LADC PRACTICE EXAM 1 QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
______RisRtheRessentialRfirstRstepRinRdeterminingRtheRpossibleRcausesRofRaddictionRforRtheRpersonRandRtheR
mostRappropriateRtreatmentRmodalityRforRhisRorRherRneeds.R-RANSWERRassessment
ARclientRtellsRaRcounselorRthatRsheRisRunhappyRwithRtheRwayRherRtreatmentRisRprogressing.RTheRcounselorRs
houldR-RANSWERRdiscussRtheseRconcernsRwithRtheRclientRandRmakeRnecessaryRchangesRinRtreatmentRgoals
ARcommonRerrorRthatRcounselorsRmakeRwhenRconductingRanRassessmentRis:R-
RANSWERRmovingRtooRquicklyRfromRdataRcollectionRtoRtreatmentRplanning
ARfemaleRclientRreportsRthatRsheRhasRsomeRconcernsRaboutRtheRrelationshipsRbetweenRherRhusbandRandRh
erR14-year-
oldRdaughterRfromRaRpreciousRmarriage.RSheRreportsRthatRherRhusbandRandRdaughterRfrequentlyRargue,Rhe
rRdaughterRrefusesRtoRtakeRdirectionRfromRherRstepfather,RmidRthatRherRdaughterRregularlyRcomplainsRabo
utRherRstepfather'sR"faults"RandRdescribesRhowRherRbiologicalRfatherRisRbetter.RTheRMOSTRrelevantRprofessi
onalRtoRwhomRaRreferralRshouldRbeRmadeRisRa:R-RANSWERRmarriageRandRfamilyRtherapist
ARkeyRfactorRforRcounselorsRtoRconsiderRisRthatRinRaRcounselingRrelationship,RtheRcounselorRhasRdifferentialR
power.ROneRofRtheRbestRsafeguardsRis:R-RANSWERRtoRbeRalertRtoRandRunderstandRtheRpowerRrelationships
ARpretreatmentRperiodRisRfrequentlyRtheRresultRofRwaitingRlistsRorRclientRreluctanceRtoRbecomeRfullyRengag
edRinRprimaryRtreatment.RwhatRmightRbeRaRdangerRofRthisRpretreatmentRperiod?R-
RANSWERRtheRpretreatmentRperiodRmayRbeRwhenRclientsRloseRinterestRinRtreatment
AccordingRtoRMarlatt'sRmodelRofRtheRrelapseRprocess,RwhichRofRtheRfollowingRstatementsRisRNOTRtrue?R-
RANSWERRclientsRshouldRbeRhelpedRtoRrecognizeRthatRoneRorRmoreRtemporaryRlapsesRareRlikelyRtoRoccurRan
dRareRpermitted
AccordingRtoRtheRDSM-IV-
TR,RallRofRtheRfollowingRareRcriteriaRforRpsychoactiveRsubstanceRdependanceREXCEPTR-
RANSWERRmarkedRlackRofRinitiate,Rinterest,RorRenergy
, AllRofRtheRfollowingRareRgoalsRofRtheRperson-centeredRtherapyREXCEPTR-
RANSWERRteachingRclientsRtoRformulateRandRcarryRoutRplansRtoRchangeRtheirRbehaviors
BobRisRaRcaseRmanagerRinRanRintensiveRinpatientRtreatmentRfacility.RHeRrecentlyRwasRassignedRaRclient,RMar
y,RwhoRpresentsRnotRonlyRwithRalcoholismRbutRhasRalsoRbeenRdiagnosedRwithRAIDS.RToRassistRMaryRinRherRtr
eatmentRandRrecoveryRneeds,RBobRwouldRprobablyRneedRtoRhaveRknowledgeRofRallRofRtheRfollowingRareasR
EXCEPTR-RANSWERRnewRmedicationRusedRinRtreatmentRregimens
TherapeuticRcommunitiesRdifferRfromRSynanonRbecauseR-
RANSWERRtheseRcommunitiesRtryRtoRreturnRclientsRtoRsociety
DuringRtheRscreeningRprocess,RaRcriticalRtaskRthatRtheRcounselorRhasRisRtoR-RANSWERRestablishRrapport
DuringRtheRassessmentRprocess,RyourRalcoholRandRtranquilizerRabusingRclientRrevealsRaRhistoryRofRself-
destructivenessRwhenRfrustratedRandRanRinabilityRtoRdelayRimpulses.RTheRMOSTRappropriateRassessmentRb
atteryRinRthisRcaseRis:R-RANSWERRtheRBeckRDepressionRScale,RtheRMASTRtest,RtheRMMPI
TheRprimaryRpurposeRofRtheRscreeningRprocessRisRtoR-
RANSWERRdetermineRone'sRappropriatenessRandReligibilityRforRadmission
EffectiveRcaseRmanagementRforRpersonsRinRneedRofRmultipleRservicesRrequiresR-
RANSWERRmonitoring,Rfeedback,RandRevaluationRofRservices
InRdeterminingRwhetherRaRchemicallyRdependentRpatientRshouldRbeRtreatedRinRanRinpatientRorRoutpatientR
program,RallRofRtheRfollowingRshouldRbeRconsideredREXCEPTR-
RANSWERRwhetherRtheRpatient'sRjobRandRfamilyRareRlikelyRtoRgiveRhimRanotherRchanceRifRthisRtreatmentRfail
s
AlcoholRdecreasesRresistanceRtoRHIVRinfectionRbyR-RANSWERRcompromisingRT-cellRfunctions
SupposeRthatRyouRareRaRcaseRmanager,RworkingRinRanRoutpatientRprogramRwithRaRSomaliRclient.RAARisRanRin
tegralRpartRofRyourRprogram,RyetRyouRareRawareRofRtheRfactRthatRwhileR"acceptingRone'sRpowerlessness"RisR
aRcentralRtenetRofR12-
stepRhelpRprograms,RmembersRofRoppressedRgroupsRmayRnotRacceptRit,RgivenRtheirRownRsocietalRpowerles
AND ANSWERS WITH SOLUTIONS 2024
______RisRtheRessentialRfirstRstepRinRdeterminingRtheRpossibleRcausesRofRaddictionRforRtheRpersonRandRtheR
mostRappropriateRtreatmentRmodalityRforRhisRorRherRneeds.R-RANSWERRassessment
ARclientRtellsRaRcounselorRthatRsheRisRunhappyRwithRtheRwayRherRtreatmentRisRprogressing.RTheRcounselorRs
houldR-RANSWERRdiscussRtheseRconcernsRwithRtheRclientRandRmakeRnecessaryRchangesRinRtreatmentRgoals
ARcommonRerrorRthatRcounselorsRmakeRwhenRconductingRanRassessmentRis:R-
RANSWERRmovingRtooRquicklyRfromRdataRcollectionRtoRtreatmentRplanning
ARfemaleRclientRreportsRthatRsheRhasRsomeRconcernsRaboutRtheRrelationshipsRbetweenRherRhusbandRandRh
erR14-year-
oldRdaughterRfromRaRpreciousRmarriage.RSheRreportsRthatRherRhusbandRandRdaughterRfrequentlyRargue,Rhe
rRdaughterRrefusesRtoRtakeRdirectionRfromRherRstepfather,RmidRthatRherRdaughterRregularlyRcomplainsRabo
utRherRstepfather'sR"faults"RandRdescribesRhowRherRbiologicalRfatherRisRbetter.RTheRMOSTRrelevantRprofessi
onalRtoRwhomRaRreferralRshouldRbeRmadeRisRa:R-RANSWERRmarriageRandRfamilyRtherapist
ARkeyRfactorRforRcounselorsRtoRconsiderRisRthatRinRaRcounselingRrelationship,RtheRcounselorRhasRdifferentialR
power.ROneRofRtheRbestRsafeguardsRis:R-RANSWERRtoRbeRalertRtoRandRunderstandRtheRpowerRrelationships
ARpretreatmentRperiodRisRfrequentlyRtheRresultRofRwaitingRlistsRorRclientRreluctanceRtoRbecomeRfullyRengag
edRinRprimaryRtreatment.RwhatRmightRbeRaRdangerRofRthisRpretreatmentRperiod?R-
RANSWERRtheRpretreatmentRperiodRmayRbeRwhenRclientsRloseRinterestRinRtreatment
AccordingRtoRMarlatt'sRmodelRofRtheRrelapseRprocess,RwhichRofRtheRfollowingRstatementsRisRNOTRtrue?R-
RANSWERRclientsRshouldRbeRhelpedRtoRrecognizeRthatRoneRorRmoreRtemporaryRlapsesRareRlikelyRtoRoccurRan
dRareRpermitted
AccordingRtoRtheRDSM-IV-
TR,RallRofRtheRfollowingRareRcriteriaRforRpsychoactiveRsubstanceRdependanceREXCEPTR-
RANSWERRmarkedRlackRofRinitiate,Rinterest,RorRenergy
, AllRofRtheRfollowingRareRgoalsRofRtheRperson-centeredRtherapyREXCEPTR-
RANSWERRteachingRclientsRtoRformulateRandRcarryRoutRplansRtoRchangeRtheirRbehaviors
BobRisRaRcaseRmanagerRinRanRintensiveRinpatientRtreatmentRfacility.RHeRrecentlyRwasRassignedRaRclient,RMar
y,RwhoRpresentsRnotRonlyRwithRalcoholismRbutRhasRalsoRbeenRdiagnosedRwithRAIDS.RToRassistRMaryRinRherRtr
eatmentRandRrecoveryRneeds,RBobRwouldRprobablyRneedRtoRhaveRknowledgeRofRallRofRtheRfollowingRareasR
EXCEPTR-RANSWERRnewRmedicationRusedRinRtreatmentRregimens
TherapeuticRcommunitiesRdifferRfromRSynanonRbecauseR-
RANSWERRtheseRcommunitiesRtryRtoRreturnRclientsRtoRsociety
DuringRtheRscreeningRprocess,RaRcriticalRtaskRthatRtheRcounselorRhasRisRtoR-RANSWERRestablishRrapport
DuringRtheRassessmentRprocess,RyourRalcoholRandRtranquilizerRabusingRclientRrevealsRaRhistoryRofRself-
destructivenessRwhenRfrustratedRandRanRinabilityRtoRdelayRimpulses.RTheRMOSTRappropriateRassessmentRb
atteryRinRthisRcaseRis:R-RANSWERRtheRBeckRDepressionRScale,RtheRMASTRtest,RtheRMMPI
TheRprimaryRpurposeRofRtheRscreeningRprocessRisRtoR-
RANSWERRdetermineRone'sRappropriatenessRandReligibilityRforRadmission
EffectiveRcaseRmanagementRforRpersonsRinRneedRofRmultipleRservicesRrequiresR-
RANSWERRmonitoring,Rfeedback,RandRevaluationRofRservices
InRdeterminingRwhetherRaRchemicallyRdependentRpatientRshouldRbeRtreatedRinRanRinpatientRorRoutpatientR
program,RallRofRtheRfollowingRshouldRbeRconsideredREXCEPTR-
RANSWERRwhetherRtheRpatient'sRjobRandRfamilyRareRlikelyRtoRgiveRhimRanotherRchanceRifRthisRtreatmentRfail
s
AlcoholRdecreasesRresistanceRtoRHIVRinfectionRbyR-RANSWERRcompromisingRT-cellRfunctions
SupposeRthatRyouRareRaRcaseRmanager,RworkingRinRanRoutpatientRprogramRwithRaRSomaliRclient.RAARisRanRin
tegralRpartRofRyourRprogram,RyetRyouRareRawareRofRtheRfactRthatRwhileR"acceptingRone'sRpowerlessness"RisR
aRcentralRtenetRofR12-
stepRhelpRprograms,RmembersRofRoppressedRgroupsRmayRnotRacceptRit,RgivenRtheirRownRsocietalRpowerles