ALCOHOL AND DRUG COUNSELOR
EXAM 2024/2025
Culture-bound syndrome - Precise Answer ✔✔illness truly bound to
specific culture; refer to otherwise common mental or physical illnesses
that are subsequently construed as unusual because of pathoplastic
influence of clture (e.g, hallucinatory sx of schizophrenia could be due
to demon possession)
pharmacological therapy and psychotherapy - Precise Answer ✔✔two
key mental health treatment paradigms of Western medicine
(multimodal therapy)
racism and discrimination - Precise Answer ✔✔refer to attitudes,
beliefs, and practices that prejudge and denigrate individuals or gs based
on disparate phenotypic characteristics (skin color, hair texture, facial
features, etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? - Precise Answer
✔✔increasing rapidly and steadily; by 2025, 40% adults (48% children)
will be from ethnic and racial minority gps.
HIV - Precise Answer ✔✔the viral agent that causes AIDS (Acquired
Immunodeficiency Syndrome), which is the final stage in the HIV
disease process; most prevalent in men having sex with men and IV drug
users; contributes to poverty, homelessness, an other medical problems
,50% - Precise Answer ✔✔percent increase in the number of seniors
needing substance abuse treatment. 70% rate of increase in treatment
Limits to confidentiality - Precise Answer ✔✔1. Client request for
release of information
2. Court orders for release of information
3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
CAGE questionnaire - Precise Answer ✔✔Have you ever felt you
should CUT DOWN on your drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your
nerves (EYE-OPENER)?
- 4-question on alcohol abuse
MAST - Precise Answer ✔✔Michigan Alcoholism Screening Test - yes
or no to 25 questions to explore number of treatment issues; most
accurate and oldest screening tool to identify drinkers with 98%
accuracy
,What is another cultural issues beyond the client's culture? - Precise
Answer ✔✔counselor's culture
Relapse-remitting model of addiction - Precise Answer ✔✔recognizes
that some issues tend to return cyclically overtime, can help counselor
and CLT make advance contingency plans to avoid having brief relapse
in negative circumstances or behaviors
Authentically connected referral network - Precise Answer ✔✔refers to
a carefully established set of services providers prepared to meet client
needs; goal is for all network agencies an providers to recognize their
valued and essential roles in the addiction treatment process and for
clients to recognize this and respond with similar trust and confidence.
What is the primary aim of case management services, beyond providing
seamless care and being client-centered? - Precise Answer ✔✔to
provide least restrictive level of care
Ask-teLl-ask technique - Precise Answer ✔✔asking permission of the
client to talk with them, telling them of any concerns you have, and then
asking for their thoughts on what you shared.
Referral form - Precise Answer ✔✔used to track the results of the
referral; WHO (identifies the client and counselor involved/demographic
info; substance use, legal issues, family concerns) WHAT (issues that
generated the need for the referral, substance/work, family, and goals
and commitments) HOW (address how CLT was engaged and dealt
with)
, When should planning for aftercare be engaged - Precise Answer ✔✔at
the point of initial counselor-client contact
What should be the focus of treatment mostly? - Precise Answer
✔✔positive education and skills in substance abuse triggers, patterns of
use, and relapse prevention;
substance issues, recovery, health issues, co-occurring disorders; holistic
treatment planning an interventions are essential in recovery process
Bookend term in substance abuse treatment means.. - Precise Answer
✔✔discussing a trigger event with someone trusted before and after it
occurs
Trigger events - Precise Answer ✔✔often crisis stressors or situations
CFR 42, part 2 - Precise Answer ✔✔confidentiality in areas of alcohol
and substance abuse. confidentiality restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or
legislative proceedings by any govt authority
2) to communications, even if the person seeking information already
has it, cold otherwise obtain it, is an official or law officer, has a
subpeona or otherwise claims the right of information release not
permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client
(unless he/she is in a facility or facility area not dedicated solely to
EXAM 2024/2025
Culture-bound syndrome - Precise Answer ✔✔illness truly bound to
specific culture; refer to otherwise common mental or physical illnesses
that are subsequently construed as unusual because of pathoplastic
influence of clture (e.g, hallucinatory sx of schizophrenia could be due
to demon possession)
pharmacological therapy and psychotherapy - Precise Answer ✔✔two
key mental health treatment paradigms of Western medicine
(multimodal therapy)
racism and discrimination - Precise Answer ✔✔refer to attitudes,
beliefs, and practices that prejudge and denigrate individuals or gs based
on disparate phenotypic characteristics (skin color, hair texture, facial
features, etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? - Precise Answer
✔✔increasing rapidly and steadily; by 2025, 40% adults (48% children)
will be from ethnic and racial minority gps.
HIV - Precise Answer ✔✔the viral agent that causes AIDS (Acquired
Immunodeficiency Syndrome), which is the final stage in the HIV
disease process; most prevalent in men having sex with men and IV drug
users; contributes to poverty, homelessness, an other medical problems
,50% - Precise Answer ✔✔percent increase in the number of seniors
needing substance abuse treatment. 70% rate of increase in treatment
Limits to confidentiality - Precise Answer ✔✔1. Client request for
release of information
2. Court orders for release of information
3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
CAGE questionnaire - Precise Answer ✔✔Have you ever felt you
should CUT DOWN on your drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your
nerves (EYE-OPENER)?
- 4-question on alcohol abuse
MAST - Precise Answer ✔✔Michigan Alcoholism Screening Test - yes
or no to 25 questions to explore number of treatment issues; most
accurate and oldest screening tool to identify drinkers with 98%
accuracy
,What is another cultural issues beyond the client's culture? - Precise
Answer ✔✔counselor's culture
Relapse-remitting model of addiction - Precise Answer ✔✔recognizes
that some issues tend to return cyclically overtime, can help counselor
and CLT make advance contingency plans to avoid having brief relapse
in negative circumstances or behaviors
Authentically connected referral network - Precise Answer ✔✔refers to
a carefully established set of services providers prepared to meet client
needs; goal is for all network agencies an providers to recognize their
valued and essential roles in the addiction treatment process and for
clients to recognize this and respond with similar trust and confidence.
What is the primary aim of case management services, beyond providing
seamless care and being client-centered? - Precise Answer ✔✔to
provide least restrictive level of care
Ask-teLl-ask technique - Precise Answer ✔✔asking permission of the
client to talk with them, telling them of any concerns you have, and then
asking for their thoughts on what you shared.
Referral form - Precise Answer ✔✔used to track the results of the
referral; WHO (identifies the client and counselor involved/demographic
info; substance use, legal issues, family concerns) WHAT (issues that
generated the need for the referral, substance/work, family, and goals
and commitments) HOW (address how CLT was engaged and dealt
with)
, When should planning for aftercare be engaged - Precise Answer ✔✔at
the point of initial counselor-client contact
What should be the focus of treatment mostly? - Precise Answer
✔✔positive education and skills in substance abuse triggers, patterns of
use, and relapse prevention;
substance issues, recovery, health issues, co-occurring disorders; holistic
treatment planning an interventions are essential in recovery process
Bookend term in substance abuse treatment means.. - Precise Answer
✔✔discussing a trigger event with someone trusted before and after it
occurs
Trigger events - Precise Answer ✔✔often crisis stressors or situations
CFR 42, part 2 - Precise Answer ✔✔confidentiality in areas of alcohol
and substance abuse. confidentiality restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or
legislative proceedings by any govt authority
2) to communications, even if the person seeking information already
has it, cold otherwise obtain it, is an official or law officer, has a
subpeona or otherwise claims the right of information release not
permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client
(unless he/she is in a facility or facility area not dedicated solely to
