Test Bank –
Chemical Dependency Counseling: A
Practical Guide,
By Perkinson
7th edition
,TABLE OF CONTENTS
1. First Contact
2. First Hours of Treatment
3. Biopsychosocial Interview
4. Treatment Plan
5. Individual Treatment
6. Group Therapy
7. Drugs of Abuse
8. Recovery Skills
9. Steps
10. Lectures
11. Special Problems
12. Adolescent Treatment
13. The Family Program
14. The Clinical Staff
15. Discharge Summary and Continuing Care
16. The Good Counselor
,TEST BANK
Chemical Dependency Counseling: A Practical Guide,
7th Edition
Robert R. Perkinson
CHAPTER 1: FIRST CONTACT
1. The primary goal of the first contact with a chemically dependent client is to:
A) Complete a full biopsychosocial assessment
B) Establish rapport and motivate the client toward treatment
C) Diagnose the specific substance use disorder
D) Develop a comprehensive treatment plan
Answer: B
Rationale: The first contact is primarily about building a therapeutic alliance and engaging the client in
the treatment process. Assessment, diagnosis, and treatment planning occur in subsequent sessions.
2. When a client calls for the first time about treatment, the counselor should:
A) Immediately ask about insurance coverage
B) Provide a lengthy explanation of program rules
C) Listen empathically and gather essential information
D) Schedule the client for a group session the next day
Answer: C
Rationale: The initial phone contact requires empathic listening and collection of essential data
(substance used, last use, medical concerns) while conveying warmth and acceptance.
3. A client arrives at the clinic visibly intoxicated. The most appropriate first action is to:
A) Begin the intake interview immediately
B) Ensure the client's medical safety and arrange for detoxification if needed
C) Tell the client to return when sober
D) Call the police
Answer: B
Rationale: Medical safety is the first priority. An intoxicated client cannot meaningfully participate in
assessment and may require medical detoxification before treatment begins.
, 4. Which of the following best describes the counselor's attitude during first contact?
A) Authoritative and directive
B) Warm, accepting, and nonjudgmental
C) Detached and clinical
D) Confrontational to break through denial
Answer: B
Rationale: Perkinson emphasizes a warm, empathic, and nonjudgmental stance during first contact to
reduce client anxiety and resistance, facilitating engagement in treatment.
5. Denial during first contact is best understood as:
A) A deliberate attempt to deceive the counselor
B) A defense mechanism protecting the client from painful reality
C) A sign that the client is not ready for any treatment
D) An indication of antisocial personality disorder
Answer: B
Rationale: Denial is a psychological defense mechanism that protects the individual from the
overwhelming anxiety associated with acknowledging the severity of their addiction.
6. During first contact, the counselor should assess for which of the following immediate risks?
A) Childhood trauma history
B) Suicidality and potential for withdrawal seizures
C) Long-term career goals
D) Family of origin dynamics
Answer: B
Rationale: Immediate risk assessment for suicidality and life-threatening withdrawal (e.g., seizures from
alcohol or benzodiazepines) is critical during first contact.
7. The concept of "motivational interviewing" during first contact primarily involves:
A) Telling the client the consequences of continued use
B) Rolling with resistance and developing discrepancy
C) Providing a lecture on the disease model
D) Requiring the client to sign a treatment contract immediately
Answer: B
Rationale: Motivational interviewing techniques—rolling with resistance, expressing empathy,
developing discrepancy, and supporting self-efficacy—are central to engaging clients during first
contact.
Chemical Dependency Counseling: A
Practical Guide,
By Perkinson
7th edition
,TABLE OF CONTENTS
1. First Contact
2. First Hours of Treatment
3. Biopsychosocial Interview
4. Treatment Plan
5. Individual Treatment
6. Group Therapy
7. Drugs of Abuse
8. Recovery Skills
9. Steps
10. Lectures
11. Special Problems
12. Adolescent Treatment
13. The Family Program
14. The Clinical Staff
15. Discharge Summary and Continuing Care
16. The Good Counselor
,TEST BANK
Chemical Dependency Counseling: A Practical Guide,
7th Edition
Robert R. Perkinson
CHAPTER 1: FIRST CONTACT
1. The primary goal of the first contact with a chemically dependent client is to:
A) Complete a full biopsychosocial assessment
B) Establish rapport and motivate the client toward treatment
C) Diagnose the specific substance use disorder
D) Develop a comprehensive treatment plan
Answer: B
Rationale: The first contact is primarily about building a therapeutic alliance and engaging the client in
the treatment process. Assessment, diagnosis, and treatment planning occur in subsequent sessions.
2. When a client calls for the first time about treatment, the counselor should:
A) Immediately ask about insurance coverage
B) Provide a lengthy explanation of program rules
C) Listen empathically and gather essential information
D) Schedule the client for a group session the next day
Answer: C
Rationale: The initial phone contact requires empathic listening and collection of essential data
(substance used, last use, medical concerns) while conveying warmth and acceptance.
3. A client arrives at the clinic visibly intoxicated. The most appropriate first action is to:
A) Begin the intake interview immediately
B) Ensure the client's medical safety and arrange for detoxification if needed
C) Tell the client to return when sober
D) Call the police
Answer: B
Rationale: Medical safety is the first priority. An intoxicated client cannot meaningfully participate in
assessment and may require medical detoxification before treatment begins.
, 4. Which of the following best describes the counselor's attitude during first contact?
A) Authoritative and directive
B) Warm, accepting, and nonjudgmental
C) Detached and clinical
D) Confrontational to break through denial
Answer: B
Rationale: Perkinson emphasizes a warm, empathic, and nonjudgmental stance during first contact to
reduce client anxiety and resistance, facilitating engagement in treatment.
5. Denial during first contact is best understood as:
A) A deliberate attempt to deceive the counselor
B) A defense mechanism protecting the client from painful reality
C) A sign that the client is not ready for any treatment
D) An indication of antisocial personality disorder
Answer: B
Rationale: Denial is a psychological defense mechanism that protects the individual from the
overwhelming anxiety associated with acknowledging the severity of their addiction.
6. During first contact, the counselor should assess for which of the following immediate risks?
A) Childhood trauma history
B) Suicidality and potential for withdrawal seizures
C) Long-term career goals
D) Family of origin dynamics
Answer: B
Rationale: Immediate risk assessment for suicidality and life-threatening withdrawal (e.g., seizures from
alcohol or benzodiazepines) is critical during first contact.
7. The concept of "motivational interviewing" during first contact primarily involves:
A) Telling the client the consequences of continued use
B) Rolling with resistance and developing discrepancy
C) Providing a lecture on the disease model
D) Requiring the client to sign a treatment contract immediately
Answer: B
Rationale: Motivational interviewing techniques—rolling with resistance, expressing empathy,
developing discrepancy, and supporting self-efficacy—are central to engaging clients during first
contact.
