LCDC Practice Test Questions and Complete Solutions Graded A+.

  Which of the following is the BEST definition of insight? A. A problem-solving strategy involving the elimination of unworkable solutions. B. A sudden understanding of self, or realization of how a problem can be solved. C. A Freudian defense mechanism that is used unconsciously but not maliciously. D. A confrontation technique used in conjunction with Gestalt therapy. - Answer: B. A sudden understanding of self, or realization of how a problem can be solved. MAT refers to: A. A common screening tool for alcoholism. B. A lengthy personality inventory used to identify gross psychopathology. C. The use of medications such as Suboxone in the treatment of addiction. D. A non-medical detox protocol. - Answer: C. The use of medications such as Suboxone in the treatment of addiction. Aisha has completed her treatment at an inpatient facility and is ready to be discharged. She has asked her counselor to recommend a therapist to work with her and her husband on an outpatient basis. This process is BEST viewed as an example of: A. A referral B. A consultation C. Case management D. An aftercare plan - Answer: A. A referral Which type of therapy is most directive, offering the greatest potential for abuse of power by the counselor? A. Adlerian B. Rational-emotive C. Gestalt D. Person-centered - Answer: C. Gestalt The primary purpose of professional credentialing for counselors is to: A. Advance the field by ensuring that counselors are recognized as dignified professionals. B. Ensure that counselor share and understand the excepted philosophies of practice. C. Protect public safety by ensuring that counselors meet minimum standards of competency. D. Ensure that counselors receiving third-party payments have professional credentials. - Answer: C. Protect public safety by ensuring that counselors meet minimum standards of competency. Which of the following is NOT a CNS depressant? A. Alcohol B. Xanax C. Nembutal D. Benzedrine - Answer: D. Benzedrine The concept of informed consent requires that before agreeing to accept treatment, clients should know their rights and obligations, therapeutic goals, fees for service, and: A. Availability of referral services. B. Community resources to be used. C. With whom they will be participating in group activities. D. The limits of their confidentiality. - Answer: D. The limits of the confidentiality. Attitudes, policies, and practices that are destructive to other cultures and their members are examples of lack of cultural: A. Blindness B. Competence C. Destructiveness D. Incapacity - Answer: B. Competence Restlessness, nervousness, flushed face, muscle twitching, tachycardia, or cardiac arrhythmia, are all signs or symptoms of: A. Caffeine intoxication. B. Cocaine intoxication. C. Alcohol intoxication. D. Opioid intoxication. - Answer: A. Caffeine intoxication. Of all the possible substance use disorders, which one is typically not seen an older children or adults? A. Cannabis use disorder. B. Inhalant use disorder. C. Tobacco use disorder. D. Caffeine use disorder. - Answer: B. Inhalant use disorder. Needle exchange programs can BEST be described as: A. A non-abstinence technique. B. Harm reduction. C. A maintenance method. D. A community organization intervention. - Answer: B. Harm reduction. Autonomic, hyperactivity, hand, trimmer, nausea or vomiting, psychomotor agitation, grand mal seizures are all signs or symptoms of: A. Cannabis, withdraw. B. Cocaine withdrawal. C. Sedative, hypnotic, or anxiolytic withdrawal. D. Opioid withdrawal. - Answer: C. Sedative, hypnotic, or. anxiolytic withdrawal Among other things, ________ involves making a client aware of resources in the community, as well as providing information related to substance abuse, HIV/AIDS and other STDs. A. Case management B. Referral. C. Client education. D. Consultation. - Answer: C. Client education. In the United States, the population that experiences the lowest prevalence of alcohol use disorder is: A. Caucasian men. B. Adult women. C. Native Americans. D. Asian Americans and pacific islanders. - Answer: D. Asian Americans, and pacific islanders. Classical and operant conditioning are associated with _________ therapy. A. Cognitive. B. Behavior. C. Gestalt D. Person centered. - Answer: B. Behavior Eric has admitted being sexually active without using any type of protection against sexually transmitted diseases. His counselor has made an appointment for him to be tested for the HIV virus. He then made arrangements for Eric to be transported to the clinic. Facilitating this appointment is best described as: A. Consultation. B. Case management. C. Client education. D. Ethical responsibility. - Answer: B. Case management. Studies indicate that counseling is most effective when: A. Culture and values are taken into account. B. The counselor relies on humanistic methods. C. The therapist in the client come from similar backgrounds. D. A therapeutic contract is clarified in the first session. - Answer: A. Culture and values are taken into account. One basic principle of documentation requires the counselor to: A. Describe events as vaguely as possible, in case records are requested for a court case. B. Describe events in objective terms, using measurable language that can be easily understood. C. Only document group notes, because any 12 step work is not counseling. D. Document emotions based only on what the client reports because the counselors assessment will always be subjective. - Answer: B. Describe events in objective terms, using measurable language that can be easily understood. The _______ model of addiction explains addiction as a consequence of personal choice. A. Disease B. Moral C. Social. D. Sociocultural. - Answer: B. Moral How is solution focused brief therapy different from any of the other approaches to counseling? A. Emphasis is placed on the present and future while devaluing the past. B. It emphasizes the use of more abstract techniques, such as empty chair. C. Greater attention is paid to the particular pathology and associated problems. D. More time is spent attempting to understand the problem. - Answer: A. Emphasis is placed on the present and future, while the valuing the past. Case reviews: A. Encourage the sharing of information. B. Promote client growth. C. Allow the client the opportunity to offer feedback. D. Enable to counselor to assess progress and make any necessary changes in the treatment plan. - Answer: B. Promote client growth. The tendency of the family to try and maintain balance when dealing with a loved one's substance use disorder is called: A. Equilibrium. B. Stability. C. Homeostasis. D. Accommodation. - Answer: C. Homeostasis. Your client expresses growing feelings of rage. He has recurring nightmares in which he attacks random women on the street. If you followed through with what you believe was a duty to warn, under what circumstances would you be least likely to be disciplined? A. If the nightmares had escalated and intensity. B. If the client was already a convicted criminal. C. If the client refuses to answer questions about violent behavior. D. If the client disclose the name of a person he plans to harm. - Answer: D. If the client is close, is the name of a person he plans to harm. In his second counseling session, the client reveals to the counselor that he is gay. Having never worked with a member of the special population, the counselors BEST course of action is to.: A. Inform the client of his lack of knowledge of the gay community and his commitment to learn. B. Offer to refer the client to someone with experience in special issues associated with the gay community. C. Send the client a letter informing him that he has been transferred to another counselors caseload. D. Say nothing because counseling should be value neutral anyway. - Answer: B. Offer to refer the client to someone with experience in special issues associated with the gay community. Determining a clients eligibility and appropriateness for treatment occurs during the ________ process. A. Intake. B. Assessment. C. Admission. D. Screening. - Answer: D. Screening. Highly structured, daily routines, a system of rewards and punishments, and frequent group confrontation are characteristics of: A. Intensive outpatient treatment. B. Therapeutic communities. C. Any primary care setting D. Gestalt Therapy - Answer: B. Therapeutic communities. Collateral interviews: A. Involve asking significant others about their opinions as to whether or not a person has a substance abuse or dependency problem. B. Do not require a release of information documents if the information is voluntarily given. C. Involves gathering information from other persons who are, or have been, associated with the person being assessed. D. Should only be done with immediate family members and no one else. - Answer: C. Involves gathering information from other persons who are, or have been, associated with the person being assessed. A major criticism of the ________ is that the questions are so obvious that this test cannot possibly detect alcoholics, who deny having a problem. A. MAST. B. ASI. C. SASSI D. POSIT. - Answer: A. MAST. The goal of complete abstinence is most consistent with the ________ model of addiction. A. Moral. B. Disease. C. Sociocultural. D. Psychological. - Answer: B. Disease. ________ can develop between natural and synthetic opiates, but not between opiates and CNS depressants: A. Non-synergistic interaction. B. Gestalt. C. Cross tolerance. D. Negative symptoms. - Answer: C. Cross tolerance. Appropriate treatment goals must be: A. Observable and measurable, in order to facilitate monitoring progress. B. Typed and signed in order to ensure compliance by an unwilling client. C. Written in the order that they will be addressed in treatment. D. Finalized by the time the client is admitted for services. - Answer: A. Observable in measurable, in order to facilitate monitoring progress. When is confrontation, probably least appropriate? A. Prior to establishing rapport with the client. B. When directed at the client's strengths. C. When address to specific aspects of a client's behavior. D. When used to point out a discrepancy between a client's and verbal statements, and his or her behavior. - Answer: A. Prior to establishing rapport with the client. The goal of screening is to: A. Provide clients with an opportunity to discuss their past problems. B. Determine whether a client is appropriate and eligible for a particular treatment service. C. Gathering some general information about the future goals of the potential client. D. Assign a counselor who fits the clients personality best. - Answer: B. Determine whether a client is appropriate and eligible for a particular treatment service ________ drugs are used to treat mental disorders. A. Psychoactive. B. Psychotropic. C. Psychosomatic. D. Psychointeractive - Answer: B. Psychotropic. Jamall believes that he has everything he will ever need materially and financially, so he has decided to devote his time to music and other creative outlets for self expression. Jamal's motivation is best accounted for by: A. Psychoanalytic theory. B. Homeostatic considerations. C. Humanistic theories. D. Biological factors. - Answer: C. Humanistic theories. The idea that people have an inborn desire to self actualize is associated with: A. Psychoanalytic theory. B. Humanistic theory. C. Cognitive behaviorism. D. Classical conditioning. - Answer: B. Humanistic theory. Methadone, tramadol, and morphine are all ________ A. Schedule V drugs. B. CNS stimulants. C. Barbiturates. D. Opiates. - Answer: D. Opiates. The central focus or "charge" of the 12th step of Alcoholics Anonymous is: A. Service to others. B. Relapse prevention. C. Abstinence. D. Making amends to others. - Answer: A. Service to others. A counselor's personal values: A. Should never show less they cause a clients decisions to be biased. B. Should be disclosed in order to influence the client to make healthy decisions. C. Are irrelevant to the counseling process. D. Are communicated through the therapeutic goals they offer and how they attempt to reach those goals with the client. - Answer: D. Are communicated through the therapeutic goals they offer and how they attempt to reach those goals with the client. Non-maleficence is the ethical principle that means: A. Show unconditional positive regard. B. Show eagle respect for gender. C. Do no harm. D. Respect confidentiality - Answer: C. Do no harm. ________ interventions have been developed or are being sought to block the effects of abuse drugs, reduce cravings for drugs and block the toxic effects of drugs: A. Socially acceptable B. Pharmacological. C. Biological. D. Free. - Answer: B. Pharmacological. The terminology now being used in the DSM-5 for diagnostic categories is: A. Substance abuse disorders. B. Substance, dependence disorders. C. Substance use disorders. D. Substance addictive disorders. - Answer: C. Substance use disorders. Which statement BEST describes the relevance of counselor self-exploration? A. The counselor's personal identity should not be disclosed to the client because of the risk of transference. B. Counselors can benefit greatly from being clients themselves, at some point. C. Counselors who are in therapy themselves are putting their own clients at risk. D. Counselors learn what is most important by helping other people. - Answer: B. Counselors could benefit greatly from being clients themselves, at some point. ________ is the term used to describe the mental activities involved in acquiring, retaining, and using any type of knowledge. A. Thinking. B. Memory. C. Cognition. D. Perception. - Answer: C. Cognition. In the DSM five, for a substance use disorder, severity indicator of mild, how many criteria must be present? A. Two to three. B. Four to five. C. Five to six. D. Six or more. - Answer: A. Two to three In which situation is it acceptable to release confidential information without prior consent from the client? A. When the client has a sexually transmitted disease. B. If law-enforcement officials request information in writing. C. After learning that a client was once involved in a crime. D. When the client admits to abusing a child. - Answer: D. When the client admits to abusing a child. Substance ________ is a syndrome that develops temporarily after ingestion of a psychoactive substance. A. Withdraw. B. Overdose. C. Intoxication. D. Anhedonia. - Answer: C. Intoxication. "Referral" means: A.Assisting a client to utilize the support systems and community resources available. B. Identifying and ranking problems. C. Meeting with other professionals for discussions and planning. D. Attending an AA or NA meeting with a client. - Answer: A. Assisting a client to utilize the support systems and community resources available. ________ are a problem associated with consuming alcohol and Valium together: A. Synergistic effects B. Tremors C. Cross allergic reactions D. Negative symptoms - Answer: A. Synergistic effects ________ is the belief that one's own culture is superior to others. A. Reverse racism B. Ethnocentrism C. Nationalism D. Cultural realism - Answer: B. Ethnocentrism "Excessive use of alcohol is a result of personal choice, and therefore should be punished." This statement is consistent with the ________ model of addiction. A. Disease B. Moral. C. Social. D. Sociocultural. - Answer: B. Moral A common problem for beginning counselors is: A. Trying to use a variety of techniques, rather than becoming skilled at one approach. B. Failing to identify an approach that is appropriate to the client. C. They are biased against working with clients who have a dual diagnosis. D. That they allow for conflicting values to exist in the counseling relationship. - Answer: B. Failing to identify an approach that is appropriate to the client. A counselor wants to record a counseling session of the client so that the counselor could listen to the tape, along with her supervisor, as part of ongoing training. According to ethical best practices, the counselor's plans are: A. Ethical. B. Unethical. C. Ethical, as long as the client granted permission before hand. D. Unethical, unless the supervisor observes the session. - Answer: C. Ethical, as long as the client granted permission before hand. A major criticism of self-report instruments is that the questions are so obvious that these test cannot possibly detect alcoholics who deny having a problem. This issue is the dilemma of ________ questions. A. Measurable. B. Face valid. C. Multi factor. D. Analytical. - Answer: B. Face valid. A mental status exam does NOT asses: A. Education level B. Appearance C. Speech D. Thought processes - Answer: A. Education level Abstinence is to harm reduction as: A. IV drug use is to drinking B. Controlled drinking is to willpower C. AA is to needle exchange D. Methadone is to Antabuse - Answer: C. AA is to needle exchange Appropriate treatment goals must be: A. Stated generally, in order to encourage small progress. B. Typed and signed in order to ensure compliance by an unwilling client. C. Written in the order that they will be addressed in treatment. D. Agreed-upon by the client and counselor. - Answer: D. Agreed-upon by the client and counselor. Arbitrary inferences and selective abstractions are examples of: A. Cognitive distortions B. Defense mechanisms C. Attention seeking D. Developmental difficulties - Answer: A. Cognitive distortions Beneficence is the ethical principle that means: A. Help B. Show equal respect for gender C. Do no harm D. Respect confidentiality - Answer: A. Help Client education on HIV and other sexually transmitted diseases: A. Is only done at the request of the client. B. Should be given in specialty groups to those clients that are considered "high risk" to protect confidentiality. C. Should be contracted out to a physician, or professional medical personnel, who have expertise in this area. D. Is important information to incorporate in the treatment process of every client. - Answer: D. Is important information to incorporate in the treatment process of every client. Completing necessary documentation for admission to a particular treatment program occurs during the ________ process. A. Intake B. Assessment C. Admission D. Screening - Answer: A. Intake Concise an accurate recording is necessary in order to: A. Assist in client education. B. Ensure continuity of client care. C. Identify client strengths and weaknesses. D. Demonstrate counselor competence. - Answer: B. Ensure continuity of client care. Call counselor self disclosure is BEST limited to: A. The time on the client is ready for discharge. B. Ideas and emotional reactions in the counseling session. C. Early childhood experiences. D. Opinions the counselor has about the client and his or her family. - Answer: B. Ideas and emotional reactions in the counseling session. Drowsiness or coma, slurred speech, impairment in attention or memory, are all signs or symptoms of: A. Caffeine intoxication. B. Cocaine intoxication. C. Alcohol intoxication. D. Opioid intoxication. - Answer: D. Opioid intoxication. Generally, the Tarasoff requirement has been interpreted as: A. A duty to hospitalized or otherwise confine the person making the threat. B. A duty to make a reasonable effort to prevent the patient from carrying out the threat. C. A duty to warn the client of possible consequences. D. A duty to warn the intended victim and/or the police. - Answer: D. A duty to warn the intended victim and/or the police. In his second counseling session, the client reveals to the counselor that he is HIV positive. The counselor's BEST course of action is to.: A. Discharge the client as a precautionary measure against infecting other clients. B. Offer to refer the client to a counselor with AIDS, since the counselor will understand the special issues involved. C. Send the client a letter informing him that he will be transferred to another facility. D. Discuss the client's case with a clinical supervisor in order to meet the needs of this client. - Answer: D. Discuss the client's case with a clinical supervisor in order to meet the needs of this client. In which situation is it NOT acceptable to release confidential information without prior consent from the client? A. When the client has stolen property from the treatment facility. B. If law-enforcement officials request information in writing. C. If the client is in a serious accident requiring medical care. D. When the client admits to abusing a child. - Answer: B. If law-enforcement officials request information in writing. Jackie is recently discharged from the Air Force. His counselor suspects that he has PTSD, due to his experiences during active duty in Afghanistan. The counselor contacted the veterans administration and located a clinic in the area with special groups for vets with PTSD. The counselor then made arrangements for Jackie to be attending these groups while he is still in primary treatment for substance abuse. The counselor's actions are BEST described as: A. consultation. B. Case management. C. Client education. D. Ethical responsibility. - Answer: B. Case management. Methadone maintenance programs can BEST be described as: A. Continued substance-abuse in disguise. B. Harm reduction focused. C. A secular recovery method. D. A community organization intervention. - Answer: B. Harm reduction focused. Nico is a client who has been gaining weight, steadily since entering treatment. When confronted about his constant snacking and lack of activity, he told his counselor that he needed to eat this way in order to keep his mind off of his drug of choice. He felt that he deserved to indulge, since he was giving up the primary source of satisfaction he had used for years. The counselor would rightfully conclude that the ego defense mechanism of _______ is at work here. A. Reaction formation. B. Denial. C. Projection. D. Rationalization. - Answer: D. Rationalization. One basic principle of documentation requires the counselor to: A. Describe events in as much detail as possible, in case records are requested for a court case. B. Record material in a manner that allows a new counselor to understand the general progress of any client. C. Record all incoming and outgoing phone calls by clients, as these calls may have bearing on the client's emotional state during treatment. D. Document only a client's behavior and refrain from any interpretation of that behavior that can be constructed as subjective. - Answer: B. Record material in a manner that allows a new counselor to understand the general progress of any client. Rajish is avoiding social situations which involve drinking or drugs. He is worried that others may encourage him to drink. The counselor suggest that they act out such a situation in order to develop responses if such a situation arises. This counseling technique is: A. Practicing the use of "I" messages B. Cognitive restructuring C. Empty chair. D. Role-play. - Answer: D. Role-play. Rates of opioid use are higher in __________ than in ____________. A. Males; females B. Adults; adolescents C. Asian Americans; African Americans D. Geriatric populations; adolescent populations - Answer: A. Males; females Reinforcement and punishment are associated with ________ therapy. A. Cognitive. B. Behavior. C. Gestalt D. Person centered. - Answer: B. Behavior Some researchers have concluded that no one pattern of dysfunctional substance abuse exists. They also conclude that there is more than one personality type that happens to be more prone to addiction than some others. This multi variant focus is MOST consistent with the: A. Medical model B. Biopsychosocial model C. Multimodal model D. Disease concept - Answer: B. Biopsychosocial model Studies have linked substance abuse among African Americans to three factors: economic deprivation, stress, and ________ A. Availability B. Racism. C. Cultural norms D. Machismo - Answer: B. Racism The concept of informed consent requires that before agreeing to accept treatment, clients should know ________, their rights and obligations, fees for services, and limits of confidentiality. A. Availability of referral services. B. Community resources to be used. C. With whom they will be participating in group activities. D. The goals of therapy. - Answer: D. The goals of therapy. The cultural philosophy of "noninterference" is associated with alcohol-related problems among: A. Native Americans B. Hispanic Americans C. African Americans D. Asian Americans - Answer: A. Native Americans The DSM-5 includes criteria sets specific to intoxication for each substance category except for ________. A. Marijuana. B. Cocaine. C. Inhalants. D. Tobacco. - Answer: D. Tobacco. The first step of Alcoholics Anonymous requires: A. An admission that one's life is unmanageable. B. The acceptance of low power at Central to recovery. C. A commitment to help others in recovery. D. Making amends to others. - Answer: A. An admission that one's life is unmanageable. The initial stage of crisis intervention involves: A. Identifying relapse triggers. B. Confronting the crisis. C. Recognizing the crisis. D. Determining a solution. - Answer: C. Recognizing the crisis. The primary goal of a mental status exam is the measure the clients orientation to ________, ________, and ________. A. Reality; Fantasy; future. B. Problems; needs; goals C. Emotions; thoughts; ideas D. Person; place; time - Answer: D. Person; place; time The primary principles behind Alcoholics Anonymous are spirituality, self improvement, and ________. A. Personal empowerment. B. Service to others. C. A healthy lifestyle. D. Problem-solving. - Answer: B. Service to others. Which core function of counseling is related to the term "didactic"? A. Case management B. Referral. C. Client education. D. Consultation. - Answer: C. Client education Which neurotransmitter is most closely associated with feelings of well-being, appetite, and mental alertness? A. GABA B. Acetylcholine. C. Serotonin. D. Norepinephrine. - Answer: C. Serotonin. Which of the following is a CNS depressant? A. Xanax. B. Nicotine. C. Adderall. D. Benzedrine. - Answer: A. Xanax. Which of the following is an SSRI? A. Cylert B. Ritilin . C. Prozac D. Valium - Answer: C. Prozac Which of the following is most closely associated with involuntary confinement? A. Intensive outpatient treatment. B. The therapeutic community. C. Al-Anon. D. Gestalt therapy - Answer: B. The therapeutic community. Which of the following is the BEST definition of a "slip"? A. An episode of substance abuse following a period of abstinence. B. They return to a pattern of substance abuse following treatment. C. Returning to unhealthy patterns of substance abuse following a period of sobriety. D. A lengthy period of relapse. - Answer: A. An episode of substance-abuse following a period of abstinence. Which of the following is the BEST definition of denial? A. A coping strategy involving the elimination of unwanted thoughts. B. I sent an understanding of self, or realization of how a problem can be solved. C. An ego defense mechanism that allows one to pretend a problem is not real. D. A confrontation technique used in conjunction with gestalt therapy. - Answer: C. An ego defense mechanism that allows one to pretend a problem is not real. Which of these is the BEST example of a substance induced disorder? A. alcohol tolerance. B. Methamphetamine psychosis. C. Alcohol withdrawal. D. Methadone dependence. - Answer: B. Methamphetamine psychosis Which statement is TRUE regarding counselor self-exploration? A. And the counselors, personal issues should be disclosed to the client in order to encourage transference. B. Counselors should not rule out therapy for their own personal issues. C. Counselor self-exploration puts the clients at risk for counter-transference D. Counselors best help themselves by helping other people. - Answer: B. Counselors should not rule out therapy for their own personal issues. With the new DSM-5 nomenclature, clinicians will now specify severity of the addiction using ratings of: A. Mild, moderate, and severe. B. Occasional, continues, and binge. C. Mild, modest, and aggressive. D. Use, misuse, and abuse. - Answer: A. Mild, moderate, and severe You are seeing a patient who you suspect maybe suicidal. Which of the following factors most suggest at the risk of suicide is high? A. The patient is an African-American. B. The patient is experiencing a midlife crisis. C. The patient is a female. D. The patient's depressive symptoms have recently improved. - Answer: D. The patient's depressive symptoms have recently improved Which of the following is the BEST definition of a "relapse"? A. An episode of substance use following the period of abstinence. B. The return to a pattern of substance use following treatment. C. Returning to unhealthy patterns of substance abuse following a period of sobriety. D. A lengthy period of recovery followed by a brief slip. - Answer: B. The return to a pattern of substance use following treatment. When a drug initiates, a psychological response, when attaching to a receptor site in the brain, it is best classified as: A. An antagonist B. A barbiturate C. An agonist D. A neurotransmitter - Answer: C. An agonist A harm reduction program is designed to: A. Minimize the problems associated with addiction B. Aid victims of violent crime committed by drug addicts C. Serve as a secular recovery method D. Aid the community in recovering from the crime and social upheaval associated with drug use. - Answer: A. Minimize the problems associated with addiction During his treatment, Vic started having painful urination in feared he might have a sexually transmitted disease. Vic had not been to a doctor in at least 10 years and did not have a regular doctor to call. The counselor gave him the name of a local physician who would treat a new patient on short notice. This process is best viewed as an example of; A. A referral. B. A consultation. C. Case management. D. An after care plan. - Answer: A. A referral A major focus of the principle of anonymity in the AA fellowship is directed specifically at: A. Press, radio, and film. B. People outside the immediate family. C. Law-enforcement officials. D. Anyone who is not in the fellowship - Answer: A. Press, radio, and film. Which of the following is the BEST definition of "transference"? A. Projection of uncomfortable feelings to a non-threatening object. B. An understanding of self, or realization of how a problem can be solved. C. An unconscious shifting of feelings and fantasies from significant others to the therapist. D. Assuming the values of others, similar to Stockholm syndrome. - Answer: C. An unconscious shifting of feelings and fantasies from significant others to the therapist. ________ includes the ideation and ranking of problems needing resolution. A. Client education B. Treatment planning C. Assessment D. Case management - Answer: B. Treatment planning Appropriate documentation in the client's chart includes incidents, reports, and. ________. A. Ongoing information B. Details from the clients fourth step. C. A record of all visitors. D. Copies of the house log - Answer: A. Ongoing information. Which statement about counseling is true? A. Counselors are in the business of changing people. B. It is best to choose a single counseling approach to master and use with clients. C. Early childhood experiences are usually irrelevant in counseling. D. Counselors must be open to their own struggles and personal growth. - Answer: D. Counselors must be open to their own struggles and personal growth. When an actively-using, alcohol-dependent, client presents with depressive symptoms: A. Cognitive approaches to treating depression should be the focus of treatment. B. The presence of a primary depressive disorder should be assessed as soon as possible. C. He/she frequently responds quickly to the use of antidepressant medication. D. Depressive symptoms, in the majority of cases, will be significantly diminished after detoxification and abstinence. - Answer: D. Depressive symptoms, in the majority of cases, will be significantly diminished after detoxification and abstinence. One method for increasing the effectiveness of counseling for Latino clients is: A. To assume an active approach with goal oriented inquiry. B. To maintain the individuals dignity by avoiding familiarity. C. To acknowledge the cultural difference in schedule appointments well in advance. D. To stress separation due to family enmeshment. - Answer: A. To assume an active approach with goal oriented inquiry Methadone is a drug used in: A. IV form to combat the synergistic effect of alcohol on other CNS depressants. B. Harm reduction programs, usually in urban environments. C. Conjunction with alternative detoxification protocols for amphetamines. D. Emergency rooms to counteract the effects of overdose. - Answer: B. Harm reduction programs, usually in urban environments. Bertrand qualifies for Job retraining because of a disability. His counselor made an appointment with the state rehabilitation commission to evaluate the type of training that might be beneficial for Bertrand. The counselor also made arrangements for Bertrand to be transported to the appointment, although he was still in primary treatment. The counselor's actions are BEST described as: A. Consultation. B. Case management. C. Client education. D. Ethical responsibility. - Answer: B. Case management One major problem associated with victimology and recovery is that: A. Proclaiming powerlessness runs counter to the empowerment mentality needed to overcome victimhood. B. Sexual assault victims fear the exposure associated with attending meetings. C. African Americans sometimes fear institutionalized racism as it may exist among support groups. D. Feminists are unwilling to accept the principle of anonymity that may shield perpetrators from Justice. - Answer: A. Proclaiming powerlessness runs counter to the empowerment mentality needed to overcome victim hood. Mike and his client have developed a personal attraction to one another. The BEST course of action for him is to: A. Discuss his feelings with his clinical supervisor to determine the best course of action. B. Talk with a client about transferring to another counselor so that they can date without the conflict of interest. C. Send the client a letter formally ending the personal and therapeutic relationship. D. Inform the client that they will have to wait at least one year before they can date. - Answer: A. Discuss his feelings with his clinical supervisor to determine the best course of action. What BEST represents the information that should be kept in a client treatment record? A. The name of an attending physician in contact information for referrals to be made. B. Names of family members and their emergency contact numbers. C. Personal notes, insurance, information, and samples from client journal. D. Information about consultations, diagnosis, treatment, prognosis, and progress. - Answer: D. Information about consultations, diagnosis, treatment, prognosis, and progress. African Americans generally do not view alcohol as prerequisite to fun because: A. There are other culturally acceptable ways to achieve relaxation and sociability. B. They do not receive alcohol is a desirable social lubricant. C. Cultural norms prohibit over consumption of alcohol in public. D. Machismo is a theme that overrides the desire for alcohol. - Answer: A. There are other culturally acceptable ways to achieve relaxation and social ability. A client presents with nonhealing ulcer's, abscesses, brittle fingernails, and bruxism. Abuse of which classification of drugs is MOST likely? A. Amphetamines. B. Steroids. C. Inhalants. D. Narcotics. - Answer: A. Amphetamines. Juanita has been seeing a counselor for several weeks and has recently started responding in an argumentative fashion. Last time, she told the counselor "you are just like my father, always on my case!" This situation best exemplifies: A. A defense mechanism. B. Transference. C. Counter transference. D. Negative reinforcement - Answer: B. Transference. A client must be told the limits of confidentialities before the first therapy session, along with the cost of the service. These issues are part of the process known as: A. Ethical practice. B. Releasing information. C. Protecting confidentiality. D. Obtaining informed consent. - Answer: D. Obtaining informed consent. The most popular and yet most controversial theory of addiction views: A. Addiction as a chronic an incurable disease. B. Punishment as an appropriate social response to alcoholism. C. Harm reduction program as an integral part of recovery. D. Ongoing research as unnecessary because of past findings. - Answer: A. Addiction as a chronic and incurable disease. Nervousness or anxiety, sleep difficulty, decreased appetite or weight loss, and depressed mood are all signs or symptoms of: A. Cannabis withdraw. B. Cocaine withdrawal. C. Sedative, hypnotic, or anxiolytic withdrawal D. Opioid withdrawal. - Answer: A. Cannabis withdrawal. According to the DSM five standards, controlled use of ________ during religious observances is not to be considered a diagnosable condition. A. Peyote B. Alcohol. C. Hallucinogens. D. Opium. - Answer: C. Hallucinogens. ________ symptoms are the most common psychiatric symptoms seen in AOD abusers. A. Depressive. B. Narcissistic. C. Social anxiety. D. Panic attacks. - Answer: A. Depressive. Rational emotive behavior therapy is considered to be a ________ approach to counseling. A. Cognitive behavioral. B. Behavioral. C. Social learning. D. Person centered. - Answer: A. Cognitive behavioral. Maslow's Hierarchy of Needs suggests that: A. Self actualization is a primary concern for all clients regardless of socioeconomic status. B. Performance is a function of both motivation and ability. C. Self actualization offers a viable treatment for substance abuse. D. Psychological needs do not become salient until security needs are met. - Answer: D. Psychological needs to not become salient until security needs are met. Bethany acknowledged in a group session that she was unfaithful to her husband for several months. Although she has ended the affair, she is now convinced that her husband is cheating on her. The counselor would rightly conclude that the ego defense mechanism of ________ is at work here. A. Reaction formation. B. Denial. C. Projection D. Rationalization - Answer: C. Projection During a counseling session, a client recalls having been abused as a child. Prior to treatment, the client had no recollection of the abuse. The inability to recall the abuse earlier is an example of the defense mechanism called: A. Reaction formation. B. Repression. C. Projection. D. Rationalization. - Answer: B. Repression The desire and yearning for a specific substance or substances is known as: A. Loss of control. B. Craving. C. Adaptation. D. Relapse - Answer: B. Craving Offering the client a tour of the treatment facility, information on the hours of operation and activities occur during the ________ process. A. Intake B. Orientation C. Admission. D. Screening. - Answer: B. Orientation Which core function of counseling is most closely associated with the terms "eligible and appropriate"? A. Case management B. Referral. C. Client education. D. Screening. - Answer: D. Screening. ________ is one of case management's Hallmark characteristics A. Advocacy. B. Cooperation. C. Clinical proficiency. D. Stabilization. - Answer: A. Advocacy. Confidentialities of addiction, counseling records in the United States, is governed by: A. FLS 9.1, chapter 4. B. MHC administered by SAMHSA. C. 42 CFR part 2 D. State and local laws - Answer: C. 42 CFR part 2 In group therapy, Sara consistently perceives Gary as an angry critical man (like her father), who cares little for other group members' feelings although other group members perceive Gary as kind, caring, and gentle. This interpretation may be described as: A. Confrontation. B. Transference. C. Blaming. D. Stinking thinking. - Answer: B. Transference. A diagnostic summary MUST include: A. Community resources to be utilized B. Observable and measurable treatment goals C. A written and signed treatment plan D. Strengths and weaknesses of the client - Answer: D. Strengths and weaknesses of the client A Disproportionate and excessive response to life circumstances is a typical symptom of: A. depression. B. Post traumatic stress syndrome. C. Projective identification. D. Suicidal ideation. - Answer: B. Post traumatic stress syndrome Eye contact, posture, and appropriate encouraging responses are necessary for the communication skill of: A. Attending B. Interpretation C. Paraphrasing D. Summarization - Answer: A. Attending Which of these is the BEST explanation of a synergistic drug interaction? A. Mixing some drugs causes a reaction that increases the drug effects beyond those that are associated with each drug separately. B. Some drug interactions can cause hand tremors when neither drug alone causes them. C. It is a cross allergic reaction that can include anaphylactic shock. D. Synergism leads to the development of negative symptoms, such as a flat affect. - Answer: A. Missing some drugs causes a reaction that increases the drug effects beyond those that are associated with each drug separately. The development of the group culture refers to: A. The acclamation of different cultural backgrounds in the group. B. The establishment of norms, which will help the group to develop as a social system. C. Group cohesion D. The creation of the group. - Answer: B. The establishment of norms, which will help the group to develop as a social system. Are the concept of informed consent requires that before agreeing to accept treatment, client should know the goals of therapy, their rights and obligations, the limits of confidentiality and ________ A. Availability of referral services. B. Community resources to be used. C. With whom they will be participating in group activities. D. The financial obligation associated with the services. - Answer: D. The financial obligation associated with the services. With regard to relapse prevention, what is the BEST definition of a trigger A. With the client makes the choice to return to drinking/drug using. B. The buildup of anger that most clients experience before a relapse experience. C. Those situations, events, people, places, thoughts, and activities that rekindle the sense of need for drugs. D. The single event that is the root cause of the substance use disorder and precipitates the "bottom" that leads to treatment. - Answer: C. Those situations, events, people, places, thoughts, and activities that rekindle the sense of need for drugs. I client presented crisis situation. As a counselor, your MOST important function is: A. To solve the clients presenting problem. B. To help convert the emergency into a solvable problem. C. To refer him/her to the nearest psychiatrist. D. To try not to get the client more upset. - Answer: B. To help convert the emergency into a solvable problem. One criticism associated with the disease model of addiction is that: A. There does not appear to be an inevitable progression of symptoms. B. Proponents believe that will power is the key to long-term recovery C. Emphasis placed on social experiences that are unrelated to alcohol. D. Too much of the focus is on psychological factors. - Answer: A. There does not appear to be an inevitable progression of symptoms. Observable and measurable goals are BEST associated with: A. Assessment B. Case management. C. Client education. D. Treatment planning. - Answer: D. Treatment planning. The predominant change to the overall diagnostic criteria for substance use disorder in the DSM five is the inclusion of ________ and the exclusion of ________. A. Loss of control; family problems. B. Cravings; recurrent legal problems. C. Efforts to cut down; elevated GGT. D. Withdraw; depressed mood. - Answer: B. Cravings; recurrent legal problems. Which of the following is NOT an SSRI? A. Cylert B. Paxil C. Prozac D. Zoloft - Answer: A. Cylert MOST individuals who use tobacco on a regular basis will develop tobacco use disorder prior to the age of ________. A. 18. B. 21. C. 30. D. 35. - Answer: B. 21.