For establishing rapport and trust with a new substance abuse client, which would you do
first? - ANSAsking 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.
It is generally most appropriate to schedule formal assessments with a new client - ANSBy
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.
Of the following symptoms, which is most typical of intoxication with alcohol, tranquilizers,
and opioids, but not with amphetamines? - ANSIntoxication with alcohol, tranquilizer (like
Valium), and opioids (like heroin) all include the symptom of low blood pressure.
Which of the following statements is most accurate regarding coexisting substance abuse
and other psychological disorders? - ANSIf 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.
When preparing a summary assessment of a client for a court judge, which of the following
should come last? - ANSAll summary assessments, even condensed reports prepared for
judges, should include at least 3 clearly divided parts: Introduction, methodology,
interpretation
When giving a new client feedback about assessment results, which of these should you do
first? - ANSThe 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.
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: - ANSThe 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.
Assessment of a substance abuse client should best be:
L - ANSAssessments 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.
, 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? - ANSThe 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.
For substance abuse clients from minority groups, culturally competent treatment is best
achieved through which of the following? - ANSSince 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
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? - ANSAs 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.
Of the following, which is considered a key element of effective referrals? - ANSExperts
consider collaboration among multiple agencies serving the same client as the "cornerstone"
of effective referral networks.
Which of the following is the most accurate statement about the mature of case
management? - ANSCase 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.
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? - ANSBecause 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.
Which of the following is the most accurate statement about case management? - ANSCase
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.
Regarding advocating for the substance abuse client, which is true of case management? -
ANSThe case manager can advocate for an individual client by informing other service
providers about the client's specific needs.
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? - ANSCase management can respond to these dual concerns by being both