ADC Practice test Questions and answers, 100% Accurate, 50 Questions.

ADC Practice test Questions and answers, 100% Accurate, 50 Questions. 1. For establishing rapport and trust with a new substance abuse client, which would you do first? A. Tell the client what you expect to accomplish this session B. Ask the client's permission to address the subject of change C. Inform the client how long your first session would last D. Tell the client what you expect to achieve in the long term - -B. Asking the client for permission to discuss the subject of change is a good way to display your respect for the autonomy of the client, which in turn encourages the client to trust you. 2. It is generally most appropriate to schedule formal assessments with a new client a. Before you have had any sessions b. After you have had many sessions c. After you have had at least one session d. On an individual case by case basis - -C. By having at least one session, you can ascertain how ready a client is to make changes and the clients potential for responding to individualized feedback; establish a foundation for treatment; explain to the client what kinds of assessments will be given and what they will indicate. 3. Of the following symptoms, which is most typical of intoxication with alcohol, tranquilizers, and opioids, but not with amphetamines? a. low blood pressure b. ataxia c. disinhibition d. nystagmus - -a. Intoxication with alcohol, tranquilizer (like Valium), and opioids (like heroin) all include the symptom of low blood pressure. 4. Which of the following statements is most accurate regarding coexisting substance abuse and other psychological disorders? a. Substance intoxication or withdrawal symptoms can mask but not mimic symptoms of psychological disorders. b. Substance intoxication or withdrawal symptoms can mimic but not mask symptoms of psychological disorders. c. If a client has abstained from using substances for long enough time, it will invalidate psychological testing. d. Counselors/programs not trained to assess clients for coexisting psychological disorders should refer clients. - -D. If a counselor is not qualified or trained to assess for the presence of coexisting psychological disorders in a client with substance abuse, the counselor should refer the client to qualified mental health clinicians or program for the psychological portion of the assessment. 5. When preparing a summary assessment of a client for a court judge, which of the following should come last? a. the reason for the assessment and who ordered it b. tests given and how their results were interpreted c. straightforward presentation of the data collected d. assessor clinical impression and recommendations - -d. All summary assessments, even condensed reports prepared for judges, should include at least 3 clearly divided parts: Introduction, methodology, interpretation 6. When giving a new client feedback about assessment results, which of these should you do first? a. Ask the client whether s/he had any problems with testing. b. Encourage the client to ask any questions s/he may have. c. Express your appreciation for the clients effort in responding. d. Ask the client how the testing affected his/her perceptions. - -C. The first thing you, the counselor, should do after a new client's initial assessments is to acknowledge the client's efforts in responding to the tests and provide reinforcement by stating your appreciation. 7. In planning a client's treatment based on assessment results, the client's problems, immediate and longer-term goals, measureable objectives, and treatment methods should be: a. decided by the therapist with the client's agreement. b. decided through a mutual client-therapist agreement. c. decided by the client with the therapists agreement. d. decided for the client and the therapist by the clinic's agreement. - -B. The client and therapist should reach mutual agreements as to which problems exist (or that the client is initially willing to acknowledge), immediate and longer term therapy goals for the client; objectives for therapy to meet which can be measured, and therapeutic methods to be used. 8. Assessment of a substance abuse client should best be: a. initial and ongoing b. done only initially c. initially and finally d. only as indicated - -A. Assessments should be ongoing, to review, evaluate, and adjust your treatment plan to meet your client's needs better and/or to reflect changing client needs as treatment progresses. 9. A psychiatric social worker who is a LCSW and practicing psychotherapist has an initial interview with a new client. The therapist observes affective symptoms suggesting the client may be suicidal. She does not feel qualified to address this. What is her appropriate response to this client? a. Schedule therapy to prevent suicide b. Refer the client to a psychiatrist c. Inform the client of a suicide hotline d. Refer the client to a support group - -B. The most appropriate action with a potentially suicidal client when the social worker is not qualified is to refer the client to a more qualified psychiatrist. 10. For substance abuse clients from minority groups, culturally competent treatment is best achieved through which of the following? a. treatment clinics with multicultural staff b. staff that completed a cultural workshop c. serviced integrating community partners d. treatment staff speaks client's languages - -C. Since not all of the client's needs can be met by one program or agency, experts find it more effective to develop integrated services by referring clients to and collaborating with various community partners that can provide the most effective and appropriate help for each client's individual needs and cultural background 11. As the counselor of a client addicted to heroin, your activities include referring the client to a vocational rehabilitation program to address deficient job skills. Which is true about your referral regarding the client? a. Referrals you make need not be explained to the client. b. You should only explain your referrals if the client asks. c. Explaining to a client hurts your therapeutic relationship. d. You are obligated to explain your referrals to the client. - -D. As the counselor, you must explain any referrals you make on a client's behalf. Explanation of any referral to the client, is considered a core function of the substance abuse counselor. 12. Of the following, which is considered a key element of effective referrals? a. independence b. information c. collaboration d. competition - -C. Experts consider collaboration among multiple agencies serving the same client as the "cornerstone" of effective referral networks. 13. Which of the following is the most accurate statement about the mature of case management? a. It consists of a process of referrals to independent agencies. b. It gives continuity by providing a single contact point. c. It gives responsibility for multiservice clients to all agencies. d. It means the case manager's obligation is only to the client. - -B. Case management involves coordinating multiple services to the same client. Rather than spreading responsibility for the client across multiple agencies, case management consolidates the responsibility to the case manager. 14. In order for a case manager to activate resources needed by the client receiving multiple services, s/he must be able to do which of these? a. primarily navigating through formal system of services b. primarily exchanging informally among service providers c. primarily seeking and soliciting various informal networks d. primarily combining all three of these activities together - -D. Because the case manager becomes the clients single point of contact and coordinates all the clients multiple services, in order to access all the resources the client may need, the case managers must have all the abilities. 15. Which of the following is the most accurate statement about case management? a. It is community based in all approaches, but the extent varies by agency. b. It constitutes the same relationship as the traditional therapist-client one. c. It is typically agency activity more than personal 1:1 manager involvement. d. It most often does not cross the boundaries of the case manager's facility. - -A. Case management is always community based regardless of the specific approach, because case managers assist clients in working with community agencies; and because case managers work to integrate formal agency services with family, friends, churches, support groups, and other informal resources. 16. Regarding advocating for the substance abuse client, which is true of case management? a. The case manager can advocate with other service providers for a client's specific needs. b. The case manager typically does not inform service providers regarding substance abuse. c. The case manager can never negotiate with any agency about their rules to help a client. d. The case manager is legally unable to advocate sanctions from the criminal justice system. - -A. The case manager can advocate for an individual client by informing other service providers about the client's specific needs. 17. To keep case management balanced between being client-centered and being pragmatic, which statement reflects an approach that is most realistic and also engages the client in SA treatment? a. A client who is homeless cannot even consider treatment until more basic needs are met. b. A client who is homeless can get treatment and shelter in a residential treatment program. c. A client who needs substance-free community living skills is out of a case manager's scope. d. A client who needs everyday living skills must have explicit instruction instead of modeling. - -B. Case management can respond to these dual concerns by being both client-centered and pragmatic; for example by helping a homeless client enter a residential treatment center. 18. For the process of case management to be culturally sensitive to ethnicity, race, disability, gender, sexual orientation, age, and other forms of client diversity, a case manager must understand the dynamics of interactions in cultural contexts. In addition, which of these is true? a. The case manager need not value diversity but must be aware if its existence. b. The case manager's respect for cultural diversity precludes cultural knowledge. c. The case manager must do cultural self-assessment to be culturally competent. d. The case manager can use the same practices regardless of a settings diversity. - -C. Just as a psychoanalyst must engage in self-analysis to gain competence for analyzing clients, a case manager must engage in cultural self-assessment for interacting with clients. 19. Research studies indicate that for counselors to develop strong therapeutic alliances with SA clients, they should use empathic, supportive, and nonjudgemental counseling and provide clients with structure. Of the following, which is true of additional guidelines for effective therapeutic relationships?