Final Study Cnslg Alchl/Drg Adct (DAAC-2341-001)

First and foremost, good counselors are______________.

caring

Most addicts are living in a ___________________ of their own creation.

deluded world

Becoming over involved with a client is not loving, but is ___________.

self-serving

Sometimes clients will want the counselor to do too much. Counselors should not do for the clients want they can do for themselves. These clients need to accept the responsibility for their own behavior.

true

Typically, once a week, the staff meets for a more formal clinical staffing. The clinical staff makes up the treatment team.

true

You accurately represent your competence, education, training, and experience.

true

You recognize your own needs and are cognizant of your potential to influence clients and subordinates.

true

You respect the dignity and worth of each client and strive to protect individual human rights.

true

You terminate services when it is reasonably clear that the client is not benefiting.

true

________ is essential for the development of a good therapeutic alliance.

trust

Narcissistic clients need to spend time developing empathy for others. In group, when someone is having a feeling, have the narcissistic client ___________________.

try to connect with the other client's feelings.

_______ of chemically dependent clients have a concomitant psychiatric diagnosis.

two-thirds

Fully ______% of people who have serious depression eventually kill themselves.

15

Four groups of antidepressant medications used in treating depression includes SSPc's and MOEs.

False

The only requirement for joining a twelve step program is the desire to live a better life.

False

The 12 steps should be the core of treatment for pathological gambling. More individuals with a gambling problem have recovered using the principles of ______________than any other treatment.

Gamblers Anonymous, GA

____________ is one of the most harmful things that can occur in any staff organization.

Gossip

As clients go over the behavior chain, they can see how their bad behavior led them into shame and more of the addiction to deal with these feelings.

True

At the end of every day, the client needs to take a personal inventory of how he or she succeeded or fell short to of working his or her program. This is Step 10.

True

In Step 11, prayer is where the client talks to God and meditation is where the client listens for God to talk back.

True

The client has made a list of persons harmed in Step Eight; now it's time to share the client's journey of recovery and ask for forgiveness, Step Nine.

True

Without humility, it is difficult to be happy because the client is always trying to run the show.

True

Of the following which is not something that needs to be assessed in screening for comorbid problems?

any past or present legal issues

You must prevent clients from using their old manipulative skills. If a client is having a problem with a staff member, then ___________________.

arrange for the staff member and the client to meet.

You should never use a technique if you have only heard about it. Use only the skills that you have _________________.

been trained to use

The level of commitment to sobriety a client has will be evident in their ____________________.

behavior

The two major psychological treatments for depression are _____________.

behavior therapy cognitive therapy A and B

Outside of the chemical dependency field, anxiety is often treated with benzodiazepines. These _________________ depressants are contraindicated in chemical dependency treatment because they can be highly addictive.

central nervous system, CNS

Depression is a whole-body illness that involves a client's body, mood, and thinking. There is a consistently high rate of _____________ in substance abusers.

depression

The text states there will be a tendency for clients to leave things they consider bad out of the fifth step to avoid the humbling experience. They have turned to easier methods. Almost, invariably they got __________.

drunk

Active listening takes a lot of _______________.

energy

Argue with the physician or the nurse about what they are doing for the client. Do not trust them to do their job. After all, you spend more time with the client.

false

Clients may try and use you against someone else. You may sometimes subgroup with a client against staff.

false

Good counselors will push a client to move beyond their comfort level.

false

It is important to remember that you are in this field not only for your clients but also for yourself. However, it is important to understand you should not be actively involved in your own individual growth.

false

There is an old idea in 12-step programs that all medications are bad. This thinking is still appropriate.

false

When the disorder appearing first is abuse of substances, it is highly likely that the secondary problems will improve slowly, (over months and years) once abstinence is achieved.

false

The borderline client creates problematic transference, countertransference and strong feelings and relationships among staff members To deal with this, the counselor needs to do all of the following except ___________.

get angry and frustrated and blame the other staff members as not understanding this 'poor little thing,' like you do, her savior.

Good staff members get support, not treatment, from their fellow staff members. Becoming involved in a good program of recovery will make you a better counselor and a better person. One of the best ways of learning good therapy is to _______________.

go to a good therapist

Normally, counselors who love what they do, do not feel burdened by their work. They feel that their work is a(n) ___________.

great privilege

Good counselors instinctively believe that their clients have _____________.

great worth

Thomas Merton once said that ___________ is unselfishly giving to others.

happiness

Marlen and Gordon (1985) found that most relapses occur when individuals with a gambling problem experience the following high risk situations, except for ____________.

humility and responsibility

The purpose of the fifth step is to make things right with the self, with others, and with God. Clients must see themselves accurately. At the core of the illness of addiction is the belief that ___________________________________.

if anyone knows the truth about me they will not like me

When the counselor becomes angry, it is useful to be angry at the _________ rather than at the client.

illness

In step two the client must take a look at their _______________.

insane behavior

Clients are constantly torn between wanting to use and wanting to stay clean and sober. There is a constant, and often turbulent, internal war going on ____________________.

inside of the client's head

Depression can be organic, psychological, or ___________.

interpersonal

If the client is going to trust the counselor they must feel _______________.

known

Many counselors are involved in their own recovery programs. However, it is the _____________ in addictions and their personal experience that give addictions counselors their unique professional character.

on-the-job training

Treatment programs differ as to which steps they address in treatment. For most clients it is beneficial to complete at least step(s) ________________.

one-three

The __________ is in charge of any medication order.

physician

To be a good counselor you must know your __________________ and not cross them.

professional boundaries

The atmosphere of clinical staff meetings should be one of mutual respect. You should enjoy these meetings. They should be educational, and help you to develop your __________________.

professional skills

The JCAHO and CARF require that all clients in inpatient substance abuse treatment receive a psychiatric or ______________.

psychological evaluation.

Disease such as schizophrenia and mania may be difficult and they need_______________.

psychopharmacological intervention

A good counselor will do all of the following except _______________.

read a lot of books

You must get the _________________ and examine how the clients feel. Talk about the shame, humiliation, depression, and anxiety caused by the addiction.

real stories

Many clients are considered co-occurring with depression and substance abuse when they enter treatment. Without treating the depression, these clients will be at greater risk for __________________.

relapse

Which of the following is not something you will offer in a case presentation to the clinical staff?

school history

Addicts are _______________ and need to learn how to be __________________.

self-centered, God-centered

The illness of addiction projects on the client's consciousness their wrongs. The client wallows in ________________.

self-pity

Which of the following is not one of the three voices inside the client's head?

significant other

In cognitive therapy, you help the client to determine what they were thinking between the ________________ and ________________.

situation; negative feelings

Atkinson and Kofed (1984) found a number of risk factors that contributed to the vulnerability of the elderly to substance abuse. All of the below are risk factors except for _____________.

strong support system

It is important if you are to be a good counselor to have a _________________.

strong support system

One of the common mistake of new counselors is to _________ too much.

talk

Clients with low intelligence will need a program that is _______ and __________________ and have deficiencies in ___________________.

tangible; concrete; social skills

It is very easy to get into 'the bad guy,' role with the antisocial client. That is why from the outset the counselor needs to be very clear about ____________________.

the rules and the consequences for breaking the rules.

Counselors who are overly emotional do all of the following except:.

they cry when the client cries.

If a client is having a problem with a staff member they might need more time in individual sessions to get their ____________________.

thinking accurate

The text believes that step one is the most important step. Step one necessitates a(n) ___________________.

total surrender

As a chemical dependency counselor it is NOT your job to diagnose any client with psychopathology.

true

Knowing boundaries as a part of a clinical team is very important. Most staff problems are attitude problems, and can be solved by working on a positive attitude.

true

Never agree that a client has been treated unfairly by a staff member until you first talk with the staff member.

true

A client will share what is bothering them if they see ___________________.

unconditional positive regard

The person chosen to hear the client's step five needs some experience in hearing the fifth step, and must have an attitude of acceptance and __________________________.

unconditional positive regard

Which of the following is not one of the 12 core functions for chemical dependency counselors?

vocational training

The essential ingredient of step two is ____________________.

willingness

The client is reassessed throughout treatment to determine current clinical problems, needs, and responses to treatment. The assessment includes all of the following changes except _______________.

work