Sample Written Exam 3 Flashcards
What is the definition of a “relapse”?
The return to a pattern of substance abuse following treatment
When a drug initiates a physiological response when attaching to a receptor site in the brain, it is BEST classified as:
An agonist
A harm reduction program is designed to:
Minimize the problems associated with addiction
During his treatment, Vick started having painful urination and feared he might have an STD. Vick had not been to a doctor in at least 10 years and did not have a regular doctor to call. The counselor gave him the name of a local physician who would treat a new patient on short notice. This process is best viewed as an example of:
A referral
A major focus of the principle of anonymity In the AA fellowship is directed specifically at…
Press, radio, and film
What is transference?
Unconscious shifting of feelings and fantasies from significant others to the therapist
(blank) includes the identification and ranking of problems needing resolution
Treatment planning
Appropriate documentation in the clients chart includes incidents, reports, and…
Ongoing information
True or false, counselors are in the business of changing people
TRUE
When an actively using, alcohol dependent client presents with depressive symptoms….
Depressive symptoms in the majority of cases will be significantly diminished after detoxification and abstinence
One method for increasing the effectiveness of counseling for latino clients is…
To assume an active approach with a goal oriented inquiry
Methadone is a drug used in:
Harm reduction programs, usually in urban environments
Beaufort qualifies for job retraining because of a disability. His counselor made an appointment with the state rehabilitation commission to evaluate the type of training that might be beneficial for him. The counselor also made arrangements for Beaufort to be transported to the appointment, although he was still in primary treatment. The counselor’s actions are best described as:
Case management
One major problem associated with victimology and recovery is that:
Proclaiming powerlessness runs counter to the empowerment mentality needed to overcome victimhood
Mike and his client have developed a personal attraction to one another the best course of action is for Mike to:
Discuss his feelings with his clinical supervisor to determine the best course of action
What information should be kept in a client’s treatment record?
This information about consultations, diagnosis, treatment, prognosis, and progress
African Americans generally do not view alcohol as a prerequisite too fun because:
There are other culturally acceptable ways to achieve relaxation and sociability
A client presents with non healing ulcers, abscesses, brittle fingernails, and bruxism. abuse of which classification of drugs is MOST likely?
Amphetamines
Juanita has been seeing a counselor for several weeks and has recently started responding in an argumentative fashion. Last time, she told the counselor, “you are just like my father, always on my case!”. This situation best exemplifies:
Transference
A client must be told the limits of confidentiality before the first therapy session, along with the cost of services. These issues are part of the process known as:
Obtaining informed consent
The most popular and yet most controversial theory of addiction views:
Addiction as a chronic and incurable disease
Nervousness or anxiety, sleep difficulty (e.g., insomnia, disturbing dreams), decreased appetite or weight loss, depressed mood are all signs or symptoms of:
Cannabis withdrawal
According to the DSM - 5 standards, controlled use of (blank) during religious observances is not to be considered a diagnosable condition.
Hallucinogens
What symptoms are the most common psychiatric symptoms seen in AOD abusers?
Depressive
Rational emotive behavior therapy is considered to be what type of approach to counseling?
Cognitive behavioral approach
Maslow’s hierarchy of needs suggests that…
Psychological needs do not become important until security needs are met
Beth acknowledged in a group session that she was unfaithful to her husband for several months. Although she has ended the affair, she is now convinced that her husband is cheating on her. The counselor would rightly conclude that the ego defense mechanism of (blank) is at work here.
Projection
During a counseling session a client recalls having been abused as a child. Prior to treatment, the client had no recollection of the abuse. The inability to recall the abuse earlier as an example of the defense mechanism called:
Repression
The desire and yearning for a specific substance or substances is known as:
Craving
Offering the client a tour of the treatment facility and information on the hours of operation are activities that occur during what process?
Orientation
Which core function of counseling is most closely associated with the terms “eligible and appropriate”?
Screening
True or false, advocacy is one of case management’s Hallmark characteristics
TRUE
Confidentiality of addiction counseling records in the United States is governed by…
42 CFR PART 2
In group therapy, Sarah consistently perceives Gary as an angry critical man (like her father) who cares little for other group members feelings although other group members perceive Gary as kind, carrying, and gentle. This interpretation may be described as:
Transference
A diagnostic summary MUST include:
Strengths and weaknesses of the client
A disproportionate and excessive response to life circumstances is a typical symptom of:
PTSD
Eye contact, posture, and appropriate encouraging responses are necessary for the communication skill of:
Attending
What is an explanation of a synergistic drug interaction?
Mixing some drugs causes a reaction that increases the drugs effects beyond those that are associated with each drug separately
The development of the group culture refers to:
The establishment of norms which will help the group to develop as a social system
The concept of informed consent requires that before agreeing to accept treatment, clients should know the goals of therapy, their rights and obligations, the limits of confidentiality, and what?
The financial obligation associated with the services
With regard to relapse prevention, what is the best definition of a “trigger”?
Those situations, events, people, places, thoughts, and activities that rekindle the sense of need for drugs
A client presents with a crisis situation. As a counselor, your MOST important function is:
To help convert the emergency into a solvable problem
This one criticism associated with the disease model of addiction is…
There does not appear to be an inevitable progression of symptoms
Observable and measurable goals are best associated with
Treatment planning
The predominant change to the overall diagnostic criteria for substance use disorder in the DSM - 5 is the INclusion of (blank) and the EXclusion of (blank).
Craving; recurrent legal problems
Which of the following is NOT an SSRI?
A) Cylert
B) Paxil
C) Prozac
D) Zoloft
Cylert
Most individuals who use tobacco on a regular basis will develop tobacco use disorder prior to the age of…
21
