QUESTION 1 A co-occuring or dual disorders is: having any DSM-IV psychiatric disorder and a substance abuse diagnosis b. a DSM-IV substance abuse…

QUESTION 1
A co-occuring or dual disorders is:
having any DSM-IV psychiatric disorder and a substance abuse diagnosis
a DSM-IV substance abuse diagnosis and a personality disorder
a major depression or personality disorder and substance abuse
a personality or depressive trait or disorder and substance abuse disorder
A co-occurring or dual disorders is
a DSM-IV substance abuse diagnosis and a personality disorder.
having any DSM-IV psychiatric disorder and a chemical dependency diagnosis.
A counselor working in a treatment facility is visited by an attorney. The attorney says that he represents the ex-wife of one of the facility’s clients. According to the attorney, the ex-wife and the client are involved in a legal battle for custody of their children. The counselor should:
tell the attorney that his request is subject to the approval of the head of the agency
release the information to the attorney, since he is a representative of the court.
only release information that would, if released, serve the best interest of the client
give the attorney a copy of the federal regulations concerning confidentiality
A factor that escalates the potential for suicide is:
panic
rage
shame
A speedball is a combination of
barbiturate and alcohol
any two drugs
alcohol and Prozac
heroin and cocaine
According to a sociocultural model, addiction is
the result of personal choice
the result of a combination of genetic and character factors
secondary to a primary mental disorder
related to cultural, religious, family and peer variables
According to the moral model, addiction is
contrary to biblical prohibitions
a crime against humanity
a consequence of personal choice
best treated through religious affiliation
Activities which bring services, agencies, resources or people together within a planned framework of action toward the achievement of established goals is:
referral
crisis intervention
case management
An inability to derive pleasure from something that would normally be pleasurable is
anaphylaxis
anhedonia
Anergia
Approximately 80% of alcohol consumed is absorbed into the body through the:
stomach lining
Esophagus
Mouth
Small intestines
As described by Wegsheider-Cruse, a childhood role that is more likely to commit suicide would be the
blamer
intellectualizer
the lost child
the scapegoat
Barbiturates are used to induce:
sleep
hallucinations
euphoria
anxiety
Betty Joe, a chemical dependency counselor, is working with a male recovering alcoholic. The client expresses regret that his disease forced his wife to seek employment. The client states ” A man should be able to support his wife…a wife belongs at home with her kids.” Betty Joe is reminded of disagreements she has had with her husband, who has told her that she should stay at home with their kids. She finds herself becoming annoyed at the client. Her feelings exemplify:
insight
transference
a conflict between the id and the superego
countertransference
Bruce is a college student who comes from a dysfunctional family. The counselor at the student health center has referred Bruce to Al-Anon. If this is an appropriate referral, what assumptions can we make about Bruce:
he is behaving in an acting out fashion
he probably is or has been an alcohol abuser
relationships are his way of validating himself
at least one of his family members was an alcoholic
CNS Depressants include:
alcohol, marijuana, and barbiturates
alcohol, tranquillizers, and barbiturates
methaqualone, antidepressants, barbiturates
alcohol, tobacco, and marijuana
Charting the results of the assessment and treatment plan, writing reports, progress notes, discharge summary and other client related data is:
report and record keeping
client education
Classic examples of family rules in a dysfunctional alcoholic family system include:
if you can’t see the garbage, you can’t take the garbage out
everyone is carrying garbage
don’t talk, don’t trust, don’t feel
hide the key until the young adult can find it
Codependency is
the neglect of oneself while preoccupied or obsessed with changing the partner
the inability to feel proud of a partner
the desire to emulate the partner inappropriately
the championing of a partner at the expense of others
Concise and accurate reporting is necessary in order to?
ensure continuity of client care
promote teamwork among the clinical staff
demonstrate counselor competence
assist in client education
Confiscating illegal drugs at national borders and seizing contraband at sea is:
zero tolerance
demand side prevention
interdiction
tertiary prevention
Describing to the client: general nature and goals of the program; rules; hours of operation; treatment cost and client rights is called:
screening
intake
orientation
During the screening process, a critical task that the counselor has is to
complete a mental status exam
establish rapport with the client
develop a treatment plan
consult with colleagues
During this stage of readiness to change the dependent person begins to thing about stopping the use of their drug of choice, because they have begun to think they may have a problem.
contemplation
determination
precontemplation
Education programs designed for the general population which teach about the harmful effects of drugs and alcohol and encourage healthy lifestyles are examples of
secondary prevention
moral training
primary prevention
Georgette, a 20 year old woman is seeking treatment for a drinking problem. She has recently become fearful of the frequent blackouts she is experiencing. You are conducting her intake and complete a mental status examination. This examination is:
a test which is used to assess the current mental status of the client
a test for assessing the effects of alcohol and narcotics
a test which is used to assess the past mental status of a client, and predict the client’s future mental status
a test which is used to assess the depth of the client’s presenting problem
Half-life is defined as the amount of time it takes:
half of the drug dosage to enter the body
most of a drug dosage to leave the body
all of the drug dosage to leave the body
half of a drug dosage to leave the body
Identifying the needs of the clients that cannot be met by the counselor or agency and assisting the client to utilize the support systems and community resources available is called:
If a drug has been adulterated, it has been
developed to look like a legal drug
mixed with a cheaper or hazardous substance
created by slightly changing the chemical structure of another drug
made to be a less expensive substitute for a brand name drug
In the early stages of treatment a formal _____________ is developed.
treatment plan
genealogy
cost-benefit analysis of the person’s substance use history
contract with the client not to abuse certain chemicals
In this stage of readiness for change the counselor’s role is to encourage the change process, and watch for signs of stress or triggers by promoting the learning of new coping skills:
Involuntary commitment to treatment:
is legal in 20 different states
is not legal in all states
is a violation of the client’s 2nd amendment rights under the constitution
is about as effective as other forms of court mandates treatment
Jane is a 27 year old addict who has begun counseling, but has not yet been able to give up using drugs. During one outpatient session, she tells you that she is beginning to feel that “it is useless to try to stop”, and that “sometimes life is not worth living”. You are concerned that she could be suicidal. You should:
assess Jane’s potential for suicide by asking her directly about her intent, and evaluating high risk factors
determine if Jane has a gun
assess Jane’s potential for suicide without directly asking her about suicide plans, but assess her high risk factors
list all the reasons she has for living
Larry is given a number of assessment tests to help his counselor determine the nature of his problems. After the tests were administered, Larry asks the counselor what his results indicate. The counselor should:
give him as much detail as possible
give him information that he will be able to understand, keeping his best interest in mind
give him raw data only
tell him that is not ethical to discuss confidential test results
Match the motivating feeling of anger to the appropriate dysfunctional role:
enabler
lost child
dependent person
hero child
Match the motivating feeling of loneliness to the appropriate dysfunctional family role
Physical tolerance to alcohol refers to the process through which:
the liver enlarges
detoxification no longer occurs
an alcoholic appears sober in spite of a very high BAC
the body adapts to continual drinking over time so that it takes more alcohol for the individual to become intoxicated
Potentiation (synergism) is the:
effects of above-normal doses of alcohol for the average drinker
one drug enhances or exaggerates the action of another, similar drug
effects of normal doses of alcohol for the average drinker
process of detoxification
Process by which the counselor and the client: identify and rank problems needing resolution; establish agree upon immediate and long-term goals; and decide on a treatment process and the resources to be used is called:
treatment planning
assessment
Professional competence means
being able to provide all needs to the client
knowing one’s limitations and abilities
having the ability to do private practice
having at least a master’s degree in counseling
Provision of information to individuals and groups concerning alcohol and other drug abuse and the available services and resources is
outreach work
Sally is a forty year old mother of four, who has had a drinking problem for many years. For several years, her husband has encouraged her to get counseling. Finally he has become so discouraged that he decides to seek help for himself. Which of the following would be most appropriate for him?
individual psychoanalysis
Al-Anon
AA
ACOA
Special molecules that are located within the cell membranes of the dendrites of an adjacent nerve cell that receives the message from the other nerve cell is a
neuron
cell body
The “Drug Court” client who is most likely to benefit from the program is the ___________ per your text.
a first time offender who does not have a history of violence
those offenders who are under the age of 25
repeat offenders whose crimes also involve those not substance related
non-violent recidivist with a substance-related conviction
The Comprehensive Drug Abuse Prevention and Control Act categorizes drugs
based on drug classifications
according to abuse potential and approved medical uses of the drug
according to the latest scientific evidence
based on the recommendations of the Drug Enforcement Agency
The ability of individuals and systems to provide services effectively to people of all cultures, races, ethnic backgrounds and religions in a manner that recognizes, values, affirms, and respects the worth of individuals, and protects and preserves the dignity of each is?
cultural sensitivity
The administrative and initial assessment procedure for admission to a program is:
The brain and spinal cord comprise this system:
Central nervous system
Parasympathetic nervous system
Somatic nervous system
Automatic nervous system
The children suffering from this condition; which is the result of prenatal exposure to alcohol, may have: poor muscle tone; body control problems; retardation; and below average physical growth:
fetal alcohol syndrome
anxiety disorders
SIDS
fetal alcohol effects
The core of the assessment process is ___________.
having the client complete the SASSI
asking the CAGE questions
performing the TWEAK
a clinical interview
The disease model of addiction differs from the psychological models in that
the addictive personality is genetically determined according to the disease model
psychosocial stressors are the result of addiction in the disease model
addiction is seen as a primary disease rather than secondary to another mental disorder
an addict is not responsible for their behavior in the disease model
The following are facts about suicide, except:
the suicide rate is higher for the elderly than any other age group
Suicidal behavior is not inherited, but the risk is higher for family members who have lost a close relative to suicide
talking about suicide does not cause someone to be suicidal
The following issue must be considered when consulting with out-of-agency professionals
the client’s aftercare plan
documentation of client problems
encouraging the client problems
The main vehicle of personality change in the TC environment is thought to be the:
affirmations received for work well done
expression of hidden feelings
supportive confrontation
revamping of the family environment
The original form of intervention is called the ______________ model.
Johnson
Contingency Management
ARISE
Peterson
The process by which a client is determined appropriate and eligible for admission to a particular program is
The process of a family trying to return to their original state is called:
family homeostasis
enmeshed families
dysfunctional family system
inter-generational boundaries
The purpose of the “aftercare” program is the:
elimination of substance use “cravings”
destruction of the abstinence support system
maintenance of gains made in treatment
elimination of substance use thoughts
The single best predictor of suicide attempts is a history of
previous attempts
substance abuse
suicide in the family
The stages of grieving as applied to alcohol/drug recovery include:
denial, rationalizing, minimizing, defending, accepting
denial, anger, bargaining, depression, acceptance
denial, awareness, behavioral, interpersonal, spiritual
subconscious, semi-aware, feeling, conscious
The transfer of a message from the axon of one nerve cell to the dendrites of another is
drug addiction
homeostasis
neurotransmission
electrical impulses
The two most common personality disorders associated with chemical dependency are:
dependent, obsessive-compulsive
self-defeating, intrusive
obsessive-compulsive, attention deficit
antisocial, borderline
The utilization of special skills to assist individuals, families or groups in achieving objectives through: exploration of a problem and its ramifications; examination of attitudes and feelings; consideration of alternative solutions, and decision making is:
This describes the persistent and recognizable irrational fear of embarrassment and humiliation in social situations
obsession
social phobia
specific phobia
compulsion
This disorder involves experiencing a psychologically traumatic stressor such as witnessing death, being threatened with death or injury or being sexually abused
obsessive-compulsive disorder
panic disorder
generalized anxiety disorder
post-traumatic stress disorder
This drug schedule indicates that the drug has a high potential for abuse and no current medical use; examples would be marijuana and heroin
Schedule 1
This drug schedule indicates that the drug has a high potential for abuse, and current accepted medical use. Examples would be Morphine and Cocaine.
This involves a depression in mood with an accompanying loss of pleasure or indifference to most activities, most of the time for at least two weeks
cyclothymia
major depressive episode
dysthymia
hypomanic
This involves a depression in mood with an accompanying loss of pleasure or indifference to most activities, most of the time for at least two weeks:
This is a chronic mood disturbance characterized by a loss of interest or pleasure in most activities of daily life, with mild to moderate mood depression most of the time for a duration of at least 2 years
This is a distinct period of intense fear and discomfort that develops abruptly, usually reaching a crescendo within a few minutes or less
panic attack
phobia
agoraphobia
This is the space between the axon of one nerve cell and the dendrite of another
This is the study of the cause or origin of a condition or disease
ethology
systemic analysis
etiology
neuroscience