Comprehensive Practice Exam: Mental Health
Counseling Questions With Verified Answers
Which one of the following is NOT a primary factor that contributes to the development
of substance use disorders in the LGBTQ+ population?
A. Childhood teasing
B. Stressors related to sexual identity formation
C. Socialization at gay bars
D. Internalized homophobia - ANSWER-A. Childhood teasing
A motivational syndrome—which consists of symptoms of passivity, aimlessness,
apathy, uncommunicativeness, and lack of ambition—is associated with which one of
the following substances?
a. Heroin
b. Inhalants
c. Alcohol
d. Marijuana - ANSWER-d. Marijuana
Which of the following best depicts the chronic effects of long-term severe alcohol use
disorder?
a. cirrhosis of the liver, permanent psychomotor retardation, blackouts, malnourishment,
and heart attack
b. cirrhosis of the liver, permanent loss of memory, gastritis, esophagitis, ulcers,
pancreatitis, high blood pressure, weakened heart muscles, and problems with friends,
family, employment and finances
c. cirrhosis of the liver, memory loss, flashbacks, increased anxiety and permanent
depersonalization
d. cirrhosis of the liver, long-term immune system depression, supression of male and
female hormones, and problems with friends, family, employment and finances -
ANSWER-b. cirrhosis of the liver, permanent loss of memory, gastritis, esophagitis,
ulcers, pancreatitis, high blood pressure, weakened heart muscles, and problems with
friends, family, employment, and finances
Which ethnic group in the United States experiences an earlier onset of substance use
and substance use disorders, has a greater likelihood of going to prison for their use,
and has higher rates of negative health effects, such as cirrhosis of the liver and
esophageal cancer, than other ethnic groups?
a. Native Americans
b. Hispanic Americans
c. Asian Americans
d. African Americans - ANSWER-d. African Americans
,Which of the following substances is typically associated with the following withdrawal
symptoms: increased anger, hostility, aggression, loss of social cooperation, and
decreased ability to handle stress?
a. marijuana
b. nicotine
c. cocaine
d. alcohol - ANSWER-b. nicotine
The stages of the Gorski Model of relapse prevention are:
a. emotional, physical, and mental
b. use, treatment, relapse, early recovery, middle recovery, and late recovery
c. precontemplation, contemplation, preparation, action, maintenance and relapse
d. transition, stabilization, early recovery, middle recovery, late recovery and
maintenance - ANSWER-d. transition, stabilization, early recovery, middle recovery, late
recovery and maintenance
David Hawkins and colleagues researched the typical risk and protective factors that
occur in the community, family, school and among individuals. Which one of thee
categories have risk factors of "early and persistent antisocial behavior, academic
failure beginning in elementary school, and lack of commitment to school"?\
a. the family risk category
b. the school risk category
c. the community risk category
d. the individual or peer risk category - ANSWER-b. the school risk category
Which one of the following mental health disorders is least likely to be seen in
conjunction with a substance use disorder?
a. anxiety
b. Tourette's Syndrome
c. hypochondriasis
d. depression - ANSWER-c. hypochondriasis
The primary modality for treating substance use disorders is:
a. day treatment
b. 12 step programs
c. residential care offered in free standing treatment centers operated by hospitals or
behavior health agencies
d. community care - ANSWER-c. residential care offered in free standing treatment
centers operated by hospitals or behavior health agencies
Jamal has regularly used his drug of choice for over five years, which has the acute
effects of rise in heart rate and blood pressure, a higher body temperature than normal,
dizziness, dilated pupils, sensory distortions, dreaminess, depersonalization, altered
mood, and impaired concentration. What substance is Jamal most likely using?
a. LSD
,b. inhalants
c. heroin
d. PCP - ANSWER-a. LSD
According to the Public Health model of prevention, primary prevention is targeted at
those:
a. Who meet criteria for a substance use disorder
b. Communities that have significant problems with substance use disorders
c. Who are just beginning to use substances, but who are already showing signs of
difficulty
d. With little to no experience with alcohol, tobacco, or other drugs - ANSWER-d. with
little to no experience with alcohol, tobacco, or other drugs
What act created prohibition in the United States, banning the production,
transportation, import, export, sale, and consumption of alcohol?
a. The Alcohol and Prohibition Act
b. The Volstead Act
c. The Harrison Act
d. The Rockefeller Alcohol Act - ANSWER-b. The Volstead Act
Approximately what percentage of individuals who administer mood altering substances
intravenously are HIV positive?
a. 70-80 percent
b. 5-15 percent
c. 30-40 percent
d. 40-50 percent - ANSWER-c. 30-40 percent
What percentage of incarcerated juveniles were under the influence of a substance
when they committed their crimes?
a. 10 percent
b. 25 percent
c. 50 percent
d. 80 percent - ANSWER-d. 80 percent
Sam uses a substance that he believes helps him in his job as a firefighter. Many of
Sam's friends and coworkers also take this substance, so he believes that this
substance is harmless. What Sam does not know is that this substance can cause
atrophy of the testicles, impaired production of sperm, infertility, early baldness, acne,
enlargement of the breasts, coronary artery disease, jaundice and liver tumors. What
substance is Sam most likely using?
a. benzodiazepines
b. opiods
c. amphetamines
d. anabolic steroids - ANSWER-d. anabolic steroids
Evidence for genetic influences of addiction includes all of the following except:
, a. adopted children more closely resemble their biological parents than their adoptie
parents when it comes to their use of alcohol
b. children of parents wih an alcohol use disorder are as much as 7 times more likely to
develop an alcohol use disorder than children whose parents do not have an alcohol
use disorder
c. rates of alcohol use disorder are higher in identical twins than in fraternal twins
d. individuals with certain physical features are more likely to develop an alcohol use
disorder than those who do not have those certain physical features (e.g. skin color, hair
color, eye color, and body build) - ANSWER-d. individuals with certain physical features
are more likely to develop an alcohol use disorder than those who do not have those
certain physical features (e.g. skin color, hair color, eye color, and body build)
Lucy is in treatment for a substance use disorder. She is in a setting in which she
remains in a facility during part of the day but can return home in the evening. This
setting allows her to remain involved with some normal aspects of her life. She is
therefore more able to apply what she is learning to her real life than some other types
of treatment settings. Which type of treatment setting is most likely being described?
a. Day Treatment
b. Residential Treatment
c. Outpatient Treatment
d. Therapeutic Community - ANSWER-a. Day Treatment
Which one of the following is NOT a part of the Center for Substance Abuse Prevention
classification system?
a. education
b. alternatives
c. information dissemination
d. primary prevention efforts - ANSWER-d. primary prevention efforts
One of the more prevalent myths about those with substance use disorders is that they
have a:
a. Character flaw
b. Disease
c. Low tolerance for pain or stress
d. Mental illness - ANSWER-a. character flaw
A woman has suffered from major depression for many years. She often feels
distressed and has found that using a certain substance makes her feel better.
Therefore, she uses her substance of choice on a nearly daily basis. This information
best supports which one of the following types of influences on the development of
substance use disorders?
a. sociocultural
b. philosophical
c. psychological
d. Environmental - ANSWER-c. psychological
