19. Can drug use affect pregnant mothers?
a. no, because drugs are carried only through the user's bloodstream
b. yes, because the mother's blood circulates to the unborn baby
c. yes, but only when drugs are ingested orally
d. yes, but only when drugs are used with a nasal route of administration
Give this one a try later!
B: Yes, the mother's blood circulates to the unborn baby
Drug use by pregnant women can affect the unborn baby, as the blood
, can be carried through the mother's bloodstream to the baby. The unborn
baby can also become addicted to a substance, and once born (and the
drug connection removed) suffer withdrawal symptoms.
29. How must assessment information be handled to be the MOST effective?
a. Carefully documented
b. Converted into goals and objectives
c. Available to all treatment providers
d. Summarized with the client for feedback
Give this one a try later!
B: Converted into goals and objectives
Careful assessment documentation, information sharing, and summarizing
with the client for feedback can help ensure that the assessment
information is accurate and readily available. However, to be most
effective, assessment information must be converted into clear goals,
objectives, and action steps. Beyond this, the assessment must be
recorded in a clinically useful, reliable, and valid manner. In this way, the
information and data can be readily understood and replicated and
applied in a uniform manner most relevant to treatment. Simplistic labels,
unidimensional scores, and checklists will not alone achieve these ends.
The record must include adequately organized narration and summation to
be fully effective.
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.
Give this one a try later!
, C: Avoid contact with the client, and leave the club immediately.
No effort should be made to engage the client in such a public setting.
Remaining at the club would likely precipitate some sort of contact.
Therefore, leaving without contact would be best. Then, later, when the
client returns to the program, a private conversation should be engaged.
During this discussion, the client can be informed of the unexpected
contact and what was witnessed. In this way, the client is able to privately
disclose his or her issues regarding the lapse (or relapse, as the case may
be) with regard to the return to using alcohol. This discussion can then
build to include those issues, experiences, and triggers that may have
contributed to the occurrence. In this way, the client can use the
experience to build upon those skills needed to increase his or her
abstinence goals and the steps needed to achieve them.
37. Bob's addiction to heroin has caused him to behave in ways that have distanced
him from friendships, and he has entered treatment because of relationship issues.
His heroin addiction could be called...
a. secondary.
b. primary.
c. adjunctive.
d. fundamental.
Give this one a try later!
B: Primary
A primary problem is one that, if addressed, will return the patient to
normal functioning. It is the main focus of the patient's difficulties.
87. Your best friend has a drinking problem and approaches you for help
overcoming his or her alcohol abuse problem. What should you do?
a. draw up a treatment plan with your friend and begin therapy
b. refer your friend to a therapist you feel would be a good fit
, c. tell your friend you can't help because of your personal relationship
d. do nothing
Give this one a try later!
B: Refer your friend to a therapist you feel would be a good fit
It is not desirable for a therapist to enter into a therapeutic relationship
with someone with whom the therapist is personally involved. Such a
relationship can make it difficult to maintain objectivity and present an
uneven balance of power, among other possible issues.
68. Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is
combined with which of the following circumstances?
a. Cocaine use
b. Methadone use
c. Both cocaine and methadone use
d. None of the above
Give this one a try later!
D: Both cocaine and methadone use
Disulfiram (Antabuse) is indicated even with cocaine use or methadone
maintenance. Disulfiram interferes with acetaldehyde metabolism, which
produces a profound physical reaction if drinking occurs within twelve
hours to seven days, depending on dose. The reaction involves facial
flushing, followed by a throbbing headache, tachycardia, tachypnea, and
sweating. Some thirty to sixty minutes later, nausea and vomiting occur,
often accompanied by hypotension, dizziness, fainting, and collapse. The
full cycle takes one to three hours. Careful blood alcohol monitoring is
needed to ensure that no alcohol is present before administering
disulfiram. Low doses (125 mg) can be given as quickly as the blood
alcohol reaches zero. An initial dose of 250 to 500 mg may be used,
though lower doses may be better for small women, the elderly, and those
with liver impairment. Clients have taken the drug as long as sixteen years.
Episodic use is effective to guard against drinking in high-risk situations
(e.g., special events or celebrations, etc.). Food that contains alcohol
a. no, because drugs are carried only through the user's bloodstream
b. yes, because the mother's blood circulates to the unborn baby
c. yes, but only when drugs are ingested orally
d. yes, but only when drugs are used with a nasal route of administration
Give this one a try later!
B: Yes, the mother's blood circulates to the unborn baby
Drug use by pregnant women can affect the unborn baby, as the blood
, can be carried through the mother's bloodstream to the baby. The unborn
baby can also become addicted to a substance, and once born (and the
drug connection removed) suffer withdrawal symptoms.
29. How must assessment information be handled to be the MOST effective?
a. Carefully documented
b. Converted into goals and objectives
c. Available to all treatment providers
d. Summarized with the client for feedback
Give this one a try later!
B: Converted into goals and objectives
Careful assessment documentation, information sharing, and summarizing
with the client for feedback can help ensure that the assessment
information is accurate and readily available. However, to be most
effective, assessment information must be converted into clear goals,
objectives, and action steps. Beyond this, the assessment must be
recorded in a clinically useful, reliable, and valid manner. In this way, the
information and data can be readily understood and replicated and
applied in a uniform manner most relevant to treatment. Simplistic labels,
unidimensional scores, and checklists will not alone achieve these ends.
The record must include adequately organized narration and summation to
be fully effective.
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.
Give this one a try later!
, C: Avoid contact with the client, and leave the club immediately.
No effort should be made to engage the client in such a public setting.
Remaining at the club would likely precipitate some sort of contact.
Therefore, leaving without contact would be best. Then, later, when the
client returns to the program, a private conversation should be engaged.
During this discussion, the client can be informed of the unexpected
contact and what was witnessed. In this way, the client is able to privately
disclose his or her issues regarding the lapse (or relapse, as the case may
be) with regard to the return to using alcohol. This discussion can then
build to include those issues, experiences, and triggers that may have
contributed to the occurrence. In this way, the client can use the
experience to build upon those skills needed to increase his or her
abstinence goals and the steps needed to achieve them.
37. Bob's addiction to heroin has caused him to behave in ways that have distanced
him from friendships, and he has entered treatment because of relationship issues.
His heroin addiction could be called...
a. secondary.
b. primary.
c. adjunctive.
d. fundamental.
Give this one a try later!
B: Primary
A primary problem is one that, if addressed, will return the patient to
normal functioning. It is the main focus of the patient's difficulties.
87. Your best friend has a drinking problem and approaches you for help
overcoming his or her alcohol abuse problem. What should you do?
a. draw up a treatment plan with your friend and begin therapy
b. refer your friend to a therapist you feel would be a good fit
, c. tell your friend you can't help because of your personal relationship
d. do nothing
Give this one a try later!
B: Refer your friend to a therapist you feel would be a good fit
It is not desirable for a therapist to enter into a therapeutic relationship
with someone with whom the therapist is personally involved. Such a
relationship can make it difficult to maintain objectivity and present an
uneven balance of power, among other possible issues.
68. Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is
combined with which of the following circumstances?
a. Cocaine use
b. Methadone use
c. Both cocaine and methadone use
d. None of the above
Give this one a try later!
D: Both cocaine and methadone use
Disulfiram (Antabuse) is indicated even with cocaine use or methadone
maintenance. Disulfiram interferes with acetaldehyde metabolism, which
produces a profound physical reaction if drinking occurs within twelve
hours to seven days, depending on dose. The reaction involves facial
flushing, followed by a throbbing headache, tachycardia, tachypnea, and
sweating. Some thirty to sixty minutes later, nausea and vomiting occur,
often accompanied by hypotension, dizziness, fainting, and collapse. The
full cycle takes one to three hours. Careful blood alcohol monitoring is
needed to ensure that no alcohol is present before administering
disulfiram. Low doses (125 mg) can be given as quickly as the blood
alcohol reaches zero. An initial dose of 250 to 500 mg may be used,
though lower doses may be better for small women, the elderly, and those
with liver impairment. Clients have taken the drug as long as sixteen years.
Episodic use is effective to guard against drinking in high-risk situations
(e.g., special events or celebrations, etc.). Food that contains alcohol
