CADC PRACTICE EXAM QUESTIONS (TEST 1) VERIFIED SOLUTION GRADED A+

1) Relating with in-house and other professionals to assure comprehensive, quality care for the client BEST describes the process of:

 Assessment.
 Referral.
 Counseling.
 Consultation.

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2) Effective case management for persons in need of multiple services requires:

 Monitoring, feedback, and evaluation of services.
 Frequent face-to-face contact with the client.
 Collaboration with family members.
 Careful matching with appropriate 12-step groups.

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3) One of the earliest models for case management services in the criminal justice system was created in 1972, when the White House launched a demonstration program known as:

 Treatment Alternatives to Street Crime (TASC).
 Treatment Approaches for Criminal Offenders (TACO).
 Treatment Resources for Chronic Repeat Offenders (TRCRO).
 Helping Services for the Criminal Element (HSCE).

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4) A treatment professional utilizing case management will do all of the following EXCEPT:

 Assist the client with needs generally thought to be outside the realm of

substance abuse treatment.
Provide the client a single point of contact for multiple health and social
services systems.
Advocate for the treatment center’s approach to care.
Be flexible, community-based, and client-oriented.
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5) The initial stage of crisis intervention involves:

 Discussing the client's plans for the future.
 Helping the client adapt.
 Determining the problem.
 Determining a solution.

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6) In order to fill gaps in services to minority clients, communities should include all of the following EXCEPT:

 Education and training.
 Diagnosis and intervention.
 Segregated treatment programs.
 Integrated treatment programs with cultural programming..

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7) Which of the following is NOT a commonly used technique for crisis intervention?

 Help the client to express feelings generated by the crisis
 Eliminate negative beliefs that contributed to the crisis
 Assign specific behavior tasks such as spending time with people
 Immediately refer the client to an agency to help change the situation

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8) While taking an alcohol drug history, which of the following is a good clue to alcohol dependency?

 Increased tolerance and withdrawal symptoms when abstinence is

attempted
Continued use despite experiencing problems that result from drinking
Recurring incidents of driving under the influence
Depression and lethargy
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9) Which term refers to a client’s projecting past emotional feelings and/or attitudes onto the counselor?

 Transference
 Counter-transference
 Reaction formation
 Sublimation

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10) What are the PRIMARY factors that made the client appropriate for this level of care?

 There were no physical complications and the client was motivated
 The client was court-ordered and had the ability to pay for services
 The client was intelligent and highly motivated
 The client lived close by and was gainfully employed

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11) During the assessment process, your alcohol and tranquilizer abusing client reveals a history of self-destructiveness when frustrated and an inability to delay impulses. The MOST appropriate assessment battery in this case is:

 The Beck Depression Scale , the MAST test, and the MMPI.
 The Beck Depression Scale the MAST test, and the Stanford-Binet.
 The MAST test, the Strong-Campbell, and the Stanford-Binet.
 The MMPI, the Strong-Campbell, and the Stanford-Binet.

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12) Record keeping is an important part of the counseling process. Which of the following best reflects the type of information which should be kept in a client’s record?

 The name of an attending physician, referrals made, diagnostic

procedures used
Information about consultations, diagnosis, treatment, prognosis, and
progress
Names of family members, emergency numbers, DSM-IV-TR diagnosis
Personal notes, insurance information, treatment notes
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13) Which of the following issues must always be considered when consulting with out-of-agency professionals?

 Confidentiality
 Documentation of client problems
 The client's aftercare plan
 The level of commitment of the client to follow through

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14) The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents ¡s lack of: –

 Job skills.
 Child care services.
 Educational training.
 Primary health care.

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15) The tendency of the family to try and maintain balance is called:

 Equilibrium.
 Stability.
 Homeostasis.
 Accommodation.

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16) ___________is the essential first step in determining the possible causes of addiction for the person and the most appropriate treatment modality for his or her needs.

 Screening
 Assessment
 Intake
 Orientation

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17) Your dually-diagnosed client, stabilized on medication for his psychiatric disorder, decides he wants to quit smoking. You should:

 Advise him to select a quit date within the next 2 weeks.
 Encourage him to use the nicotine patch or gum.
 Consult with his physician regarding nicotine/medication interaction.
 Suggest he cut down the number of cigarettes daily for 2 weeks before

quitting.
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18) Which statement MOST accurately describes the relationship between Alcoholics Anonymous and the professional treatment community?

 AA policy clearly states that recovery can often be frustrated by contact

with professionals.
AA has made no statements for or against the professional treatment
community.
There are inherent conflicts between AA and the professional treatment
community which are unlikely to be resolved.
A partnership between AA and the professional community was
repeatedly emphasized by the founders of AA.
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19) The provision of information concerning alcohol and other drug abuse and the available services and resources, is termed:

 Consultation.
 Client education.
 Counseling.
 Case management.

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20) The process of termination should be discussed:

 When the client appears to have gained all that he or she can from

therapy.
At the point specified in the therapeutic contract.
At the onset of therapy.
When the client brings it up.
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21) Morning drinking ¡s not an uncommon occurrence with alcoholics. Which of the following is NOT a true statement?

 Morning drinking will reduce the symptoms of withdrawal
 Morning drinking will keep the alcoholic's blood alcohol level from

dropping.
Morning drinking will lessen the need for alcohol during the remainder of
the day
Morning drinking reduces anxiety that effects the alcoholic’s ability to start
the day
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22) The focus of intervention in the criminal justice system is first to:

 Rehabilitate offenders.
 Use the threat of incarceration as a motivator to change.
 Protect the health, safety, and welfare of the public.
 Keep the chronic, chemically dependent person off the streets.

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23) A single mother with three young children enters your clinic and begins to discuss her current drug use. She tells you that she hasn’t been home for several days and has left the 8 year old in charge. What do you do?

 Contact child protective services to report this incident.
 Explain to her the limits of confidentiality regarding drug use.
 Admit her for treatment and arrange childcare services.
 Contact law enforcement to have her arrested for child abuse and

neglect.
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24) What essential component of client education is missing in this case?

 The client was not informed of his rights and responsibilities at the startof:

his treatment.
The client was not informed of his legal responsibilities and obligations
related to his DUI.
The client was not informed of community recovery resources available to
him upon discharge
The client was not offered the opportunity to participate in weekend family
education seminars
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25) Which of the following statements about dysfunctional families is TRUE?

 The family cannot get well until the dependent person seeks help.
 The children in a dysfunctional family can be protected from the problems

cause by chemical dependency.
The divorce rate in dysfunctional families is highest after recovery has
been initiated.
Family problems develop in the later phases of the addiction process.
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26) The therapeutic reasoning for self-disclosure in group counseling is to:

 Provide the group members with insight into the counselor's background.
 Convince group members that the counselor has more life experiences

than they do.
Demonstrate how to react when other group members disclose personal
information.
Facilitate the growth of the group by relating to client or group issues.
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27) “Referral” pertains to:

 Assisting a client to utilize the support systems and community resources

available.
Meeting with other professionals for discussions and planning.
Providing drug and alcohol information to clients.
Attending an A.A. or N.A. meeting with a client.
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28) Which of the following is a cognitive-based therapy, developed by Ellis, which is designed to confront a client’s irrational thinking?

 Adlerian Therapy
 Client-Centered Therapy
 Rational-Emotive Therapy
 Reality Therapy

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29) In order to provide clients with updated information concerning addiction and recovery, the counselor must:

 Regularly attend A.A. and/or N.A. meetings.
 Stay well-informed and aware of recent developments in the field.
 Teach classes about these topics.
 Assume that the client will ask for what he/she needs.

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30) Which of the following modes of sexual transmission provides the LOWEST risk of HIV transmission?

 Male to male
 Male to female
 Female to female
 Female to male

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31) Brian is a 15-year old boy who has been admitted to a program for chemical dependency. He has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. In assessing Brian, the counselor should first consider which of the following before making a treatment recommendation?

 Brian's goals in life
 Brian's social resources
 If Brian really needs the program
 Brian's familial relationships and social milieu

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32) Counselors rely heavily on the work of developmental theorists as they attempt to stimulate clients to initiate relevant growth. According to Erickson, one of the leaders in developmental theory, the task to be accomplished ¡n adulthood is:

 Trust vs. Mistrust.
 Integrity vs. Despair.
 Identity vs. Role Confusion.
 Intimacy vs. Isolation.

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33) The interpersonal style in which a member of a minority group has made a conscious or subconscious decision to reject the general attitudes, behaviors, customs, rituals, and stereotypic behaviors associated with his/her own minority group to assimilate into the mainstream white culture is known as:

 The Acculturated Interpersonal Style.
 The Bi-Cultural Interpersonal Style.
 The Culturally-Immersed Interpersonal Style.
 The Traditional Interpersonal Style.

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34) Which of the following is a TRUE statement?

 Alcohol accounts for one-half of the ten leading causes of death in the'

Native American population.
Cultural issues no longer play a role in alcoholism rates with the Native
American population.
Past efforts to treat the Native American alcoholic have proven highly
successful.
Revia has proven to be a popular intervention in the effective treatment of
Native American populations.
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35) Ralph is a recovering alcoholic. He as been sober for several months, and has managed to find gainful employment and re-establish family relationships. He is in a twelve-step program as well as individual counseling. One day, he arrives to a counseling session quite upset. He reveals that he had a “slip” and drank a beer at a party. He did not get drunk, but feels terribly remorseful and has promised himself that he will not do it again. Which of the following is MOST true?

 Although Ralph did have a relapse, recovery should be easier the second

time around.
This constitutes a relapse, and Ralph may need to begin the recovery
process all over again.
Ralph should be reassured that this behavior is permissible as long as he
did not lose control and become drunk.
The counselor should talk to Ralph about the implications of dangerous
situations like this, but assure him that it is possible to continue his
recovery process.
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36) A client says that his wife has vowed to leave him if he resumes drinking. The best response by the counselor would be:

 "she seems to be over-reacting"
 "does she usually threaten you?"
 "sounds like she needs Al-Anon"
 "she's really serious about your sobriety"

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37) Which of the following essential orientation functions were NOT performed with this client?

 The client was provided an estimate of the cost of his treatment
 The client' rights were explained to him
 The client was provided a copy of the programs goals and objectives
 The client was provided information about schedule times for meetings

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38) A major method of reinforcing the therapeutic alliance and spirit of collaboration between the client and the counselor is:

 Including the client's family members in counseling.
 Setting mutually-established goals.
 Going to 12-step meetings with the client.
 Offering to make home visits.

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39) The term “late-onset” as it applies to chemical dependency refers to:

 Adolescents who avoid use till their late teen years.
 Women who don't begin use till after marriage.
 Elderly people who develop chemical dependency late in life.
 Alcoholics who develop medical complications after years of exposure to

alcohol.
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40) Which situation requires a client’s informed consent?

 A counselor refers a client back to the referring source at completion of

treatment
A counselor discusses a client’s case with the counselor’s supervisor
A counselor discusses a client’s case with another counselor in the
treatment facility
A client reports recent child abuse
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41) Bipolar mood disorder is distinguished from major depression by:

 At least one episode of mania.
 Evidence of earlier cyclothymia.
 Evidence of earlier dysthymia.
 Chronic forms of depression.

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42) The CAGE test is a simple assessment that is administered to individuals with a drinking problem. The questions on this test refer to:

 Cutting down on drinking, feeling annoyed and guilty, and dealing with

hangovers.
Making a distinction between problem drinkers and alcoholics.
Craving a drink, drinking alone, feeling guilty, and employment difficulties.
Client perceptions, guilt, and “eye-openers.”
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43) A “Release of Information” form must include, in addition to the client’s name, address and date of birth, which of the following?

 The client's ethnic background
 A signature by a medical doctor
 The purpose of the release of information
 The client's social security number

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44) A female client reports that she has some concerns about the relationship between her husband and her 14-year-old daughter from a previous marriage. She reports that her husband and daughter frequently argue, that her daughter refuses to take direction from her stepfather, mid that her daughter regularly complains about her stepfather’s “faults” and describes how her biological father ¡s better. The MOST relevant professional to whom a referral should be made is a:

 Social worker.
 Clinical psychologist.
 Licensed professional counselor.
 Marriage and family therapist.

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45) The treatment plan is developed based on information collected during:

 Screening.
 Orientation.
 The assessment.
 Intake.

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46) One of the counselor’s tasks is to guide the client in relating and communicating in specific terms, rather than in general or abstract terms. That characteristic or ability is called:

 Confrontation.
 Immediacy.
 Potency.
 Concreteness.

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47) Which statement about the grief process is TRUE?

 Guilt and anger are painful emotions that are part of grieving
 Symptoms of grief typically disappear within six months
 The grieving process should be hurried so the client can resume his life
 Grief is only a response to situations involving death

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48) Some populations suffer greater rates of addiction than others. The Native American population, for example, have addiction rates of:

 20%.
 30%.
 40%.
 >50%.

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49) A 42-year-old male has just completed intake admission forms and is considered appropriate and eligible for treatment. Which step should occur next?

 A licensed physician should conduct a physical examination of the client.
 The client should complete psychological tests to be used ¡n the

evaluation.
The counselor should conduct an initial family therapy session in order to
address problems caused by the client’s use.
The counselor should provide the client with an overview describing the
goal, objectives, rules, and obligations of the program.
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50) Concise and accurate reporting is necessary in order to:

 Assist in client education.
 Ensure continuity of client care.
 Promote team work among the clinical staff.
 Identify client strengths and weaknesses.

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51) Significant others should be involved in the treatment process:when the client requests interaction.

 When the client requests interaction.
 From the client's first contact with the treatment center.
 After it has been determined that the clients treatment is going well.
 After it has been determined that the interaction will not interfere with the

client’s treatment.
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52) When making a referral you should do all of the following EXCEPT:

 Share what you know about the referral agency with your client.
 Follow through with the referral agency to ensure you get your referral fee.
 Offer to make the initial contact in order to ensure that the client sees the

right person.
Have the client sign a release of confidentiality form before following
through with the referral.
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53) A frequent client reaction during the termination phase of counseling is:

 Defensiveness.
 Acting out behavior.
 Apathy.
 Lack of trust.

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54) According to the D.S.M IV-TR, all of the following are criteria for psychoactive substance dependence EXCEPT:

 Substance often taken in larger amounts than the person intended.
 Marked lack of initiative, interest or energy.
 Frequent intoxication when expected to fulfill major role obligations.
 One or more unsuccessful efforts to cut down substance use.

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55) Despite vast personality differences, virtually all substance abusers experience:

 Denial, surrender, and acceptance.
 Self-hatred, anger, and guilt.
 Remorse, self-hatred, and shame.
 Shame, euphoric recall, and relapse.

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56) Relapse prevention efforts are aimed at:

 Developing a therapeutic relationship for sobriety and maintenance.
 Changing expectations regarding the effects of intervention.
 Identifying high-risk situations and learning alternative coping skills.
 Discussing aspects of evaluation and treatment.

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57) All of the following are symptoms of the manic phase of bipolar mood disorder EXCEPT:

 Deflated self-esteem.
 Euphoria.
 High levels of verbal output.
 Pressured speech.

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58) _________________is one of case management’s hallmark characteristics.

 Advocacy
 Cooperation
 Stabilization
 Flexibility

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59) When conducting an assessment, what is the counselor’s primary focus?

 Identifying the client's problems and needs, strengths and weaknesses
 Explaining the rules of the program
 Having the client sign Release of Information forms
 Confronting the client's denial

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60) If Seconal is taken in combination with one of the following drugs, it leads to a “potentiation” of effect. Which drug will cause this effect?

 Alcohol
 Amphetamines
 Opiates
 Cocaine

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61) The completion of various forms, including releases of information, financial, and consent for treatment, happens during the client’s:

 Intake.
 Orientation.
 Case review.
 Psychosocial assessment.

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62) Comprehensive client documentation:

 Is best achieved when done independently from direct client care.
 Facilitates communication and enhances accountability.
 Is used primarily by the primary counselor.
 Is a standardized process.

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63) If a client appears to be in denial due to discrepancies stated during an intake interview, which of the following statements by the counselor would be MOST appropriate?

 "I'm not sure I understand. Let me check this out"
 "First you tell me one thing, then another. Which is really the truth?"
 "There's a lot of confusion in your story"
 "Addiction fosters denial"

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64) Alcohol decreases resistance to HIV infection by:

 Compromising T-cell functions.
 Impairing frontal cortical functions.
 Increasing serotonin levels in the synaptic gap.
 Decreasing cardiopulmonary functioning.

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65) Bob is a case manager in an intensive inpatient treatment facility. He recently was assigned a client, Mary, who presents not only with alcoholism but has also been diagnosed with AIDS. To assist Mary in her treatment and recovery needs, Bob would probably need to have knowledge of all of the following areas EXCEPT:

 AIDS epidemiology and transmission routes.
 The disease's clinical progression.
 New medication used in treatment regimens.
 Available social services for AIDS clients.

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66) Therapeutic communities differ from Synanon because:

 These communities try to return clients to society.
 These communities are based on individual psychotherapy rather than

group encounter.
These communities keep the patients busy rather than engaging in
contemplative thought.
These communities rely on professional psychologists rather than former
addicts or abusers.
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67) In a dysfunctional family system, the traditional role which the spouse plays is referred to as:

 The Hero.
 The Scapegoat.
 The Primary Enabler.
 The Mascot.

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68) The organization founded as an alternative to programs with spiritual overtones, whose publication is called “The Small Book,” is:

 Rational Recovery.
 Secular Organization for Sobriety.
 Men and Women for Sobriety.
 Codependents Anonymous.

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69) The description of the client’s rights typically occurs during the:

 Assessment.
 Intake.
 Orientation.
 Referral.

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70) A mutually-agreed-upon treatment plan should include:

 A detailed explanation of goals and objectives.
 More than one goal established by the counselor.
 A well-developed outline for the discharge summary.
 Clear expectations, specific goals, and methods of achievement.

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71) You have assessed your client and determined that he is a problem drinker. He insists that the reason he drinks is because of his wife’s behavior. Your initial objective should be to help him:

 Get his wife into counseling with him.
 Take responsibility for his behavior.
 Develop a more positive perception of himself.
 Effect a behavioral intervention.

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72) A key factor for counselors to consider is that in a counseling relationship, the counselor has differential power. One of the best safeguards is:

 To be alert to and understand the power relationship.
 To utilize the differential power to motivate the client.
 To realize the importance of this power in client interventions.
 To use differential power to get the client to try new behaviors.

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73) A pretreatment period is frequently the result of waiting lists or client reluctance to become fully engaged in primary treatment. What might be a danger of this pretreatment period?

 The pretreatment period may be when clients lose interest in treatment.
 A client may receive enough help so as not to need the services of the

program or agency.
Successful pretreatment may result in a client needing services that an
agency doesn’t have, thus losing the potential admission.
There is really no danger with pretreatment – recovery will require much
more programming than pretreatment can offer.
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74) Assessment, according to the behavioral approach, involves:

 Taking a client history and specifying problematic behavior.
 Specification of the problematic behavior and collection of baseline data.
 Identification of the problematic behavior and evaluation of the client's

motivation to change.
Specification of the problematic behavior and evaluation of the client’s
motivation to change.
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75) When assessing the signs and symptoms of alcohol withdrawal, all of the following may be noted EXCEPT:

 Restlessness, irritability, anxiety, agitation.
 Tremor, elevated heart rate, increased blood pressure.
 Decreased sensitivity to sounds, oversensitivity to tactile sensations.
 Decreased appetite, nausea, and vomiting.

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76) Effective communication occurs in groups when:

 Message receivers hear "you" messages.
 Message receivers do not speak.
 Message senders use third-person pronouns.
 Message senders use "I" messages.

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77) In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:

 Whether the patient has a history of sobriety during the last several years.
 Whether the patient's job and family are likely to give him another chance

if this treatment fails.
Whether the patient has family support for sobriety.
Whether the patient has a history of failed treatment on an outpatient or
inpatient basis.
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78) What was the crisis in this case?

 The client was deeply in debt because of his credit card use
 The client's wife had left him because of his physical abuse of her
 The client wanted to leave treatment because of his work schedule
 The client did not want to attend AA meetings in the càmmunity

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79) The PRIMARY purpose of a professional code of ethics is to:

 Serve as a guide in helping clients while behaving in a fair way to

colleagues.
Strengthen the appearance of professionalism among addiction
counselors.
Clarify the difference between acceptable and unacceptable client
behavior.
Provide legal recourse and concrete consequences for unethical
behavior.
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80) A cocaine-dependent client admits being fired from his job for absenteeism, losing his home and car by defaulting on his loans, and associating only with peers who use cocaine. He states that he does not require residential treatment because his problem is not serious enough. He further states that he has lost his house and car because his wife didn’t work enough hours. Which defense mechanisms is this client displaying?

 Projection, denial, and displacement
 Denial, minimization, and rationalization
 Sub-limitation, displacement, and compensation
 Identification, minimization, and Sub-limitation

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81) During a session you notice that the client is getting progressively more agitated. You suspect a potential for violence unless something is done immediately. Your BEST course of action would be to:

 Summarize the inappropriateness of the client's feelings.
 Confront the client's behavior.
 Instruct the client in relaxation techniques.
 Call for assistance.

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82) Which of the following counselor actions is an example of the use of a consultation?

 Acceptance of a referral from the client's Probation Officer
 Setting up an appointment for the client to visit a credit counseling agency
 Assisting the client with transportation to AA meetings upon discharge
 Seeking the advice of his clinical supervisor about the client's financial

problems
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83) Morning drinking reduces anxiety that effects the alcoholic’s ability to start the day

 Counter-transference.
 Investigation.
 Self-disclosure.
 Role-playing.

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84) Based upon the initial interview, Bill was given a provisional Axis I diagnosis of “alcohol dependence” and admitted to an Intensive outpatient program. After completion of the initial interview, Bill was given a tour of the facility, a client ‘ handbook, and introduced to his primary counselor and scheduled an appointment the next day to discuss what the client could expect during treatment and what would be expected of him in return. During his treatment Bill worked with his counselor to develop four primary treatment goals: 1) To spend at least four hours every other weekend with his children; 2) To attend three A.A. meetings a week for the next three months; 3) To abstain from alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12 week Intensive outpatient treatment program. Bill was quite resistant to attending A.A. meetings because of fear of being seen by his friends at meetings. The counselor helped Bill deal with his feelings by encouraging him to “A, B, C” his thoughts about what people might think of him if seen at meetings and documented the client’s progress in his chart with a process note. In addition, Bill was provided a set of videotapes which provided information about the disease concept of addiction, family dynamics, relapse prevention and problem solving strategies to review during his first two weeks of treatment. In the sixth week of counseling, Bill became quite agitated and insisted he was going to have to stop treatment because his work schedule had been changed – four of his employees had quit their jobs and he was going to have to fill in the irresponsibility. His counselor met with him and encouraged him to calm down and accept a change in his daily treatment schedule. Given his limited financial means and approximately $7,500 of debt on his Visa card and the fact that Bill talked excessively about his enormous debt, his counselor sought the advice of his clinical supervisor since financial problems were outside his scope of expertise. The clinical supervisor suggested that the counselor schedule an appointment with a non-profit credit counseling agency near his home. After explaining the discussion with his supervisor, Bill agreed to the appointment. Upon completion of the 12 week program, the client was discharged with instructions to attend 90 A.A. meetings in 90 days and twice weekly aftercare sessions. It was noted that the counselor lived less than two blocks from the client and so they agreed to car pool to aftercare meetings.Based on the information found in the case history, please select the BEST response to each of the following questions. What counseling theory was applied to the client’s resistance to attending AA Meetings?

 Motivational Interviewing
 Rational Emotive
 Client Centered
 Gestalt

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85) The measurement of progress toward treatment plan goals is best assessed by:

 Reviewing documentation in progress notes.
 Consulting with the client's significant others.
 Referring the client to a professional outside your agency for an objective

review.
Asking the client to write a personal evaluation of his/her own progress.
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86) During the intake, a counselor can expect to address all of the following issues EXCEPT:

 A client's fears and denial.
 Confidentiality.
 Information gathering.
 Treatment planning.

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87) Which statement BEST describes how a counselor can avoid professional burnout?

 Move from direct care to an administrative position.
 Contact a supervisor and ask for fewer work hours.
 Attend to health through adequate sleep, an exercise program, and

proper diet.
Add more structure to work by using a commercial time management
system.
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88) You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; gooseflesh; lacrimation; muscle jerks; flu syndrome; vomiting; diarrhea; nervousness; yawning; and severe anxiety. You conclude that the client is withdrawing from:

 Hallucinogens.
 CNS depressants.
 Opioids.
 Dextro-amphetamines.

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89) The quality of counseling is directly related to the counselor’s ability to:

 Formulate and carry out realistic personal and professional goals.
 Interpret the deeper meaning of problems.
 Analyze client problems.
 Convince clients to change.

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90) Which of the following is the BEST indicator if an individual is physically dependent upon alcohol or another drug?

 The amount consumed daily
 The length in years of heavy drinking or drug use
 The presence of withdrawal symptoms
 The frequency of memory blackouts

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91) Because addiction affects so many facets of the addicted person’s life,_____________________promotes recovery and enables the substance abuse client to fully integrate into society as a healthy, substance-free individual.

 Detoxification and stabilization
 Psychological evaluation and treatment
 Integration into a self-help recovery program
 A comprehensive continuum of services

Unanswered
94% got this correct

92) You begin working with a drinking alcoholic who recently had eight months of sobriety. He asks how he can stay sober. You respond by:

 Getting him to gradually cut down on his drinking.
 Encouraging him to change sponsors.
 Referring him for additional treatment.
 Asking him what worked before.

Unanswered
85% got this correct

93) Which of the following client behaviors contributed the most to the counselor’s development of the provisional diagnosis of “alcohol dependency?”

 The client admitting all of his legal problems were alcohol related
 The client's denial of use of prescription medication
 The client's report of increased use of alcohol and occasional memory

loss
The client’s conviction for his second DUI offense
Unanswered
76% got this correct

94) In a crisis interview with a client, you are MOST concerned with:

 The client's family dynamics.
 Getting all the information that you can.
 What your immediate response should be.
 Focusing questions about the present situation and the client's means of

coping with the stress.
Unanswered
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95) The first contact that a potential client would have with an agency would likely be for the purpose of:

 Family therapy.
 Education.
 Psychosocial assessment.
 Screening.

Unanswered
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96) There are several psychological and sociological differences between male and female alcohol abusers. Which of the following BEST describes one of those differences?

 Women more often than men will cite a traumatic event that precipitated

their drinking.
Female alcoholics are more likely to be sociopathic and male alcoholics
are more likely to have affective problems.
Female alcoholics are less frequently characterized as feeling depressed
and guilty than male alcoholics.
Women move more slowly from the early stages to the later stages of
abusive drinking than men.
Unanswered
77% got this correct

97) A reward is something given for a special behavior, whereas positive reinforcement is:

 A mutual reward to reinforce behavior by the same amount.
 Something specifically designed to increase the occurrence of a particular

behavior.
The process of observing behavior of others.
A type of learning in which behaviors are increased as the result of the
consequences.
Unanswered
95% got this correct

98) Lt is crucial for the case manager to be aware of what may inhibit minorities’ participation in the substance abuse treatment continuum. Suppose that you are a case manager, working in an outpatient program with a Somali client. AA is an integral part of your program, yet you are aware of the fact that while “accepting one’s powerlessness” is a central tenet of 12-Step self-help programs, members of oppressed groups may not accept it, given their own societal powerlessness. What would be the best thing to do in such a case?

 Ask the client to participate, never-the-less, and suggest he simply "do his

best” when dealing with the issue of powerlessness.
Let the client know that participation in AA is mandatory, and that if he
doesn’t participate, he could be discharged for “noncompliance.”
Be sensitive to such cultural differences and seek out other recovery
resources that are relevant to the individual’s values.
Seek out another Somali who is in a local AA group and ask the he or she
sponsor your client.
Unanswered
93% got this correct

99) Which self help group would be most appropriate for a mother whose drug and alcohol-abusing son is causing her distress?

 Alateen
 ACOA
 Al-Anon
 A.A.

Unanswered
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100) Heroin is an example of a(an):

 Natural narcotic.
 Semi-synthetic narcotic.
 Synthetic narcotic.
 Quasi-narcotic.

Unanswered
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101) Written consent to release client information is required EXCEPT when the release is to the client’s:

 Spouse who participates in joint counseling sessions.
 Employer when confirmation of attendance is needed for continued

employment.
Attorney when verification of admission status ¡s needed for a court
hearing.
Physician when information on medications prescribed in treatment is
requested.
Unanswered
62% got this correct

102) All of the following statements about the effects of alcohol abuse on the body are true EXCEPT:

 Malnutrition can occur in drinkers who eat well-balanced diets.
 Stimulation of the brain's frontal lobe can occur.
 The second stage of liver deterioration can be reversed.
 A vitamin B6 deficiency can occur.

Unanswered
72% got this correct

103) Regarding a “seropositive” result, which of the following is NOT a meaning of HIV antibody test results?

 The person has the AIDS virus
 HIV infection occurred at some point in the past
 The person is infectious and will remain so for life
 The HIV infection has been in the system long enough to produce

antibodies
Unanswered
97% got this correct

104) Which of the following responses would be helpful ¡n establishing a therapeutic relationship with a client?

 "What's the matter with you? Why didn't you just take care of the problem

yourself?”
“Let’s get right to the point. You’ve got a drinking problem”
“Let’s talk about each of our expectations for counseling”
“Let me tell you what you need to stay sober”
Unanswered
88% got this correct

105) You are having difficulty with a client early on in the case. The BEST thing for you to do is:

 Transfer the client to another counselor.
 Let the relationship develop and try to work it out.
 Challenge the client about his/her resistance to treatment.
 Seek out supervision with a colleague or supervisor.

Unanswered
43% got this correct

106) Which of the following essential tasks was NOT completed during the client’s intake process?

 The client was assigned a primary counselor
 An initial assessment was completed
 The client was admitted to the program
 The client signed all required consent forms

Unanswered
84% got this correct

107) Your client, Eric, discloses to the group that he is homosexual. Another member of the group shifts in his seat and changes the subject, talking about a superficial incident that happened earlier in the day. The facilitator’s MOST appropriate response would be to:

 Interrupt the second speaker and remind him of the group rules.
 Remind Eric that you are here to treat addiction and ask how this relates to

his addiction.
Tell Eric that this disclosure is more appropriate for an individual session
and you will meet with him later.
Ask questions which facilitate a group response to Eric’s disclosure and
elicit more feeling content from Eric.
Unanswered
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108) When a client discloses suicidal thoughts, the counselor’s first step is to:

 Identify alternative courses of action.
 Offer emotional support.
 Contact emergency personnel.
 Assess the degree of risk.

Unanswered
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109) If the orientation process is neglected or incomplete a client may:

 Remain in denial about his/her addiction.
 Have incorrect information and unanswered questions about the program.
 Need to be referred to an outside agency.
 Need additional education about addiction.

Unanswered
81% got this correct

110) The BEST way of dealing with individual needs in a group is to:

 Use the group process to share mutual concerns.
 See the client for individual counseling outside of group.
 Conduct one-on-one sessions in the group.
 Not allow monopolizing by members in group.

Unanswered
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111) Providing the client with information regarding program rules, and infractions that can lead to discharge, normally occurs during the:

 Screening.
 Orientation.
 Assessment.
 Group therapy sessions.

Unanswered
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112) Your client has been advised by his sponsor to discontinue a needed antidepressant medication. You believe this advice to be premature and possibly harmful. What action should you take as a first step?

 Obtain your client's authorization and contact the sponsor to discuss the

situation further
Have the client discontinue involvement in AA until antidepressant
medication is no longer needed
Encourage your client to ignore the sponsor’s advice and continue the
medication
Encourage your client to look for another, more understanding sponsor
Unanswered
75% got this correct

113) Pointing out parallels between a client’s interpersonal relationships and the client/counselor interaction serves to focus awareness on:

 The "here and now."
 The client's weaknesses in communication.
 The counselor's feelings about the relationship.
 The unique qualities of the client/counselor relationship.

Unanswered
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114) Before therapy or counseling begins, clients may be given information about the treatment they will receive, as well as possible risks involved. This process is known as:

 Self-disclosure.
 Releasing information.
 Protecting confidentiality.
 Obtaining informed consent to treatment.

Unanswered
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115) One goal of an effective aftercare program is:

 To enhance a client's emotional rehabilitation.
 To minimize the client's use of denial.
 To support the gains made in treatment.
 To assign sponsors to clients.

Unanswered
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116) An example of the use of effective case management with this case was:

 The counselor referring the client to the credit counseling agency.
 The counselor helping the client stay in treatment by accepting a change

in his work schedule.
The scheduling of an appointment for the client to talk to a college
admissions counselor to encourage the client to continue his education.
The counselor documenting the client’s tour of the facility and general
orientation.
Unanswered
85% got this correct

117) It is important to understand clients and their expectations for counseling. Clients coming in for treatment carry with them both helpful and harmful expectations. Which of the following is a harmful client expectation?

 "This counselor is a stranger, but maybe I can learn to trust her."
 "My counselor will direct me to do what I need to do, and everything will

be OK.”
“My counselor will be a resource that I can use to resolve my problems.”
“The counselor’s main concern and responsibility is to help me achieve
my goals and objectives.”
Unanswered
45% got this correct

118) According to the American Society of Addiction Medicine (ASAM), which of the following is NOT one of the five categories of primary treatment?

 Early intervention
 Early intervention
 Intensive outpatient or partial hospitalization
 Residential or inpatient services

Unanswered
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119) Personality disorders are:

 Reactions to stress.
 Episodic in nature.
 Intra-psychic disturbances.
 Maladaptive ways of perceiving, thinking, and relating.

Unanswered
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120) Sarah, a counselor in a drug treatment center, grew up in an alcoholic home and still has strained relationships. Which statement BEST describes Sarah’s situation?

 Sarah can expect her unresolved conflicts to rise to the surface because

of her work in the treatment center.
Sarah can resolve her personal pain by working professionally with
addicted family units in a treatment center.
Sarah may be more comfortable with her clients because she is familiar
with their behavior.
Sarah may have unfinished business with her parents.
Unanswered
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121) A mental status exam does NOT assess:

 Educational level.
 Appearance.
 Speech.
 Thought processes.

Unanswered
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122) Client files should be readily accessible to:

 The client.
 All staff of the facility.
 The agency board of directors.
 Only those persons directly involved in providing clinical services.

Unanswered
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123) Stress inoculation focuses primarily on:

 Increasing self-control.
 Increasing coping skills.
 Decreasing anxious responding.
 Decreasing negative thought patterns.

Unanswered
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124) Of the following statements made by a client in a group, which would MOST warrant documentation in the client’s progress notes?

 "I'm finding the support from this group to be very helpful."
 "Getting caught for drunk driving was a mixed blessing."
 "Ever since I stopped drinking, my emotional swings have been quite

intense.”
“Let’s change the subject. Did anyone see the game last night?”
Unanswered
77% got this correct

125) The NIDA-financed Drug Abuse Reporting Program found that:

 Short-term therapy is more effective for drug abusers than long-term

therapy.
Heroin addicts had a higher relapse rate than cocaine addicts.
Most drug abusers who enter therapeutic communities remain drug free.
Therapeutic communities do reduce drug use relative to untreated clients
or those who are simply detoxified and released.
Unanswered
72% got this correct

126) Barbiturates can be sub-classified into groups based upon:

 How they are used.
 When they were discovered.
 Their medical and non-medical use.
 The speed of the onset and duration of the effects.

Unanswered
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127) AIl of the following are benzodiazepines EXCEPT:

 Valium.
 Halcion.
 Trazodone.
 Xanax.

Unanswered
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128) The primary purpose of the screening process is to:

 Develop a treatment plan.
 Have the client sign appropriate documents.
 Determine one's appropriateness and eligibility for admission.
 Identify the client's strengths and weaknesses.

Unanswered
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129) A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should:

 Draw up a new contract with the client.
 Talk to the client about possible denial.
 Create new goals and objectives, and suggest alternate forms of therapy.
 Discuss these concerns with the client and make necessary changes in

treatment goals.
Unanswered
85% got this correct

130) The PRIMARY example of the counselor’s use of effective recording and record keeping in this case was:

 The counselor helping the client change his work schedule
 The counselor helping the client complete all required insurance and

consent forms
The counselor admitting the client into the program
The counselor completed a progress note for the client’s chart
Unanswered
87% got this correct

131) Which of the following patterns of drinking is accurately associated with the term “alcoholism”?

 A lack of tolerance for alcohol
 Frequent short periods of sobriety
 The inability to control the amount one drinks
 Light drinking EXCEPT on weekends

Unanswered
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132) During the screening process, a critical task that the counselor has is to:

 Complete a mental status exam.
 Engage the client's family in treatment.
 Develop a treatment plan.
 Establish rapport with the client.

Unanswered
49% got this correct

133) All of the following are goals of person-centered therapy EXCEPT:

 Teaching clients to formulate and carry out plans to change their behavior.
 Focusing on the person instead of the presenting problem.
 Assisting clients in enhancing their coping skills.
 Individualizing the treatment plan.

Unanswered
76% got this correct

134) Good case management requires the integration of services within a treatment plan. With this in mind, which of the following is TRUE?

 The counselor should coordinate regular meetings with all professionals

involved in the client’s treatment.
Good integration of services requires team meetings with the client
present.
Once the treatment plan is written, the use of other services ¡s determined
and will remain unchanged.
With a well-integrated team of professionals, the case manager’s review
of progress notes will alone determine how the treatment plan ¡s being
followed.
Unanswered
57% got this correct

135) Which of the following important treatment planning activities were NOT accomplished in working with this client?

 The counselor formulated appropriate short term goals for the client
 The counselor identified and ranked the client's problems needing

resolution
The counselor worked with the client in establishing the client’s treatment
goals
The client’s treatment goals were expressed in measurable behavioral
terms
Unanswered
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136) The branch of pharmacology that deals with the biological, biochemical, and physical characteristics of natural drugs is:

 Pharmacokinetics.
 Pharmacognosy.
 Pharmacotherapeutics.
 Pharmacodynamics.

Unanswered
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137) What was the PRIMARY ethical issue in this case?

 The counselor and client were planning to carpool to aftercare
 The client's motivation was questionable because he was forced into

treatment.
The counselor minimized the client’s employment problem
The counselor made a referral which was not directly related to the
alcohol problem.
Unanswered
87% got this correct

138) A client says to you, “I am getting to like you very much and I’d like us to get a lot closer.” You should first:

 Terminate the client's treatment and seek supervision.
 Talk openly about transference issues.
 Reciprocate your true feelings, but only if you are attracted to him/her.
 Refer the client to another professional.

Unanswered
67% got this correct

139) The PRIMARY purpose of professional standards of practice is to:

 Provide recognition of demonstrated competency in addictions

counseling.
Ensure that each client receives equal treatment regardless of ability to
pay.
Help programs qualify for Medicaid and other third-party reimbursement.
Allow unlicensed counselors to work in licensed facilities.
Unanswered
79% got this correct

140) The goal of Al-Anon is:

 To provide group and individual therapy for family members of alcoholics.
 To provide a fellowship and support for individuals in relationships with

alcoholics.
To educate family members of their risk of becoming alcoholics.
To provide families of alcoholics with the intervention necessary to prevent
their substance abuse.
Unanswered
63% got this correct

141) While the overall national suicide rate has increased slightly but consistently in recent years, disproportionate increases have occurred among:

 Females and the elderly.
 Females and the young.
 Males and the elderly.
 Males and the young.

Unanswered
63% got this correct

142) According to Marlatt’s model of the relapse process, which of the following statements is NOT true?

 Clients should be taught skills for anticipating, avoiding, and coping with

their personal high-risk situations.
Clients should be taught constructive responses to cope with lapses when
they do occur.
Clients should be helped to recognize that one or more temporary lapses
are likely to occur and are permitted.
Any positive expectations that clients have about drug use should be
countered with reminders about the lows that follow the highs and about
the long-term negative consequences of substance abuse.
Unanswered
88% got this correct

143) When language is a barrier to treatment planning, this situation can be overcome by:

 Employing an interpreter.
 Training the counselor in cultural sensitivity.
 Requiring the client to utilize a family member as an interpreter.
 Getting the client a language tutor.

Unanswered
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144) Which of the following is MOST helpful for counselors in defining their professional roles for counseling clients?

 An understanding of self-help groups
 An ethical code of conduct
 Certification
 An advanced degree

Unanswered
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145) Which of the following actions by the counselor is an example of a referral?

 The counselor sought the advice of his clinical supervisor regarding the

client’s finances
The counselor scheduled an appointment with a credit counseling agency
The counselor arranged for the client to change his work schedule
The counselor helped the client find an AA meeting and sponsor
Unanswered
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146) An irresistible impulse is called a(an):

 Compulsion.
 Delusion.
 Hallucination.
 Obsession.

Unanswered
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147) After a counselor has made a summary statement, the most important thing the counselor should do is:

 Remain quite for a time to allow the client to consider the summarized

material.
Document the summary as soon as possible as part of the treatment plan.
Recommend that the client discuss the session with his/her sponsor.
Terminate the session immediately.
Unanswered
92% got this correct

148) A common error that counselors make when conducting an assessment is:

 Asking too many questions.
 Moving too quickly from data collection to treatment planning.
 Focusing on strengths and weaknesses.
 Processing the data collected from the client.

Unanswered
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149) Joe is a 27-year old addict who has begun counseling, but has not yet been able to give up using drugs. During one session, he tells his counselor that he is beginning to feel that “it is useless to try to stop,” and that “sometimes life is not worth living.” The counselor is concerned that Joe could be suicidal. The counselor should:

 Assess Joe's potential for suicide without directly asking him about

suicide plans, but assess his high-risk factors.
Assess Joe’s potential for suicide by asking him about his intent, and
evaluating high risk factors.
Determine if Joe has a gun or other weapon.
Initiate involuntary hospitalization procedures.
Incorrect
95% got this correct

150) Which of the following is the BEST example of a counselor setting limits with a client?

 "We're here to discuss your alcohol problem - I don't want to talk about

your marriage”
“Counseling is a very unstructured process – anything goes”
“Our meetings will consist of four 50 minute sessions at 10 a.m. each
Wednesday”
“What’s important is that I help you. I’ll counsel you no matter what”