NCAC I Exam Questions With
Complete Solutions
Screening - -Determine if client is appropriate for the treatment program at
a given facility; rapport critical in this stage.
- Group Development Stage 1 - -Formation. Group members often ask one
another for advice at this stage. Individual members are assessed by the
others, and tested.
- Group Development Stage 2 - -Transition
- Group Development Stage 3 - -Working
- Group Development Stage 4 - -Termination
- 3 Processes of Groups - -1.) Compliance
2.) Identification
3.) Internalization
- 2 Stages of Group Growth - -1. Developing
2. Potency
- Substages of Developing (stages of group growth) - -1. Acquaintance
period
2. Groundwork
- Substages of Potency (stages of group growth) - -1. Working
2. Closing
- Therapy Groups - -Limited size; screened membership; focused on process
- Support Groups - -Open membership; unlimited size; focused on content
- Dynamic Family Therapy - -therapy based on gaining insight to be able to
understand conflicts which are present in the family setting
- Experiential/Humanistic Family Therapy - -therapy is based on the present
circumstance and the most important factor of recovery is self-determination
and self-awareness
- Bowenian Family Therapy - -based on the concept that the emotions and
intellect of a family may become entangled or fused. This causes an
automatic emotional arousal within the family.
, - Structural Family Therapy - -the counselor tries to change the
dysfunctional structure of the family
- Family Disease Model - -based on the idea that alcoholism is a family
disease and the disease itself is codependence
- 7 Core Functions of Case Management - -1. engagement
2. assessment
3. planning
4. linkage
5. monitoring
6. advocacy
7. disengagement
- 4 Models of Case Management - -1. Broker/Generalist
2. Strengths Based
3. CLinical/rehabilitation
4. Assertive Community Treatment
- Crisis: 3 conditions - -1. a hazardous or stressful situation
2. awareness of the potential for significant life disruption or emotional upset
3. inadequate existing coping skills
- Critical incident - -Event that overwhelms an individual's coping skills
because of the emotional intensity involved. Typically fear-inducing,
grotesque, threatening, or dangerous. Once individual experiences acute
emotional response, it's called a "Crisis"
- SAFER-R Crisis Intervention Model - -S: stabilize the situation
A: acknowledge the reality of the crisis event and the understandable
distress it has produced.
F: facilitate situational understanding and develop options
E: encourage the development of an action plan
R: refer when significant impairment persists
- (Crisis) Physical Distress Symptoms - -exacerbated startle reflex, tension,
shock, gastrointestinal distress, marked fatigue, and hyperventilation
- (Crisis) Cognitive Distress Symptoms - -impaired decision making, poor
concentration, memory problems, flashbacks
- (Crisis) Emotional Distress Symptoms - -grief, fear, depression, guilt,
anger, resentment, self-doubt
, - (Crisis) Behavioral Distress Symptoms - -emotional withdrawal, agitation,
inappropriate affect
- "A Drink" - -12oz beer, 5oz wine, or 1.5oz liquor
- 4 Components of Suicide Assessment - -1. Behavioral indications
2. Historical patterns
3. Present situation
4. Degree of lethality
- Step 1 - -We admitted that we were powerless over alcohol- that our lives
had become unmanageable
- Step 2 - -Came to believe that a Power greater than ourself could restore
us to sanity
- Step 3 - -Made a decision to turn our will and our lives over to the care of
God as we understood Him
- Step 4 - -Made a searching and fearless moral inventory of ourselves
- Step 5 - -Admitted to God, to ourselves, and to another human being the
exact nature of our wrongs
- Step 6 - -Were entirely ready to have God remove all these defects of
character
- Step 7 - -Humbly asked him to remove our shortcomings
- Step 8 - -Made a list of all persons we had harmed and became willing to
make amends to them all
- Step 9 - -Made direct amends to such people wherever possible, except
when to do so would injure them or others
- Step 10 - -Continued to take personal inventory and when we were wrong
we promptly admitted it
- Step 11 - -Sought through prayer and meditation to improve our conscious
contact with God as we understood him, praying only for knowledge of his
will for us and the power to carry that out
- Step 12 - -Having had a spiritual awakening as the result of these steps,
we tried to carry this message to alcoholics and to practice these principles
in all our affairs
Complete Solutions
Screening - -Determine if client is appropriate for the treatment program at
a given facility; rapport critical in this stage.
- Group Development Stage 1 - -Formation. Group members often ask one
another for advice at this stage. Individual members are assessed by the
others, and tested.
- Group Development Stage 2 - -Transition
- Group Development Stage 3 - -Working
- Group Development Stage 4 - -Termination
- 3 Processes of Groups - -1.) Compliance
2.) Identification
3.) Internalization
- 2 Stages of Group Growth - -1. Developing
2. Potency
- Substages of Developing (stages of group growth) - -1. Acquaintance
period
2. Groundwork
- Substages of Potency (stages of group growth) - -1. Working
2. Closing
- Therapy Groups - -Limited size; screened membership; focused on process
- Support Groups - -Open membership; unlimited size; focused on content
- Dynamic Family Therapy - -therapy based on gaining insight to be able to
understand conflicts which are present in the family setting
- Experiential/Humanistic Family Therapy - -therapy is based on the present
circumstance and the most important factor of recovery is self-determination
and self-awareness
- Bowenian Family Therapy - -based on the concept that the emotions and
intellect of a family may become entangled or fused. This causes an
automatic emotional arousal within the family.
, - Structural Family Therapy - -the counselor tries to change the
dysfunctional structure of the family
- Family Disease Model - -based on the idea that alcoholism is a family
disease and the disease itself is codependence
- 7 Core Functions of Case Management - -1. engagement
2. assessment
3. planning
4. linkage
5. monitoring
6. advocacy
7. disengagement
- 4 Models of Case Management - -1. Broker/Generalist
2. Strengths Based
3. CLinical/rehabilitation
4. Assertive Community Treatment
- Crisis: 3 conditions - -1. a hazardous or stressful situation
2. awareness of the potential for significant life disruption or emotional upset
3. inadequate existing coping skills
- Critical incident - -Event that overwhelms an individual's coping skills
because of the emotional intensity involved. Typically fear-inducing,
grotesque, threatening, or dangerous. Once individual experiences acute
emotional response, it's called a "Crisis"
- SAFER-R Crisis Intervention Model - -S: stabilize the situation
A: acknowledge the reality of the crisis event and the understandable
distress it has produced.
F: facilitate situational understanding and develop options
E: encourage the development of an action plan
R: refer when significant impairment persists
- (Crisis) Physical Distress Symptoms - -exacerbated startle reflex, tension,
shock, gastrointestinal distress, marked fatigue, and hyperventilation
- (Crisis) Cognitive Distress Symptoms - -impaired decision making, poor
concentration, memory problems, flashbacks
- (Crisis) Emotional Distress Symptoms - -grief, fear, depression, guilt,
anger, resentment, self-doubt
, - (Crisis) Behavioral Distress Symptoms - -emotional withdrawal, agitation,
inappropriate affect
- "A Drink" - -12oz beer, 5oz wine, or 1.5oz liquor
- 4 Components of Suicide Assessment - -1. Behavioral indications
2. Historical patterns
3. Present situation
4. Degree of lethality
- Step 1 - -We admitted that we were powerless over alcohol- that our lives
had become unmanageable
- Step 2 - -Came to believe that a Power greater than ourself could restore
us to sanity
- Step 3 - -Made a decision to turn our will and our lives over to the care of
God as we understood Him
- Step 4 - -Made a searching and fearless moral inventory of ourselves
- Step 5 - -Admitted to God, to ourselves, and to another human being the
exact nature of our wrongs
- Step 6 - -Were entirely ready to have God remove all these defects of
character
- Step 7 - -Humbly asked him to remove our shortcomings
- Step 8 - -Made a list of all persons we had harmed and became willing to
make amends to them all
- Step 9 - -Made direct amends to such people wherever possible, except
when to do so would injure them or others
- Step 10 - -Continued to take personal inventory and when we were wrong
we promptly admitted it
- Step 11 - -Sought through prayer and meditation to improve our conscious
contact with God as we understood him, praying only for knowledge of his
will for us and the power to carry that out
- Step 12 - -Having had a spiritual awakening as the result of these steps,
we tried to carry this message to alcoholics and to practice these principles
in all our affairs
