphine d) None of the above

d) None of the above

Drug cultures can be characterized by all of the following except: a) Rules b) Dress c) Language d) None of the above

d) None of the above

During counseling, a client who has now been abstinent for some significant amount of time and has adjusted to a new lifestyle, has indicated boredom with their current situation. He says his old life was certainly much more exciting. What is not an appropriate technique to avoid a relapse? a) Remind the client of the pain from substance abuse b) Challenge the client appropriately on the reality of what he remembers as enjoyable times c) Suggest new activities that may fill the void d) None of the above

d) None of the above

During preparation for an intervention, what is not an appropriate item to teach the family and friends who will participate? a) Substance abuse is the primary issue b) Realize the user will not seek help on their own c) Decide who is willing to participate in confrontation d) None of the above

d) None of the above

Fidelity of the implementation of evidence-based practices can be disrupted by all of the following except: a) Gradual loss over time b) Failure to appropriately apply trained techniques c) Implementation in different settings d) None of the above

d) None of the above

If a patient who has substance abuse problems is using opioids for pain treatment, what is not a valid reason for discontinuing the use of the medication? a) The opioids no longer stabilize the patient b) The patient is using alcohol c) The patient has increased use of the medication d) None of the above

d) None of the above

The varying effect of alcohol on an individual is dependent on all of the following except: a) Age b) Health status c) Family history d) None of the above

d) None of the above

What counselor technique does not help in clarifying the client's thoughts? a) Summarizing b) Paraphrasing c) Reflecting d) None of the above

d) None of the above

What is considered the highest period of risk for the use of substances for adolescents? a) Entering middle school b) Entering high school c) The time of onset puberty d) None of the above

d) None of the above

What is not an appropriate requirement when evaluating if a client can be approved to be allowed to take home medication? a) Absence of recent substance abuse b) Stable home environment c) Assurance of safe storage of medication d) None of the above

d) None of the above

What is not an effective method to implementation for ensuring cultural sensitivities are practiced? a) Using culturally appropriate communication b) Integrating traditions or customs of the client into services c) Consulting other service providers for best practices d) None of the above

d) None of the above

What is not an example of an appropriate situation where the counselor should use confrontation? a) Having the client recognize a truth that is evident from observation b) Actions conflicting with statements made by the client c) Confronting the client about their own perception vs. actions d) None of the above

d) None of the above

What's not a common example of a sign of substance abuse risk? a) Changes in routine or habits b) Evidence of frequent medical issues c) Change in performance at school or work d) None of the above

d) None of the above

Which of the following does not fall within a developed continuum of recovery plan? a) Behavioral health resources b) Support groups c) Self-sufficiency services d) None of the above

d) None of the above

Which of the following is not a factor in the assessment for suicide risk? a) Abuse of alcohol b) Family history of suicide c) Evidence of aggression towards others d) None of the above

d) None of the above

Which of the following is not a main objective of case management systems? a) Accessibility b) Accountability c) Consistency of care d) None of the above

d) None of the above

Which of the following is not a precedent that must be resolved before counseling can begin? a) Medical assistance b) Proper food and shelter c) Self-help support d) None of the above

d) None of the above

Which of the following is not an acceptable means of releasing client information as per 42 CFR? a) With the client's written consent b) Without client consent for reasons specified in the regulations c) With a court oder d) None of the above

d) None of the above

Which of the following is not an example of prescription drug abuse? a) A friend providing OxyContin for a stiff neck b) Taking an additional Valium beyond the amount prescribed to ease tension before public speaking c) Using leftover Vicodin from a car accident that occurred a year prior to treat a new injury d) None of the above

d) None of the above

Which of the following is not often considered a trigger for a potential relapse? a) Negative emotions such as sadness or loneliness b) Having a reason to celebrate such as a new job c) Sensory stimulants familiar during times of drug use d) None of the above

d) None of the above

Which of the following would not be considered as a part of a multidisciplinary addiction treatment team? a) Pharmacist b) Family therapist c) Peer Recovery Support Specialists d) None of the above

d) None of the above

Which type of peer group provides the person suffering from SUD with a chance to develop a new role in the community? a) Positive peer influence b) Peer teaching c) Peer counseling d) Peer participation

d) Peer participation

What stage of group counseling is associated with the group being effective in achieving goals? a) Forming b) Norming c) Storming d) Performing

d) Performing

Which of the following is not an example of the harm reduction model of recovery? a) Designated driver b) Drug substitution c) Behavior modification d) Prolonged periods of abstinence

d) Prolonged periods of abstinence

As per 42 CFR part 2, which of the following is not a requirement for content of the disclosure of client information as per a court order? a) Disclosure information shall be limited to that which is essential to the objective of the order b) Disclosure information should only be provided to those specifically requesting the ordered information c) Provide any measures which are necessary to limit the disclosure for the protection of the patient d) Provide the information in a manner that is consistent with the public interest

d) Provide the information in a manner that is consistent with the public interest

What is not a stage as a part of cultural competence? a) Destructiveness b) Blindness c) Competence d) Rebuilding

d) Rebuilding

What is not a primary component of the CENAPS Model of Relapse Prevention? a) Assessment b) Warning sign identification c) Warning sign management d) Relapse counseling

d) Relapse counseling

Which of the following is not a lawful right of the client? a) Right to Individual Dignity b) Right to Communication c) Right to Personal Effects d) Right to Minimum Level of Service

d) Right to Minimum Level of Service

What substance as listed below is not considered a hallucinogen? a) Ayahuasca b) GHB c) DMT d) Rohypnol

d) Rohypnol

The documentation of the treatment process is essential for all the following reasons except: a) Continuity of care when a client moves b) Legal documentation for potential lawsuits c) Compliance with Federal Regulations d) Sharing of information with third parties external to the case to foster future relationships

d) Sharing of information with third parties external to the case to foster future relationships

A client in an initial screening indicates that she has not slept very well at all in weeks and seems to be suffering from a reduced appetite. You notice she has a noticeable bruise on her leg and when asked about it she recalls a physical altercation she had recently at a party. When consulting her mother, she mentions that her mood has been very unpredictable and that she would often storm out unexpectedly. Which of the following drugs is the subject most likely suffering withdrawal symptoms from? a) Methamphetamine b) MDMA c) Cocaine d) Steroids

d) Steroids

What is not an immediate benefit to quitting smoking (within 1 year)? a) Risk of heart attack decreases b) Improved circulation c) Increase in lung function d) Stroke risk reduced to non-smoker level

d) Stroke risk reduced to non-smoker level

A pregnant woman seeking treatment indicates that she did not proceed due to the lack of groups specifically for women who are or have been pregnant. What type of obstacle is preventing her from seeking treatment? a) Sociocultural b) Interpersonal c) Intrapersonal d) Structural

d) Structural

What statement is false regarding the ability of an addiction professional to engage in bartering with a client? a) There must be a clear written contract prior to services b) State and federal laws must allow it c) The client must request it d) The agreed upon value must be no more than 5 sessions

d) The agreed upon value must be no more than 5 sessions

Of the elements shows below, what's not required on a written consent form? a) The receiving organization or individual b) A description of the information provided c) The client's signature d) The date the client was consulted about the release of information

d) The date the client was consulted about the release of information

At which level of exposure are the risks of second hand smoke at a tolerable level? a) Less than once per week b) A distance of no less than 20 ft c) A distance of no less than 50 ft d) There is no risk-free level of exposure

d) There is no risk-free level of exposure

Which of the following best describes the definition of alcoholism? a) Occurs if intake is enough to damage physical health b) Occurs if intake goes beyond customary dietary use c) Occurs if the person will drink against their own will d) There is no universal definition of alcoholism

d) There is no universal definition of alcoholism

When dealing with a client from a rural population, what is not an accurate generalization to consider in regard to their mindset towards counseling? a) They are often more resistant to help b) They are often more concerned about confidentiality c) They express more individuality d) They are more likely to express emotions

d) They are more likely to express emotions

Which of the following is not a characteristic of self-administered assessment tests? a) They most often are written at a 4th or 5th grade reading level b) They provide a quantifiable metric c) They prevent interviewer bias d) They must be administered by highly skilled staff

d) They must be administered by highly skilled staff

What is not considered a goal of clinical supervision? a) Protect the welfare of the client b) Empower self-supervision c) To monitor performance d) To provide personal counseling of the supervisee

d) To provide personal counseling of the supervisee

Which of the following is not a model for the causation of addiction? a) moral model b) blended model c) genetic model d) familial model

d) familial model

A client says that his wife has vowed to leave him if he resumes drinking. The best response by the counselor would be: a. "she seems to be over-reacting" b. "does she usually threaten you?" c. "sounds like she needs Al-Anon" d. "she's really serious about your sobriety"

d. "she's really serious about your sobriety"

100. Some populations suffer greater rates of addiction than others. The Native American population, for example, have addiction rates of: a. 20%. b. 30%. c. 40%. d. >50%.

d. >50%.

Which statement MOST accurately describes the relationship between Alcoholics Anonymous and the professional treatment community? a. AA policy clearly states that recovery can often be frustrated by contact with professionals. b. AA has made no statements for or against the professional treatment community. c. There are inherent conflicts between AA and the professional treatment community which are unlikely to be resolved. d. A partnership between AA and the professional community was repeatedly emphasized by the founders of AA.

d. A partnership between AA and the professional community was repeatedly emphasized by the founders of AA.

Which of the following counselor actions is an example of the use of a consultation? a. Acceptance of a referral from the client's Probation Officer b. Setting up an appointment for the client to visit a credit counseling agency c. Assisting the client with transportation to AA meetings upon discharge d. Seeking the advice of his clinical supervisor about the client's financial problems

d. Seeking the advice of his clinical supervisor about the client's financial problems

Which of the following essential tasks was NOT completed during the client's intake process? a. The client was assigned a primary counselor b. An initial assessment was completed c. The client was admitted to the program d. The client signed all required consent forms

d. The client signed all required consent forms

The PRIMARY example of the counselor's use of effective recording and recordkeeping in this case was: a. The counselor helping the client change his work schedule b. The counselor helping the client complete all required insurance and consent forms c. The counselor admitting the client into the program d. The counselor completed a progress note for the client's chart

d. The counselor completed a progress note for the client's chart

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. A licensed physician should conduct a physical examination of the client. b. The client should complete psychological tests to be used in the evaluation. c. The counselor should conduct an initial family therapy session in order to address problems caused by the client's use. d. The counselor should provide the client with an overview describing the goal, objectives, rules, and obligations of the program.

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

You begin working with a drinking alcoholic who recently had eight months of sobriety. He asks how he can stay sober. You respond by: a. getting him to gradually cut down on his drinking. b. encouraging him to change sponsors. c. referring him for additional treatment d. asking him what worked before.

d. asking him what worked before.

During a session you notice that the client is getting progressively more agitated. You suspect a potential for violence unless something is done immediately. Your BEST course of action would be to: a. summarize the inappropriateness of the client's feelings. b. confront the client's behavior; c. instruct the client in relaxation techniques. d. call for assistance.

d. call for assistance.

A mutually-agreed-upon treatment plan should include: a. a detailed explanation of goals and objectives. b. more than one goal established by the counselor. c. a well-developed outline for the discharge summary. d. clear expectations, specific goals, and methods of achievement.

d. clear expectations, specific goals, and methods of achievement.

Relating with in-house and other professionals to assure comprehensive, quality care for the client BEST describes the process of: a. assessment. b. referral. c. counseling. d. consultation.

d. consultation.

Personality disorders are: a. reactions to stress. b. episodic in nature. c. intrapsychic disturbances. d. maladaptive ways of perceiving, thinking, and relating.

d. maladaptive ways of perceiving, thinking, and relating.

Before therapy or counseling begins, clients may be given information about the treatment they will receive, as well as possible risks involved. This process is known as: a. self-disclosure. b. releasing information. c. protecting confidentiality. d. obtaining informed consent to treatment.

d. obtaining informed consent to treatment.

Client files should be readily accessible to: a. the client. b. all staff of the facility. c. the agency board of directors. d. only those persons directly involved in providing clinical services.

d. only those persons directly involved in providing clinical services.

You are having difficulty with a client early on in the case. The BEST thing for you to do is: a. transfer the client to another counselor. b. let the relationship develop and try to work it out. c. challenge the client about his/her resistance to treatment. d. seek out supervision with a colleague or supervisor.

d. seek out supervision with a colleague or supervisor.

Barbiturates can be sub-classified into groups based upon: a. how they are used. b. when they were discovered. c. their medical and non-medical use. d. the speed of the onset and duration of the effects.

d. the speed of the onset and duration of the effects.

The NIDA-financed Drug Abuse Reporting Program found that: a. short-term therapy is more effective for drug abusers than long-term therapy. b. heroin addicts had a higher relapse rate than cocaine addicts. c. most drug abusers who enter therapeutic communities remain drug free. d. therapeutic communities do reduce drug use relative to untreated clients or those who are simply detoxified and released.

d. therapeutic communities do reduce drug use relative to untreated clients or those who are simply detoxified and released

During the intake, a counselor can expect to address all of the following issues EXCEPT: a. a client's fears and denial. b. confidentiality. c. information gathering. d. treatment planning.

d. treatment planning.

One of case management's hallmark characteristics. a. Advocacy b. Cooperation c. Stabilization d. Flexibility

A, Advocacy

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.

A, Compromising T-cell functions.

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? a. Contact child protective services to report this incident. b. Explain to her the limits of confidentiality regarding drug use. c. Admit her for treatment and arrange childcare services. d. Contact law enforcement to have her arrested for child abuse and neglect.

A, Contact child protective services to report this incident.

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.

A, Employing an interpreter.

Which statement about the grief process is TRUE? a. Guilt and anger are painful emotions that are part of grieving b. Symptoms of grief typically disappear within six months c. The grieving process should be hurried so the client can resume his life d. Grief is only a response to situations involving death

A, Guilt and anger are painful emotions that are part of grieving

The organization founded as an alternative to programs with spiritual overtones, whose publication is called "The Small Book," is: a. Rational Recovery. b. Secular Organization for Sobriety. c. Men and Women for Sobriety. d. Codependents Anonymous.

A, Rational Recovery.

Sarah, a counselor in a drug treatment center, grew up in an alcoholic home and still has strained relationships. Which statement BEST describes Sarah's situation? a. Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center. b. Sarah can resolve her personal pain by working professionally with addicted family units in a treatment center. c. Sarah may be more comfortable with her clients because she is familiar with their behavior. d. Sarah may have unfinished business with her parents.

A, Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center.

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.

A, The Beck Depression Scale, the MAST test, and the MMPI

One of the.earliest models for case management services in the criminal justice system was created in 1972, when the White House launched a demonstration program known as: a. Treatment Alternatives to Street Crime (TASC). b. Treatment Approaches for Criminal Offenders (TACO). c. Treatment Resources for Chronic Repeat Offenders (TRCRO). d. Helping Services for the Criminal Element (HSCE).

A, Treatment Alternatives to Street Crime or TASC

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.

A, teaching clients to formulate and carry out plans to change their behavior.

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.

A. Monitoring, feedback, and evaluation of services.

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."

B, "My counselor will direct me to do what I need to do, and everything will be OK."

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 he is beginning to feel "it is useless to try to stop," and "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.

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

The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents is lack of: a. job skills. b. child care services. c. educational training. d. primary health care.

B, Child care services.

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.

B, Have incorrect information and unanswered questions about the program.

According to the DSM-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.

B, Marked lack of initiative, interest, or energy.

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.

B, Whether the patient's job and family are likely to give him another chance if this treatment fails.

It is crucial for the case manager to be aware of what may inhibit minorities' participation in the substance abuse treatment continuum. Suppose 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.

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

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.

C, Determine one's appropriateness and eligibility for admission.

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.

C, New medication used in treatment regimens.

You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; goose flesh; lacrimation; muscle jerks; flu syndrome; vomiting; diarrhea; nervousness; Yawning; and severe anxiety. You conclude that the client is withdrawing from: a. Hallucinogens. b. CNS depressants. c. Opioids. d. Dextroamphetamines.

C, Opioids.

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. psycho-social assessment. d. screening.

C, Screening.

Effective communication occurs in groups when: a. message receivers hear "you" messages. b. message receivers do not speak. c. message senders use third-person pronouns. d. message senders use "I" messages.

D, Message senders use "I" messages.

If a client appears to be in denial due to discrepancies stated during an intake interview, which of the following statements by the counselor would be MOST appropriate? a. "I'm not sure I understand. Let me check this out" b. "First you tell me one thing, then another. Which is really the truth?" c. "There's a lot of confusion in your story" d. "Addiction fosters denial"

a. "I'm not sure I understand. Let me check this out"

Your client has been advised by his sponsor to discontinue a needed antidepressant medication. You believe this advice to be premature and possibly harmful. What action should you take as a first step? a. Obtain your client's authorization and contact the sponsor to discuss the situation further b. Have the client discontinue involvement in AA until antidepressant medication is no longer needed c. Encourage your client to ignore the sponsor's advice and continue the medication d. Encourage your client to look for another, more understanding sponsor

a. Obtain your client's authorization and contact the sponsor to discuss the situation further

There are several psychological and sociological differences between male and female alcohol abusers. Which of the following BEST describes one of those differences? a. Women more often than men will cite a traumatic event that precipitated their drinking. b. Female alcoholics are more likely to be sociopathic and male alcoholics are more likely to have affective problems. c. Female alcoholics are less frequently characterized as feeling depressed and guilty than male alcoholics. d. Women move more slowly from the early stages to the later stages of abusive drinking than men.

a. Women more often than men will cite a traumatic event that precipitated their drinking

"Referral" pertains to: a. assisting a client to utilize the support systems and community resources available. b. meeting with other professionals for discussions and planning. c. providing drug and alcohol information to clients. d. attending an A.A. or N.A. meeting with a client.

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

An irresistible impulse is called a(an): a. compulsion. b. delusion. c. hallucination. d. obsession.

a. compulsion.

The CAGE test is a simple assessment that is administered to individuals with a drinking problem. The questions on this test refer to: a. cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers. b. making a distinction between problem drinkers and alcoholics. c. craving a drink, drinking alone, feeling guilty, and employment difficulties. d. client perceptions, guilt, and "eye-openers."

a. cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers.

The measurement of progress toward treatment plan goals is best assessed by: a. reviewing documentation in progress notes. b. consulting with the client's significant others. c. referring the client to a professional outside your agency for an objective review. d. asking the client to write a personal evaluation of his/her own progress.

a. reviewing documentation in progress notes.

The PRIMARY purpose of a professional code of ethics is to: a. serve as a guide in helping clients while behaving in a fair way to colleagues. b. strengthen the appearance of professionalism among addiction counselors. c. clarify the difference between acceptable and unacceptable client behavior. d. provide legal recourse and concrete consequences for unethical behavior.

a. serve as a guide in helping clients while behaving in a fair way to colleagues.

Written consent to release client information is required EXCEPT when the release is to the client's: a. spouse who participates in joint counseling sessions. b. employer when confirmation of attendance is needed for continued employment. c. attorney when verification of admission status is needed for a court hearing. d. physician when information on medications prescribed in treatment is requested.

a. spouse who participates in joint counseling sessions.

Pointing out parallels between a client's interpersonal relationships and the client/counselor interaction serves to focus awareness on: a. the "here and now." b. the client's weaknesses in communication. c. the counselor's feelings about the relation d. the unique qualities of the client/counselor relationship.

a. the "here and now."

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.

a. to be alert to and understand the power relationship.

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? a. The name of an attending physician, referrals made, diagnostic procedures used b. Information about consultations, diagnosis, treatment, prognosis, and progress c. Names of family members, emergency numbers, DSM-IV-TR diagnosis d. Personal notes, insurance information, treatment notes

b. Information about consultations, diagnosis, treatment, prognosis, and progress

Comprehensive client documentation: a. is best achieved when done independently from direct client care. b. facilitates communication and enhances accountability. c. is used primarily by the primary counselor. d. is a standardized process.

b. facilitates communication and enhances accountability.

When making a referral you should do all of the following EXCEPT: a. share what you know about the referral agency with your client. b. follow through with the referral agency to ensure you get your referral fee. c. offer to make the initial contact in order to ensure that the client sees the right person. d. Have the client sign a release of confidentiality form before following through with the referral.

b. follow through with the referral agency to ensure you get your referral fee.

Significant others should be involved in the treatment process: a. when the client requests interaction. b. from the client's first contact with the treatment center. c. after it has been determined that the clients treatment is going well. d. after it has been determined that the interaction will not interfere with the client's treatment.

b. from the client's first contact with the treatment center.

A major method of reinforcing the therapeutic alliance and spirit of collaboration between the client and the counselor is: a. including the client's family members in counseling. b. setting mutually-established goals. c. going to 12-step meetings with the client. d. offering to make home visits.

b. setting mutually-established goals.

All of the following statements about the effects of alcohol abuse on the body are true EXCEPT: a. malnutrition can occur in drinkers who eat well-balanced diets. b. stimulation of the brain's frontal lobe can occur. c. the second stage of liver deterioration can be reversed. d. a vitamin B6 deficiency can occur.

b. stimulation of the brain's frontal lobe can occur.

79. 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: a. get his wife into counseling with him. b. take responsibility for his behavior. c. develop a more positive perception of himself. d. effect a behavioral intervention.

b. take responsibility for his behavior.

A client says to you, "I am getting to like you very much and I'd like us to get a lot closer." You should first: a. terminate the client's treatment and seek supervision. b. talk openly about transference issues. c. reciprocate your true feelings, but only if you are attracted to him/her. d. refer the client to another professional.

b. talk openly about transference issues.

Of the following statements made by a client in a group, which would MOST warrant documentation in the client's progress notes? a. "I'm finding the support from this group to be very helpful." b. "Getting caught for drunk driving was a mixed blessing." c. "Ever since I stopped drinking, my emotional swings have been quite intense." d. "Let's change the subject Did anyone see the game last night?"

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

Which statement BEST describes how a counselor can avoid professional burnout? a. Move from direct care to an administrative position. b. Contact a supervisor and ask for fewer work hours. c. Attend to health through adequate sleep, an exercise program, and proper diet. d. Add more structure to work by using a commercial time management system.

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

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.

c. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted.

Which of the following is a cognitive-based therapy, developed by Ellis, which is designed to confront a client's irrational thinking? a. Adlerian Therapy b. Client-Centered Therapy c. Rational-Emotive Therapy d. Reality Therapy

c. Rational-Emotive Therapy

Which of the following patterns of drinking is accurately associated with the term "alcoholism"? a. A lack of tolerance for alcohol b. Frequent short periods of sobriety c. The inability to control the amount one drinks d. Light drinking EXCEPT on weekends

c. The inability to control the amount one drinks

Which of the following is the BEST indicator if an individual is physically dependent upon alcohol or another drug? a. The amount consumed daily b. The length in years of heavy drinking or drug use c. The presence of withdrawal symptoms d. The frequency of memory blackouts

c. The presence of withdrawal symptoms

A "Release of Information" form must include, in addition to the client's name, address and date of birth, which of the following? a. The client's ethnic background b. A signature by a medical doctor c. The purpose of the release of information d. The client's social security number

c. The purpose of the release of information

Relapse prevention efforts are aimed at: a. developing a therapeutic relationship for sobriety and maintenance. b. changing expectations regarding the effects of intervention. c. identifying high-risk situations and learning alternative coping skills. d. discussing aspects of evaluation and treatment.

c. identifying high-risk situations and learning alternative coping skills.

The focus of intervention in the criminal justice system is first to: a. rehabilitate offenders. b. use the threat of incarceration as a motivator to change. c. protect the health, safety, and welfare of the public. d. keep the chronic, chemically dependent person off the streets.

c. protect the health, safety, and welfare of the public.

Despite vast personality differences, virtually all substance abusers experience: a. denial, surrender, and acceptance. b. self-hatred, anger, and guilt c. remorse, self-hatred, and shame. d. shame, euphoric recall, and relapse.

c. remorse, self-hatred, and shame.

84. Brian is a 15-year old boy who has been admitted to a program for chemical dependency. He has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. In assessing Brian, the counselor should first consider which of the following before making a treatment recommendation? a. Brian's goals in life b. Brian's social resources c. If Brian really needs the program d. Brian's familial relationships and social milieu

d. Brian's familial relationships and social milieu

Which of the following is NOT a commonly used technique for crisis intervention? a. Help the client to express feelings generated by the crisis b. Eliminate negative beliefs that contributed to the crisis c. Assign specific behavior tasks such as spending time with people d. Immediately refer the client to an agency to help change the situation

d. Immediately refer the client to an agency to help change the situation

Counselors rely heavily on the work of developmental theorists as they attempt to stimulate clients to initiate relevant growth. According to Erickson, one of the leaders in developmental theory, the task to be accomplished in adulthood is: a. Trust vs. Mistrust. b. Integrity vs. Despair. c. Identity vs. Role Confusion. d. Intimacy vs. Isolation.

d. Intimacy vs. Isolation.

A female client reports 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, her daughter refuses to take direction from her stepfather, regularly complains about her stepfather's "faults"and describes how her biological father is 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.

d. Marriage and family therapist

Ralph is a recovering alcoholic. He has been sober for several months, and managed to find gainful employment and re-establish family relationships. He is in a 12-step program as well as individual counseling. One day, he arrives to a counseling session quite upset. He reveals he had a "slip" and drank a beer at a party. He did not get drunk, but feels terribly remorseful and has promised himself he will not do it again. Which of the following is MOST true? a. Although Ralph did have a relapse, recovery should be easier the second time around. b. This constitutes a relapse, and Ralph may need to begin the recovery process all over again. c. Ralph should be reassured this behavior is permissible as long as he did not lose control and become drunk. d. The counselor should talk to Ralph about the implications of dangerous situations like this, but assure him it is possible to continue his recovery process.

d. 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.

68. Because addiction affects so many facets of the addicted person's life, ______ promotes recovery and enables the substance abuse client to fully integrate into society as a healthy, substance-free individual. a. detoxification and stabilization b. psychological evaluation and treatment c. integration into a self-help recovery program d. a comprehensive continuum of services

d. a comprehensive continuum of services

Your client, Eric, discloses to the group that he is homosexual. Another member of the group shifts in his seat and changes the subject, talking about a superficial incident that happened earlier in the day. The facilitator's MOST appropriate response would be to: a. interrupt the second speaker and remind him of the group rules. b. remind Eric that you are here to treat addiction and ask how this relates to his addiction. c. tell Eric that this disclosure is more appropriate for an individual session and you will meet with him later. d. ask questions which facilitate a group response to Eric's disclosure and elicit more feeling content from Eric.

d. ask questions which facilitate a group response to Eric's disclosure and elicit more feeling content from Eric.

When a client discloses suicidal thoughts, the counselor's first step is to: a. identify alternative courses of action. b. offer emotional support. c. contact emergency personnel. d. assess the degree of risk.

d. assess the degree of risk.

The therapeutic reasoning for self-disclosure in group counseling is to: a. provide the group members with insight into the counselor's background. b. convince group members that the counselor has more life experiences than they do. c. demonstrate how to react when other group members disclose personal information. d. facilitate the growth of the group by relating to client or group issues.

d. facilitate the growth of the group by relating to client or group issues.

In a crisis interview with a client, you are MOST concerned with: a. the client's family dynamics. b. getting all the information that you can. c. what your immediate response should be. d. focusing questions about the present situation and the client's means of coping with the stress.

d. focusing questions about the present situation and the client's means of coping with the stress.