Sample Written Exam 2 Flashcards
“Referral” means
Assisting a client to utilize the support systems and community resources available
(Blank) are a problem associated with consuming alcohol and Valium together.
Synergistic effects
The belief that one’s own culture is superior to others
Ethnocentrism
The following statement is consistent with what model of addiction?
“Excessive use of alcohol is a result of personal choice and therefore should be punished”
Moral model
A common problem for beginning counselors is:
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:
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 (blank) questions
Face valid
A mental status exam does NOT assess:
Education level
Abstinence is too harm reduction as:
Alcoholics Anonymous is to a needle exchange
Appropriate treatments goals must be:
Agreed upon by the client and counselor
Arbitrary inferences and selective abstractions are examples of:
Cognitive distortions
Beneficience is the ethical principle that means:
Help
Client education on HIV and other sexually transmitted diseases:
Is important information to incorporate into the treatment process of every client
Completing necessary documentation for admission to a particular treatment program occurs during what process?
Intake process
Concise and accurate reporting is necessary in order to:
Ensure continuity of client care
Counselor self-disclosure is best limited to:
Ideas and emotional reactions in the counseling session
Drowsiness or coma, slurred speech, impairment and attention or memory are all signs or symptoms of:
Opioid intoxication
Generally, the Tarasoff requirement has been interpreted as
A duty to warn the intended victim and/or the police
In his second session, a client reveals to the counselor that he is HIV positive. The counselor’s best course of action is to:
Discuss the client’s case with a 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?
A) When the client has stolen property from the treatment facility
B) If law enforcement officials request information in writing
C) If the client is in a serious accident requiring medical care
D) When the client admits to abusing a child
B 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 veterans administration and located a clinic in the area with special groups for vets with ptsd. The counselor then made arrangements for Jackie to be attending these groups while he is still in primary treatment for substance abuse. The counselor’s actions are best described as:
Case management
Methadone maintenance programs can BEST be described as:
Harm reduction focused
Nikko is a client who has been 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 his drug of choice. 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 (blank) is at work here
Rationalization
One basic principle of documentation requires the counselor to:
Record material in a manner that allows a new counselor to understand the general progress of any client
Rajesh 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 of such a situation arises. This counseling technique is:
Role play
Rates of opioid use are higher in (blank) than in (blank).
Males;females
Reinforcement and punishment are associated with what kind of therapy?
Behavior therapy
Some researchers have concluded that no one pattern of dysfunctional substance abuse exists. They also conclude that there is more than 1 personality type that happens to be more prone to addiction then some others. This multivariate focus is most consistent with the:
Biopsychosocial model
Studies have linked substance abuse among African Americans to 3 factors: economic deprivation, stress, and (blank).
Racism
The concept of informed consent requires that before agreeing to accept treatment, clients should know (blank), their rights and obligations, fees for service and limits of confidentiality.
The goals of therapy
The cultural philosophy of “non-interference” is associated with alcohol-related problems among:
Native Americans
The DSM - 5 includes criteria sets specific to intoxication for each substance category except for (blank).
Tobacco
The first step of Alcoholics Anonymous requires
The admission that one’s life is unmanageable
The initial stage of crisis intervention involves:
Recognizing the crisis
The primary goal of a mental status exam is to measure the clients orientation to what?
Person; place; time
The primary principles behind Alcoholics Anonymous are spirituality, self-improvement, and…
Service to others
Which core function of counseling is related to the term “didactic”?
Client education
Which neurotransmitter is most closely associated with feelings of well-being, appetite and mental alertness?
Serotonin
True or false , xanax is a CNS depressant?
TRUE
True or false, prozac is an SSRI
TRUE
What type of treatment setting is most closely associated with involuntary confinement, such as a prison setting?
The therapeutic community
Which of the following BEST describes the definition of a “Slip”?
A) An episode of substance abuse following a period of abstinence
B) A return to a pattern of substance abuse following treatment
C) Returning to unhealthy patterns of substance abuse following a. of substance abuse following a period of sobriety
D) A lengthy period of relapse
A) An episode of substance abuse following a period of abstinence
What is denial?
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?
A) Alcohol tolerance
B) Methamphetamine psychosis
C) Alcohol withdrawal
D) Methadone dependence
B) Methamphetamine psychosis
With the new DSM - 5 nomenclature, clinicians will now specify severity of the addiction using ratings of:
Mild; moderate; severe
You are seeing a patient whom you suspect may be suicidal. Which of the following factors most suggest that the risk of suicide is high?
A) The patient is African American
B) The patient is experiencing a mid life crisis
C) The patient is female
D) The patient’s depressive symptoms have recently improved
D) The patient’s depressive symptoms have recently improved
