cadaac Flashcards
test
1
Q
As clients move through the stages of change, they appear to display an increase in _______.
A
Self-efficacy.
2
Q
Which of the following statements is NOT TRUE regarding phencyclidine (PCP) intoxication?
A
It produces uncontrollable hysteric.
3
Q
When explaining the rationale for the assessment to the client the counselor’s goal is to _______.
A
establish rapport and gain the client’s confidence.
4
Q
Cross-tolerance develops between alcohol dependence and _______.
A
Central nervous system depressants.
5
Q
Which classification of medication has a withdrawal syndrome similar to alcohol?
A
Barbiturates.
6
Q
One way to minimize the risk of client deception in self-reporting instruments is to _______.
A
Administer different instruments that cover the same aspect of the client’s behavior.
7
Q
When referring a client to a new agency, the counselor should _______.
A
Address the client’s fears or misconceptions about the new agency.
8
Q
The BEST reason to identify issues of codependence during an assessment is that _______.
A
It will reveal other problems that need to be addressed.
9
Q
Getting valid information from collateral sources is important _______.
A
In creating accurate reports.
10
Q
A client reports he is having sexual dysfunction, which he believes may be a side effect of a medication. As a counselor, the BEST course of action is to _______.
A
Consult with other program staff and discuss a referral with the client.
11
Q
The MOST common pharmaceutical agents used in a medically managed model of detoxification from alcohol withdrawal are _______.
A
Benzodiazepines.
12
Q
According to the DSM-5, which length of time is required for a diagnosis of sustained remission of a substance-related disorder?
A
Twelve months.
13
Q
The MOST practical reason to write an assessment summary is to _______.
A
Allow clinical staff access to information on the client.
14
Q
Which personality disorder is associated with deliberate self-harm?
A
Borderline personality disorder.
15
Q
In Polysubstance use, which of the following is NOT associated with a secondary drug?
A
It decreases tolerance of the primary drug.
16
Q
The need to use markedly increased amount of a substance to achieve the desired effect is _______.
A
Tolerance.
17
Q
A man thinks that he might have a problem with cocaine. He evaluates the pros and cons of his problem and thinks that he might go to Narcotics Anonymous (NA). This man is in the _______.
A
Contemplation Stage.
18
Q
The definition of antisocial behavior is _______.
A
Irresponsibly defying established laws and morality.
19
Q
What are the skills MOST frequently used during an assessment?
A
Verbal and nonverbal attending, paraphrasing, and probing.
20
Q
Examples of stimulants are _______.
A
Amphetamines, cocaine, and methylphenidate.
21
Q
Ecstasy (MDMA) is an example of _______.
A
A psychedelic.
22
Q
A client presents for treatment with a prescription for benzodiazepines. The counselor knows this medication is used to treat _______.
A
Anxiety disorders.
23
Q
An adolescent with cannabis use disorder is experiencing a decrease in school performance. This is MOST likely due to tetrahydrocannabinol (THC) impairing the brain’s _______.
A
Executive functioning.
24
Q
Before performing an assessment, the client should be informed of the _______.
A
Rationale and procedures that are taking place.
25
Which of the following screening or assessment instruments should a counselor be familiar with and skilled in utilizing?
Substance Abuse Subtle Screening Inventory, Alcohol Severity Index, Michigan Alcoholism Screening Test.
26
For individuals with substance use disorder, which of the following is TRUE about drug craving?
Knowledge of only one method to cope with craving is inadequate.
27
Which of the following does the counselor need when developing a treatment plan in conjunction with community resources?
Respect for the need of contributions from multiple disciplines to the treatment progress.
28
Using strategies to minimize the consequences associated with substance use is called _______.
Harm reduction.
29
Coordination between progress notes and the treatment plan enhances the welfare of the client because it _______.
Ensures that a specific area is not missed.
30
Once a problem has been defined and the decision made to refer a person for treatment, the client should be _______.
Offered a choice of acceptable treatment facilities, if possible.
31
To establish rapport with the client, the counselor will _______.
Demonstrate effective verbal and nonverbal communication.
32
A counselor received a call from a client’s mental health therapist who said that the client had not been keeping their appointments with the therapist. The next step is to _______.
Explore barriers to attending mental health appointments.
33
The process of discharge and transition planning should begin _______.
At admission.
34
Al-Anon encourages _______.
Loving with detachment.
35
Feelings of depression, the presence of former acquaintances, and particular smells and situations are examples of _______.
Relapse triggers.
36
Identifying a client as being in a specific Stage of Change is _______.
Useful for the counselor in outlining strategies of treatment approach.
37
When making a referral, explaining the rationale to the client may result in _______.
Increasing the likelihood of compliance.
38
A recovering counselor, a member of Alcoholic Anonymous (AA), is struggling with a client who continually insists that controlled drinking is possible. The counselor is unable to convince the client to commit to abstinence. The counselor’s BEST option would be to _______.
Consider a Harm Reduction approach with the client.
39
Assisting a client in meeting with a vocational counselor for skill development is _______.
Case management.
40
A counselor should establish and maintain relationships with civic groups, agencies, other professionals, governmental entities, and the community at large to ensure _______.
Appropriate referrals, identify services gaps, expand community resources, and help address unmet needs.
41
Nicotine replacement therapy is an example of _______.
Harm reduction.
42
A written individualized document that addresses all relevant client issues is called _______.
A treatment plan.
43
Becoming overheated and dehydrated is a dangerous effect of _______.
Ecstasy (MDMA).
44
The BEST way to ensure compliance with a referral is to _______.
Clearly explain to the client the rationale for the referral.
45
What should the counselor consider when making a referral to a 12-step group versus Rational Recovery?
Determine which groups are available in the client’s community.
46
Consultation and referral are usually associated with _______.
47
During orientation, the counselor should inform the client that the counselor’s role is to _______.
Assist the client in developing independent skills and identifying alternative choices.
48
When developing the treatment plan, the counselor MUST _______.
Be willing to negotiate treatment options with the client.
49
Which of the following statements about treatment plan objectives is TRUE?
Treatment plan objectives prepare clients for therapy.
50
When a counselor is able to reflect the progress of the treatment plan, it can suggest that the counselor is competent in the area of _______.
Report and record keeping.
51
Discharge from one level of care to another within a continuum is commonly called _______.
Transition.
52
The FIRST step for the treatment plan is to _______.
Specify the problems to be addressed.
53
The half-life of a drug is the time it takes for the half of the drug to clear from the _______.
Blood.
54
When developing a treatment plan with a client, the counselor should _______.
Explain the assessment finding to the client.
55
To be an effective group leader, one MUST _______.
Model the behaviors that one hopes to elicit from the client.
56
Participants of a Cognitive Behavioral Therapy group can learn to change negative behaviors by _______.
Modifying thought processes and emotional reactions.
57
Which of the following beliefs listed below will keep a person in codependency?
It is not okay to talk about or express our feelings openly.
58
An effective treatment program for the alcoholic family attempts to _______.
Reveal the dynamics of the alcoholic family.
59
What is the purpose of coping skills training?
Help families handle conflict.
60
A personal characteristic of a counselor that facilitates an effective therapeutic relationship is _______.
Being authentic, sincere, and honest.
61
In regard to group therapy, the term 'open group' means _______.
Revolving membership with no predetermined time length.
62
Using a Motivational Interviewing style, which technique does the counselor use to handle the client’s lack of cooperation?
Roll with client resistance.
63
A counseling style for eliciting behavioral change by helping clients and resolve ambivalence BEST describes _______.
Motivational Interviewing.
64
The nature of the client-counselor relationship helps predict _______.
Retention and outcomes.
65
Individuals with substance use disorders are often predisposed to compulsive behaviors and pleasurable reinforcement behaviors because _______.
Drug addiction and these behaviors stimulate similar brain pathways.
66
When working with the member of a particular special population group, the counselor’s BEST approach to understanding the client’s needs would be to _______.
Discern to what extent the client identifies with their traditional ethnic group.
67
Substance use may effectively lower sexual inhibitions _______.
Which can lead to high risk sexual behavior.
68
A motivational syndrome is MOST associated with which of the following drugs?
Marijuana.
69
The PRIMARY concept guiding rational emotive therapy is _______.
People are less disturbed by events in their lives by their perspective on those events.
70
Which of the following has been linked to treatment outcomes?
Therapeutic relationship.
71
Which of the following does research demonstrate to be the MOST potent predictor of a client’s progress?
The counselor’s empathy.
72
What is considered 'a natural part of the process' in the Motivational Interviewing approach?
Resistance.
73
Progress notes should be written with the idea that they could be used in a _______.
Legal proceeding.
74
What is the MOST important factor influencing a client’s decision to remain in treatment?
A positive therapeutic relationship with the counselor.
75
Asking the client to re-state the instructions given during orientation allows the counselor to verify _______.
Informed consent.
76
The right to autonomy refers to the belief that clients _______.
Have the ultimate right to make the decisions that affect their lives.
77
A biological reason that a client may relapse after a period of abstinence from cocaine is that _______.
Cessation led to a reduced level of dopamine in the brain.
78
A client is admitted for methamphetamine use disorder. The client states they want help for their methamphetamine use but can drink alcohol socially without any problems. How should the counselor respond?
Ask the client open-ended questions to reduce their ambivalence about drinking alcohol.
79
Presenting diagnosis, treatment outcomes, recommendations, and a continued care plan could all be found in a _______.
Discharge summary.
80
During group, a client remarks, 'I didn’t want to come to group today. I am bored, and we haven’t done anything for weeks.' Which of the following is an appropriate response by the group facilitator?
Clarify the client’s concerns by focusing on key issues.
81
A female client has been resistant to counseling and during an individual session she shouts, 'You are just like my father!' This is an example of _______.
Transference.
82
Which of the following enables a counselor to convey back to the client the essential emotion of what is being communicated?
Reflecting.
83
Alcoholism is associated with increased risk of _______.
Esophageal cancer.
84
What does the term 'open group' in group therapy mean?
Revolving membership with no predetermined time length.
85
Which technique does a counselor use to handle a client’s lack of cooperation in Motivational Interviewing?
Roll with client resistance.
86
What counseling style helps clients resolve ambivalence to elicit behavioral change?
Motivational Interviewing.
87
What does the nature of the client-counselor relationship help predict?
Retention and outcomes.
88
Why are individuals with substance use disorders predisposed to compulsive behaviors?
Drug addiction and these behaviors stimulate similar brain pathways.
89
What is the BEST approach for a counselor working with a member of a special population group?
Discern to what extent the client identifies with their traditional ethnic group.
90
Substance use may effectively lower sexual inhibitions, which can lead to _______.
high risk sexual behavior.
91
A motivational syndrome is MOST associated with which drug?
Marijuana.
92
What is the PRIMARY concept guiding rational emotive therapy?
People are less disturbed by events in their lives by their perspective on those events.
93
What has been linked to treatment outcomes?
Therapeutic relationship.
94
What is the MOST potent predictor of a client’s progress?
The counselor’s empathy.
95
Progress notes should be written with the idea that they could be used in a _______.
legal proceeding.
96
Asking the client to re-state the instructions given during orientation verifies _______.
informed consent.
97
The right to autonomy refers to the belief that clients _______.
have the ultimate right to make the decisions that affect their lives.
98
A biological reason for relapse after abstinence from cocaine is _______.
cessation led to a reduced level of dopamine in the brain.
99
How should a counselor respond to a client expressing ambivalence about drinking alcohol?
Ask the client open-ended questions to reduce their ambivalence about drinking alcohol.
100
Where could presenting diagnosis, treatment outcomes, recommendations, and a continued care plan be found?
Discharge summary.
101
What is an appropriate response by the group facilitator to a client expressing boredom in group?
Clarify the client’s concerns by focusing on key issues.
102
What does the shouting of a female client, 'You are just like my father!' exemplify?
Transference.
103
An effective treatment program for the alcoholic family attempts to _______.
reveal the dynamics of the alcoholic family.
104
Which technique enables a counselor to convey back the essential emotion of what is being communicated?
Reflecting.
105
Alcoholism is associated with an increased risk of _______.
esophageal cancer.
106
The MOST prominent risk factor for substance use in terms of the individual is _______.
genetics.
107
Resistance by adolescent clients toward the counseling process can BEST be described as _______.
an attitude of ambivalence.
108
Counselors treating clients who are different from themselves can change the counseling process inappropriately when they _______.
are not aware of their own stereotypes and biases.
109
What defines the vast array of different groups based on behaviors, attitudes, values, and histories?
Cultural diversity.
110
Withholding psychotropic medications from clients with co-occurring disorders while in substance treatment _______.
increases probability of relapse.
111
One key function of report and record keeping is to _______.
use relevant information from written documents for client care.
112
A credentialed counselor is expected to continually evaluate personal training needs because it is _______.
an ethical responsibility.
113
Selective prevention refers to interventions that are _______.
targeted to those at greater risk of developing a disorder.
114
A written consent for disclosure of client information MUST include _______.
expiration date.
115
Modeling group rules by arriving early to meetings is an example of _______.
modeling.
116
Potential conflicts between legal and ethical standards often surface with _______.
minors or HIV-positive clients.
117
Notes in a client’s chart should include _______.
sufficient objective details.
118
A counselor is ethically obliged to extend a helping relationship until the _______.
counselor is replaced by another helping professional.
119
A dual relationship is formed when a counselor _______.
loans money to the client.
120
Counselors should become aware of their own biases in multicultural group counseling to _______.
avoid causing tension.
121
The FIRST step a counselor MUST take toward developing cultural awareness is to _______.
examine their own values and biases.
122
What is the basic principle of confidentiality?
Professionals are ethically obliged to respect the confidentiality of the client.
123
What should an agency do after disclosing information without a client’s consent during a medical emergency?
Immediately document the disclosure in the client’s records.
124
Ethical codes are intended to serve as _______.
guidelines.
125
What must a counselor do if a client discloses dangerous behavior, such as drinking and driving with children?
Report the suspected driving under the influence.
126
If a counselor is returning to work after a leave of absence due to a relapse, what is the MOST appropriate action?
Address the situation in supervision with input from more seasoned colleagues.
127
Ethnicity is a sense of identity that stems from _______.
ancestry, history, nationality, religion, and race.
128
What should a client’s chart include?
Sufficient objective detail to provide meaningful data to other clinicians.
129
What should a counselor say if a client’s mother asks about the client’s progress?
I'm sorry, I cannot answer your question.
130
What is the MOST appropriate course of action for a counselor when a client develops a new issue outside their expertise?
Make the appropriate referral to another professional.
131
What should a counselor do if contacted by a friend who was once a substance user?
Refer the friend to another counselor.
132
What is a counselor likely experiencing if they get angry when a client discloses past abuse?
Countertransference.
133
What issue is raised if an objective has no timeline?
The objective has no timeline.
134
What does the plan for services BEST describe?
Intensive Outpatient.
135
What is the MOST appropriate content for the assessment section of the progress note?
Client appears to be gaining insight into triggers.
136
What is the BEST question for a counselor to ask to engage the client?
What do you want to gain from counseling?
137
If a counselor responds, 'So, your drinking isn’t excessive,' this is an example of _______.
reflection.
138
Which assessment instrument would be MOST appropriate for a client who drinks daily but claims it's 'not too much'?
Addiction Severity Index (ASI).
139
In what Stage of Change is a client who is unaware of their problem?
Pre-contemplation.
140
Which response demonstrates the counselor’s cultural competence?
Tell me about how alcohol use is viewed in your family.
141
What should a counselor do when reports are incongruent?
Explain how the discrepancies influenced the counselor’s decision.
142
How should a counselor proceed after recommending treatment for a client?
Discuss the rationale for treatment.
143
In reference to a client’s Xanax prescription, what should a counselor do?
Obtain a release and contact the prescribing physician.
144
In reference to a client’s sleep trouble, what should a counselor educate the client about?
Alcohol’s correlation to sleep disturbances.
