Exam Flashcards
Effective counselor/supervisor relationships include all of the following EXCEPT:
A) The supervisor assessing the counselor’s ability to take a stand
B) Ongoing feedback
C) A climate conductive to feedback
D) A standardized, objective format
A
In supervisory intervention, supervisors’ remarks which promote self-exploration, conceptualizer ion, and more inclusive integration of methods are described as:
Catalytic
All of the following are models of clinical supervision EXCEPT:
A) Influential
B) Structural
C) Rational-emotive
D) Symbolic
C
According to David Powell and Archie Brodsky in “Clinical Supervision in Alcohol and Drug Counseling,” the four overlapping foci of effective supervision include all of the following EXCEPT:
A) Supportive
B) Clinical
C) Evaluative
D) Didactic
B
The general approach to analysis in case studies based on interview and literature data where content analysis is used may BEST be characterized as:
Qualitative
To estimate the degree to which two sets of scores derived from the same sample vary together, you would calculate:
A correlation coefficient
ASAM adolescent admission criteria for level IV medically managed intensive inpatient treatment lists several biomedical conditions and complications. All of the following are part of those criteria EXCEPT:
A) disulfiram-alcohol reactions
B) Biomedical evidence of a co-existing serious injury or biomedical illness, newly discovered and ongoing
C) Recurrent or multiple seizures
D) Substance use that greatly complicates or exacerbates previously diagnosed conditions
B
A client suffering from alcohol hallucinations and presenting for treatment exhibiting auditory hallucinations and delusions of persecution
Cannot easily be evaluated to determine an accurate history of the exact amount of consumption
Cognitive risk factors for relapse include all of the following EXCEPT:
A) Overconfidence
B) Positive moods and feelings of success
C) Difficulty overcoming negative moods
D) Belief that addiction is not a disease
B
According to a study conducted by J. E. Heller on controlled drinking in modality, what percentage of alcohol users maintain at a social drinking level?
2%
Harold has a dual diagnosis and has developed side effects from a drug involving the extrapyramidal motor system. What drug has Harold MOST likely been taking?
A major tranquilizer
Post-acute withdrawal syndrome is a neurological consequence of alcoholism which predisposes a person to:
Relapse
All of the following are descriptions of a cognitive-behavioral model of therapy EXCEPT:
A) Empathic relationship between counselor and patient, relaxation training and homework assignments
B) Daily thought record (DTR), role playing, and imagery
C) Activity monitoring and scheduling, exercise, and stimulus control
D) Education, focus on family of origin issues, and confrontation of belief system
D
It is considered unethical for a counselor to:
A) Talk with a client any place other than the counseling office
B) Treat client problems that are beyond his skill level
C) Refuse treatment for certain clients
D) Discuss some personal feelings
B
When participating in the screening process, a counselor must be skilled in:
Making referrals
Which statement is TRUE regarding dual relationships with clients that might impair the counselor’s judgement
They must be avoided
If the orientation process is neglected or incomplete a client may:
Have incorrect information and unanswered questions about the program
A common error that counselor’s make when conducting an assessment is
Moving too quickly from data collection to treatment planning
What is essential for successful recovery from addiction?
Admitting to a drinking and/or drug problem
Interventions by a group counselor should
Address issues critical to the functioning of the group as a whole
When clients ask directly for advice, it is usually helpful for counselor’s to:
Encourage the client to explore various alternatives
Which of the following does NOT have to appear on a “Release of Information” form?
A) Purpose of the release
B) Name of recipient
C) Signature of counselor
D) Signature of client
C
A client experiences a crisis situation. As a counselor, your MOST important function is:
To help convert the emergency into a solvable problem
While progress has been made, society still disapproves much more strongly of substance abuse by women than by men. Which of the following statements is NOT true?
A) Women have customarily been expected to live up to a higher standard of moral and social behavior
B) Society perceives female substance abusers as promiscuous, immoral, and unfeminine
C) Mothers bear the additional burden of guilt over how substance abuse has interfered with their child rearing responsibilities
D) a number of roles traditionally deemed female - in particular, nurturing and maternal duties - are perceived as incompatible with drug-affected behavior
C
What is MOST appropriate in providing linkage between a treatment program and A. A.?
Counselors should visit A. A. meetings and have a list of meetings to share with clients
Concise and accurate reporting is necessary in order to:
Ensure continuity of client care
Consultations are an important component of the treatment process because:
Input and information from others will assist the treatment process
What bodily fluid has the highest risk of potential infection?
Vaginal secretions
What is an example of exploitation?
Leaking to the public the name of a celebrity who is in treatment at your facility
In a crisis interview with the client, you are most concerned with:
Focusing questions about the present situation and the client’s means of coping with the stress
The style of counseling in which a counselor has made a decision to be committed to equality for all people and acts to treat all people alike, regardless of race or cultural background, is known as:
The “color-blind” counselor
A person wants to accept a party invitation because he/she is very social but is concerned because there will be a lot of drinking and he/she is a member of AA. He/she is experiencing a(n):
Approach-avoidance conflict
The first step to family change is:
Interruption of ongoing patterns with confrontation or disengagement
Hallucinations work on the brain by interfering with various neurotransmitters, causing an overlap of the senses to occur. The term for this overlap of the senses is:
Synesthesia
In alcohol and drug abuse, denial is:
A common barrier to overcome in the early stage of accepting the abuse problem
Burnout in counselors might be avoided by periodic:
Self assessment
During the screening process, a critical task a counselor has is to:
Establish rapport with the client
During the intake, the counselor can expect to address all of the following issues except:
A) A client’s fears and denial
B) Information gathering
C) The preliminary identification of client goals
D) Treatment planning
D
According to Rational-Emotive Behavior Therapy, we develop emotional disturbances because of our:
Intrinsic beliefs about certain beliefs
Which of the following is the BEST indicator that an individual is physically dependent upon alcohol or another drug
Presence of withdrawal symptoms
What MUST be included in the treatment plan?
The client’s problems and services to be provided
When a client discloses suicidal thoughts, the counselor’s first step is to:
Assess the degree of risk
In an apologetic tone, a recovering client tells the counselor that he is still having urges to drink. The counselor can help by:
Normalizing the drinking urge and encouraging continued efforts toward relapse prevention
What is TRUE about case management?
It is the coordination of services in an effort to reach the goals of the treatment plan
Sally is a 16-year-old girl who has been admitted to the program for chemical dependency. She has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. And assessing Sally the counselor should first consider:
Sally’s familial relationships and social milieu
It is appropriate for a counselor to teach a client about the physiological effects of the drugs he or she has been using during the admission of which of these core functions?
Client education
What would be MOST appropriate to assure follow through on a referral?
Notify the referral source of the referral and have client called to make an appointment
Client files are reviewed by the clinical supervisor for the purpose of
Providing professional feedback to enhance the counseling process
If the client is experiencing difficulties conforming to the rules and expectations of the program, the counselor’s first course of action would be to:
Consult with supervisor and other members of the treatment team
All of the following counseling theories are appropriate for the direct care of recovering addicts during the first month every habilitation EXCEPT:
A) Rational emotive therapy
B) Reality therapy
C) Psychoanalysis
D) Gestalt therapy
C
According to the addiction counselor coated ethics, certified counselor must do all the following EXCEPT:
A) Prevent the practice of alcohol and drug abuse counseling by unqualified and unauthorized persons
B) Make provisions for the maintenance of confidentiality and the ultimate disposition of confidential reports
C) Be concerned primarily with the reputation of the profession when in the presence of professional conflict
D) Espouse objectively and integrity and maintain the highest standards in the services provided
C
Which of the following is a characteristic of Gestalt therapy?
A focus on unfinished business
Of the five basic counseling styles that define how nonminority counselor might deal with the minority client, which style will produce the most productive outcome when working with a minority client?
The “Culturally-Liberated” Counselor
Which of the following defense-oriented behaviors is of the damage-repair type?
Mourning
The primary factor in the development of young people’s attitudes towards drugs is:
Parental role models
Marijuana is a unique compound which contains over 200 chemicals. One particular chemical, however, is a main psychoactive chemical that makes marijuana “go.” The name of the psychoactive compound is:
Cannabinol
Which drug does NOT fall under the prescription drug classification of benzodiazepine?
Percodan
If a counselor knows that he or she is unable to assure the client of confidentiality, he or she should:
Inform the client of this fact
The intake process is usually an extension of the:
Screening
While gathering and alcohol and other drug history, which of the following is a good clue to alcohol dependency?
Increased tolerance and withdrawal symptoms when abstinence is attempted
What is TRUE about a treatment plan?
Client’s own goals for treatment must be considered and discussed
When a group faces denial by group members, the counselor should:
Directly confront the denial
What is TRUE of defense mechanisms?
They are ways of coping that are used by everyone
The BEST way of dealing with individual needs in a group is to:
Use the group process to share mutual concerns
A frequent client reaction during the termination phase of counseling is:
Acting out behavior
In order to provide clients with updated information concerning addiction and recovery the counselor must
Stay well informed and aware of recent developments in the field
Client files should readily be accessible to
Only person is directly involved in providing clinical services
The following issue MUST be considered when consulting with out-of-agency professionals
Best practices related to confidentiality
Of the following aids associated illnesses, which may be less recognizable and substance abusers?
A) Dementia
B) Tuberculosis
C) Wasting syndrome
D) Chronic herpes simplex
A
The agency you work for does not provide post discharge services. It is a professional responsibility to:
Develop a plan for ongoing client support
What is defined as “the repulsion towards homosexuals and often the desire to inflict punishment as retribution, and in case of homosexuals them selves, self-loathing.”
Homophobia
Factors often cited as responsible for unsuccessful treatment programs for Hispanic Americans include all of the following EXCEPT:
A) The inequality of services provided
B) Confusion caused by language barriers
C) Viewing the Hispanic culture as hetero genius
D) Traditional techniques of psychodynamic treatment
C
Phobic behaviors are reinforced by
Reduction in anxiety
After several months in marital and family therapy the alcoholic spouse suffers I relapsed. The MOST useful approach to the couple is to:
Frame the relapse as a sign that marital therapy was moving too quickly, and it would be good to get back to the basics of early recovery.
If an individual were to take two barbiturates, such as phenobarbital and secobarbital simultaneously, the drug interaction effects would most probably be described as:
Additive
What is true in regard to case management
The counselor should coordinate regular communication between professionals involved in the clients treatment
What statement made by a client in a group would most warrant documentation in the clients progress note?
“Ever since I stopped drinking, my emotional swings have been quite intense.”
What is a speedball?
An injectable mixture of heroin and cocaine
The disease concept of addiction is a useful concept for treating alcoholics and addicts because:
It allows the client not to feel guilty for being addicted
Pink cloud is an expression used to describe alcoholics in early recovery who:
Are overly optimistic about their futures and don’t production normal stresses
After completing an assessment interview with a difficult client, the counselor received a phone call from the client suggesting that the two have dinner together. What is the most appropriate course of action for the counselor?
Decline the invitation
In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:
A) Whether the patient has family support for sobriety
B) Whether the patient believes he can succeed in an outpatient program
C) Whether the patient has a history of sobriety during the last several years
D) Whether the patient’s family is likely to give him another chance if treatment fails
D
The identification and ranking of problems needing resolution is a function of:
Treatment planning
Define acupuncture
A traditional Chinese medical treatment that uses the insertion of find needles into certain points on energy channels in the human body in order to manipulate the flow of energy to restore or maintain health. Western medical thought hold that these manipulations somehow influence the endorphins and enkephalins in the human brain, though the mechanism for this has not been clearly explained. This technique is sometimes used to help Addicts through the detoxification process
Define Adlerian theory
Adler’s theories are known as individual psychology. He gave us the concept of the inferiority complexand emphasize the importance of birth order on an individual psychological functioning. Encouragement is a major tool and Adlerian therapy and this approach places a strong emphasis on the client recognize their own strengths and believe in their own dignity and self-worth.
Define admission forms
Paperwork completed when a client enters treatment which contains personal and demographic data as well as necessary signatures to ensure that the client has understood his or her rights and that the program has necessary information to place the client appropriately and provide billing to the parties who are responsible for payment
Define aftercare
Typically refers to an individual or group counseling used to provide support and direction following primary treatment
Define agency policies
Usually the written statements of a treatment organization plans and guidelines for executing an organizational purposes
