CADC practice exam #2 Questions and Answers

"Referral" means: - ANSWER-Assisting a client to utilize the support systems and community resources available ___________________ are a problem associated with consuming alcohol and valium together. - ANSWER-Synergistic effects ___________________ is the belief that ones own culture is superior to others. - ANSWER-Ethnocentrism "Excessive use of alcohol is a result of personal choice and therefore should be punished." This statement is consistent with the __________________ model of addiction. - ANSWER-Moral A common problem for beginning counselors is: - ANSWER-Failing to identify an approach that is appropriate to the client A counselor wants to record a counseling session with a client so that the counselor could listen to the tape, along with her supervisor, as part of ongoing training. According to ethical best practices, the counselor's plans are: - ANSWER-Ethical, as long as the client granted permission beforehand. A major criticism of self-report instruments is that the questions are so obvious that these tests cannot possibly detect alcoholics who deny having a problem. This issue is the dilemma of _______________ questions. - ANSWER-Face valid A mental status exam does NOT assess: - ANSWER-Education level Abstinence is to harm reduction as: - ANSWER-Alcoholics Anonymous is to needle exchange Appropriate treatment goals must be: - ANSWER-Agreed upon by the client and counselor Arbitrary inferences and selective abstractions are examples of: - ANSWER-Cognitive distortions Beneficence is the ethical principle that means: - ANSWER-Help Client education on HIV and other sexually transmitted diseases: - ANSWER-Is important information to incorporate in the treatment process of every client Completing necessary documentation for admission to a particular treatment program occurs during the ______________ process. - ANSWER-Intake Concise and accurate reporting is necessary in order to: - ANSWER-Ensure continuity of client care Counselor self-disclosure is BEST limited to: - ANSWER-Ideas and emotional reactions in the counseling session Drowsiness or coma, slurred speech, impairment in attention or memory are all signs or symptoms of: - ANSWER-Opioid intoxication Generally, the Tarasoff requirement has been interpreted as: - ANSWER-A duty to warn the intended victim and/or the police In his second counseling session, a client reveals to the counselor that he is HIV positive. The counselor's BEST course of action is to: - ANSWER-Discuss the client's case with the clinical supervisor in order to meet the needs of this client In which situation is it NOT acceptable to release confidential information without prior consent from the client? - ANSWER-If law enforcement officials request information in writing. Jackie is recently discharged from the Air Force. His counselor suspects that he has PTSD, due to his experiences during active duty in Afghanistan. The counselor contacted the Veteran's Administration and located a clinic in the area with special groups for Vets with PTSD. The counselor then made arrangements for Jackie to be attend these groups while he is still in primary treatment for substance abuse. The counselor's actions are BEST described as: - ANSWER-Case Management Methadone maintenance programs can BEST be described as: - ANSWER-Harm reduction request Niko is a client who has ben gaining weight steadily since entering treatment. When confronted about his constant snacking and lack of activity, he told his counselor that he needed to eat this way in order to keep his mind off of his DOC. He felt that he deserved to indulge, since he was giving up the primary source of satisfaction he had used for years. The counselor would rightly conclude that the ego defense mechanism of __________ is at work here. - ANSWER-Rationalization One basic principle of documentation requires the counselor to: - ANSWER-Record material in a manner that allows a new counselor to understand the general progress of any client. Rajish is avoiding social situations which involve drinking or drugs. He is worried that others may encourage him to drink. The counselor suggests that they act-out such a situation in order to develop responses if such a situation arises. This counseling technique is: - ANSWER-Role-play Rates of opioid use are higher in __________ than in ____________. - ANSWER-Males; Females Reinforcement and punishment are associated with ________________ Therapy. - ANSWER-Behavior Some researchers have concluded that no one pattern of dysfunctional substance abuse exists. They also conclude that there more than one personality type that is more prone to addiction than some others. This multivariate focus is MOST consistent with the: - ANSWER-Biopsychosocial model Studies have linked substance abuse among African Americans to three factors: economic deprivation, stress and __________________. - ANSWER-Racism The concept of informed consent requires that before agreeing to accept treatment, clients should know ________________, their rights and obligations, fees for services and limits of confidentiality. - ANSWER-The goals of therapy The cultural philosophy of "noninterference" is associated with alcohol-related problems among: - ANSWER-Native Americans The DSM-5 includes criteria sets specific to intoxication for each substance category except for _______________. - ANSWER-Tobacco The first step of Alcoholics Anonymous requires: - ANSWER-An admission that one's life is unmanageable The initial stage of crisis intervention involves: - ANSWER-Recognizing the crisis The primary goal of a mental status exam is to measure the client's orientation to ___________, ___________, and ______________. - ANSWER-Person; Place; Time The primary principles behind Alcoholics Anonymous are spirituality, self-improvement and _____________________. - ANSWER-Service to others Which core function of counseling is related to the term "didactic"? - ANSWER-Client education Which neurotransmitter is most closely associated with feelings of well-being, appetite and mental alertness? - ANSWER-Serotonin Which of the following is a CNS depressant? - ANSWER-Xanax Which of the following is an SSRI? - ANSWER-Prozac Which of the following is most closely associated with involuntary confinement, such as a prison setting? - ANSWER-Gestalt Therapy Which of the following is the BEST definition of a "slip"? - ANSWER-An episode of substance abuse following a period of abstinence Which of the following is the BEST definition of denial? - ANSWER-An ego defense mechanism that allows one to pretend a problem is not real Which of these is the BEST example of a substance-induced disorder? - ANSWER-Methamphetamine psychosis Which statement is TRUE regarding counselor self-exploration? - ANSWER-Counselors should not rule out therapy for their own personal issues. With the new DMS-5 nomenclature, clinicians will now specify severity of the addiction using ratings of: - ANSWER-Mild, Moderate, and Severe You are seeing a patient whom you suspect may be suicidal. Which of the following facts most suggests that the risk of suicide is high? - ANSWER-The patient's depressive symptoms have recently improved CASE STUDY: What part of the treatment process was interrupted by the client's wife? - ANSWER-Orientation CASE STUDY: What in this case suggest to you that this client is in a crisis? - ANSWER-He wants to leave treatment CASE STUDY: During the group process, what counseling principle was BEST demonstrated when the counselor asked clients to give examples of times they had acted impulsively and later regretted it? - ANSWER-Enhancing treatment through examining a crisis