Sample Written Exam 3

Question 1

What is the definition of a “relapse”?

Answer 1

The return to a pattern of substance abuse following treatment

Question 2

When a drug initiates a physiological response when attaching to a receptor site in the brain, it is BEST classified as:

Answer 2

An agonist

Question 3

A harm reduction program is designed to:

Answer 3

Minimize the problems associated with addiction

Question 4

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:

Answer 4

A referral

Question 5

A major focus of the principle of anonymity In the AA fellowship is directed specifically at…

Answer 5

Press, radio, and film

Question 6

What is transference?

Answer 6

Unconscious shifting of feelings and fantasies from significant others to the therapist

Question 7

(blank) includes the identification and ranking of problems needing resolution

Answer 7

Treatment planning

Question 8

Appropriate documentation in the clients chart includes incidents, reports, and…

Answer 8

Ongoing information

Question 9

True or false, counselors are in the business of changing people

Answer 9

TRUE

Question 10

When an actively using, alcohol dependent client presents with depressive symptoms….

Answer 10

Depressive symptoms in the majority of cases will be significantly diminished after detoxification and abstinence

Question 11

One method for increasing the effectiveness of counseling for latino clients is…

Answer 11

To assume an active approach with a goal oriented inquiry

Question 12

Methadone is a drug used in:

Answer 12

Harm reduction programs, usually in urban environments

Question 13

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:

Answer 13

Case management

Question 14

One major problem associated with victimology and recovery is that:

Answer 14

Proclaiming powerlessness runs counter to the empowerment mentality needed to overcome victimhood

Question 15

Mike and his client have developed a personal attraction to one another the best course of action is for Mike to:

Answer 15

Discuss his feelings with his clinical supervisor to determine the best course of action

Question 16

What information should be kept in a client’s treatment record?

Answer 16

This information about consultations, diagnosis, treatment, prognosis, and progress

Question 17

African Americans generally do not view alcohol as a prerequisite too fun because:

Answer 17

There are other culturally acceptable ways to achieve relaxation and sociability

Question 18

A client presents with non healing ulcers, abscesses, brittle fingernails, and bruxism. abuse of which classification of drugs is MOST likely?

Answer 18

Amphetamines

Question 19

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:

Answer 19

Transference

Question 20

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:

Answer 20

Obtaining informed consent

Question 21

The most popular and yet most controversial theory of addiction views:

Answer 21

Addiction as a chronic and incurable disease

Question 22

Nervousness or anxiety, sleep difficulty (e.g., insomnia, disturbing dreams), decreased appetite or weight loss, depressed mood are all signs or symptoms of:

Answer 22

Cannabis withdrawal

Question 23

According to the DSM - 5 standards, controlled use of (blank) during religious observances is not to be considered a diagnosable condition.

Answer 23

Hallucinogens

Question 24

What symptoms are the most common psychiatric symptoms seen in AOD abusers?

Answer 24

Depressive

Question 25

Rational emotive behavior therapy is considered to be what type of approach to counseling?

Answer 25

Cognitive behavioral approach

Question 26

Maslow’s hierarchy of needs suggests that…

Answer 26

Psychological needs do not become important until security needs are met

Question 27

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.

Answer 27

Projection

Question 28

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:

Answer 28

Repression

Question 29

The desire and yearning for a specific substance or substances is known as:

Answer 29

Craving

Question 30

Offering the client a tour of the treatment facility and information on the hours of operation are activities that occur during what process?

Answer 30

Orientation

Question 31

Which core function of counseling is most closely associated with the terms “eligible and appropriate”?

Answer 31

Screening

Question 32

True or false, advocacy is one of case management’s Hallmark characteristics

Answer 32

TRUE

Question 33

Confidentiality of addiction counseling records in the United States is governed by…

Answer 33

42 CFR PART 2

Question 34

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:

Answer 34

Transference

Question 35

A diagnostic summary MUST include:

Answer 35

Strengths and weaknesses of the client

Question 36

A disproportionate and excessive response to life circumstances is a typical symptom of:

Answer 36

PTSD

Question 37

Eye contact, posture, and appropriate encouraging responses are necessary for the communication skill of:

Answer 37

Attending

Question 38

What is an explanation of a synergistic drug interaction?

Answer 38

Mixing some drugs causes a reaction that increases the drugs effects beyond those that are associated with each drug separately

Question 39

The development of the group culture refers to:

Answer 39

The establishment of norms which will help the group to develop as a social system

Question 40

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?

Answer 40

The financial obligation associated with the services

Question 41

With regard to relapse prevention, what is the best definition of a “trigger”?

Answer 41

Those situations, events, people, places, thoughts, and activities that rekindle the sense of need for drugs

Question 42

A client presents with a crisis situation. As a counselor, your MOST important function is:

Answer 42

To help convert the emergency into a solvable problem

Question 43

This one criticism associated with the disease model of addiction is…

Answer 43

There does not appear to be an inevitable progression of symptoms

Question 44

Observable and measurable goals are best associated with

Answer 44

Treatment planning

Question 45

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).

Answer 45

Craving; recurrent legal problems

Question 46

Which of the following is NOT an SSRI?

A) Cylert
B) Paxil
C) Prozac
D) Zoloft

Answer 46

Cylert

Question 47

Most individuals who use tobacco on a regular basis will develop tobacco use disorder prior to the age of…

Answer 47

21