is a consequence of personal choice
Garvey smokes methamphetamine several times per week. He lost access to his children last
year, and his family has all but disowned him. Garvey has tried to quit many times but loves
the high and finds the cravings too strong to overcome. He has been to prison for things he
has done to support his habit but always returns to using. Over time, tolerance has devel-
oped. Garvey's presentation is consistent with: - ANSWER Methamphetamine Use Disor-
der, severe
Jose shares in group about the pain of his divorce, triggered by his spouse's affair with his
brother. Jose was left isolated from his family, feeling no support whatsoever. Other mem-
bers have similar stories, but Mark's spouse specifically had an affair with his brother, leaving
him feeling he had no support either. The group counselor says, "Mark, you shared your wife
is now dating your brother. I wonder if there is any part of Jose's story you relate to or that
you would like to share about today." The group counselor has demonstrated: - ANSWER
Linking
Which statement best describes the role of drug testing in treatment? - ANSWER It is the
most accurate way to determine current or recent drug use
Katherine is a substance abuse counselor in an outpatient program. Her client, Donovan, is
dependent on heroin and told Katherine that he deals drugs to others to support his habit.
Which is the correct ethical choice for Katherine? - ANSWER Legally and ethically, Kathe-
rine cannot divulge client information that was told to her in confidence.
The recommended level of care for a client is based on what? - ANSWER ASAM patient
placement criteria
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, When you ask a client if he has thoughts of killing himself, he changes the subject. What is
the best intervention? - ANSWER continue to assess the client's suicide risk
Renee smoked cigarettes for over 40 years but stopped smoking about 6 months ago. She
continues to have strong cravings but has managed to not give in to her urges and remains
abstinent. Renee's presentation is most consistent with: - ANSWER Tobacco use disorder,
in early remission
In the practice of addictions counseling, the systematic approach to the screening and as-
sessment process in which the counselor identifies and evaluates the individual's presenting
issues and identifies his/or her treatment and referral needs is known as: - ANSWER Clini-
cal evaluation
Andre and Brenda co-facilitate a group on healthy relationships. They work with members
on role-playing to improve communication skills, setting boundaries, and refusal skills. What
description best matches this group? - ANSWER Skills development group
The informed consent for treatment document should contain: - ANSWER Information
about confidentiality and its limitations
A collaborative process through which the counselor and client develop desired treatment
outcomes and identify the strategies for achieving them is: - ANSWER Treatment plan-
ning
Which person would not be involved in the orientation process? - ANSWER Client's pro-
bation officer
The first stage in the group process may be referred to as: - ANSWER Dependency
In regard to crisis situations, the most useful criterion for evaluating the effectiveness of ac-
tions taken between sessions is: - ANSWER Level of functioning, compared to pre-crisis
level
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