Sample for IC & RC Exam Questions and Answers 100% Pass

Sample for IC & RC Exam Questions and Answers 100% Pass __________ is the essential first step in determining the possible cause of addiction for the person and the most appropriate treatment modality for his or needs Assessment A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should discuss these concerns with the client and make necessary changes in treatment goals A common error that counselors maken when conducting an assessment is moving too quickly from data collection to treatment planning A female client reports that she has some concerns about that relationship between her husband and her 14-year-old daughter from a previous marriage. She reports that her husband and daughter frequently argue, that her daughter refuses to take direction from her stepfather, mid that her daughter regularly complains about her stepfather's "faults" and describes how her biological father is better. The MOST relevant professional to whom a referral should be made is a Marriage and family therapist A key factor for counselors to consider is that in counseling relationship, the counselor has differential power. One of the best safeguards is to be alert and understand the power relationship A pretreatment period is frequently the result of waiting lists or client reluctance to become fully engaged in primary treatment. What might be a danger of this pretreatment period? The pretreatment period may be when clients lose interest in treatment According to Marlatt's model of the relapse process, which of the following statements is not true? Clients should be helped to recognizethat one or more temporary lapses are likely to occur and are premitted According to the DSM-IV-TR, all of the following are criteira for pschoactive substance dependence EXCEPT mark lack of intiative, interest or energy. All of the following are goals of person-centered therapy EXCEPT (Rogers) teaching clients to formulate and carry out plans to chenge their behaviors Bob is a case manager in an intensive inpatient trestment facility. He recently was assigned a client, Mary, who presents not only with alcoholism but has also been diagnosed with AIDS. to assist Mary in her treatment and recovery needs, Bob would probably need to habe knowledge of all of the following except: new medication used in treatment regimens Therapeutic communities differ from Synanon because these communities try to return clients to society. During the screening process, a critical task that the counselor has is to establish rapport with the client During the assessment process, your alcohol and tranquilizer abusing client reveals a history of self-destructiveness when frustrated and an inability to delay impulses. The MOST appropriate assessment battery in this case is the Beck Depression Scale, the MAST (Minnisota) test, and the MMPI The primary purpose the screening process is to determine one's appropriateness and eligibility for admission Effective case management for persons in need of multiple services requires: monitoring, feedback, and evaluation of services In deterininig whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT whether the patients job and family are likely to give him another chance is this treatment fails. Alcohol decreases resistance to HIV infection by a. compromising T-cell functions. It is crucial for the case manager to be aware of what may inhibit minorities' participation in the substance abuse treatment continuum. Suppose that you are a case manager, working in an outpatient program with a Somali client. AA is an integral part of your program, yet you are aware of the fact that while "accepting one's powerlessness" is a central tenet of 12-Step self-help programs. members of oppressed groups may not accept it, given their own societal powerlessness. What would be the best thing to do in such a case? Be sensitive to such cultral differences and seek out other recovery resources that are relevent to the individual's values. It is important to understand clients and their expectations for counseling. Clients coming in for treatment carry with them both helpful and harmful expectations. Which of the following is a harmful client expectations? "My counselor will direct me to do what I need to do, and everything will be OK." Joe is a 27 year old addict who has begun counseling but has not yet been able to give up using drugs. During one session, he tells his counselor that he is beginning to feel that "it is useless to try to stop" and that "sometimes life is not worth living" The counselor is concerned that Joe could be suicidal. The counselor should: assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors. If the orientation process is neglected or incomplete a client may: have incorrect infomation and unanswered questions about the program. ________ is one of case management's hall mark characteristics. Advocacy When language is a barrier what is a way to overcome this employing an interpreter The first contact that a potential client would have with an agency would likely be for the purpose of screening The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents is lack of child care services Sarah, a counselor in a drug treatment center, grew up in an alcoholic home and still has strained relationships. Which statement BEST describes Sarah's situation? Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; gooseflesh; lacrimation; muscle jerks; flu syndrome; vomiting; diarrhea; nervousness; yawning; and severe anxiety. You conclude that the client is withdrawing from opioids (this is a rebound effects of opiods) The organization founded as an alternative to programs with spiritual overtones, whose publication is called "The Small Book" is Rational Recovery (cogitive, alternative to spiritual). Effective communication occurs in groups when message senders use "I" messages (want the client to speak for themselves). A single mother with three young children enters your clinic and begins to discuss her current drug use. She tells you that she hasn't been home for several days and has left the 8 year in charge. What do you do? contact child protective services to report this incident. One of the counselor's tasks is to guide the client in relating and communicating in specific terms, rather than in general or abstract terms. That characteristic or ability is called: concreteness One of the earliest models for case management services in the criminal justice system was created in 1972, when the Whute House launced a demonstration program known as Treatment Alternatives to Street Crime (TASC). Ralph is a recovering alcoholic. He as been sober for several months, and has managed to find gainful employment and re-establish family relationships. He is in a twelve-step program as well as individual counseling. One day, he arrives to a counseling session quite upset. He reveals that he had a "slip" and drank a beer at a party. He did not get drunk, but feels terribly remorseful and has promised himself that he will not do it again. Which of the following is MOST true? the counselor should talk to Ralph about the implications of dangerous situations like this, but assure him that it is possible to continue his recovery process. Record keeping is an important part of the conseling process. Which of the following best reflects the type of information which should be kept in a clients record? Information about consultations, diagnosis, treatment, prognisis, and progress stress inoculation focuses primarily on increasing coping skills (to better help manage). Providing the client with information regarding program rules, and infractions that can lead to discharge, normally occurs during orientation Which of the following is NOT a commonly used techinque for crisis immediately refer the client to an agency to help change the situation. The CAGE test is a simple assessment that is administered to individuals with a drinking problem. THe questions in this test refer to cutting down on drinking, feeling annoyed and guilty, and dealing with hangovers. The focus of intervention in the criminal justice system is first to protect the health, safety, and welfare of the public. The goal of Al-Anon is To provide a fellowship and support for individuals in relationships with alcoholics. Which of the following modes of sexual transmission provides the LOWEST risk of HIV transmission? female to female Counselors rely heavily on the work of developmental theorists as they attempt to stimulate clients to initiate relevant growth. According to Erickson, one of the leaders in developmental theory, the task to be accomplished in adulthood is: Intimacy vs. Isolation The description of the client's rights typically occurs during the orientation (clients rights officer). During the intake, a counselor can expect to address all of the following issues EXCEPT: treatment planning. Comprehensive client documentation facilitates communication and enhances accountability Relapse prevention efforts are aimed at identifying high-risk situations and learning alternative coping skills. Before therapy or counseling begins, clients may be given information about the treatment they will receive, as well as possible risks involved. obtaining informed consent to treatment. Which statement BEST describes how a counselor can avoid professional burnout? attend to health through adequate sleep, an exercise program, and proper diet. A cocaine-dependent client admits being fired from his job for absenteeism, losing his home and car by defaulting on his loans, and associating only with peers who use cocaine. He states that he does not require residential treatment because his problem is not serious enough. He further states that he has lost his house and car because his wife didn't work enough hours. Which defense mechanisms is this client displaying? denial, minimalization, and rationalization A client says to you, "I am getting to like you very much and I'd like us to get closer." You should first talk openly about transference issues. The initial stage if crisis intervention invovles determining the problem The measurement of progress toward treatment plan goals is best assessed by reviewing documentation in progress notes. A fourteen-year-old male is being evaluated for cocaine abuse. He has no knowledge of any family history of abuse and has indicated that he began only in the past 6 months. Which of the following addiction factors is most likely the most influential on his drug use? (A) Family influence (B) Genetics (C) Peer influence (D) Television and media There are many factors which may lead to addiction and they will vary for each individual. However, we can isolate and identify certain tendencies based on the variables of each case. In this situation, the subject is an adolescent. At this age the influence of peers can have the greatest impact on a person's behavior. This is when a person will begin to break away from the influence of the family which tends to have a larger impact during childhood. Genetics always play a large role in the susceptibility to addiction but since there is no family history, it is difficult to point to the extent of the influence it has in this case. Television and other media while can be somewhat influential, is most often only a minor factor in addiction tendency. The answer is (C) Which of the following is not a model for the causation of addiction? (A) Moral model (B) Blended model (C) Genetic model (D) Familial model Models are an attempt to explain simply why people become addicted. Each model theorizes a different main factor in the causation of addiction. The moral model holds humans accountable for their own actions and states that addiction can be controlled by choice of the individual. Addiction therefore is a weakness and is not caused by any genetic or outside influence. The genetic model is the belief that a person's biological makeup is responsible for addiction tendencies. There is also the disease and cultural model which as it sounds sees addiction as a disease. The blended model is an approach that incorporates all potential factors. While family influence can be an influence on a person's addiction, there is no familial model for causation. The answer is (D) As an individual continues to use an addictive forming drug over a period of time, which of the following is a correct statement regarding the influence of outside factors (peers, family, stress) contributing to the habit of addiction? (A) As drug use continues the influence of outside factors remains about the same (B) As drug use continues the influence of outside factors increases (C) As drug use continues the influence of outside factors decreases (D) None of the above As an individual continues the use of addictive drugs, the chemical effects of the drug begin to take over and the effect of other influences begins to decrease. The answer is (C) Which of the following is the most commonly abused substance in America? (A) Marijuana (B) Alcohol (C) Cocaine (D) Prescription Drugs Due its wide availability and being legal, alcohol is the most widely abused substance in The United States. The answer is (B) Which of the following is a true statement regarding the abuse of alcohol? (A) Women have a higher risk of developing problems from alcohol abuse than men (B) Men are more likely to drink higher volumes of alcohol than women (C) Organ damage due to alcohol abuse is more likely in women than men (D) All of the above There are significant gender differences in relation to the abuse of alcohol. Men in general will tend to drink more in terms of volume and are even more likely to drink alcohol in general. However, alcohol is absorbed differently in women than in men. Despite drinking the same volume, a woman will have more alcohol in their bloodstream and therefore are more likely to have problems of abuse to occur. This also has a greater effect on the health of the individual leading women to have a greater risk of internal damage. Therefore, all the statements are correct. The answer is (D) Which of the following a false statement about marijuana use? (A) Marijuana is not an addictive substance (B) Marijuana can contribute to depression and suicide (C) Research shows Marijuana users generally have a lower level of fulfillment in life (D) Marijuana increases the risk of heart disease While the amount of people addicted to marijuana is very low compared to other substances, it is a common misconception that cannabis is not addictive. The answer is (A) Which of the following is not an example of prescription drug abuse? (A) A friend providing OxyContin for a stiff neck (B) Taking an additional Valium beyond the amount prescribed to ease tension before public speaking (C) Using leftover Vicodin from a car accident that occurred a year prior to treat a new injury (D) None of the above Since they can be obtained legally and have an appropriate purpose, it may be difficult to determine when prescription drugs are being abused. There are three scenarios in which they are being used improperly: 1. Medication being used by someone other than the intended user 2. Taking the drug in a higher dose or in a different way than it is prescribed 3. Taking a drug for a use other than that which was intended From the scenarios described above, each one violates one of the abuse rules outlined above. Therefore, none of the statements are appropriate prescription drug abuse. The answer is (D) Which of the following is most commonly the main reason for a client deciding to begin the process of treatment? (A) Internal motivation (B) Family or Peer encouragement (C) Diagnosed medical issues (D) Financial issues To get someone to commit to treatment they need to recognize the problem internally. Self-motivation to get help is frequently the most common reason identified when someone seeks help. This motivation can however be fleeting and must be acted upon as soon as possible to avoid slipping back into the substance abuse. The answer is (A)