ACD/AACD Test 3 well answered question

Which of the following is the BEST definition of a "relapse"? A) an episode of substance abuse following a 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 B) the return to a pattern of substance use following treatment When a drug initiates a physiological 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 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 recover method D) aid the community in recovering from the crime and social upheaval associated with drug abuse. A) minimize the problems associated with addiction During his treatment, Vic started having painful urination and feared he might have a sexually transmitted disease. Vic had not been to a doctor in at least ten 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 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 A) press radio and film Which of the following is the BEST definition of transference? A) projections of uncomfortable feelings to a nonthreatening object B) a sudden understanding of self, or realization of how a problem can be solved C) Unconscious shifting of feelings and fantasies from significant others to the therapist D) Assuming the values of others, similar to Stockholm Syndrome. C) Unconscious shifting of feelings and fantasies from significant others to the therapist __________ includes the identification and ranking of problems needing resolution. A) Client education B) treatment planning C) Assessment D) case management B) treatment planning Appropriate documentation int he client's chart includes incidents, reports and _________. A) ongoing information B) details from the client's fourth step C) a record of all visitors D) copies of the house log 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. D) counselors must be open to their own struggles and personal growth. When 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 and soon as possible C) he/she frequently responds quickly to the use of anti depressant medication D) depression symptoms in the majority of cases will be significantly diminished after detoxification and abstinence. D) depression 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 a goal oriented inquiry B) to maintain the individual's dignity by avoiding familiarity C) to acknowledge the cultural difference and schedule appointments well in advance D) to stress separation due to family enmeshment A) to assume an active approach with a goal oriented inquiry Methadone is a drug used in: A) IV form to combat the synergistic affects of alcohol and 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 B) harm reduction programs, usually in urban environments Bertrand qualifies for job re-training 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 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 A) proclaiming powerlessness runs counter to the empowerment mentality needed to overcome victimhood 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 is clinical supervisor to determine the best course of actions B) talk with the 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 that client that they will have to wait at least one year before they can date A) discuss his feelings with is clinical supervisor to determine the best course of actions What BEST represents the information that should be kept in a client's treatment record? A) the name of an attending physician and 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 D) information about consultations, diagnosis, treatment, prognosis and progress African Americans generally do not view alcohol as a prerequisite to fun because: A) there are other culturally acceptable ways to achieve relaxation and sociability B) they do not perceive alcohol as a desirable social lubricant C) cultural norms prohibit over consumption of alcohol in public D) machismo is a theme that overrides their desire for alcohol A) there are other culturally acceptable ways to achieve relaxation and sociability A client presents with non healing ulcers, abscesses, brittle finger nails, and bruxism. Abuse classification of drugs is MOST likely? A) Amphetamines B) steroids C) inhalants D) Narcotics 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 B) transference A client must be told about the limits of confidentiality before the first therapy session, along with the cost of services. These issues are part of the process known as: A) ethical practice B) releasing information C) protecting confidentiality D) obtaining informed consent D) obtaining informed consent The most popular and yet most controversial theory of addiction views: A) addiction as a chronic and incurable disease B) punishment as an appropriate social response to alcoholism C) harm reduction programs as an integral part of recovery D) ongoing research as unnecessary anymore because of past findings A) addiction as a chronic and incurable disease Nervousness or anxiety, sleep difficulty, (e.g., insomnia, disturbing dreams), decreased appetite or weight loss, depressed mood are all signs or symptoms of: A) cannabis withdrawal B) cocaine withdrawal C) sedative, hypnotic, or anxiolytic withdrawal D) opioid withdrawal D) opioid withdrawal According to the DSM-5 standards, controlled use of ____________ during religious observances is not to be considered a diagnosable condition. A) peyote B) alcohol C) hallucinogens D) opium C) hallucinogens ________ symptoms are the most common psychiatric symptoms seen in AOD abusers A) depressive B) narcissistic C) social anxiety D) panic attacks 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 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 D) psychological needs do 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 C) projection