Alcohol & Drug Counselor Exam Practice Problems: 450 Practice Questions For The IC&RC ADC Exam Flashcards
A fourteen year old male is being evaluated for cocaine abuse. He has no knowledge of any family hx of abuse & has indicated that he began only in the past 6 months. Which of the following addiction factors is most likely the most influential on his drug use?
Peer Influence
Which of the following is not a model for the causation of addiction?
Familial model
Holds humans accountable for their own actions and states that addiction can be controlled by choice of the individual. Addiction therefore is a weakness and is not caused by any genetic or outside influence.
Moral Model
The belief that a person’s biological makeup is responsible for addiction tendencies.
Genetic model
Models are an attempt to explain simply why people become addicted. _____________ is an approach that incorporates all potential factors: moral model, genetic model, disease and cultural model.
The blended model
As an individual continues to use an addictive forming drug over a period of time, which of the following is a correct statement regarding the influence of outside factors (peers, family, stress) contributing to the habit of addiction?
(A) As drug use continues the influence of outside factors remains about the same
(B) As drug use continues the influence of outside factors increases
(C) As drug use continues the influence of outside factors decreases
(D) None of the above
(C) As drug use continues the influence of outside factors decreases
Which of the following is the most commonly abused substance in America?
(A) Marijuana
(B) Alcohol
(C) Cocaine
(D) Prescription Drugs
(B) Alcohol
Which of the following is a true statement regarding the abuse of alcohol?
(A) Women have a higher risk of developing problems from alcohol abuse than men
(B) Men are more likely to drink higher volumes of alcohol than women
(C) Organ damage due to alcohol abuse is more likely in women than men
(D) All of the above
(D) All of the above
There are gender differences in relation to the abuse of alcohol.
Men more likely to drink more in terms of volume and use in general.
Due to the fact that alcohol is absorbed differently in women than men, women have a greater risk of internal damage from alcohol consumption.
Which of the following is a false statement about marijuana use?
(A) Marijuana is not an addictive substance
(B) Marijuana can contribute to depression and suicide
(C) Research shows marijuana users generally have a lower level of fulfillment in life
(D) Marijuana increases the risk of heart disease
(A) Marijuana is not an addictive substance
Which of the following is not an example of prescription drug abuse?
(A) A friend providing OxyContin for a stiff neck
(B) Taking an additional Valium beyond the amount prescribed to ease tension before public speaking
(C) Using leftover Vicodin from a car accident that occurred a year prior to treat a new injury
(D) None of the above
(D) None of the above
Which of the following is most commonly the main reason for a client deciding to begin the process of treatment?
(A) Internal motivation
(B) Family or Peer encouragement
(C) Diagnosed medical issues
(D) Financial Issues
(A) Internal motivation
Which of the following is not an effective technique for establishing rapport with a client during the initial interview?
(A) Observing and noting the dress & appearance of the client
(B) Providing reassurance that things will be ok no matter how dire the individual’s situation
(C) Exhibit acceptance regardless of the client’s prior actions
(D) use of open-ended questions
(B) Providing reassurance that things will be ok no matter how dire the individual’s situation
Which of the following is not an example of proper active listening?
(A) Restating specific words the client has used
(B) Refocusing the client’s attention on a specific topic of interest
(C) Providing stories from your own experience that relate to the client’s struggle
(D) Summarizing key feelings that the client has shared
(C) Providing stories from your own experience that relate to the client’s struggle
What are the four specific skills of active listening?
Reflecting, Clarifying, Focusing, and Summarizing
Which of the following is not a part of the screening process?
(A) Identify the presence of a problem
(B) Identify the likely solution to a problem
(C) Measuring the severity of an identified problem
(D) Identify the need for further evaluation
(B) Identify the likely solution to a problem
The solution to an identified problem should be pushed to the assessment of the client
Which of the following is not an example of an effective screening processes?
(A) Evaluating the subject in multiple locations
(B) Evaluating the subject by gathering information from multiple people
(C) In-depth initial screening questions to provide a thorough process
(D) Obtaining information from multiple sources
(C) In-depth initial screening questions to provide a thorough process
⚫️ Screenings should be done in multiple settings and by multiple people
⚫️ Information should be gathered from more than one source
⚫️ Initial screenings should be brief
Which of the following is a screening instrument for co-occurring disorders?
(A) Modified Mini-Screen (MMS)
(B) Michigan Alcohol Screening Test (MAST)
(C) CAGE Questionnaire
(D) Global Appraisal of Individual Needs (GAIN)
(A) Modified Mini-Screen (MMS)
Which of the following withdrawal symptoms is common in nearly all types of drugs when use is stopped?
(A) Seizures
(B) Itchy feeling all over skin
(C) Dysphoria
(D) Delirium Tremens
(C) Dysphoria (Severe feelings of sadness and depression)
Which of the following is not one of the eight stages of effect for alcohol?
(A) Euphoria
(B) Confusion
(C) Depression
(D) Coma
(C) Depression
What are the 8 stages of effect for alcohol?
Sobriety, Euphoria, Excitement 1, Excitement 2, Confusion, Stupor, Coma, and Death
A client in an initial screening indicates that she has not slept very well at all in weeks and seems to be suffering from a reduced appetite. You notice she has a noticeable bruise on her leg and when asked about it she recalls a physical altercation she had recently at a party. When consulting her mother, she mentions that her mood has been very unpredictable and that she would often storm out unexpectedly. Which of the following is the subject most likely suffering withdrawal symptoms from?
(A) Methamphetamine
(B) MDMA
(C) Cocaine
(D) Steroids
(D) Steroids—the defining symptoms are violent behavior and mood swings. They are often a result of steroid withdrawals
Which of the following assessment instrument format is the most appropriate for a 45-year-old woman who has an addiction to alcohol and is recently divorced? The woman has a single child and will be entering into a custody battle with her previous husband.
(A) Standardized interview
(B) Structured interview
(C) Self-administered test
(D) None of the above
(A) Standardized interview
Which of the following is not a characteristic of self-administered assessment test?
(A) They most often are written at a 4th or 5th grade reading level
(B) They provide a quantifiable metric
(C) They prevent interview bias
(D) They must be administered by highly skilled staff
(D) They must be administered by highly skilled staff
Which of the following is an acceptable person for the use of a translator for an assessment involving a low English proficient client?
(A) Family member
(B) A community insider
(C) Independent translator
(D) All of the above
(C) Independent translator
A client enters and shows visual signs of withdrawal. They appear to have significant nausea, agitation, and are indicating the intention for self-inflicted harm. Which of the following is the most appropriate initial reaction?
(A) Attempt to calm the client and begin an initial assessment
(B) Alert the clients friends and family
(C) Seek medical attention for the client
(D) All of the above
(C) Seek medical attention for the client
Which of the following is not a factor in the assessment for suicide risk?
(A) Abuse of alcohol
(B) Family hx of suicide
(C) Evidence of aggression towards others
(D) None of the above
(D) None of the above
Which of the following drug test types is not appropriate for the use of monitoring compliance on a regular basis?
A.) Hair
B.) Urine
C.) Saliva
D.) Sweat
A.) Hair
Which of the following ranges is the amount of time alcohol stays in the body after ingestion?
A.) A few hours
B.) 12-24 hours
C.) 1 to 3 days
D.) About a week
A.) A few hours
Which of the following is not linked to causing false positive on drug tests?
A.) Doxylamine
B.) Poppy seeds
C.) Sesame seeds
D.) Sertraline
C.) Sesame seeds
Which of the following is most often not a step for counselors in the assessment of co-occurring disorders?
A.) Screening of co-occurring disorder
B.) Determine the severity of the potential disorder
C.) Diagnose the mental disorder
D.) Determine the effect the disability has on the client in relation to substance abuse
C.) Diagnose the mental disorder
Which of the following is not a true statement regarding the connection between mental health disorders and substance abuse?
A.) The effect of drug use is equal for those w/ or w/out MH disorders despite the increased risk
B.) An undiagnosed MH issue can lease to substance abuse
C.) Some drugs may cause diagnosable mental illness after extended use
D.) The risk of MH disorders can be increased w/ drug abuse
A.) The effect of drug use is equal for those with or without mental health disorders despite the increased risk.
Which of the following is not consistent with the methodologies for the American Psychiatric Association DSM-5 criteria?
A.) All people are not automatically susceptible to developing SUD
B.) The brain’s reaction to drugs of creating a rewarding feeling is an essential part of the substance abuse process
C.) Substance induced disorders may be a result of a preexisting condition
D.) Not all people are equally susceptible to substance abuse
C.) Substance induced disorders may be a result of a preexisting condition
The induced disorders are mostly a direct result of taking the drugs and are not as a result of a preexisting condition such as a mental disorder.
Which of the following is not an example of a substance use disorder?
A.) A person leaving work early due to the need for drug use
B.) Constantly saying they need to cut down on use but never managing to do so
C.) Entering into knowingly dangerous situations to obtain drugs
D.) Having feelings of severe depression
D.) Having feelings of severe depression
In evaluating a client using the DSM-5 criteria, you note that they show symptoms of five of the eleven SUD criteria. Which of the following is the severity of the substance use disorder?
A.) No diagnostic of SUD
B.) Mild
C.) Moderate
D.) Severe
C.) Moderate
Which of the following substances is most likely to be associated with withdrawal symptoms of increased physical activity such as elevated blood pressure, agitation, and anxiety?
A.) Cocaine
B.) Alcohol
C.) Ecstasy
D.) Steriods
B.) Alcohol
After an assessment and medical examination, the client is diagnosed with having long-term damage to their ability to concentrate and memory. Which of the following is most likely the substance of abuse?
A.) Amphetamines
B.) Heroin
C.) Marijuana
D.) Steroids
A.) Amphetamines
Substances that can cause long-term damage: alcohol, some inhalants, and amphetamines
Which of the following is not a characteristic of the intake process?
A.) It is the first phase of the treatment process
B.) It May involve any significant others of the client
C.) It mostly serves a more administrative than clinical function
D.) The intake process is standardized according to the institution of use
A.) It is the first phase of the treatment process
Which of the following is not a basic function of the intake process?
A.) Determine if the client in fact needs services
B.) Collection of data
C.) Determine a plan for treatment
D.) All of the above
D.) All of the above
Which of the following is not a reason for confidential information to be released as per client’s right to confidentiality?
A.) By authorization of a significant other
B.) To report child abuse
C.) For a medical emergency
D.) If the court determines a “good cause”
A.) By authorization of a significant other
Which of the following is not a lawful right of the client?
A.) Right to Individual Dignity
B.) Right to Communication
C.) Right to Personal Effects
D.) Right to Minimum Level of Service
D.) Right to Minimum Level of Service
Which of the following is not a proper characteristic of the development of a treatment plan?
A.) A treatment plan can be developed concurrently with the late stages of diagnosis
B.) The client’s needs should be prioritized according to the urgency of the concern
C.) Treatment plans are individualized to the client’s needs
D.) Treatment plans require regular review for adjustments
A.) A treatment plan can be developed concurrently with the late stages of diagnosis
A treatment plan is contingent on addressing the needs of the individual client. All of the screening process and information must be use to make determinations. Therefore, the treatment plan can only be developed after the screening process is complete.
Which of the following is not a typical phase of the treatment process?
A.) Engagement
B.) Detoxification
C.) Stabilization
D.) Primary Treatment
B.) Detoxification
The phases of the treatment process are usually engagement, stabilization, primary treatment, and continuing care.
Collaboration with the client is an important part of the treatment process. Which of the following is not an appropriate way to engage the client?
A.) Have the client determine their appropriate treatment or diagnosis
B.) Review identified strengths and concerns w/ the client
C.) Review proposed goals of the treatment process
D.) Have the client sign off on the treatment plan
A.) Have the client determine their appropriate treatment and diagnosis
Which of the following occurrences typically warrants the development of a new treatment plan?
A.) Any time there is change in service
B.) When the client achieves a specified goal
C.) A client who is re-admitted to treatment
D.) Any time the client has had a setback
C.) A client who is re-admitted to treatment
Which of the following is not a stage of change as recognized in DiClemente and Prochaska Model of Change?
A.) Contemplation
B.) Acceptance
C.) Action
D.) Termination
B.) Acceptance
Six Stages of Change: Pre-contemplation, Contemplation, Preparation, Action, Maintenance, and Relapse
If a client fails to improve or if the situation continues to deteriorate, which of the following is the most appropriate course of action?
A.) Re-evaluate the treatment plan and make adjustments based on the individual
B.) Re-conduct the screening process
C.) Interview the client to determine what is not working
D.) None of the above
A.) Re-evaluate the treatment plan and make adjustments based on the individual