IC&RC Alcohol and Drug Counselor exam Flashcards
A 32-year-old male client is being discharged after his first experience in inpatient treatment. His proposed aftercare plan includes a referral to participate in intensive outpatient counseling. The client does not see the need for further treatment as he has been clean sober for the last 28 days. The next step in working with this client would be to
A) Inform the client that he will be considered non-compliant with treatment if he does not follow his aftercare plan
B) Notify the client that the recommendation is being made, regardless of his willingness to follow through
C) Discuss the continuum care with and the reason for the referral
D) Explain that he cannot leave the inpatient facility without an aftercare plan
C
A Client is a 21 year old Latino living with his mother. his mother regularly uses heroin and has engaged in prostitution for income. He has his high school diploma but has not had steady employment since he was 19. His substance use began when he was 16 with marijuana and alcohol. At age 18 he also began periodically using heroin and now reports using heroin daily. He is mandated to treatment after being arrested for robbery to support his substance use. Based on this summary, which level of care is most appropriate to ASAM’s Patient Placement Criteria?
A) Outpatient
B) Intensive Outpatient/partial hospitalization
C) Residential/Inpatient
D) Medically Managed Intensive Inpatient
C
In a session, a client discloses repeated instances of eating large amounts of food at once to the point of nausea. They indicate that they are not hungry when they eat and feel bad about their food consumption when finished. According to the DSM-5, this client meets the diagnostic criteria for which of the following? A) Binge-Eating Disorder B) Bulimia Nervosa C) Anorexia Nervosa D) Rumination Disorder
A
The purpose of an assessment is to: A) Gauge the validity of the instrument B) Gather detailed information for the treatment plan C) Quantify any symptomatology D) Provide a diagnosis
B
During which stage of change is the specific task to raise doubts and increase concern and awareness around the target behavior? A) Action B) Contemplation C) Precontemplation D) Maintenance
C
In treatment planning, effort should lead forward: A) goal directed recovery B) compliance with program procedures C) abstinence and symptom alleviation D) attendance to self-help groups
A
As part of informed consent, counselors should advise clients of the clients of the circumstances under which they must A) Terminate treatment B) Update the treatment plan C) Cancel an appointment D) Call the police
D
Clients with low levels of motivation to abstain from substance use should be placed in which type of group? A) Skill Building B) Psychoeducational C) Process D) Support
B
The DSM-5 is a tool used to:
A) Make a diagnostic impression based on presenting symptoms
B) Identify risk and protective factors relevant to the client
C) Determine the appropriate level of care
D) Develop symptom specific treatments
A
Which of the following best describes one of the causes of decreased ability to experience pleasure after long time substance use?
A) Lower amounts of dopamine are produced causing feelings of depression.
B) Dopamine receptors become damaged from continued substance use
C) Changes in the chemical makeup of dopamine after its effects from pleasure to depression
D) Higher amounts of dopamine are produced causing euphoria to which the user becomes accustomed.
A
Using Motivational Interviewing, which of the following statements would be best to begin discussing the findings of an assessment with a client?
A) We went over a lot of information today. Is there anything you would like to discuss further?
B) Those are all the questions I have to ask today. Before we move on, what caught your attention or what were you thinking as we went over the information?
C) Thank you for all the information you gave me. Let me look this information over and we can discuss it during the next session. Is that ok for you?
D) Do you have anything else you would like to share that would help me get to know you and why you are here?
B
Assisting a client in using community resources to meet the needs that a counselor is unable to provide is known as A) Service Cordination B) treatment planning C) Referral D) clinical evaluation
C
When making amendments to a client record, counselors should:
A) ensure to property note the amendments according to agency policies
B) never amend a clinical record because information might be skewed in the process
C) get the amendment approved by their clinical supervisor before making any changes
D) make sure that a very detailed description of the amendment and its purpose is added to the record
A
A client often disagree with their partner and feels guilty about their behavior when they have an argument. A treatment intervention for this client would be to:
A) Practice the use of “I” Statements
B) Encourage the client to apologize to their partner
C) Ask the client to journal about their substances use prior to the argument.
D) Use deep breathing techniques to process through their guilt
A
To abstain from drug use and maintain abstinence, individualized counseling emphasizes short-term behavioral goals and helps the client develop A) Coping and strategies and tools B) support systems C) community partners D) defense mechanisms
A
Which term describes the process whereby clients project past feelings or attitudes they had toward significant people in their lives onto their counselor? A) Transference B) Projection C) Countertransference D) Displacement
A
How does the assessment process promote rapport with a client?
A) It engages the client in their treatment process
B) It provides the clients with an orientation to the treatment
C) It demonstrates a counselor’s thoroughness and capabilities.
D) It establishes a standard of communication for the future therapy sessions.
A
An 18 year old female recently enrolled as a full-time student visits a campus counselor and indicates she is feeling symptoms of anxiety and depression. She has a full course load and works a campus job 10 hours a week. She indicates she has made many friends but is concerned that most of their social activities involve drinking. What would be the best treatment goal for this client to help her with her concerns about drinking?
A) Help select college sponsored activities to attend with her friends
B) Refer to a campus self-help group to assist with her treatment.
C) develop a time management schedule to reduce stress
D) Encourage increased exercise to boost endorphins
A
A client who recently moved to the United States expresses feelings of loneliness and isolation in the community. This is... A) Acculturation Stress B) Cultural acceptance C) Assimilation D) Value conflicts
A
Before a client in need of continued treatment is discharged, a counselor must…
A) Provide the client with a list of resources for further treatment
B) Make appropriate alternative arrangements
C) Have the client consent to the termination of treatment
D) Inform all concerned others involved in the treatment process
B
A client's treatment plan contains the following statement, "This individual has a history of chronic relapse during periods of high stress." This is an example of which of the following? A) Long term goal B) Problem statement C) Objective statement D) Short term goal
B
A client discloses that her husband is abusing her three year old daughter. Jurisdictional law mandates the abuse must be reported, however, previous experiences with child protective services have been ineffective. The counselor fears if the abuse is reported it will escalate as child protective services will investigate the matter but take no further action. The counselor’s best course of action is to:
A) Consult with their immediate supervisor and follow the supervisor’s directives on whether or not to report the abuse
B) Adhere to reporting protocols and determine if and when the client should be informed of the report
C) Develop a plan with the client to remove her and her daughter from the abusive situation and then report the abuse to appropriate authorities.
D) Document as much detail as possible regarding the abuse and continue to monitor the situation until the counselor can make a clear decision about what is in the client’s best interest.
B
A client has been working a 12 step program for the last 2 months but does not feel like they benefit from the process. The counselor’s best approach would be to:
A) Encourage them to continue working their 12 step program, because it’s normal to feel this at first.
B) Discuss alternatives ideologies that could support their recovery and suggest they try one.
C) Recommend they stop working their 12 step program
D) Inform them that working the 12 steps is their best chance for recovery
B
What is an ongoing process through which the counselor collaborates with the client and others to gather and interpret information necessary for planning treatment and evaluating client progress? A) Screening B) Assessment C) Intake D) Orientation
B
The ORT, SASSI and DAST are all examples of A) assessment tools B) screening tools C) documentation tools D) counseling tools
B
A client seeing a counselor for the first time indicates they were not able to complete high school after they were raped as a young teen. They are unable to keep steady employment and experience regular flashbacks of their rape. They have numerous health conditions including high cholesterol for which they are currently taking Lipitor. What information is most important when screening for a substance use disorder? A) Low level of education B) Regular flashbacks C) Inconsistent employment D) Prescription medications
B
