ALCOHOL AND DRUG COUNSELOR
EXAM QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS 100%
CORRECT
Culture-bound syndrome - 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 culture (e.g,
hallucinatory sx of schizophrenia could be due to demon possession)
pharmacological therapy and psychotherapy - ANSWER two key mental health
treatment paradigms of Western medicine (multimodal therapy)
racism and discrimination - 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? - ANSWER increasing rapidly
and steadily; by 2025, 40% adults (48% children) will be from ethnic and racial
minority gps.
HIV - 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% - ANSWER percent increase in the number of seniors needing substance
abuse treatment. 70% rate of increase in treatment
Limits to confidentiality - 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 - 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 - 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? - ANSWER
counselor's culture
,Relapse-remitting model of addiction - 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 - 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? - ANSWER to provide least restrictive level of
care
Ask-teLl-ask technique - 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 - 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 - ANSWER at the point of
initial counselor-client contact
, What should be the focus of treatment mostly? - 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.. - ANSWER discussing a
trigger event with someone trusted before and after it occurs
Trigger events - ANSWER often crisis stressors or situations
CFR 42, part 2 - 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 alcohol or drug abuse tx, ad
no mention of drug or alcohol treatment is made)
How is subpoena will be valid for release of information? - ANSWER if a court
of competent jurisdiction also explicitly enters an order authorizing information
release specific to the 42CFR part 2 regulations
What does HIPAA statues guidelines address? - ANSWER health privacy and
confidentiality standards; governs the management and release of protected
health information (PHI); right to privacy for all adults and minors ages 12-18
EXAM QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS 100%
CORRECT
Culture-bound syndrome - 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 culture (e.g,
hallucinatory sx of schizophrenia could be due to demon possession)
pharmacological therapy and psychotherapy - ANSWER two key mental health
treatment paradigms of Western medicine (multimodal therapy)
racism and discrimination - 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? - ANSWER increasing rapidly
and steadily; by 2025, 40% adults (48% children) will be from ethnic and racial
minority gps.
HIV - 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% - ANSWER percent increase in the number of seniors needing substance
abuse treatment. 70% rate of increase in treatment
Limits to confidentiality - 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 - 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 - 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? - ANSWER
counselor's culture
,Relapse-remitting model of addiction - 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 - 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? - ANSWER to provide least restrictive level of
care
Ask-teLl-ask technique - 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 - 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 - ANSWER at the point of
initial counselor-client contact
, What should be the focus of treatment mostly? - 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.. - ANSWER discussing a
trigger event with someone trusted before and after it occurs
Trigger events - ANSWER often crisis stressors or situations
CFR 42, part 2 - 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 alcohol or drug abuse tx, ad
no mention of drug or alcohol treatment is made)
How is subpoena will be valid for release of information? - ANSWER if a court
of competent jurisdiction also explicitly enters an order authorizing information
release specific to the 42CFR part 2 regulations
What does HIPAA statues guidelines address? - ANSWER health privacy and
confidentiality standards; governs the management and release of protected
health information (PHI); right to privacy for all adults and minors ages 12-18
