IC&RC written exam questions and answers 2026\2027
A+ Grade
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?
- correct answer Assessment
A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor
should:
- correct 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:
- correct 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:
- correct 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:
- correct 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?
- correct 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.
- correct 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.
- correct 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
- correct 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
- correct answer new medication used in treatment regimens
Therapeutic communities differ from Synanon because:
- correct answer These communities try to return clients to society.
, During the screening , a critical task that the counselor has is to:
- correct 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:
- correct answer The Beck depression Scale, MAST test, and MMPI
The primary purpose of the screening process is to:
- correct answer Determine ones appropriateness and eligibility for admission.
Effective case management for persons in need of multiple services requires:
- correct 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.
- correct 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:
- correct 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?
A+ Grade
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?
- correct answer Assessment
A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor
should:
- correct 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:
- correct 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:
- correct 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:
- correct 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?
- correct 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.
- correct 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.
- correct 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
- correct 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
- correct answer new medication used in treatment regimens
Therapeutic communities differ from Synanon because:
- correct answer These communities try to return clients to society.
, During the screening , a critical task that the counselor has is to:
- correct 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:
- correct answer The Beck depression Scale, MAST test, and MMPI
The primary purpose of the screening process is to:
- correct answer Determine ones appropriateness and eligibility for admission.
Effective case management for persons in need of multiple services requires:
- correct 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.
- correct 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:
- correct 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?
