QUESTION 1
A co-occuring or dual disorders is:
a.
having any DSM-IV psychiatric disorder and a substance abuse diagnosis
b.
a DSM-IV substance abuse diagnosis and a personality disorder
c.
a major depression or personality disorder and substance abuse
d.
a personality or depressive trait or disorder and substance abuse disorder
1 points
QUESTION 2
A co-occurring or dual disorders is
a.
a DSM-IV substance abuse diagnosis and a personality disorder.
b.
having any DSM-IV psychiatric disorder and a chemical dependency diagnosis.
c.
a personality or depressive trait or disorder and substance abuse disorder
d.
a major depression or personality disorder and substance abuse
1 points
QUESTION 3
A counselor working in a treatment facility is visited by an attorney. The attorney says that he represents the ex-wife of one of the facility’s clients. According to the attorney, the ex-wife and the client are involved in a legal battle for custody of their children. The counselor should:
a.
tell the attorney that his request is subject to the approval of the head of the agency
b.
release the information to the attorney, since he is a representative of the court.
c.
only release information that would, if released, serve the best interest of the client
d.
give the attorney a copy of the federal regulations concerning confidentiality
1 points
QUESTION 4
A factor that escalates the potential for suicide is:
a.
panic
b.
rage
c.
shame
d.
conflict
1 points
QUESTION 5
A speedball is a combination of
a.
barbiturate and alcohol
b.
any two drugs
c.
alcohol and Prozac
d.
heroin and cocaine
1 points
QUESTION 6
According to a sociocultural model, addiction is
a.
the result of personal choice
b.
the result of a combination of genetic and character factors
c.
secondary to a primary mental disorder
d.
related to cultural, religious, family and peer variables
1 points
QUESTION 7
According to the moral model, addiction is
a.
contrary to biblical prohibitions
b.
a crime against humanity
c.
a consequence of personal choice
d.
best treated through religious affiliation
1 points
QUESTION 8
Activities which bring services, agencies, resources or people together within a planned framework of action toward the achievement of established goals is:
a.
counseling
b.
referral
c.
crisis intervention
d.
case management
1 points
QUESTION 9
An inability to derive pleasure from something that would normally be pleasurable is
a.
anaphylaxis
b.
anhedonia
c.
Anergia
d.
anorexia
1 points
QUESTION 10
Approximately 80% of alcohol consumed is absorbed into the body through the:
a.
stomach lining
b.
Esophagus
c.
Mouth
d.
Small intestines
1 points
QUESTION 11
As described by Wegsheider-Cruse, a childhood role that is more likely to commit suicide would be the
a.
blamer
b.
intellectualizer
c.
the lost child
d.
the scapegoat
1 points
QUESTION 12
Barbiturates are used to induce:
a.
sleep
b.
hallucinations
c.
euphoria
d.
anxiety
1 points
QUESTION 13
Betty Joe, a chemical dependency counselor, is working with a male recovering alcoholic. The client expresses regret that his disease forced his wife to seek employment. The client states ” A man should be able to support his wife…a wife belongs at home with her kids.” Betty Joe is reminded of disagreements she has had with her husband, who has told her that she should stay at home with their kids. She finds herself becoming annoyed at the client. Her feelings exemplify:
a.
insight
b.
transference
c.
a conflict between the id and the superego
d.
countertransference
1 points
QUESTION 14
Bruce is a college student who comes from a dysfunctional family. The counselor at the student health center has referred Bruce to Al-Anon. If this is an appropriate referral, what assumptions can we make about Bruce:
a.
he is behaving in an acting out fashion
b.
he probably is or has been an alcohol abuser
c.
relationships are his way of validating himself
d.
at least one of his family members was an alcoholic
1 points
QUESTION 15
CNS Depressants include:
a.
alcohol, marijuana, and barbiturates
b.
alcohol, tranquillizers, and barbiturates
c.
methaqualone, antidepressants, barbiturates
d.
alcohol, tobacco, and marijuana
1 points
QUESTION 16
Charting the results of the assessment and treatment plan, writing reports, progress notes, discharge summary and other client related data is:
a.
report and record keeping
b.
case management
c.
client education
d.
consultation
1 points
QUESTION 17
Classic examples of family rules in a dysfunctional alcoholic family system include:
a.
if you can’t see the garbage, you can’t take the garbage out
b.
everyone is carrying garbage
c.
don’t talk, don’t trust, don’t feel
d.
hide the key until the young adult can find it
1 points
QUESTION 18
Codependency is
a.
the neglect of oneself while preoccupied or obsessed with changing the partner
b.
the inability to feel proud of a partner
c.
the desire to emulate the partner inappropriately
d.
the championing of a partner at the expense of others
1 points
QUESTION 19
Concise and accurate reporting is necessary in order to?
a.
ensure continuity of client care
b.
promote teamwork among the clinical staff
c.
demonstrate counselor competence
d.
assist in client education
1 points
QUESTION 20
Confiscating illegal drugs at national borders and seizing contraband at sea is:
a.
zero tolerance
b.
demand side prevention
c.
interdiction
d.
tertiary prevention
1 points
QUESTION 21
Describing to the client: general nature and goals of the program; rules; hours of operation; treatment cost and client rights is called:
a.
screening
b.
intake
c.
counseling
d.
orientation
1 points
QUESTION 22
During the screening process, a critical task that the counselor has is to
a.
complete a mental status exam
b.
establish rapport with the client
c.
develop a treatment plan
d.
consult with colleagues
1 points
QUESTION 23
During this stage of readiness to change the dependent person begins to thing about stopping the use of their drug of choice, because they have begun to think they may have a problem.
a.
action
b.
contemplation
c.
determination
d.
precontemplation
1 points
QUESTION 24
Education programs designed for the general population which teach about the harmful effects of drugs and alcohol and encourage healthy lifestyles are examples of
a.
secondary prevention
b.
moral training
c.
tertiary prevention
d.
primary prevention
1 points
QUESTION 25
Georgette, a 20 year old woman is seeking treatment for a drinking problem. She has recently become fearful of the frequent blackouts she is experiencing. You are conducting her intake and complete a mental status examination. This examination is:
a.
a test which is used to assess the current mental status of the client
b.
a test for assessing the effects of alcohol and narcotics
c.
a test which is used to assess the past mental status of a client, and predict the client’s future mental status
d.
a test which is used to assess the depth of the client’s presenting problem
1 points
QUESTION 26
Half-life is defined as the amount of time it takes:
a.
half of the drug dosage to enter the body
b.
most of a drug dosage to leave the body
c.
all of the drug dosage to leave the body
d.
half of a drug dosage to leave the body
1 points
QUESTION 27
Identifying the needs of the clients that cannot be met by the counselor or agency and assisting the client to utilize the support systems and community resources available is called:
a.
crisis intervention
b.
counseling
c.
case management
d.
referral
1 points
QUESTION 28
If a drug has been adulterated, it has been
a.
developed to look like a legal drug
b.
mixed with a cheaper or hazardous substance
c.
created by slightly changing the chemical structure of another drug
d.
made to be a less expensive substitute for a brand name drug
1 points
QUESTION 29
In the early stages of treatment a formal _____________ is developed.
a.
treatment plan
b.
genealogy
c.
cost-benefit analysis of the person’s substance use history
d.
contract with the client not to abuse certain chemicals
1 points
QUESTION 30
In this stage of readiness for change the counselor’s role is to encourage the change process, and watch for signs of stress or triggers by promoting the learning of new coping skills:
a.
action
b.
determination
c.
precontemplation
d.
contemplation
1 points
QUESTION 31
Involuntary commitment to treatment:
a.
is legal in 20 different states
b.
is not legal in all states
c.
is a violation of the client’s 2nd amendment rights under the constitution
d.
is about as effective as other forms of court mandates treatment
1 points
QUESTION 32
Jane is a 27 year old addict who has begun counseling, but has not yet been able to give up using drugs. During one outpatient session, she tells you that she is beginning to feel that “it is useless to try to stop”, and that “sometimes life is not worth living”. You are concerned that she could be suicidal. You should:
a.
assess Jane’s potential for suicide by asking her directly about her intent, and evaluating high risk factors
b.
determine if Jane has a gun
c.
assess Jane’s potential for suicide without directly asking her about suicide plans, but assess her high risk factors
d.
list all the reasons she has for living
1 points
QUESTION 33
Larry is given a number of assessment tests to help his counselor determine the nature of his problems. After the tests were administered, Larry asks the counselor what his results indicate. The counselor should:
a.
give him as much detail as possible
b.
give him information that he will be able to understand, keeping his best interest in mind
c.
give him raw data only
d.
tell him that is not ethical to discuss confidential test results
1 points
QUESTION 34
Match the motivating feeling of anger to the appropriate dysfunctional role:
a.
enabler
b.
lost child
c.
dependent person
d.
hero child
1 points
QUESTION 35
Match the motivating feeling of loneliness to the appropriate dysfunctional family role
a.
dependent person
b.
lost child
c.
enabler
d.
hero child
1 points
QUESTION 36
Physical tolerance to alcohol refers to the process through which:
a.
the liver enlarges
b.
detoxification no longer occurs
c.
an alcoholic appears sober in spite of a very high BAC
d.
the body adapts to continual drinking over time so that it takes more alcohol for the individual to become intoxicated
1 points
QUESTION 37
Potentiation (synergism) is the:
a.
effects of above-normal doses of alcohol for the average drinker
b.
one drug enhances or exaggerates the action of another, similar drug
c.
effects of normal doses of alcohol for the average drinker
d.
process of detoxification
1 points
QUESTION 38
Process by which the counselor and the client: identify and rank problems needing resolution; establish agree upon immediate and long-term goals; and decide on a treatment process and the resources to be used is called:
a.
treatment planning
b.
assessment
c.
referral
d.
case management
1 points
QUESTION 39
Professional competence means
a.
being able to provide all needs to the client
b.
knowing one’s limitations and abilities
c.
having the ability to do private practice
d.
having at least a master’s degree in counseling
1 points
QUESTION 40
Provision of information to individuals and groups concerning alcohol and other drug abuse and the available services and resources is
a.
client education
b.
case management
c.
referral
d.
outreach work
1 points
QUESTION 41
Sally is a forty year old mother of four, who has had a drinking problem for many years. For several years, her husband has encouraged her to get counseling. Finally he has become so discouraged that he decides to seek help for himself. Which of the following would be most appropriate for him?
a.
individual psychoanalysis
b.
Al-Anon
c.
AA
d.
ACOA
1 points
QUESTION 42
Special molecules that are located within the cell membranes of the dendrites of an adjacent nerve cell that receives the message from the other nerve cell is a
a.
neuron
b.
receptor
c.
synapse
d.
cell body
1 points
QUESTION 43
The “Drug Court” client who is most likely to benefit from the program is the ___________ per your text.
a.
a first time offender who does not have a history of violence
b.
those offenders who are under the age of 25
c.
repeat offenders whose crimes also involve those not substance related
d.
non-violent recidivist with a substance-related conviction
1 points
QUESTION 44
The Comprehensive Drug Abuse Prevention and Control Act categorizes drugs
a.
based on drug classifications
b.
according to abuse potential and approved medical uses of the drug
c.
according to the latest scientific evidence
d.
based on the recommendations of the Drug Enforcement Agency
1 points
QUESTION 45
The ability of individuals and systems to provide services effectively to people of all cultures, races, ethnic backgrounds and religions in a manner that recognizes, values, affirms, and respects the worth of individuals, and protects and preserves the dignity of each is?
a.
cultural sensitivity
b.
cultural
c.
professionalism
d.
cultural competence
1 points
QUESTION 46
The administrative and initial assessment procedure for admission to a program is:
a.
assessment
b.
counseling
c.
screening
d.
intake
1 points
QUESTION 47
The brain and spinal cord comprise this system:
a.
Central nervous system
b.
Parasympathetic nervous system
c.
Somatic nervous system
d.
Automatic nervous system
1 points
QUESTION 48
The children suffering from this condition; which is the result of prenatal exposure to alcohol, may have: poor muscle tone; body control problems; retardation; and below average physical growth:
a.
fetal alcohol syndrome
b.
anxiety disorders
c.
SIDS
d.
fetal alcohol effects
1 points
QUESTION 49
The core of the assessment process is ___________.
a.
having the client complete the SASSI
b.
asking the CAGE questions
c.
performing the TWEAK
d.
a clinical interview
1 points
QUESTION 50
The disease model of addiction differs from the psychological models in that
a.
the addictive personality is genetically determined according to the disease model
b.
psychosocial stressors are the result of addiction in the disease model
c.
addiction is seen as a primary disease rather than secondary to another mental disorder
d.
an addict is not responsible for their behavior in the disease model
1 points
QUESTION 51
The following are facts about suicide, except:
a.
the suicide rate is higher for the elderly than any other age group
b.
created by slightly changing the chemical structure of another drug
c.
Suicidal behavior is not inherited, but the risk is higher for family members who have lost a close relative to suicide
d.
talking about suicide does not cause someone to be suicidal
1 points
QUESTION 52
The following issue must be considered when consulting with out-of-agency professionals
a.
confidentiality
b.
the client’s aftercare plan
c.
documentation of client problems
d.
encouraging the client problems
1 points
QUESTION 53
The main vehicle of personality change in the TC environment is thought to be the:
a.
affirmations received for work well done
b.
expression of hidden feelings
c.
supportive confrontation
d.
revamping of the family environment
1 points
QUESTION 54
The original form of intervention is called the ______________ model.
a.
Johnson
b.
Contingency Management
c.
ARISE
d.
Peterson
1 points
QUESTION 55
The process by which a client is determined appropriate and eligible for admission to a particular program is
a.
counseling
b.
intake
c.
screening
d.
assessment
1 points
QUESTION 56
The process of a family trying to return to their original state is called:
a.
family homeostasis
b.
enmeshed families
c.
dysfunctional family system
d.
inter-generational boundaries
1 points
QUESTION 57
The purpose of the “aftercare” program is the:
a.
elimination of substance use “cravings”
b.
destruction of the abstinence support system
c.
maintenance of gains made in treatment
d.
elimination of substance use thoughts
1 points
QUESTION 58
The single best predictor of suicide attempts is a history of
a.
depression
b.
previous attempts
c.
substance abuse
d.
suicide in the family
1 points
QUESTION 59
The stages of grieving as applied to alcohol/drug recovery include:
a.
denial, rationalizing, minimizing, defending, accepting
b.
denial, anger, bargaining, depression, acceptance
c.
denial, awareness, behavioral, interpersonal, spiritual
d.
subconscious, semi-aware, feeling, conscious
1 points
QUESTION 60
The transfer of a message from the axon of one nerve cell to the dendrites of another is
a.
drug addiction
b.
homeostasis
c.
neurotransmission
d.
electrical impulses
1 points
QUESTION 61
The two most common personality disorders associated with chemical dependency are:
a.
dependent, obsessive-compulsive
b.
self-defeating, intrusive
c.
obsessive-compulsive, attention deficit
d.
antisocial, borderline
1 points
QUESTION 62
The two most common personality disorders associated with chemical dependency are:
a.
antisocial, borderline
b.
self-defeating, intrusive
c.
dependent, obsessive-compulsive
d.
obsessive-compulsive, attention deficit
1 points
QUESTION 63
The utilization of special skills to assist individuals, families or groups in achieving objectives through: exploration of a problem and its ramifications; examination of attitudes and feelings; consideration of alternative solutions, and decision making is:
a.
treatment planning
b.
counseling
c.
assessment
d.
crisis intervention
1 points
QUESTION 64
This describes the persistent and recognizable irrational fear of embarrassment and humiliation in social situations
a.
obsession
b.
social phobia
c.
specific phobia
d.
compulsion
1 points
QUESTION 65
This disorder involves experiencing a psychologically traumatic stressor such as witnessing death, being threatened with death or injury or being sexually abused
a.
obsessive-compulsive disorder
b.
panic disorder
c.
generalized anxiety disorder
d.
post-traumatic stress disorder
1 points
QUESTION 66
This drug schedule indicates that the drug has a high potential for abuse and no current medical use; examples would be marijuana and heroin
a.
Schedule II
b.
Schedule 1
c.
Schedule IV
d.
Schedule III
1 points
QUESTION 67
This drug schedule indicates that the drug has a high potential for abuse, and current accepted medical use. Examples would be Morphine and Cocaine.
a.
Schedule IV
b.
Schedule II
c.
Schedule III
d.
Schedule 1
1 points
QUESTION 68
This involves a depression in mood with an accompanying loss of pleasure or indifference to most activities, most of the time for at least two weeks
a.
cyclothymia
b.
major depressive episode
c.
dysthymia
d.
hypomanic
1 points
QUESTION 69
This involves a depression in mood with an accompanying loss of pleasure or indifference to most activities, most of the time for at least two weeks:
a.
dysthymia
b.
major depressive episode
c.
hypomanic
d.
cyclothymia
1 points
QUESTION 70
This is a chronic mood disturbance characterized by a loss of interest or pleasure in most activities of daily life, with mild to moderate mood depression most of the time for a duration of at least 2 years
a.
major depressive episode
b.
hypomanic
c.
cyclothymia
d.
dysthymia
1 points
QUESTION 71
This is a distinct period of intense fear and discomfort that develops abruptly, usually reaching a crescendo within a few minutes or less
a.
panic attack
b.
phobia
c.
anxiety
d.
agoraphobia
1 points
QUESTION 72
This is the space between the axon of one nerve cell and the dendrite of another
a.
neuron
b.
synapse
c.
cell body
d.
receptor
1 points
QUESTION 73
This is the study of the cause or origin of a condition or disease
a.
ethology
b.
systemic analysis
c.
etiology
d.
neuroscience
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