EDCO 740 ADDICTIONS CASE PART 1:
MARCI COMPREHENSIVE STUDY GUIDE
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ 52. A frequent client reaction during the termination phase of counseling
is:a. acting out behaviorb. defensivenessc. lack of trustd. apathy.
Answer: a. acting out behavior
◍ 30. In an apologetic tone, a recovering client tells the counselor that he is
still having urges to drink. The counselor can help by:a. challenging the
client about behaviors that prompted the urgeb. detailing a schedule of
increased AA attendance for the clientc. confronting the urge to drink by
reinforcing the reality that the client can never return to drinkingd.
normalizing the drinking urge and encouraging continued efforts towards
relapse prevention.
Answer: d. normalizing the drinking urge and encouraging continued efforts
towards relapse prevention
◍ 4. If the orientation process is neglected or incomplete a client may:a.
remain in denial about his/her addiction and leave against staff adviceb.
have incorrect information and unanswered questions about the programc.
need to be referred to an outside agency for additional counselingd. need
additional education about addiction and its effects on the body..
Answer: b. have incorrect information and unanswered questions about the
program
◍ When a client is working toward the prevention of an alcohol abuse relapse,
the nurse is acting in a therapeutic role when doing what?Helping the client
identify positive coping mechanismsDiscussing the pros and the cons of
, alcohol abuseMonitoring the effects of treatmentProviding education to the
client's family.
Answer: Helping the client identify positive coping mechanisms
Explanation:When a client is working toward the prevention of an alcohol
abuse relapse, the nurse is most therapeutic when helping the client identify
positive coping mechanisms.
◍ 42. The primary factor in the development of young people's attitudes
toward drugs is:a. peer pressureb. parental role modelsc. mass mediad.
societal expectation.
Answer: b. parental role models
◍ 21. Hallucinogens work on the brain by interfering with various
neurotransmitters, causing an overlap of the senses to occur. The term for
this overlap of the senses is:a. synergyb. synthesisc. synesthesiad. synaptic
overload.
Answer: c. synesthesia
◍ 48. Which of the following is TRUE about a treatment plan?a. treatment
plans should relate to the counselor's treatment philosophy and methodsb.
treatment plans need not be updated after the client agrees to the initial
planc. client's own goals for treatment must be considered and discussedd.
client's family should agree with treatment plan.
Answer: c. client's own goals for treatment must be considered and
discussed
◍ The nurse is assessing a client the nurse suspects may have a drinking
problem. The nurse asks the client how much alcohol the client drinks per
day. The client replies, "The important point is that even if I have 10 drinks,
I don't get drunk. I can hold my liquor." The client's reply suggests
what?The client has developed tolerance.The client has blackouts.The client
is minimizing intake.The client may drink frequently or a lot, but the client
doesn't have a problem..
Answer: The client has developed tolerance. Explanation:Behavioral
tolerance to alcohol is manifested by the ability to mask the behavioral
, effects. For example, the acquired ability not to slur words, to walk straight,
and to function in ways that would not be possible in a nondependent person
who drinks. The drinking history of alcoholics often reveals the ability to
increase tolerance and to maintain this increase for a long time, perhaps
several years.
◍ A nursing student is aware that which accounts for more deaths, illnesses,
and disabilities across the life span than any other preventable
condition?Motor vehicle accidentsSubstance abuse disordersFallsMood
disorders.
Answer: Substance abuse disorders Explanation:Substance abuse disorders
across the life span account for more deaths, illnesses, and disabilities than
any other preventable health condition.
◍ A 52-year-old client has a history of alcohol dependence and is admitted to a
detoxification unit. The client has tremors, is anxious, has a pulse that has
risen from 98 to 110 beats/min, has blood pressure that has risen from
140/88 to 152/100 mm Hg, and has a temperature 0.6º above normal. The
client is slightly diaphoretic. Which nursing diagnosis would be the
priority?Disturbed thought processesRisk for injuryIneffective
copingIneffective denial.
Answer: Risk for injury Explanation:The client is experiencing alcohol
withdrawal, and protecting the client from injury is the priority at this time.
Although the client may be coping ineffectively or denying the alcoholism,
the client's physical safety is a top priority. There is no indication to suggest
that the client's thought processes are disturbed.
◍ 39. Which of the following is a characteristic of Gestalt therapy?a. an
emphasis on the pastb. a focus on unfinished businessc. an emphasis on
diagnostic considerationsd. a focus on the conflict between the id and the
superego.
Answer: b. a focus on unfinished business
◍ designer drugs.
Answer: synthetic substances made by altering existing medications or
, formulating new ones not yet controlled by the FDA; amphetamine-like
effects, some also have hallucinogenic effects; called club drugs
◍ A client has been prescribed naltrexone for treatment of alcohol dependence.
The nurse has explained the drug's purpose to the client. The nurse
determines that the client has understood the instructions when the client
identifies which about the drug?Causes itching if alcohol is
consumedProduces the euphoria of alcoholReduces the appeal of
alcoholImproves appetite and nutritional status.
Answer: Reduces the appeal of alcohol Explanation:Naltrexone's effect is
unknown. Reports from successfully treated clients suggest three kinds of
effects: (1) can reduce craving (the urge or desire to drink), (2) can help
maintain abstinence, and (3) can interfere with the tendency to want to drink
more if a recovering client slips and has a drink.
◍ 17. In a crisis interview with a client, you are most concerned with:a. the
client's family dynamics as they relate to the specific dynamics of the crisis
situationb. getting all the information that you can from the client and
available family membersc. focusing questions about the present situation
and the client's means of coping with the stressd. what your immediate
response should be regardless of the cleint's response to questions.
Answer: c. focusing questions about the present situation and the client's
means of coping with the stress
◍ 23. Burnout in counselors might be avoided by periodic:a. self-assessmentb.
attitude adjustmentc. medication evaluationd. disputing of rational beliefs.
Answer: a. self-assessment
◍ flushing.
Answer: reddening of the face and neck as a result of increased blood flow
◍ 60. Phobic behaviors are reinforced by:a. an increase in one's self-esteemb. a
reduction in one's feelings of anxietyc. significant repetition of the phobic
behaviorsd. sympathy received from others.
Answer: b. a reduction in one's feelings of anxiety
MARCI COMPREHENSIVE STUDY GUIDE
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ 52. A frequent client reaction during the termination phase of counseling
is:a. acting out behaviorb. defensivenessc. lack of trustd. apathy.
Answer: a. acting out behavior
◍ 30. In an apologetic tone, a recovering client tells the counselor that he is
still having urges to drink. The counselor can help by:a. challenging the
client about behaviors that prompted the urgeb. detailing a schedule of
increased AA attendance for the clientc. confronting the urge to drink by
reinforcing the reality that the client can never return to drinkingd.
normalizing the drinking urge and encouraging continued efforts towards
relapse prevention.
Answer: d. normalizing the drinking urge and encouraging continued efforts
towards relapse prevention
◍ 4. If the orientation process is neglected or incomplete a client may:a.
remain in denial about his/her addiction and leave against staff adviceb.
have incorrect information and unanswered questions about the programc.
need to be referred to an outside agency for additional counselingd. need
additional education about addiction and its effects on the body..
Answer: b. have incorrect information and unanswered questions about the
program
◍ When a client is working toward the prevention of an alcohol abuse relapse,
the nurse is acting in a therapeutic role when doing what?Helping the client
identify positive coping mechanismsDiscussing the pros and the cons of
, alcohol abuseMonitoring the effects of treatmentProviding education to the
client's family.
Answer: Helping the client identify positive coping mechanisms
Explanation:When a client is working toward the prevention of an alcohol
abuse relapse, the nurse is most therapeutic when helping the client identify
positive coping mechanisms.
◍ 42. The primary factor in the development of young people's attitudes
toward drugs is:a. peer pressureb. parental role modelsc. mass mediad.
societal expectation.
Answer: b. parental role models
◍ 21. Hallucinogens work on the brain by interfering with various
neurotransmitters, causing an overlap of the senses to occur. The term for
this overlap of the senses is:a. synergyb. synthesisc. synesthesiad. synaptic
overload.
Answer: c. synesthesia
◍ 48. Which of the following is TRUE about a treatment plan?a. treatment
plans should relate to the counselor's treatment philosophy and methodsb.
treatment plans need not be updated after the client agrees to the initial
planc. client's own goals for treatment must be considered and discussedd.
client's family should agree with treatment plan.
Answer: c. client's own goals for treatment must be considered and
discussed
◍ The nurse is assessing a client the nurse suspects may have a drinking
problem. The nurse asks the client how much alcohol the client drinks per
day. The client replies, "The important point is that even if I have 10 drinks,
I don't get drunk. I can hold my liquor." The client's reply suggests
what?The client has developed tolerance.The client has blackouts.The client
is minimizing intake.The client may drink frequently or a lot, but the client
doesn't have a problem..
Answer: The client has developed tolerance. Explanation:Behavioral
tolerance to alcohol is manifested by the ability to mask the behavioral
, effects. For example, the acquired ability not to slur words, to walk straight,
and to function in ways that would not be possible in a nondependent person
who drinks. The drinking history of alcoholics often reveals the ability to
increase tolerance and to maintain this increase for a long time, perhaps
several years.
◍ A nursing student is aware that which accounts for more deaths, illnesses,
and disabilities across the life span than any other preventable
condition?Motor vehicle accidentsSubstance abuse disordersFallsMood
disorders.
Answer: Substance abuse disorders Explanation:Substance abuse disorders
across the life span account for more deaths, illnesses, and disabilities than
any other preventable health condition.
◍ A 52-year-old client has a history of alcohol dependence and is admitted to a
detoxification unit. The client has tremors, is anxious, has a pulse that has
risen from 98 to 110 beats/min, has blood pressure that has risen from
140/88 to 152/100 mm Hg, and has a temperature 0.6º above normal. The
client is slightly diaphoretic. Which nursing diagnosis would be the
priority?Disturbed thought processesRisk for injuryIneffective
copingIneffective denial.
Answer: Risk for injury Explanation:The client is experiencing alcohol
withdrawal, and protecting the client from injury is the priority at this time.
Although the client may be coping ineffectively or denying the alcoholism,
the client's physical safety is a top priority. There is no indication to suggest
that the client's thought processes are disturbed.
◍ 39. Which of the following is a characteristic of Gestalt therapy?a. an
emphasis on the pastb. a focus on unfinished businessc. an emphasis on
diagnostic considerationsd. a focus on the conflict between the id and the
superego.
Answer: b. a focus on unfinished business
◍ designer drugs.
Answer: synthetic substances made by altering existing medications or
, formulating new ones not yet controlled by the FDA; amphetamine-like
effects, some also have hallucinogenic effects; called club drugs
◍ A client has been prescribed naltrexone for treatment of alcohol dependence.
The nurse has explained the drug's purpose to the client. The nurse
determines that the client has understood the instructions when the client
identifies which about the drug?Causes itching if alcohol is
consumedProduces the euphoria of alcoholReduces the appeal of
alcoholImproves appetite and nutritional status.
Answer: Reduces the appeal of alcohol Explanation:Naltrexone's effect is
unknown. Reports from successfully treated clients suggest three kinds of
effects: (1) can reduce craving (the urge or desire to drink), (2) can help
maintain abstinence, and (3) can interfere with the tendency to want to drink
more if a recovering client slips and has a drink.
◍ 17. In a crisis interview with a client, you are most concerned with:a. the
client's family dynamics as they relate to the specific dynamics of the crisis
situationb. getting all the information that you can from the client and
available family membersc. focusing questions about the present situation
and the client's means of coping with the stressd. what your immediate
response should be regardless of the cleint's response to questions.
Answer: c. focusing questions about the present situation and the client's
means of coping with the stress
◍ 23. Burnout in counselors might be avoided by periodic:a. self-assessmentb.
attitude adjustmentc. medication evaluationd. disputing of rational beliefs.
Answer: a. self-assessment
◍ flushing.
Answer: reddening of the face and neck as a result of increased blood flow
◍ 60. Phobic behaviors are reinforced by:a. an increase in one's self-esteemb. a
reduction in one's feelings of anxietyc. significant repetition of the phobic
behaviorsd. sympathy received from others.
Answer: b. a reduction in one's feelings of anxiety
