ADC Exam 6 UPDATED ACTUAL
Questions and CORRECT Answers
What do studies indicate about lesbian, gay, bisexual, and transgender (LGBT) individuals?
a. They are more likely to abuse alcohol and drugs than the general population.
b. They are similar to the general population in their use of alcohol and drugs.
c. They are more likely to use drugs but not more likely to use alcohol than others.
d. They are less likely to abuse alcohol and drugs than the general population. - CORRECT
ANSWER - A: They are more likely to abuse alcohol and drugs than the general
population. Because many research instruments do not ask about sexual orientation, very little
reliable information is available on substance abuse among lesbian, gay, or bisexual (LGB)
individuals. However, research does indicate that lesbian, gay, bisexual, and transsexual (LGBT)
individuals use alcohol and drugs more often than the general population. They are also more
likely than the general population to persist in drinking heavily into later life and less likely to
stop using drugs. On average, members of the LGBT community also use more kinds of drugs,
including those that more profoundly impair judgment, such as amyl nitrite (poppers), Ecstasy,
ketamine (Special K), and gamma hydroxybutyrate. These drugs are frequently used at parties
and raves, during and after which increased risky sexual behavior may lead to human
immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) or hepatitis
infections. Cultural groups differ in how they view their LGBT members. In Hispanic culture,
matters of sexual orientation tend not to be discussed openly. LGB members of minority groups
often find themselves targets of discrimination within their minority culture and of racism in the
general culture.
What does the term cultural brokering refer to?
a. Immigration and naturalization assistance
b. Financial managers for ethnic and racial minorities
c. Housing services for ethnic and racial minorities
d. Liaison work between cultures to meet needs - CORRECT ANSWER - D: Liaison work
between cultures to meet needs. The culture brokering approach was conceived to mediate the
difficult gap between the needs of foreign-born people and the U.S. health care system. This
model can also help clients with disabilities and impairments. Almost one-sixth of all U.S.
citizens have some functional disability. Of these, more than 30 percent live below the poverty
line, and most expend considerable financial resources on their disability-related needs. The
combination of depression, frequent pain, employment difficulties, and functional limitations
leaves the cognitively and physically disabled vulnerable to substance abuse. Yet, research
,reveals, they are less likely to receive effective treatment than those without any disability.
Further, many disabled (and other) individuals struggling with addiction have unidentified
learning disabilities that can impair successful treatment. Even individuals with the same
disability may differ in their functional capabilities and limits. Consequently, treatment providers
must carefully assess these clients and tailor treatments to meet their unique needs.
How do the rates of heavy alcohol use among youth ages twelve to seventeen in rural areas
compare?
a. Double the rates in metropolitan areas
b. Slightly higher than the rates in metropolitan areas
c. About the same as the rates in metropolitan areas
d. Half the rates found in metropolitan areas - CORRECT ANSWER - A: Double the rates
in metropolitan areas. The rate of alcohol use among adults over the age twenty-five is lower in
rural areas than that found in metropolitan areas. However, youth between the ages of twelve and
seventeen have rates of heavy alcohol use that are almost double those in metropolitan areas.
Further, rates of alcohol use and alcoholism among women in rural areas are higher than rates
among women in metropolitan areas. Even so, at least one study reveals that individuals living in
urban settings were treated for substance abuse more than twice as often as those living in a rural
setting. It was concluded that the stigma of substance abuse treatment and the availability of
treatment combined to substantially limit the treatment rate. Given that 20 percent of the U.S.
population lives outside of metropolitan areas, understanding the unique needs of rural
populations is important.
Although homeless individuals are more likely to receive detoxification services than people not
homeless, what percentage will receive full treatment for their alcohol or substance abuse
problems?
a. 15 percent
b. 25 percent
c. 35 percent
d. 45 percent - CORRECT ANSWER - B: 25 percent. In other words, 75 percent will not
receive proper treatment. Although the homeless receive detox services more than three times as
often as people who are not homeless (45 percent vs. 14 percent), this is likely due to unexpected
hospitalizations, psychiatric facility transitioning, and vagrancy and drug possession arrests that
result in an involuntary detox and loose medical supervision. Of the approximately six hundred
thousand homeless at any given time, about 41 percent are white, 40 percent are African-
American, 11 percent are Hispanic, and 8 percent are Native American—disproportionate
, minority representation. The homeless may be: (1) transient—temporarily with others and at high
risk of suddenly being on the street; (2) recently displaced—due to eviction or other financial
problems (potentially due to substance abuse; or (3) chronically homeless—often with severe
substance use and mental disorders, they are difficult to draw into treatment and are in need of
creative outreach and programming initiatives.
Homeless individuals are particularly susceptible to substance abuse due to the stress and
hopelessness of their current situation. What are the three most common substances of abuse
among this population?
a. Alcohol, crack cocaine, and marijuana
b. Alcohol, opioids, and marijuana
c. Alcohol, opioids, and crack cocaine
d. Alcohol, marijuana, and inhalants - CORRECT ANSWER - C: Alcohol, opioids, and
crack cocaine. Alcohol is the primary substance of abuse for 50 percent of the homeless admitted
to treatment, with 18 percent abusing opioids (pain meds, heroin, etc.) and 17 percent abusing
crack cocaine. Nearly one-quarter of the homeless (23 percent) have co-occurring disorders,
while 20 percent of those not homeless also suffer with a co-occurring disorder.
Recommendations for retaining homeless clients in treatment include: (1) meet their survival
needs (food, clothing, warmth, and safe shelter) in addition to treatment and extensive continuing
care; (2) optimally, early intensive treatment (clients attending 4.1 days per week have better
outcomes than those attending fewer days); and (3) case management, which is needed to: (1)
arrange safe and drug-free housing (which powerfully influences recovery, especially if housing
is contingent on abstinence), (2) coordinate psychiatric and medical care, and (3) locate
vocational training or education to help individuals become self-sufficient. The Alcohol Severity
Index, the Alcohol Dependence Scale, and the personal history form have all been deemed valid
and reliable screening tools for this population, especially when interviewed in a protected
setting, with factual questions based on a recent time period.
What is the case management model that seeks to identify clients' needs and assist clients in
obtaining access various identified resources known as?
a. Brokerage or Generalist Model
b. Program of Assertive Community Treatment Model
c. Strengths-Based Perspective
d. Clinical or Rehabilitation Model - CORRECT ANSWER - A: Brokerage or Generalist
Model. This approach endeavors to evaluate and determine clients' needs in order to help them
access specific resources. Client contacts are minimal, and planning is brief, as the goal is
Questions and CORRECT Answers
What do studies indicate about lesbian, gay, bisexual, and transgender (LGBT) individuals?
a. They are more likely to abuse alcohol and drugs than the general population.
b. They are similar to the general population in their use of alcohol and drugs.
c. They are more likely to use drugs but not more likely to use alcohol than others.
d. They are less likely to abuse alcohol and drugs than the general population. - CORRECT
ANSWER - A: They are more likely to abuse alcohol and drugs than the general
population. Because many research instruments do not ask about sexual orientation, very little
reliable information is available on substance abuse among lesbian, gay, or bisexual (LGB)
individuals. However, research does indicate that lesbian, gay, bisexual, and transsexual (LGBT)
individuals use alcohol and drugs more often than the general population. They are also more
likely than the general population to persist in drinking heavily into later life and less likely to
stop using drugs. On average, members of the LGBT community also use more kinds of drugs,
including those that more profoundly impair judgment, such as amyl nitrite (poppers), Ecstasy,
ketamine (Special K), and gamma hydroxybutyrate. These drugs are frequently used at parties
and raves, during and after which increased risky sexual behavior may lead to human
immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) or hepatitis
infections. Cultural groups differ in how they view their LGBT members. In Hispanic culture,
matters of sexual orientation tend not to be discussed openly. LGB members of minority groups
often find themselves targets of discrimination within their minority culture and of racism in the
general culture.
What does the term cultural brokering refer to?
a. Immigration and naturalization assistance
b. Financial managers for ethnic and racial minorities
c. Housing services for ethnic and racial minorities
d. Liaison work between cultures to meet needs - CORRECT ANSWER - D: Liaison work
between cultures to meet needs. The culture brokering approach was conceived to mediate the
difficult gap between the needs of foreign-born people and the U.S. health care system. This
model can also help clients with disabilities and impairments. Almost one-sixth of all U.S.
citizens have some functional disability. Of these, more than 30 percent live below the poverty
line, and most expend considerable financial resources on their disability-related needs. The
combination of depression, frequent pain, employment difficulties, and functional limitations
leaves the cognitively and physically disabled vulnerable to substance abuse. Yet, research
,reveals, they are less likely to receive effective treatment than those without any disability.
Further, many disabled (and other) individuals struggling with addiction have unidentified
learning disabilities that can impair successful treatment. Even individuals with the same
disability may differ in their functional capabilities and limits. Consequently, treatment providers
must carefully assess these clients and tailor treatments to meet their unique needs.
How do the rates of heavy alcohol use among youth ages twelve to seventeen in rural areas
compare?
a. Double the rates in metropolitan areas
b. Slightly higher than the rates in metropolitan areas
c. About the same as the rates in metropolitan areas
d. Half the rates found in metropolitan areas - CORRECT ANSWER - A: Double the rates
in metropolitan areas. The rate of alcohol use among adults over the age twenty-five is lower in
rural areas than that found in metropolitan areas. However, youth between the ages of twelve and
seventeen have rates of heavy alcohol use that are almost double those in metropolitan areas.
Further, rates of alcohol use and alcoholism among women in rural areas are higher than rates
among women in metropolitan areas. Even so, at least one study reveals that individuals living in
urban settings were treated for substance abuse more than twice as often as those living in a rural
setting. It was concluded that the stigma of substance abuse treatment and the availability of
treatment combined to substantially limit the treatment rate. Given that 20 percent of the U.S.
population lives outside of metropolitan areas, understanding the unique needs of rural
populations is important.
Although homeless individuals are more likely to receive detoxification services than people not
homeless, what percentage will receive full treatment for their alcohol or substance abuse
problems?
a. 15 percent
b. 25 percent
c. 35 percent
d. 45 percent - CORRECT ANSWER - B: 25 percent. In other words, 75 percent will not
receive proper treatment. Although the homeless receive detox services more than three times as
often as people who are not homeless (45 percent vs. 14 percent), this is likely due to unexpected
hospitalizations, psychiatric facility transitioning, and vagrancy and drug possession arrests that
result in an involuntary detox and loose medical supervision. Of the approximately six hundred
thousand homeless at any given time, about 41 percent are white, 40 percent are African-
American, 11 percent are Hispanic, and 8 percent are Native American—disproportionate
, minority representation. The homeless may be: (1) transient—temporarily with others and at high
risk of suddenly being on the street; (2) recently displaced—due to eviction or other financial
problems (potentially due to substance abuse; or (3) chronically homeless—often with severe
substance use and mental disorders, they are difficult to draw into treatment and are in need of
creative outreach and programming initiatives.
Homeless individuals are particularly susceptible to substance abuse due to the stress and
hopelessness of their current situation. What are the three most common substances of abuse
among this population?
a. Alcohol, crack cocaine, and marijuana
b. Alcohol, opioids, and marijuana
c. Alcohol, opioids, and crack cocaine
d. Alcohol, marijuana, and inhalants - CORRECT ANSWER - C: Alcohol, opioids, and
crack cocaine. Alcohol is the primary substance of abuse for 50 percent of the homeless admitted
to treatment, with 18 percent abusing opioids (pain meds, heroin, etc.) and 17 percent abusing
crack cocaine. Nearly one-quarter of the homeless (23 percent) have co-occurring disorders,
while 20 percent of those not homeless also suffer with a co-occurring disorder.
Recommendations for retaining homeless clients in treatment include: (1) meet their survival
needs (food, clothing, warmth, and safe shelter) in addition to treatment and extensive continuing
care; (2) optimally, early intensive treatment (clients attending 4.1 days per week have better
outcomes than those attending fewer days); and (3) case management, which is needed to: (1)
arrange safe and drug-free housing (which powerfully influences recovery, especially if housing
is contingent on abstinence), (2) coordinate psychiatric and medical care, and (3) locate
vocational training or education to help individuals become self-sufficient. The Alcohol Severity
Index, the Alcohol Dependence Scale, and the personal history form have all been deemed valid
and reliable screening tools for this population, especially when interviewed in a protected
setting, with factual questions based on a recent time period.
What is the case management model that seeks to identify clients' needs and assist clients in
obtaining access various identified resources known as?
a. Brokerage or Generalist Model
b. Program of Assertive Community Treatment Model
c. Strengths-Based Perspective
d. Clinical or Rehabilitation Model - CORRECT ANSWER - A: Brokerage or Generalist
Model. This approach endeavors to evaluate and determine clients' needs in order to help them
access specific resources. Client contacts are minimal, and planning is brief, as the goal is
