Alcohol and Drug Counselor Exam| 191 questions with complete answers
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Course
LADC
Institution
Liberty University
Culture-bound syndrome Correct Answer: illness truly bound to specific culture; refer to otherwise common mental or physical illnesses that are subsequently construed as unusual because of pathoplastic influence of clture (e.g, hallucinatory sx of schizophrenia could be due to demon possession)
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alcohol and drug counselor exam| 191 questions with complete answers
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Alcohol and Drug Counselor Exam| 191 questions with complete answers
Culture-bound syndrome Correct Answer: illness truly bound to specific culture; refer to
otherwise common mental or physical illnesses that are subsequently construed as unusual
because of pathoplastic influence of clture (e.g, hallucinatory sx of schizophrenia could be due to
demon possession)
pharmacological therapy and psychotherapy Correct Answer: two key mental health treatment
paradigms of Western medicine (multimodal therapy)
racism and discrimination Correct Answer: refer to attitudes, beliefs, and practices that prejudge
and denigrate individuals or gs based on disparate phenotypic characteristics (skin color, hair
texture, facial features, etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? Correct Answer: increasing rapidly and
steadily; by 2025, 40% adults (48% children) will be from ethnic and racial minority gps.
HIV Correct Answer: the viral agent that causes AIDS (Acquired Immunodeficiency
Syndrome), which is the final stage in the HIV disease process; most prevalent in men having
sex with men and IV drug users; contributes to poverty, homelessness, an other medical
problems
50% Correct Answer: percent increase in the number of seniors needing substance abuse
treatment. 70% rate of increase in treatment
Limits to confidentiality Correct Answer: 1. Client request for release of information
2. Court orders for release of information
3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
CAGE questionnaire Correct Answer: Have you ever felt you should CUT DOWN on your
drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your nerves (EYE-OPENER)?
- 4-question on alcohol abuse
MAST Correct Answer: Michigan Alcoholism Screening Test - yes or no to 25 questions to
explore number of treatment issues; most accurate and oldest screening tool to identify drinkers
with 98% accuracy
What is another cultural issues beyond the client's culture? Correct Answer: counselor's culture
,Relapse-remitting model of addiction Correct Answer: recognizes that some issues tend to
return cyclically overtime, can help counselor and CLT make advance contingency plans to
avoid having brief relapse in negative circumstances or behaviors
Authentically connected referral network Correct Answer: refers to a carefully established set of
services providers prepared to meet client needs; goal is for all network agencies an providers to
recognize their valued and essential roles in the addiction treatment process and for clients to
recognize this and respond with similar trust and confidence.
What is the primary aim of case management services, beyond providing seamless care and
being client-centered? Correct Answer: to provide least restrictive level of care
Ask-teLl-ask technique Correct Answer: asking permission of the client to talk with them,
telling them of any concerns you have, and then asking for their thoughts on what you shared.
Referral form Correct Answer: used to track the results of the referral; WHO (identifies the
client and counselor involved/demographic info; substance use, legal issues, family concerns)
WHAT (issues that generated the need for the referral, substance/work, family, and goals and
commitments) HOW (address how CLT was engaged and dealt with)
When should planning for aftercare be engaged Correct Answer: at the point of initial
counselor-client contact
What should be the focus of treatment mostly? Correct Answer: positive education and skills in
substance abuse triggers, patterns of use, and relapse prevention;
substance issues, recovery, health issues, co-occurring disorders; holistic treatment planning an
interventions are essential in recovery process
Bookend term in substance abuse treatment means.. Correct Answer: discussing a trigger event
with someone trusted before and after it occurs
Trigger events Correct Answer: often crisis stressors or situations
CFR 42, part 2 Correct Answer: confidentiality in areas of alcohol and substance abuse.
confidentiality restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or legislative proceedings
by any govt authority
2) to communications, even if the person seeking information already has it, cold otherwise
obtain it, is an official or law officer, has a subpeona or otherwise claims the right of information
release not permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client (unless he/she is in a facility
or facility area not dedicated solely to alcohol or drug abuse tx, ad no mention of drug or alcohol
treatment is made)
, How is subpoena will be valid for release of information? Correct Answer: if a court of
competent jurisdiction also explicitly enters an order authorizing information release specific to
the 42CFR part 2 regulations
What does HIPAA statues guidelines address? Correct Answer: health privacy and
confidentiality standards; governs the management and release of protected health information
(PHI); right to privacy for all adults and minors ages 12-18
DHHS Privacy Rule 3 additional privacy protections Correct Answer: 1)consent of ROI must
comply with 45CFR
2)clients gets copy of ROI
3)copy is kept for 5 yrs from its exp date
How does group therapy and 12-step program differ? Correct Answer: Group therapy - focuses
on helping individuals to examine, understand, and interpret the intrapsychic and interpersonal
influence and conflict that motivate and perpetuate substance abuse; denial is explored
12-step prg - centered on drawing upon focuses such as affiliation, peer confrontation and
support, and creating a culture of abstinence and the mutual accountability to sustain it; denial is
confronted and broken down
What are the 5 primary group models used in substance abuse treatment? Correct Answer: 1)
Psychoeducation - teach about substance abuse
2) Skills development - hone on skills to break free of addiction
3) Cognitive-behavioral - rearrange patterns of thinking/action that lead to addiction.
4) Support group - Provide a forum where members can support constructive change.
5) Interpersonal process group - enable members to rethink past problems/solutions that led to
substance abuse
When does positive effects of treatment starts to emerge? Correct Answer: around 3 mos is the
baseline duration for improved outcomes
3 most common recovery stages Correct Answer: 1) early - entering treatment, embarking on
abstinence, and staying sober; relapse vulnerability remains high
2) middle - lasts from 1-12 mos, greater confidence in abstinence grows, cravings persist but are
recognized and deflected successfully; lifestyle and personality trait changes are progressing,
relapse vulnerability persists but less significant
3) late/maintenance - maintaining abstinence while improving life in other areas, addressing
psychological or relationship issues that became apparent through abstinence, and continuing all
relapse prevention behaviors and skills previously learned
Expressive group therapy Correct Answer: allows clients various ways of expressing self via alt
methods and allows greater exploration of their thoughts, bodies, and feelings; tap in ot their
imaginations to better and more safely examine their bodies, feelings, emotions, and thought
processes
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