EDCO 740 ADDICTIONS CASE PART 1:
MARCI PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ 31. Which of the following is TRUE about case management?a. it is the
coordination of services in an effort to reach the goals of the treatment
planb. it is the clinical supervision of the counseling staff by case managerc.
it is management of treatment to assure collateral care with outside
agenciesd. it is the process of monitoring the client's compliance with
accreditation standards.
Answer: a. it is the coordination of services in an effort to reach the goals of
the treatment plan
◍ 17. In a crisis interview with a client, you are most concerned with:a. the
client's family dynamics as they relate to the specific dynamics of the crisis
situationb. getting all the information that you can from the client and
available family membersc. focusing questions about the present situation
and the client's means of coping with the stressd. what your immediate
response should be regardless of the cleint's response to questions.
Answer: c. focusing questions about the present situation and the client's
means of coping with the stress
◍ 3. Which statement is TRUE regarding dual relationships with clients that
might impair the counselor's judgement?a. they must be avoidedb. they
should be discouragedc. they are left to the discretion of the counselord.
they should first be discussed with one's superior.
Answer: a. they must be avoided
◍ After completing chemical detoxification and a 12-step program to treat
crack addiction, a client is being prepared for discharge. Which remark by
the client indicates a realistic view of his future? "I'm never going to use
, crack again." "I know what I have to do. I have to limit my crack use." "I'm
going to take things 1 day at a time. I know it's going to be hard." "I can't
touch crack again, but I sure could use a drink. I've earned it.".
Answer: "I'm going to take things 1 day at a time. I know it's going to be
hard." Explanation:Twelve-step programs focus on recovery 1 day at a time.
Because relapse is common, such programs discourage people from
claiming that they'll never again use a specific substance. The belief that one
may use a limited amount of an abused substance indicates denial.
Substituting one abused substance for another predisposes the client to
cross-addiction.
◍ The nurse in an outpatient rehabilitation program is speaking with a group
of clients who have recently recovered from alcohol abuse. Which issue
should the nurse raise before the clients leave for the day?Remind them that
substance dependency is a disease, not a mental disorder.Suggest that they
try to confront other issues in their lives, such as estranged relationships or
financial issues.Help them to identify appropriate diversional activities.Ask
them to make a list of all the people they harmed during their addictions..
Answer: Help them to identify appropriate diversional activities.
Explanation:Clients in recovery typically have devoted much time to their
addiction. Substance use is integral to their existence and occupies most of
their leisure time. In some cases, it also takes up work and family time.
During treatment, clients may find themselves lonely, bored, idle, or
conflicted about what to do with so much "free" time. They need to plan
activities to minimize the temptation to revert to alcohol or drug use.
◍ Coralynn is a 24-year-old African American woman seeking treatment for a
substance use disorder. She reports daily smoking crack cocaine and crystal
methamphetamine for more than three years. She states that she used which
ever one was readily available, particularly since she has been in graduate
school. Her boyfriend, who lives with her, is insisting that she doesn't really
have a problem. He also uses, maintaining that the drugs enhance their sex
life. Coralynn says that they enjoy experimenting sexually at parties and do
not plan to alter this aspect of their lifestyle.74. What weaknesses do you see
, that might interfere with her recovery?a. her HIV status is unclearb. she
takes drugs to have sexc. lack of a support system and risky sexual behavior.
Answer: c. lack of a support system and risky sexual behavior
◍ 45. If a counselor knows that he/she is unable to assure the client of
confidentiality, he/she should:a. discuss this with his/her supervisorb. refer
the client to someone elsec. inform the client of this factd. do not inform the
client of this fact.
Answer: c. inform the client of this fact
◍ codependence.
Answer: a maladaptive coping pattern on the part of family members or
others that results from a prolonged relationship with the person who uses
substances
◍ Safety is the nursing priority for a client who is at risk for alcohol
withdrawal. A care plan for the client who is in withdrawal must include
which nursing interventions?Vital signs and medications as
prescribedObservation for symptoms, vital signs, seizure and fall
precautions, medications as orderedSuicide precautions because suicide
attempts are frequent during withdrawalSeizure precautions and vital signs.
Answer: Observation for symptoms, vital signs, seizure and fall precautions,
medications as ordered Explanation:Nursing care of the client experiencing
withdrawal centers on safety first. The nurse must implement frequent vital
sign assessment, seizure precautions, and fall precautions to ensure the
client's safety. Withdrawal symptoms must be controlled with medications.
◍ intoxication.
Answer: use of a substance that results in maladaptive behavior
◍ 15. Which of the following bodily fluids has the highest risk of potential
infection?a. tearsb. breast milkc. spinal fluidd. vaginal secretions.
Answer: d. vaginal secretions
◍ A client with Alzheimer's disease has a nursing diagnosis of Risk for injury
related to memory loss, wandering, and disorientation. To prevent injury,
, which nursing intervention should appear in this client's care plan? Provide
the client with detailed instructions. Keep the client sedated whenever
possible. Remove potential hazards from the client's environment. Use
restraints at all times..
Answer: Remove potential hazards from the client's environment.
Explanation:By removing potential environmental hazards, such as bottles
of hydrogen peroxide and benzoin, the nurse can help prevent injury to the
client. For a client with Alzheimer's disease, the nurse should provide single,
simple instructions rather than many detailed instructions. The nurse should
administer medication as ordered and as needed — not to keep the client
sedated. The nurse should use restraints only when required to prevent
self-harm by the client.
◍ The mental health nurse is preparing a presentation about prescription drug
abuse to a local community group. When describing the incidence, which
age group would the nurse identify as experiencing an
increase?AdolescentsChronically ill femalesCognitively impaired older
adultsMiddle-age males.
Answer: Adolescents Explanation:Alcohol, tobacco, marijuana, and illegal
prescription drug use have reached epidemic proportions in the United
States, with the incidence rising in younger age groups, particularly among
adolescents and young adults.
◍ 62. If an individua were to take two barbiturates, such a phenobarbital and
secobarbital simultaneously, the drug interaction effect would most
appropriately be described as:a. additiveb. potentiatingc. antagonisticd.
synergistic.
Answer: a. additive
◍ A client is entering the chemical dependency unit for treatment of alcohol
dependency. Which of the client's possessions should the nurse place in a
locked area? toothpaste dental floss shaving cream antiseptic mouthwash.
Answer: antiseptic mouthwash Explanation:Antiseptic mouthwash
commonly contains alcohol and should be kept in a locked area unless
MARCI PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ 31. Which of the following is TRUE about case management?a. it is the
coordination of services in an effort to reach the goals of the treatment
planb. it is the clinical supervision of the counseling staff by case managerc.
it is management of treatment to assure collateral care with outside
agenciesd. it is the process of monitoring the client's compliance with
accreditation standards.
Answer: a. it is the coordination of services in an effort to reach the goals of
the treatment plan
◍ 17. In a crisis interview with a client, you are most concerned with:a. the
client's family dynamics as they relate to the specific dynamics of the crisis
situationb. getting all the information that you can from the client and
available family membersc. focusing questions about the present situation
and the client's means of coping with the stressd. what your immediate
response should be regardless of the cleint's response to questions.
Answer: c. focusing questions about the present situation and the client's
means of coping with the stress
◍ 3. Which statement is TRUE regarding dual relationships with clients that
might impair the counselor's judgement?a. they must be avoidedb. they
should be discouragedc. they are left to the discretion of the counselord.
they should first be discussed with one's superior.
Answer: a. they must be avoided
◍ After completing chemical detoxification and a 12-step program to treat
crack addiction, a client is being prepared for discharge. Which remark by
the client indicates a realistic view of his future? "I'm never going to use
, crack again." "I know what I have to do. I have to limit my crack use." "I'm
going to take things 1 day at a time. I know it's going to be hard." "I can't
touch crack again, but I sure could use a drink. I've earned it.".
Answer: "I'm going to take things 1 day at a time. I know it's going to be
hard." Explanation:Twelve-step programs focus on recovery 1 day at a time.
Because relapse is common, such programs discourage people from
claiming that they'll never again use a specific substance. The belief that one
may use a limited amount of an abused substance indicates denial.
Substituting one abused substance for another predisposes the client to
cross-addiction.
◍ The nurse in an outpatient rehabilitation program is speaking with a group
of clients who have recently recovered from alcohol abuse. Which issue
should the nurse raise before the clients leave for the day?Remind them that
substance dependency is a disease, not a mental disorder.Suggest that they
try to confront other issues in their lives, such as estranged relationships or
financial issues.Help them to identify appropriate diversional activities.Ask
them to make a list of all the people they harmed during their addictions..
Answer: Help them to identify appropriate diversional activities.
Explanation:Clients in recovery typically have devoted much time to their
addiction. Substance use is integral to their existence and occupies most of
their leisure time. In some cases, it also takes up work and family time.
During treatment, clients may find themselves lonely, bored, idle, or
conflicted about what to do with so much "free" time. They need to plan
activities to minimize the temptation to revert to alcohol or drug use.
◍ Coralynn is a 24-year-old African American woman seeking treatment for a
substance use disorder. She reports daily smoking crack cocaine and crystal
methamphetamine for more than three years. She states that she used which
ever one was readily available, particularly since she has been in graduate
school. Her boyfriend, who lives with her, is insisting that she doesn't really
have a problem. He also uses, maintaining that the drugs enhance their sex
life. Coralynn says that they enjoy experimenting sexually at parties and do
not plan to alter this aspect of their lifestyle.74. What weaknesses do you see
, that might interfere with her recovery?a. her HIV status is unclearb. she
takes drugs to have sexc. lack of a support system and risky sexual behavior.
Answer: c. lack of a support system and risky sexual behavior
◍ 45. If a counselor knows that he/she is unable to assure the client of
confidentiality, he/she should:a. discuss this with his/her supervisorb. refer
the client to someone elsec. inform the client of this factd. do not inform the
client of this fact.
Answer: c. inform the client of this fact
◍ codependence.
Answer: a maladaptive coping pattern on the part of family members or
others that results from a prolonged relationship with the person who uses
substances
◍ Safety is the nursing priority for a client who is at risk for alcohol
withdrawal. A care plan for the client who is in withdrawal must include
which nursing interventions?Vital signs and medications as
prescribedObservation for symptoms, vital signs, seizure and fall
precautions, medications as orderedSuicide precautions because suicide
attempts are frequent during withdrawalSeizure precautions and vital signs.
Answer: Observation for symptoms, vital signs, seizure and fall precautions,
medications as ordered Explanation:Nursing care of the client experiencing
withdrawal centers on safety first. The nurse must implement frequent vital
sign assessment, seizure precautions, and fall precautions to ensure the
client's safety. Withdrawal symptoms must be controlled with medications.
◍ intoxication.
Answer: use of a substance that results in maladaptive behavior
◍ 15. Which of the following bodily fluids has the highest risk of potential
infection?a. tearsb. breast milkc. spinal fluidd. vaginal secretions.
Answer: d. vaginal secretions
◍ A client with Alzheimer's disease has a nursing diagnosis of Risk for injury
related to memory loss, wandering, and disorientation. To prevent injury,
, which nursing intervention should appear in this client's care plan? Provide
the client with detailed instructions. Keep the client sedated whenever
possible. Remove potential hazards from the client's environment. Use
restraints at all times..
Answer: Remove potential hazards from the client's environment.
Explanation:By removing potential environmental hazards, such as bottles
of hydrogen peroxide and benzoin, the nurse can help prevent injury to the
client. For a client with Alzheimer's disease, the nurse should provide single,
simple instructions rather than many detailed instructions. The nurse should
administer medication as ordered and as needed — not to keep the client
sedated. The nurse should use restraints only when required to prevent
self-harm by the client.
◍ The mental health nurse is preparing a presentation about prescription drug
abuse to a local community group. When describing the incidence, which
age group would the nurse identify as experiencing an
increase?AdolescentsChronically ill femalesCognitively impaired older
adultsMiddle-age males.
Answer: Adolescents Explanation:Alcohol, tobacco, marijuana, and illegal
prescription drug use have reached epidemic proportions in the United
States, with the incidence rising in younger age groups, particularly among
adolescents and young adults.
◍ 62. If an individua were to take two barbiturates, such a phenobarbital and
secobarbital simultaneously, the drug interaction effect would most
appropriately be described as:a. additiveb. potentiatingc. antagonisticd.
synergistic.
Answer: a. additive
◍ A client is entering the chemical dependency unit for treatment of alcohol
dependency. Which of the client's possessions should the nurse place in a
locked area? toothpaste dental floss shaving cream antiseptic mouthwash.
Answer: antiseptic mouthwash Explanation:Antiseptic mouthwash
commonly contains alcohol and should be kept in a locked area unless
