BREAKDOWN OF QUESTIONS AND ANSWERS.
76. What does a dual relationship refer to?
a. Dyads assigned in addiction-recovery groups for added support
b. The sponsor–sponsee relationship in twelve-step groups such as A.A.
c. The mentor relationship with those newly entering addiction treatments
d. A working relationship with a client outside the professional domain
d. A working relationship with a client outside the professional domain
77. What is an appropriate response to a substantial gift from a client?
a. “You shouldn’t have!”
b. “Thank you so much!”
c. “I can’t accept that, but thank you!”
d. “A gift like that is not appropriate.”
c. "I can't accept that, but thank you!"
78. Two clients in a treatment group begin dating. What would a proper response be?
a. Address program policy preventing dating among group members.
b. Initiate a group activity to acknowledge their new relationship.
c. Terminate treatment for both of the members.
d. Terminate treatment for one of the members.
a. Address program policy preventing dating among group members.
79. At a local dance club, a counselor spots a client drinking at the bar. What is the BEST response to
this?
a. Confront the client immediately, encouraging him or her to leave the club.
b. Quietly find a moment to talk with the client privately at the club.
c. Avoid contact with the client, and leave the club immediately.
d. Avoid contact with the client, but remain at the club.
c. Avoid contact with the client, and leave the club immediately.
80. As a substance abuse counselor, you work in a treatment program and also personally attend a
twelve-step program in the community. A treatment program client asks you to become his or her
twelve-step sponsor. What is the proper, thoughtful response?
,a. Accept, knowing that it may benefit the therapeutic alliance.
b. Accept, knowing how much this client needs help.
c. Decline, concerned that the client could be difficult to support.
d. Decline, recognizing the potential conflicts in multiple roles.
d. Decline, recognizing the potential conflicts in multiple roles.
81. In providing counseling treatment, what are counselors encouraged to do?
a. Select a single counseling approach, and refine it fully.
b. Use multiple counseling approaches to meet clients’ needs.
c. Avoid relying on any formal counseling technique.
d. Recognize that all counseling techniques are equally effective.
b. Use multiple counseling approaches to meet clients' needs.
82. What does the Twelve-Step Facilitation Approach refer to?
a. Program counselors also serving as twelve-step group facilitators
b. Twelve-step program facilitators working within a treatment program
c. Teaching twelve-step principles during treatment program work
d. Encouraging clients to enter a community twelve-step program
d. Encouraging clients to enter a community twelve-step program
83. Which of the following is NOT a strength of twelve-step programs?
a. Twelve-step meetings are free, widely available, and offer ongoing support.
b. The twelve-step approach easily accommodates client diversity.
c. Twelve-step programs offer easy monitoring of assigned step tasks.
d. The twelve-step approach offers recovery in cognitive, health, and spiritual areas.
c. Twelve-step programs offer easy monitoring of assigned step tasks.
84. Staff familiarity with twelve-step program facilitation is important because of all of the following
EXCEPT that
a. clients feel more pressure to attend twelve-step programs by these staff.
b. clients are more easily motivated into twelve-step programs by these staff.
c. clients' concerns are more meaningfully resolved by these staff.
d. clients generally remain abstinent longer with twelve-step involvement.
, a. clients feel more pressure to attend twelve-step programs by these staff.
85. When outcomes from cognitive-behavioral coping skills therapy and motivational enhancement
therapy are compared with outcomes from twelve-step facilitation, how do clients fare BEST?
a. cognitive-behavioral coping skills therapy
b. motivational enhancement therapy
c. Twelve-step facilitation
d. All the above
c. Twelve-step facilitation
86. Traditionally, what has the term therapeutic community (TC) referred to?
a. An informal group organized for mutual support
b. A court-ordered treatment environment
c. A formal mutual-help or twelve-step support group
d. A drug-free residential treatment environment
d. A drug-free residential treatment environment
87. Why do therapeutic communities (TCs) often focus on habilitation instead of rehabilitation?
a. Many clients cannot successfully be rehabilitated.
b. Rehabilitation is not as effective as habilitation.
c. Habilitation helps clients learn new skills they never had.
d. Rehabilitation focuses only narrowly on detoxification.
c. Habilitation helps clients learn new skills they never had.
88. In what setting is the therapeutic community (TC) treatment model MOST effective?
a. A formal full-time residential setting
b. An intensive day treatment setting
c. Neither A nor B, but in a support group setting
d. A and B equally
d. A and B equally
89. What is the MOST important reason that ordered and routine activities are built into the
therapeutic community (TC) treatment process?
a. To relieve boredom that may serve as a trigger for substance abuse