CSAC PRACTICE EXAM COMBINED
SET QUESTIONS WITH COMPLETE
SOLUTIONS
when the clinician shares something about him/herself for the benefit of the client -
Answer- Self disclosure
Working with the client to examine various options - Answer- Exploring alternatives
consists of offering a different perspective on a situation the client is facing - Answer-
Re-framing
asking open-ended questions to clarify information and to help the client toward a new
understanding - Answer- Probing
involves the reflection and restatement of what the client said. It removes confusion,
avoids intellectualizations and convoluted explanations, and can help the client stay
focused on concerns, feelings, and problems in the here and now - Answer- Simplifying
Restating content that had generated emotion from the client—it is a reflection of
feeling. Reflection of feeling captures and expresses to the client the core of what he or
she is feeling. It allows the client to be aware of his or her own expressed emotions and
how the counselor understood his or her emotional message. The counselor should be
careful not to interpret the client's feelings. When reflecting feelings, the counselor
remains neutral and nonjudgmental by not offering opinions, judgments, or advice -
Answer- Reflecting
This instrument makes connections between significant events in the client's life and
alcohol/drug use patterns and intensity, for the past year. It includes a calendar and a
standard drink conversion chart to aid memory. It may be particularly useful in working
with elderly clients. Other measures of drinking that go beyond screening for abuse or
dependence include the Cognitive Lifetime Drinking History (CLDH), Drinking Self
Monitoring Log (DSML), and Form 90. Good for elderly - Answer- Time Line Follow
Back (TLFB) Procedure.
This instrument measures factors that are related to relapse risk: positive thinking,
negative thinking, avoidance/distraction, and seeking social supports. - Answer- Coping
Behaviors Inventory (CBI)
A 25-item instrument that provides a quantitative measure of the severity of alcohol
dependence. - Answer- Alcohol Dependence Scale (ADS)
,This self-report inventory is in multiple-choice format, for ages 16 and above. It is based
on the multiple condition theory, which takes into account individuals' different styles of
drinking, perceptions of alcohol's benefits and consequences, and how they want to
deal with drinking problems. - Answer- Alcohol Use Inventory (AUI)
The 28 questions permit diagnosis of alcohol abuse or dependence. - Answer-
Diagnostic Interview Schedule (DIS-IV) Alcohol Module
Self-administered pencil and paper instrument that measures clients' attempts to control
their drinking during the last 6 months and their perception of their ability to control it
now. - Answer- Impaired Control Scale (ICS)
A semi-structured interview with seven subscales (family/social status, medical status,
employment and support, drug use, alcohol use, legal status, and psychiatric status),
which is useful for treatment planning and outcome evaluation with adult clients. -
Answer- Addiction Severity Index (ASI)
This five-item instrument was designed to screen for harmful drinking in pregnant
women. The items have to do with tolerance, worry of close friends and relatives, using
alcohol as an eye opener, amnesia (blackouts), and felt need to cut down on drinking. -
Answer- TWEAK
This brief self report is designed to identify individuals with a high probability of having a
substance related disorder. A version designed for adolescents, the SASSI-A2 is for
clients ages 12 to 18. - Answer- SASSI (Substance Abuse Subtle Screening Inventory)
An answer of yes to one or more questions indicates the possibility of alcohol
dependence during the past year. The questions have to do with remorse, amnesia,
performance of life duties, and starting the day with alcohol. - Answer- RAPS4 (Rapid
Alcohol Problems Screen)
This instrument requires yes/no answers to 25 questions. Scores indicate the absence
of alcohol dependence (0 to 3), possible substance dependence (4), or likely alcohol
dependence (5 or higher). A Brief MAST (10 items) and a 13-item Short MAST
(SMAST) are available, as is a Geriatric MAST (MAST-G). - Answer- MAST (Michigan
Alcoholism Screening Test)
Adapted from the MAST (described below), this self-report instrument is used to detect
abuse of or dependence on drugs other than alcohol. It provides a measure of lifetime
problem severity. - Answer- DAST (Drug Abuse Screening Test)
used not only for assessment, but for all phases of treatment, is a style of interacting
with clients that is particularly helpful for reducing defensiveness and encouraging
therapeutic collaboration between the counselor and client. encourages clients to move
on to the next stage of readiness for change.
respects the client's perception of the problem. - Answer- Motivational Interviewing
, recognizes that there are biological, psychological, and social causes of substance
abuse and dependence. Biological factors include brain chemistry problems, which may
be genetic. Genetics influence biochemistry, and biochemistry makes some people
particularly vulnerable to addiction to certain drugs once they try them. Psychological
factors include cognitive styles, personality traits, and early developmental experiences.
Social factors include poverty, oppression, poorly developed social skills, and family
dysfunction (Watkins, et al., 2001, p. 3). Counselors' assessments emphasize
psychological and social factors. - Answer- Biopsychosocial perspective
Alcohol, Benzodiazepines, Barbiturates, Opioids, Sedatives - Answer- Depressants
(Downers)
Cocaine, Amphetamines, Methamphetamine, Ecstasy, Caffiene, Nicotine, Weight Loss
Pills - Answer- Stimulants (Uppers)
Cannabinoids - Answer- Marijuana, Hashish
Paint, Glue, Gas, Paint Thinner, Aerosol Sprays, Nitrous Oxide (Laughing Gas) -
Answer- Inhalants
LSD, Peyote, Psilocybin (Mushrooms), PCP, Salvia - Answer- Hallucinogens
(Psychdelics)
Benzodiazepines - Answer- Xanax, Valium, Ativan, Rohypnol
Amytal, Seconal, Phenobarbital, Nebutal - Answer- Barbiturates
Oxycontin, Vicodin, Percocet, Morphine, Codeine, Herion, Opium, Fentanyl - Answer-
Opioids (Narcotics)
Ambium, Lunesta, Sonata - Answer- Sedatives (Tranquilizers)
extreme weight loss, severe dental problems ("meth mouth"), anxiety, confusion,
insomnia, mood disturbances, and violent behavior - Answer- Signs of
Methamphetamine Abuse
Ecstasy, GHB, Rohypnol (Date Rape Drug), Ketamine - Answer- Club Drugs
Abuse Impaired Coordination, problems with thinking and problem solving, problems
with learning and short-term memory, lack of motivation - Answer- Signs of Marijuana
Sleeplessness, Irritability, Drug Craving, Decreased Appetite, Anxiety - Answer-
Marijuana Withdrawal
SET QUESTIONS WITH COMPLETE
SOLUTIONS
when the clinician shares something about him/herself for the benefit of the client -
Answer- Self disclosure
Working with the client to examine various options - Answer- Exploring alternatives
consists of offering a different perspective on a situation the client is facing - Answer-
Re-framing
asking open-ended questions to clarify information and to help the client toward a new
understanding - Answer- Probing
involves the reflection and restatement of what the client said. It removes confusion,
avoids intellectualizations and convoluted explanations, and can help the client stay
focused on concerns, feelings, and problems in the here and now - Answer- Simplifying
Restating content that had generated emotion from the client—it is a reflection of
feeling. Reflection of feeling captures and expresses to the client the core of what he or
she is feeling. It allows the client to be aware of his or her own expressed emotions and
how the counselor understood his or her emotional message. The counselor should be
careful not to interpret the client's feelings. When reflecting feelings, the counselor
remains neutral and nonjudgmental by not offering opinions, judgments, or advice -
Answer- Reflecting
This instrument makes connections between significant events in the client's life and
alcohol/drug use patterns and intensity, for the past year. It includes a calendar and a
standard drink conversion chart to aid memory. It may be particularly useful in working
with elderly clients. Other measures of drinking that go beyond screening for abuse or
dependence include the Cognitive Lifetime Drinking History (CLDH), Drinking Self
Monitoring Log (DSML), and Form 90. Good for elderly - Answer- Time Line Follow
Back (TLFB) Procedure.
This instrument measures factors that are related to relapse risk: positive thinking,
negative thinking, avoidance/distraction, and seeking social supports. - Answer- Coping
Behaviors Inventory (CBI)
A 25-item instrument that provides a quantitative measure of the severity of alcohol
dependence. - Answer- Alcohol Dependence Scale (ADS)
,This self-report inventory is in multiple-choice format, for ages 16 and above. It is based
on the multiple condition theory, which takes into account individuals' different styles of
drinking, perceptions of alcohol's benefits and consequences, and how they want to
deal with drinking problems. - Answer- Alcohol Use Inventory (AUI)
The 28 questions permit diagnosis of alcohol abuse or dependence. - Answer-
Diagnostic Interview Schedule (DIS-IV) Alcohol Module
Self-administered pencil and paper instrument that measures clients' attempts to control
their drinking during the last 6 months and their perception of their ability to control it
now. - Answer- Impaired Control Scale (ICS)
A semi-structured interview with seven subscales (family/social status, medical status,
employment and support, drug use, alcohol use, legal status, and psychiatric status),
which is useful for treatment planning and outcome evaluation with adult clients. -
Answer- Addiction Severity Index (ASI)
This five-item instrument was designed to screen for harmful drinking in pregnant
women. The items have to do with tolerance, worry of close friends and relatives, using
alcohol as an eye opener, amnesia (blackouts), and felt need to cut down on drinking. -
Answer- TWEAK
This brief self report is designed to identify individuals with a high probability of having a
substance related disorder. A version designed for adolescents, the SASSI-A2 is for
clients ages 12 to 18. - Answer- SASSI (Substance Abuse Subtle Screening Inventory)
An answer of yes to one or more questions indicates the possibility of alcohol
dependence during the past year. The questions have to do with remorse, amnesia,
performance of life duties, and starting the day with alcohol. - Answer- RAPS4 (Rapid
Alcohol Problems Screen)
This instrument requires yes/no answers to 25 questions. Scores indicate the absence
of alcohol dependence (0 to 3), possible substance dependence (4), or likely alcohol
dependence (5 or higher). A Brief MAST (10 items) and a 13-item Short MAST
(SMAST) are available, as is a Geriatric MAST (MAST-G). - Answer- MAST (Michigan
Alcoholism Screening Test)
Adapted from the MAST (described below), this self-report instrument is used to detect
abuse of or dependence on drugs other than alcohol. It provides a measure of lifetime
problem severity. - Answer- DAST (Drug Abuse Screening Test)
used not only for assessment, but for all phases of treatment, is a style of interacting
with clients that is particularly helpful for reducing defensiveness and encouraging
therapeutic collaboration between the counselor and client. encourages clients to move
on to the next stage of readiness for change.
respects the client's perception of the problem. - Answer- Motivational Interviewing
, recognizes that there are biological, psychological, and social causes of substance
abuse and dependence. Biological factors include brain chemistry problems, which may
be genetic. Genetics influence biochemistry, and biochemistry makes some people
particularly vulnerable to addiction to certain drugs once they try them. Psychological
factors include cognitive styles, personality traits, and early developmental experiences.
Social factors include poverty, oppression, poorly developed social skills, and family
dysfunction (Watkins, et al., 2001, p. 3). Counselors' assessments emphasize
psychological and social factors. - Answer- Biopsychosocial perspective
Alcohol, Benzodiazepines, Barbiturates, Opioids, Sedatives - Answer- Depressants
(Downers)
Cocaine, Amphetamines, Methamphetamine, Ecstasy, Caffiene, Nicotine, Weight Loss
Pills - Answer- Stimulants (Uppers)
Cannabinoids - Answer- Marijuana, Hashish
Paint, Glue, Gas, Paint Thinner, Aerosol Sprays, Nitrous Oxide (Laughing Gas) -
Answer- Inhalants
LSD, Peyote, Psilocybin (Mushrooms), PCP, Salvia - Answer- Hallucinogens
(Psychdelics)
Benzodiazepines - Answer- Xanax, Valium, Ativan, Rohypnol
Amytal, Seconal, Phenobarbital, Nebutal - Answer- Barbiturates
Oxycontin, Vicodin, Percocet, Morphine, Codeine, Herion, Opium, Fentanyl - Answer-
Opioids (Narcotics)
Ambium, Lunesta, Sonata - Answer- Sedatives (Tranquilizers)
extreme weight loss, severe dental problems ("meth mouth"), anxiety, confusion,
insomnia, mood disturbances, and violent behavior - Answer- Signs of
Methamphetamine Abuse
Ecstasy, GHB, Rohypnol (Date Rape Drug), Ketamine - Answer- Club Drugs
Abuse Impaired Coordination, problems with thinking and problem solving, problems
with learning and short-term memory, lack of motivation - Answer- Signs of Marijuana
Sleeplessness, Irritability, Drug Craving, Decreased Appetite, Anxiety - Answer-
Marijuana Withdrawal
