NCC AP Practice Test for NCACII

Which of the following is an example of projection? ''I drink less than you do.'' 'I only drink on weekends with friends.'' ''I can stop anytime I want to.'' ''I could control my drinking if everyone would leave me alone.''

''I drink less than you do.''

Which of the following is the MINIMUM blood alcohol level necessary to be convicted of driving while intoxicated in all states? 0.08 g/100 mL 0.15 g/100 mL 1.0 g/100 mL 10.0 g/100 mL

0.08 g/100 mL

Major withdrawal symptoms from opiates last approximately 1-2 days. 3-6 days. 10-14 days. 21-30 days.

1-2 days.

A properly completed consent form for release of information is valid for a MAXIMUM of six months. one year after discharge. the length of time during which treatment services provided. the time reasonably necessary to serve the purpose for which it was given.

6 months

Which of the following is the only requirement for membership in Alcoholics Anonymous? A desire to stop drinking Recommendation by a friend Payment of initiation fee A blood alcohol level in excess of legal limits

A desire to stop drinking

Alcohol is a factor in approximately what percentage of fatal automobile crashes in the United States? 20% 30% 40% 50%

50%

Which of the following is most characteristic of denial? A natural part of human behavior A sure sign of pathology whenever used A trait identified only in addicted persons A conscious protection of one's feelings

A natural part of human behavior

A therapeutic group usually progresses through which of the following orders of development? Acquaintance, positioning, conflict, authority issues resolved, open trusting, closing Positioning, acquaintance, conflict, authority issues resolved, open trusting, closing Authority issues resolved, acquaintance, conflict, positioning, open trusting, closing Acquaintance, open trusting, conflict, positioning, authority issues resolved, closing

Acquaintance, positioning, conflict, authority issues resolved, open trusting, closing

Which of the following is the most commonly used drug among adults? Alcohol Nicotine Marijuana Amphetamine

Alcohol

Which of the following treatments is LEAST appropriate for a client who is actively alcohol dependent with extensive liver damage and who has had a heart attack? Psychotherapy Reality therapy Antabuse therapy Alcoholics Anonymous

Antabuse therapy

Which of the following therapies stresses value judgments, personal responsibility, and commitment to change? Reality Existential Psychoanalytic Client-centered

Client-centered

Which of the following is a clue in recognizing suicidal clients? Losing weight Planning a vacation Giving away possesions Scheduling a physical examination

Giving away possesions

Which of the following characterizes detoxification from methadone? Much easier than from naltrexone Much easier than from heroin About the same as from naltrexone More difficult than from heroin

More difficult than from heroin

In which of the following therapeutic techniques are clients physically placed to demonstrate their position in the family? Sculpting Networking Role playing Psychodrama

Sculpting

Which of the following drugs depresses the central nervous system? Cocaine Tranquilizers Amphetamines Hallucinogens

Tranquilizers

Tolerance occurs in the brain nerves stomach cell membrane

cell membrane

Which of the following is the primary problem in initial addiction treatment for women of childbearing age? Presence of infertility Lack of parenting skills Identification of pregnancy Misunderstanding of reproductive health

misunderstanding of reproductive health

Learned defensive behaviors of children of alcohol-dependent parents are mechanisms for testing maturity survival rebellion

survival

Using increasing amounts of the same drug to produce the same effect is an example of overdose. synergism. tolerance. withdrawal.

tolerance

Which of the following is characteristic of visual hallucinations? Are usually long-lasting Are produced by a variety of drugs Are present following barbiturate use Are less common than auditory hallucinations

Are produced by a variety of drugs

For which of the following is a counselor NOT ethically responsible? Assuring that the client has reasonable access to effective treatment Assuring that the integrity of the counseling relationship is maintained Assuring that the client has accurate and complete information about care Assuring that the client includes participation in a 12-step program in aftercare plans

Assuring that the client includes participation in a 12-step program in aftercare plans

According to the DSM-IV-TR, a diagnosis of substance dependence is NOT applicable to which of the following classes of substances? Alcohol Nicotine Caffeine Cannabis

Caffeine

Which of the following drugs has been ruled by the Food and Drug Administration as a permitted active ingredient in over-the-counter stimulants? Alcohol Caffeine Amphetamine Ibuprofen

Caffeine

Which of the following is most likely to affect blood alcohol content? Liver size Low fat diet Carbonated beverages Inflammation of the pancreas

Carbonated beverages

Therapist congruence is a key concept in behavior therapy. transactional analysis. psychoanalytic therapy. client-centered therapy.

Client-centered therapy

Which of the following is a clue in recognizing suicidal clients? Geriatric clients Motivated clients Criminal justice clients Co-occurring disorder clients

Co-occurring disorder clients

Dysphoric mood, fatigue, hypersomnia, and increased appetite are most closely associated with withdrawal from which of the following? Alcohol Cocaine Anxiolytics Sedative-hypnotics

Cocaine

What are the two levels within every communication? Content and feeling Content and process Process and feeling Topic and process

Content and process

Which of the following is the theme of Step 5 of Alcoholics Anonymous? Courage and self-disclosure Belief and mental stability Surrender and willingness Powerlessness and unmanageability

Courage and self-disclosure

Which of the following best characterizes the disease model of alcohol dependence? Outcome is unpredictable Course is predictable Signs and symptoms vary widely among individuals Disease is caused by underlying emotional problems

Course is predictable

Which of the following is a major effect of chronic marijuana use? Violence Increase in testosterone levels Sharpened intellectual functioning Decrease in reaction time

Decrease in reaction time

Which of the following best characterizes discrimination? Being aware that cultural variables may affect treatment Discrediting the importance of a client's ethnicity Understanding that the client's behavior may have cultural variables Understanding there is a wide range of variables within an ethnic group

Discrediting the importance of a client's ethnicity

Which of the following drugs is most appropriately used to discourage further use of alcohol after detoxification? Diazepam (Valium) Librium Tranxene Disulfiram (Antabuse)

Disulfiram (Antabuse)

Which of the following describes the short-term effects of marijuana? Extremely toxic Impedes blood-brain barrier Likely to lead to dependence Dose-dependent

Dose-dependent

When should discharge planning be started? During the assessment period After at least six sessions Halfway through the treatment process During the last few weeks of treatment

During the assessment period

Which of the following activities is included within the NAADAC Code of Ethics? Engagement in the legislative process Attendance at self-help meetings Minimum educational requirements Participation in political campaigns

Engagement in the legislative process

Which of the following refers to dysfunctional closeness in a family? Detouring Enmeshment Detachment Enabling

Enmeshment

In alcohol testing, which of the following is required to confirm alcohol level? Urinalysis Radiography Evidential breath testing device Enzyme multiple immunoassay technique

Evidential breath testing device (i.e., breathalyzer)

Which of the following best describes attending by the counselor? Being present at staff meetings Participating in client sessions Understanding information client is providing Exhibiting listening behavior when client is speaking

Exhibiting listening behavior when client is speaking

Thrush and other oral lesions are most frequently associated with which of the following? HIV infection Smoking crack Use of inhalants Smoking cannabis

HIV infection

What should a counselor do if a mother of a former client, who is now in the armed forces, calls to request that the driving under the influence treatment records be forwarded to his base? Document request and send the records Have son request release of information Have the base call and request information Have the mother sign a release for information

Have son request release of information

Which of the following are comparative effects of marijuana and lysergic acid diethylamide (LSD) use? They have nothing in common They are both effective analgesics High doses of marijuana may produce LSD-like perceptual effects Their perceptual effects are similar, but marijuana produces more vivid hallucinations

High doses of marijuana may produce LSD-like perceptual effects

Which of the following is a primary goal of process therapy groups? Identifying negative feelings Improving verbal communication Identifying and solving problems Improving interpersonal relationships

Improving interpersonal relationships

Which of the following best describes antidepressant drugs? Reduce hallucinations Are highly addictive Influence brain functioning Cause psychotic-like symptoms

Influence brain functioning

Which of the following modes of administration obtains the fastest action of a drug? Oral Inhaling Intramuscular Subcutaneous

Intramuscular

Which of the following DISCOURAGES a client from talking honestly about feelings? Minimal leads Leading questions Open-ended questions Attentive listening

Leading questions

Which of the following is most commonly observed in stimulant withdrawal? Lethargy Seizures Hyperactivity Nausea and vomiting

Lethargy

Which of the following indicates an early stage of alcohol dependence? Loss of control Morning drinking Irrational behavior Surreptitious drinking

Loss of control

Which of the following is often most at risk for suicide as an adult in a dysfunctional family? Hero Mascot Scapegoat Lost child

Lost child

According to the NAADAC Counselor Code of Ethics, when may a counselor have an intimate relationship with a former client? Never Six months after treatment is completed if the former client is staying sober Two years after treatment is completed Five years after treatment is completed

Never

A closed group is characterized by which of the following? Closing group to certain discussions Not admitting additional members once group has been formed Continuing to admit additional members of same age or gender only Continuing to admit additional members as time goes on until group reaches desired size

Not admitting additional members once group has been formed

Which of the following best describes the flashback that is sometimes experienced after lysergic acid diethylamide (LSD) use? Lasts for hours or days Increases in frequency with time Indicates serious brain damage Occurs at any time

Occurs at any time

Which of the following describes Al-Anon? Organization which offers help for relatives and friends of alcohol-dependent people A governmental agency devoted to the concerns of families of alcohol-dependent people An agency which assigns alcohol-dependent people to treatment centers The leading drug agency in narcotic and dangerous drug suppression

Organization which offers help for relatives and friends of alcohol-dependent people

Which of the following is believed to be the most powerful influence on adolescent drug use? Peer approval Legal sanctions Negative reinforcement Perceived harmfulness of a drug

Peer approval

Which of the following is used by some Native Americans in their religious rituals? Peyote Alcohol Marijuana Lysergic acid diethylamide (LSD)

Peyote

According to Maslow's Hierarchy of Needs, which of the following is considered the first order of needs? Social Safety Esteem Physiological

Physiological

Which of the following best describes the harmfulness of solvents and aerosols? Relatively harmless Only harmful because of contaminants Potentially harmful only if taken repeatedly Potentially harmful, whether taken occasionally or repeatedly

Potentially harmful only if taken repeatedly

Payment for client services by an insurance company usually requires which of the following? Medication Inpatient care Prior treatment Preauthorization

Preauthorization

Which of the following describes conditions such as depression and low self-esteem? Predisposing factors and not products of high-level drug use Products of high-level drug use, but not predisposing factors Products of high-level drug use and predisposing factors for most people Predisposing factors for some people and products of high-level drug use

Predisposing factors for some people and products of high-level drug use

Which of the following should guide a counselor's daily activities? Client problems Supervisor's orders Professional standards and ethics Theoretical basis of counseling

Professional standards and ethics

Which of the following is a characteristic of strength-based approaches to substance abuse prevention? Rarely mention drugs and their effects Emphasize the negative aspects of personal adjustment Do not believe in the 12-step philosophy Emphasize that intelligent people do not do things that will harm them

Rarely mention drugs and their effects

In addict/alcohol-dependent families, what is the most dominant communication style? Excusing Shaming Accepting Ignoring

Shaming

Which of the following is a unique health problem in African American communities? Diabetes mellitus Sickle cell anemia Multiple sclerosis Tourette's syndrome

Sickle cell anemia

Which of the following is most characteristic of protracted or secondary withdrawal Tremors Seizures Sleep problems Lack of appetite

Sleep problems

Nervousness, anorexia, hypertension, and tremors are most symptomatic of which of the following? Opioid abuse Alcohol abuse Stimulant abuse Marijuana abuse

Stimulant abuse

Which of the following is an advantage of Rational Emotive Behavior Therapy? The emphasis on experiencing fully one's feelings The ''I-Thou'' relationship between client and therapist The emphasis on understanding the subjective world of the client The emphasis on putting newly acquired insights into action via homework assignments

The emphasis on understanding the subjective world of the client

Which of the following describes Federal Schedule I drugs? They are both safe and effective Their safety and medical use have not been established They cannot be dispensed without a prescription They are safe but their effectiveness has not been established

Their safety and medical use have not been established

A group's first stages are primarily concerned with trust. anger. cohesiveness. transference.

Transference

Which of the following is required to be on a written consent of disclosure form? Treatment diagnosis Signature of a physician Date client entered treatment Type of information to be released

Type of information to be released

Which of the following is the primary contributing factor to HIV infection? Unprotected sex Nursing mothers Sharing needles Blood transfusions

Unprotected sex

Which of the following is a problem associated with phencyclidine (PCP) abuse? Opiate abuse Violent behavior Stomach cramps Respiratory distress

Violent behavior

When is hepatitis most likely to occur in individuals who inject drugs? Late in an individual's drug use career Soon after an individual begins injecting drugs Without regard to how long an individual has been using Prior to injecting drugs from sources other than injecting drug use

Without regard to how long an individual has been using

How often should referral resources be reviewed and reevaluated? Once a quarter Every six months After each accreditation Whenever key personnel are changed

after each accreditation

Approximately 10% of Americans experience a serious problem with cocaine. alcohol. tobacco. marijuana.

alcohol

Genetic theory of alcohol dependence holds that alcohol dependence is learned behavior. alcohol dependence may be inherited. environment is the most important factor. all members of a family are alcohol dependent.

alcohol dependence may be inherited.

The potential for dual relationships exists with adult clients only. adolescent clients only. discharged clients only. all clients.

all clients.

A gatekeeper for a co-occurring client can best be defined as a variation of a risk-based reimbursement system. materials owned by a company that are confidential. a marketing concept that describes what proportion of a given market has contracted for service. an entity who has the power to authorize or deny delivery of care.

an entity who has the power to authorize or deny delivery of care.

A sudden stopping of taking barbiturates is most likely to cause euphoria. severe depression. a decrease in sex drive. an increase in blood pressure.

an increase in blood pressure.

An alcohol-dependent person treated with anxiolytics is most likely to never drink again. remain sober longer. be unable to stay sober. require no further treatment.

be unable to stay sober.

If a state requires greater confidentiality than federal regulations, the counselor must protect the client. refer to agency policy. comply with federal regulations at all times. comply with any provision of state law that is not superseded by federal laws.

comply with any provision of state law that is not superseded by federal laws.

Replacing fact with fantasy in memory and inventing fluent answers to questions best describes euphoria flashback conjecture confabulation.

confabulation

Freebasing has been largely replaced by the use of lysergic acid diethylamide (LSD). marijuana. crack. basuca.

crack

An alcohol-dependent person with elevated vital signs, trembling, marked agitation, and hallucinations is most likely to have delirium tremens. nervous exhaustion. alcoholic hallucinosis. alcohol-Antabuse reaction.

delirium tremens.

If a treatment plan states that ''...the client is irresponsible'', the most likely conclusion would be that the writer was not a counselor. was not judgmental. did not know the client's problem. did not adequately describe the client's problem.

did not adequately describe the client's problem.

Undesirable repetition of a hallucinogenic drug's effects without any recent use of that drug can best be described as a flashback. an idiosyncrasy. an adulteration. a toxic reaction.

flashback

As cigarette sales have decreased in the United States, a sales strategy that tobacco companies have used is to focus on the affluent smoker. decrease the price of their cigarettes. emphasize the health benefits of smoking. increase their market share in foreign countries.

focus on the affluent smoker.

A drink with one ounce of alcohol should immediately put a 150 lb man over the DUI limit. immediately put a 150 lb woman over the DUI limit. have the same effect on both men and women regardless of their weight. give a higher blood alcohol concentration in a 150 lb woman than in a 150 lb man.

give a higher blood alcohol concentration in a 150 lb woman than in a 150 lb man.

In an alcohol-induced blackout, people lose consciousness. forget what they want to forget. have vague or no recall of recent events. have spontaneous recall of remote memories.

have vague or no recall of recent events.

A bad lysergic acid diethylamide (LSD) trip is most likely to be associated with long-term use. nighttime use. method of taking. high concentration.

high concentration.

Alcohol intoxication is most likely to produce enhanced mental acuity. increased body temperature. improved psychological functioning. impairment in behavior and memory.

impairment in behavior and memory.

If a client reports that she was sexually exploited by her previous therapist, the counselor should notify the police. seek legal opinion. contact the appropriate state board. inform the client on how to contact the appropriate state board.

inform the client on how to contact the appropriate state board. ?

''You know I have dealt with a large number of clients from your community'' is an example of cultural empathy sympathy diversity insensitivity.

insensitivity

Cirrhosis of the liver is characterized by increased liver activity. fatty deposits in liver tissue. increased blood flow through the liver. irreversible scarring and destruction of liver tissue.

irreversible scarring and destruction of liver tissue.

Alcohol in combination with cocaine is most likely to increase the danger of damage to the liver lungs kidneys esopphagus

liver

Narcolepsy is a condition characterized by insomnia and depression. obsessive-compulsive behavior. an insatiable desire for narcotics. periods of overwhelming sleepiness.

periods of overwhelming sleepiness.

Protracted or secondary withdrawal refers to withdrawal: resulting after use of a long-acting drug. persisting for a considerable time after cessation of use. arising in a person who has been through withdrawal a number of times. arising when a drug has been used for a considerable period of time.

persisting for a considerable time after cessation of use.

To demonstrate ethical responsibility, a counselor must barter services. clearly define treatment outcomes. avoid consulting with colleagues when in doubt. provide coverage for client emergencies when on vacation.

provide coverage for client emergencies when on vacation.

Transference is a key concept in reality therapy. behavior therapy. existential therapy. psychoanalytic therapy.

psychoanalytic therapy.

The role of the lost child in the dysfunctional family is to increase the family's pride. provide humor for the family. reflect family low self-worth. draw attention away from the scapegoat.

reflect family low self-worth.

Most deaths due to opiate overdose are the result of stroke seiures myocardial infarction respiratory depression.

respiratory depression.

Withdrawal following cessation of chronic, high-level marijuana use may be masked because of cardiac disturbances. cross-tolerance with other drugs. active metabolites of delta-9-tetrahydrocannabinol (THC). slow release of delta-9-tetrahydrocannabinol (THC).

slow release of delta-9-tetrahydrocannabinol (THC).

Women who are at the highest risk for heart disease are those who smoke but do not drink. smoke and exercise regularly. smoke and take oral contraceptives. do not smoke but have reached menopause.

smoke and take oral contraceptives.

The behavioral approach to achieving sobriety is based on exploring irrational beliefs. working toward self-actualization. focusing on emotional content. strengthening desirable responses.

strengthening desirable responses.

If a patient in a group therapy session admits that in the past he has committed an unsolved murder, the counselor should first report the crime anonymously. discharge patient from the group. reinforce the confidentiality of the group. tell the patient it must be reported to the police.

tell the patient it must be reported to the police.

A change that has come about as a result of the campaign against cigarette smoking in the United States is that the nicotine content of cigarettes has increased. the social factors supporting smoking have lessened. fewer lawsuits have been filed against cigarette companies. young people have stopped smoking at a faster rate than adult smokers.

the social factors supporting smoking have lessened.

In a nonemergency situation, a patient's family may receive information only when the patient and family members are living together. there is formal written consent given by the patient. the disclosure will be helpful to the patient in the judgment of the person responsible for treatment. there is a formal application in writing from the legal counsel to the program.

there is formal written consent given by the patient.

Games, early decisions, and scripting are key concepts in Gestalt therapy. existential therapy. client-centered therapy. transactional analysis.

transactional analysis.

Lithium is used primarily to treat depression. treat bipolar disorder. increase the pain threshold. reduce psychotic symptoms.

treat bipolar disorder.