Alcohol and Drug Counselor Exam ACTUAL
QUESTIONS AND CORRECT ANSWERS
Culture-bound syndrome - CORRECT ANSWERS illness truly bound to specific culture;
refer to otherwise common mental or physical illnesses that are subsequently construed as
unusual because of pathoplastic influence of clture (e.g, hallucinatory sx of schizophrenia could
be due to demon possession)
pharmacological therapy and psychotherapy - CORRECT ANSWERS two key mental
health treatment paradigms of Western medicine (multimodal therapy)
racism and discrimination - CORRECT ANSWERS refer to attitudes, beliefs, and practices
that prejudge and denigrate individuals or gs based on disparate phenotypic characteristics (skin
color, hair texture, facial features, etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? - CORRECT ANSWERS increasing
rapidly and steadily; by 2025, 40% adults (48% children) will be from ethnic and racial minority
gps.
HIV - CORRECT ANSWERS the viral agent that causes AIDS (Acquired
Immunodeficiency Syndrome), which is the final stage in the HIV disease process; most
prevalent in men having sex with men and IV drug users; contributes to poverty, homelessness,
an other medical problems
50% - CORRECT ANSWERS percent increase in the number of seniors needing substance
abuse treatment. 70% rate of increase in treatment
Limits to confidentiality - CORRECT ANSWERS 1. Client request for release of
information
2. Court orders for release of information
,3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
CAGE questionnaire - CORRECT ANSWERS Have you ever felt you should CUT
DOWN on your drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your nerves (EYE-OPENER)?
- 4-question on alcohol abuse
MAST - CORRECT ANSWERS Michigan Alcoholism Screening Test - yes or no to 25
questions to explore number of treatment issues; most accurate and oldest screening tool to
identify drinkers with 98% accuracy
What is another cultural issues beyond the client's culture? - CORRECT
ANSWERS counselor's culture
Relapse-remitting model of addiction - CORRECT ANSWERS recognizes that some
issues tend to return cyclically overtime, can help counselor and CLT make advance contingency
plans to avoid having brief relapse in negative circumstances or behaviors
Authentically connected referral network - CORRECT ANSWERS refers to a carefully
established set of services providers prepared to meet client needs; goal is for all network
agencies an providers to recognize their valued and essential roles in the addiction treatment
process and for clients to recognize this and respond with similar trust and confidence.
,What is the primary aim of case management services, beyond providing seamless care and
being client-centered? - CORRECT ANSWERS to provide least restrictive level of care
Ask-teLl-ask technique - CORRECT ANSWERS asking permission of the client to talk
with them, telling them of any concerns you have, and then asking for their thoughts on what you
shared.
Referral form - CORRECT ANSWERS used to track the results of the referral; WHO
(identifies the client and counselor involved/demographic info; substance use, legal issues,
family concerns) WHAT (issues that generated the need for the referral, substance/work, family,
and goals and commitments) HOW (address how CLT was engaged and dealt with)
When should planning for aftercare be engaged - CORRECT ANSWERS at the point of
initial counselor-client contact
What should be the focus of treatment mostly? - CORRECT ANSWERS positive
education and skills in substance abuse triggers, patterns of use, and relapse prevention;
substance issues, recovery, health issues, co-occurring disorders; holistic treatment planning an
interventions are essential in recovery process
Bookend term in substance abuse treatment means.. - CORRECT ANSWERS discussing a
trigger event with someone trusted before and after it occurs
Trigger events - CORRECT ANSWERS often crisis stressors or situations
CFR 42, part 2 - CORRECT ANSWERS confidentiality in areas of alcohol and substance
abuse. confidentiality restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or legislative proceedings
by any govt authority
, 2) to communications, even if the person seeking information already has it, cold otherwise
obtain it, is an official or law officer, has a subpeona or otherwise claims the right of information
release not permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client (unless he/she is in a facility
or facility area not dedicated solely to alcohol or drug abuse tx, ad no mention of drug or alcohol
treatment is made)
How is subpoena will be valid for release of information? - CORRECT ANSWERS if a
court of competent jurisdiction also explicitly enters an order authorizing information release
specific to the 42CFR part 2 regulations
What does HIPAA statues guidelines address? - CORRECT ANSWERS health privacy and
confidentiality standards; governs the management and release of protected health information
(PHI); right to privacy for all adults and minors ages 12-18
DHHS Privacy Rule 3 additional privacy protections - CORRECT ANSWERS 1)consent
of ROI must comply with 45CFR
2)clients gets copy of ROI
3)copy is kept for 5 yrs from its exp date
How does group therapy and 12-step program differ? - CORRECT ANSWERS Group
therapy - focuses on helping individuals to examine, understand, and interpret the intrapsychic
and interpersonal influence and conflict that motivate and perpetuate substance abuse; denial is
explored
12-step prg - centered on drawing upon focuses such as affiliation, peer confrontation and
support, and creating a culture of abstinence and the mutual accountability to sustain it; denial is
confronted and broken down
What are the 5 primary group models used in substance abuse treatment? - CORRECT
ANSWERS 1) Psychoeducation - teach about substance abuse
QUESTIONS AND CORRECT ANSWERS
Culture-bound syndrome - CORRECT ANSWERS illness truly bound to specific culture;
refer to otherwise common mental or physical illnesses that are subsequently construed as
unusual because of pathoplastic influence of clture (e.g, hallucinatory sx of schizophrenia could
be due to demon possession)
pharmacological therapy and psychotherapy - CORRECT ANSWERS two key mental
health treatment paradigms of Western medicine (multimodal therapy)
racism and discrimination - CORRECT ANSWERS refer to attitudes, beliefs, and practices
that prejudge and denigrate individuals or gs based on disparate phenotypic characteristics (skin
color, hair texture, facial features, etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? - CORRECT ANSWERS increasing
rapidly and steadily; by 2025, 40% adults (48% children) will be from ethnic and racial minority
gps.
HIV - CORRECT ANSWERS the viral agent that causes AIDS (Acquired
Immunodeficiency Syndrome), which is the final stage in the HIV disease process; most
prevalent in men having sex with men and IV drug users; contributes to poverty, homelessness,
an other medical problems
50% - CORRECT ANSWERS percent increase in the number of seniors needing substance
abuse treatment. 70% rate of increase in treatment
Limits to confidentiality - CORRECT ANSWERS 1. Client request for release of
information
2. Court orders for release of information
,3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
CAGE questionnaire - CORRECT ANSWERS Have you ever felt you should CUT
DOWN on your drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your nerves (EYE-OPENER)?
- 4-question on alcohol abuse
MAST - CORRECT ANSWERS Michigan Alcoholism Screening Test - yes or no to 25
questions to explore number of treatment issues; most accurate and oldest screening tool to
identify drinkers with 98% accuracy
What is another cultural issues beyond the client's culture? - CORRECT
ANSWERS counselor's culture
Relapse-remitting model of addiction - CORRECT ANSWERS recognizes that some
issues tend to return cyclically overtime, can help counselor and CLT make advance contingency
plans to avoid having brief relapse in negative circumstances or behaviors
Authentically connected referral network - CORRECT ANSWERS refers to a carefully
established set of services providers prepared to meet client needs; goal is for all network
agencies an providers to recognize their valued and essential roles in the addiction treatment
process and for clients to recognize this and respond with similar trust and confidence.
,What is the primary aim of case management services, beyond providing seamless care and
being client-centered? - CORRECT ANSWERS to provide least restrictive level of care
Ask-teLl-ask technique - CORRECT ANSWERS asking permission of the client to talk
with them, telling them of any concerns you have, and then asking for their thoughts on what you
shared.
Referral form - CORRECT ANSWERS used to track the results of the referral; WHO
(identifies the client and counselor involved/demographic info; substance use, legal issues,
family concerns) WHAT (issues that generated the need for the referral, substance/work, family,
and goals and commitments) HOW (address how CLT was engaged and dealt with)
When should planning for aftercare be engaged - CORRECT ANSWERS at the point of
initial counselor-client contact
What should be the focus of treatment mostly? - CORRECT ANSWERS positive
education and skills in substance abuse triggers, patterns of use, and relapse prevention;
substance issues, recovery, health issues, co-occurring disorders; holistic treatment planning an
interventions are essential in recovery process
Bookend term in substance abuse treatment means.. - CORRECT ANSWERS discussing a
trigger event with someone trusted before and after it occurs
Trigger events - CORRECT ANSWERS often crisis stressors or situations
CFR 42, part 2 - CORRECT ANSWERS confidentiality in areas of alcohol and substance
abuse. confidentiality restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or legislative proceedings
by any govt authority
, 2) to communications, even if the person seeking information already has it, cold otherwise
obtain it, is an official or law officer, has a subpeona or otherwise claims the right of information
release not permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client (unless he/she is in a facility
or facility area not dedicated solely to alcohol or drug abuse tx, ad no mention of drug or alcohol
treatment is made)
How is subpoena will be valid for release of information? - CORRECT ANSWERS if a
court of competent jurisdiction also explicitly enters an order authorizing information release
specific to the 42CFR part 2 regulations
What does HIPAA statues guidelines address? - CORRECT ANSWERS health privacy and
confidentiality standards; governs the management and release of protected health information
(PHI); right to privacy for all adults and minors ages 12-18
DHHS Privacy Rule 3 additional privacy protections - CORRECT ANSWERS 1)consent
of ROI must comply with 45CFR
2)clients gets copy of ROI
3)copy is kept for 5 yrs from its exp date
How does group therapy and 12-step program differ? - CORRECT ANSWERS Group
therapy - focuses on helping individuals to examine, understand, and interpret the intrapsychic
and interpersonal influence and conflict that motivate and perpetuate substance abuse; denial is
explored
12-step prg - centered on drawing upon focuses such as affiliation, peer confrontation and
support, and creating a culture of abstinence and the mutual accountability to sustain it; denial is
confronted and broken down
What are the 5 primary group models used in substance abuse treatment? - CORRECT
ANSWERS 1) Psychoeducation - teach about substance abuse
