IC&RC Written Exam Questions With
Complete Solutions
/. What is the essential first step in determining the possible causes of addiction for the
person and the most appropriate treatment modality for his and her needs? - Answer-
✅Assessment
/.A client tells a counselor that she is unhappy with the way her treatment is
progressing. The counselor should: - Answer-✅discuss these concerns with the client
and make necessary changes in treatment goals.
/.A common error that counselors make when conducting an assessment is: - Answer-
✅Moving to quickly from data collection to treatment planning.
/.A female client reports that she has some concerns about the relationship between her
husband and her 14-year-old daughter from a previous marriage. She reports that her
husband and daughter frequently argue, that her daughter refuses to take direction from
stepfather, mid that her daughter regularly complains about her stepfathers "faults" and
describes how her biological Father is better. The MOST relevant professional to whom
a referral should be made is a: - Answer-✅Marriage and family therapist
/.A key factor for counselors to consider is that in a counseling relationship, the club has
differential power. One of the best safeguards is: - Answer-✅to be alert to and
understand the power of relationship.
/.A pretreatment period is frequently the result of waiting lists or client reluctance to
become fully engaged in primary treatment. what might be a danger of this pretreatment
period? - Answer-✅Clients may lose interest in treatment
/.According to Marlatt's model of the relapse process, which of the following statements
is not true?
- clients should be taught skills for anticipating, avoiding, and coping with their personal
high-risk situations
- clients should be taught constructive responses to cope with lapses when they do
occur
- clients should be helped to recognize that one or more temporary lapses are likely to
occur and are permitted.
- any positive expectations that clients have about drug use should be countered with
reminders about the lows that follow the highs and about the long term negative
,consequences of substance abuse. - Answer-✅clients should be helped to recognize
that one or more temporary lapses are likely to occur and are permitted.
/.According to the DSM-4, all of the following are criteria for psychoactive substance
dependence Except:
- substance often on larger amounts than the person intended
- marked lack of initiative, interest or energy
- frequent intoxication when expected to fulfill major role obligations
- one or more unsuccessful efforts to cut down substance use. - Answer-✅Lack of
initiative, interest or energy
/.All of the following are goals of person-centered therapy EXCEPT:
- teaches clients to formulate and carry out plans to change their behavior
- focusing on the person I steam of the presenting problem.
- assisting clients in enhancing their coping skills.
- individualizing the treatment plan - Answer-✅teaches clients to formulate and carry
out plans to change their behavior
/.Bob is a case manager in an intensive inpatient treatment facility. He recently was
assigned a client, Mary, who presents not only with alcoholism but has also been
diagnosed with AIDS. To assist Mary in her treatment and recovery needs, Bob would
probably need to have knowledge of all the following areas EXCEPT:
- AIDS epidemiology and transmission routes
- the diseases clinical progression
- new medication used in treatment regimens
- available social services for AIDS clients - Answer-✅new medication used in
treatment regimens
/.Therapeutic communities differ from Synanon because: - Answer-✅These
communities try to return clients to society.
/.During the screening , a critical task that the counselor has is to: - Answer-✅Establish
rapport with the client
/.During the assessment process, your alcohol and tranquilizer abusing client reveals a
history of self-destructiveness when frustrated am inability to replay impulses. The
MOST appropriate assessment battery in this case is: - Answer-✅The Beck depression
Scale, MAST test, and MMPI
/.The primary purpose of the screening process is to: - Answer-✅Determine ones
appropriateness and eligibility for admission.
/.Effective case management for persons in need of multiple services requires: -
Answer-✅Monitoring, feedback, and evaluation of services.
, /.In determining whether a chemically dependent patient should be treated in an
inpatient or outpatient program, all of the following should be considered EXCEPT:
- whether the pt has a Hx of sobriety during the last several years
- whether the pts job and family are likely to give him another chance if this treatment
fails.
- whether the pt has family support for sobriety
- whether the pt has a Hx of failed treatment on an OP or IP basis. - Answer-✅whether
the pts job and family are likely to give him another chance if this treatment fails.
/.Alcohol decreases resistance to HIV infection by: - Answer-✅Compromising T-cell
functions
/.It is crucial for the case manager to be aware of what may inhibit minorities'
participation in the SA treatment continuum. Suppose that you are a case manager,
working in and OP program with a Somali client. AA is an integral part of your program,
yet you are aware of the fact that while "accepting one's powerlessness" is a central
tenet of the 12-step self help programs, members of oppressed groups may not accept
it, given their own societal powerlessness. What would be the best thing to do in such a
case? - Answer-✅Be sensitive to such cultural differences and seek out other recovery
resources that are relevant to the individuals values.
/.It is important to understand clients and their expectations for
Counseling. Clients coming in for treatment carry with them both helpful and harmful
expectations. Which of the following is a harmful client expectation?
- "This counselor is a stranger, but maybe I can learn to trust her"
- "My counselor will direct me to do what I need to do, and everything will be OK"
- "My counselor will be a resource that I can use to resolve my problems"
- "The counselors main concern and responsibility is to help me achieve my goals and
objectives" - Answer-✅My counselor will direct me to do what I need to do, and
everything will be OK"
/.Joe is a 27-year old addict who has begun counseling, but has not yet been able
To give up using drugs. During one session, he tells his counselor that he is beginning
to feel that "it is useless to try to stop," and that " sometimes life isn't worth living." The
counselor is concerned that Joe could be suicidal. The counselor should: - Answer-
✅Assess joes potential for suicide by asking him about his intent, and evaluating high
risk factors.
/.If the orientation process is neglected or incomplete a client may: - Answer-✅Have
incorrect information and I unanswered questions about the program.
/.___________ is one of case managements hallmark characteristics - Answer-
✅Advocacy
Complete Solutions
/. What is the essential first step in determining the possible causes of addiction for the
person and the most appropriate treatment modality for his and her needs? - Answer-
✅Assessment
/.A client tells a counselor that she is unhappy with the way her treatment is
progressing. The counselor should: - Answer-✅discuss these concerns with the client
and make necessary changes in treatment goals.
/.A common error that counselors make when conducting an assessment is: - Answer-
✅Moving to quickly from data collection to treatment planning.
/.A female client reports that she has some concerns about the relationship between her
husband and her 14-year-old daughter from a previous marriage. She reports that her
husband and daughter frequently argue, that her daughter refuses to take direction from
stepfather, mid that her daughter regularly complains about her stepfathers "faults" and
describes how her biological Father is better. The MOST relevant professional to whom
a referral should be made is a: - Answer-✅Marriage and family therapist
/.A key factor for counselors to consider is that in a counseling relationship, the club has
differential power. One of the best safeguards is: - Answer-✅to be alert to and
understand the power of relationship.
/.A pretreatment period is frequently the result of waiting lists or client reluctance to
become fully engaged in primary treatment. what might be a danger of this pretreatment
period? - Answer-✅Clients may lose interest in treatment
/.According to Marlatt's model of the relapse process, which of the following statements
is not true?
- clients should be taught skills for anticipating, avoiding, and coping with their personal
high-risk situations
- clients should be taught constructive responses to cope with lapses when they do
occur
- clients should be helped to recognize that one or more temporary lapses are likely to
occur and are permitted.
- any positive expectations that clients have about drug use should be countered with
reminders about the lows that follow the highs and about the long term negative
,consequences of substance abuse. - Answer-✅clients should be helped to recognize
that one or more temporary lapses are likely to occur and are permitted.
/.According to the DSM-4, all of the following are criteria for psychoactive substance
dependence Except:
- substance often on larger amounts than the person intended
- marked lack of initiative, interest or energy
- frequent intoxication when expected to fulfill major role obligations
- one or more unsuccessful efforts to cut down substance use. - Answer-✅Lack of
initiative, interest or energy
/.All of the following are goals of person-centered therapy EXCEPT:
- teaches clients to formulate and carry out plans to change their behavior
- focusing on the person I steam of the presenting problem.
- assisting clients in enhancing their coping skills.
- individualizing the treatment plan - Answer-✅teaches clients to formulate and carry
out plans to change their behavior
/.Bob is a case manager in an intensive inpatient treatment facility. He recently was
assigned a client, Mary, who presents not only with alcoholism but has also been
diagnosed with AIDS. To assist Mary in her treatment and recovery needs, Bob would
probably need to have knowledge of all the following areas EXCEPT:
- AIDS epidemiology and transmission routes
- the diseases clinical progression
- new medication used in treatment regimens
- available social services for AIDS clients - Answer-✅new medication used in
treatment regimens
/.Therapeutic communities differ from Synanon because: - Answer-✅These
communities try to return clients to society.
/.During the screening , a critical task that the counselor has is to: - Answer-✅Establish
rapport with the client
/.During the assessment process, your alcohol and tranquilizer abusing client reveals a
history of self-destructiveness when frustrated am inability to replay impulses. The
MOST appropriate assessment battery in this case is: - Answer-✅The Beck depression
Scale, MAST test, and MMPI
/.The primary purpose of the screening process is to: - Answer-✅Determine ones
appropriateness and eligibility for admission.
/.Effective case management for persons in need of multiple services requires: -
Answer-✅Monitoring, feedback, and evaluation of services.
, /.In determining whether a chemically dependent patient should be treated in an
inpatient or outpatient program, all of the following should be considered EXCEPT:
- whether the pt has a Hx of sobriety during the last several years
- whether the pts job and family are likely to give him another chance if this treatment
fails.
- whether the pt has family support for sobriety
- whether the pt has a Hx of failed treatment on an OP or IP basis. - Answer-✅whether
the pts job and family are likely to give him another chance if this treatment fails.
/.Alcohol decreases resistance to HIV infection by: - Answer-✅Compromising T-cell
functions
/.It is crucial for the case manager to be aware of what may inhibit minorities'
participation in the SA treatment continuum. Suppose that you are a case manager,
working in and OP program with a Somali client. AA is an integral part of your program,
yet you are aware of the fact that while "accepting one's powerlessness" is a central
tenet of the 12-step self help programs, members of oppressed groups may not accept
it, given their own societal powerlessness. What would be the best thing to do in such a
case? - Answer-✅Be sensitive to such cultural differences and seek out other recovery
resources that are relevant to the individuals values.
/.It is important to understand clients and their expectations for
Counseling. Clients coming in for treatment carry with them both helpful and harmful
expectations. Which of the following is a harmful client expectation?
- "This counselor is a stranger, but maybe I can learn to trust her"
- "My counselor will direct me to do what I need to do, and everything will be OK"
- "My counselor will be a resource that I can use to resolve my problems"
- "The counselors main concern and responsibility is to help me achieve my goals and
objectives" - Answer-✅My counselor will direct me to do what I need to do, and
everything will be OK"
/.Joe is a 27-year old addict who has begun counseling, but has not yet been able
To give up using drugs. During one session, he tells his counselor that he is beginning
to feel that "it is useless to try to stop," and that " sometimes life isn't worth living." The
counselor is concerned that Joe could be suicidal. The counselor should: - Answer-
✅Assess joes potential for suicide by asking him about his intent, and evaluating high
risk factors.
/.If the orientation process is neglected or incomplete a client may: - Answer-✅Have
incorrect information and I unanswered questions about the program.
/.___________ is one of case managements hallmark characteristics - Answer-
✅Advocacy
