Elscores 8/18/2024 6:16:34 PM
IL CADC Study Questions and
Correct Answer
Purpose of client advocate
~: Formal relationship with the employer, Involve the employer in the patient's treatment,
Promote information to employer about the patient's disease, Educate employer on the treatment
process, Help provide support for the patient in recovery
Community education purpose
~: Identify the major drug problems in the community
Role for local churches and religious groups
~: Start a self-help group that meets in the facility
Counselor responsibilities
~: Educating other agencies on effective ways to work with specific cases relating to
drugs/alcohol
Two- Stepping
~: Defense that is destructive to the newly sober client in which they help others with their
alcoholism but do not concentrate on their sobriety
Signs/symptoms of Alcoholism
, Elscores 8/18/2024 6:16:34 PM
~: Solitary drinking, Over permissive norms of drinking, Lack of specific drinking norms,
Tolerance of drunkenness, Adverse social behaviors, Utilitarian use of alcohol to reduce
tension/anxiety, Lack of ritual/ceremonial use of alcohol, Alcohol use separated from eating
patterns
Signs/symptoms of Alcoholism
~: Alcohol use separated from family, social functions, Drinking with strangers, Alcohol not
introduced in small amounts when a child, Drinking pursued as recreation, Drinking concentrated
in young males, Culture that stresses individualism, self-reliance and high achievement
Referring to AA/NA
~: Have a AA/NA person meet w/them and explain how the group and recovery can work
together, Not proper to refer an atheist since it is built on a belief in God, do not refer if it would
seem to be disrespectful of clients rights and views, Make sure the referral meets the clients
personality and background
Dual Diagnosis
~: Sometimes appear as patients sober up
Referral processes
~: Identifying the needs of the client that cannot be met by the counselor/agency and Assisting
the client to utilize the support system and community resources available
Discharge summary is needed
~: Inpatient, aftercare, detox, half way houses, etc, Communications from one agency to another
and increases accountability, Reports and record keeping tells the story of the client from
beginning to end, No universally accepted format for maintaining records
, Elscores 8/18/2024 6:16:34 PM
Reports
~: Explains various aspects of the assessment, treatment plans, and discharge to parties who
need such information to enhance the care of the client
Documents patient can sign
~: Consent for treatment, Public aid, DASA, statistics, Treatment plans, Release of information,
To acquire medical attention, Education/prevention, Client education, Crisis intervention
Patient has a right to
~: Treatment costs they are liable for, When treatment services are available, Types of
counseling approaches used, Opportunity to complain to appropriate staff
Client files
~: Only the clinical supervisor has unrestricted access to client's files
Physiological dependence for alcohol- Alpha
~: Psychological dependence, no loss of control, reliance on alcohol to weather problems
Physiological dependence for alcohol- Beta
~: Psychological dependence, physical problems (cirrhosis) but no physical dependence
Physiological dependence for alcohol - Gamma
~: Change in tolerance, physical withdrawal, loss of control. Use for Jellinek Chart with 4 stages
Physiological dependence for alcohol - Delta
, Elscores 8/18/2024 6:16:34 PM
~: Same as Gamma but no loss of control but drinks
Physiological dependence for alcohol - Epsilon
~: Periodic alcoholism/binge drinking
Aversive therapy
~: Disulfiram/Antibuse - Most effect for binge drinkers and No alcohol for 2 weeks or severe
allergy reactions occur
Direct Reinforcement
~: Providing positive feedback and rewarding in a direct way and Introducing new and competing
behaviors to replace negative behaviors
Analytic therapy
~: Oriented toward achieving insight, identifying and experiencing feelings, memories
developing, in-depth self-understanding, re-experiencing, reconstructing childhood experience,
Not appropriate for first month of counseling
Erickson's Psychological Theory
~: Trust vs Mistrust; Autonomy vs Doubt; Initiative vs Guilt; Industry vs Inferiority; Identity vs Role
Diffusion - Adolescent; Intimacy vs Isolation - Adult; Generativity vs Stagnation - Adult; Integrity vs
Despair - Old age
Social Learning
~: Behavior learned through interaction with other people, peer group, AA group, group therapy
IL CADC Study Questions and
Correct Answer
Purpose of client advocate
~: Formal relationship with the employer, Involve the employer in the patient's treatment,
Promote information to employer about the patient's disease, Educate employer on the treatment
process, Help provide support for the patient in recovery
Community education purpose
~: Identify the major drug problems in the community
Role for local churches and religious groups
~: Start a self-help group that meets in the facility
Counselor responsibilities
~: Educating other agencies on effective ways to work with specific cases relating to
drugs/alcohol
Two- Stepping
~: Defense that is destructive to the newly sober client in which they help others with their
alcoholism but do not concentrate on their sobriety
Signs/symptoms of Alcoholism
, Elscores 8/18/2024 6:16:34 PM
~: Solitary drinking, Over permissive norms of drinking, Lack of specific drinking norms,
Tolerance of drunkenness, Adverse social behaviors, Utilitarian use of alcohol to reduce
tension/anxiety, Lack of ritual/ceremonial use of alcohol, Alcohol use separated from eating
patterns
Signs/symptoms of Alcoholism
~: Alcohol use separated from family, social functions, Drinking with strangers, Alcohol not
introduced in small amounts when a child, Drinking pursued as recreation, Drinking concentrated
in young males, Culture that stresses individualism, self-reliance and high achievement
Referring to AA/NA
~: Have a AA/NA person meet w/them and explain how the group and recovery can work
together, Not proper to refer an atheist since it is built on a belief in God, do not refer if it would
seem to be disrespectful of clients rights and views, Make sure the referral meets the clients
personality and background
Dual Diagnosis
~: Sometimes appear as patients sober up
Referral processes
~: Identifying the needs of the client that cannot be met by the counselor/agency and Assisting
the client to utilize the support system and community resources available
Discharge summary is needed
~: Inpatient, aftercare, detox, half way houses, etc, Communications from one agency to another
and increases accountability, Reports and record keeping tells the story of the client from
beginning to end, No universally accepted format for maintaining records
, Elscores 8/18/2024 6:16:34 PM
Reports
~: Explains various aspects of the assessment, treatment plans, and discharge to parties who
need such information to enhance the care of the client
Documents patient can sign
~: Consent for treatment, Public aid, DASA, statistics, Treatment plans, Release of information,
To acquire medical attention, Education/prevention, Client education, Crisis intervention
Patient has a right to
~: Treatment costs they are liable for, When treatment services are available, Types of
counseling approaches used, Opportunity to complain to appropriate staff
Client files
~: Only the clinical supervisor has unrestricted access to client's files
Physiological dependence for alcohol- Alpha
~: Psychological dependence, no loss of control, reliance on alcohol to weather problems
Physiological dependence for alcohol- Beta
~: Psychological dependence, physical problems (cirrhosis) but no physical dependence
Physiological dependence for alcohol - Gamma
~: Change in tolerance, physical withdrawal, loss of control. Use for Jellinek Chart with 4 stages
Physiological dependence for alcohol - Delta
, Elscores 8/18/2024 6:16:34 PM
~: Same as Gamma but no loss of control but drinks
Physiological dependence for alcohol - Epsilon
~: Periodic alcoholism/binge drinking
Aversive therapy
~: Disulfiram/Antibuse - Most effect for binge drinkers and No alcohol for 2 weeks or severe
allergy reactions occur
Direct Reinforcement
~: Providing positive feedback and rewarding in a direct way and Introducing new and competing
behaviors to replace negative behaviors
Analytic therapy
~: Oriented toward achieving insight, identifying and experiencing feelings, memories
developing, in-depth self-understanding, re-experiencing, reconstructing childhood experience,
Not appropriate for first month of counseling
Erickson's Psychological Theory
~: Trust vs Mistrust; Autonomy vs Doubt; Initiative vs Guilt; Industry vs Inferiority; Identity vs Role
Diffusion - Adolescent; Intimacy vs Isolation - Adult; Generativity vs Stagnation - Adult; Integrity vs
Despair - Old age
Social Learning
~: Behavior learned through interaction with other people, peer group, AA group, group therapy
