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What are the three elements of job performance? Productivity, attendance, and behavior (is
the employee working well with co-workers?) (triangle diagram)
How many U.S. employees have access to an EAP? 75%
Internal EAP staff model EA professionals are employees of the work organization or
specially designated labor representatives. Services are provided on-site at the work
organization.
For what type of organization is the internal staff model EAP appropriate? Large work
organizations
External Staff Model EAP EA professionals are employed by an external vendor, which is a
company that provides EAP services to multiple employers.
For what type of organization is the external staff model EAP most commonly used? Mid-
size employers.
External network model EAP EA professionals are employed by an external vendor, and the
vendor contracts with network affiliate providers (affiliates) in private practice to provide EA
assessment and/or short-term problem resolution services to EAP clients. The eAP vendor
contracts with mental health professionals to augment the EAP's staff.
For what type of organization is the external network model EAP most appropriate?
Geographically dispersed workforces. the external network model scales to employers of
nearly any size and geographic make-up.
Hybrid model EAP brings on-site services back to the work org while retaining the
accessibility and geographic advantages of an external network model. The onsite EA
professional may be employed by the work org or the external vendor.
Basic EAP workflow 1. initial contact 2. EAP assessment 3. Referral to the most appropriate
helping resources 4. case/care management (verifying the client successfully engaged in services
,provided, monitoring progress, and ensuring any additional services that may be needed are
provided.) 5. Follow-up (ensure client received expected services.)
EAP referral types 1. Self-referral 2. informal referral 3. formal referral 4. regulatory referral
What is the most common type of referral? Self-referral
EAP care management (e.g., case management) ensuring the helping resource is available,
that services are reasonably affordable, appointments are obtained in a timely manner, the
expected services are provided, and the EAP client is benefitting from the services provided by
the helping resource. Care management involves more intensive and sustained connections with
some clients than others, e.g., when the referral is formal from management.
Is the EA professional responsible for monitoring compliance? Yes, if the employee signs an
ROI, it is appropriate for the EA professional to contact the employee's supervisor to ensure any
work-related concerns are addressed during treatment and reentry into work is properly
coordinated. In situations where the EAP client's employment is at risk, the EA professional may
be responsible for monitoring compliance with tx recommendations.
What do "last chance" or "return-to-work" agreements include? a statement reiterating the
employer's support for the employee's ongoing recovery, action steps the employer expects the
employee to follow to support their own recovery, and any specific job performance expectations
upon returning to duty. When such an agreement is made, the EA professional meets with the
supervisor and the client in a "RTW" meeting to discuss the agreement and clarify expectations.
The EAP may monitor the employee's compliance for weeks, months or years, depending upon
the employer's policies.
When should you follow-up a referral to intensive treatment? within a day or two, and
communicate this to the client.
What cases are the most visible and costly to the work organization? Addiction cases. They
are a minority of all EAP cases, but could be career-ending for the employee if not managed
appropriately.
What is the preferred treatment modality for substance abuse when the employee's job is on the
line? Abstinence-based care.
Steps for a substance/alcohol abuse referral 1. EAP assessment plan developed 2. refer for
further evaluation by an addiction specialist to determine appropriate level of care within an
intensive treatment program 3. medical detox 3 - 7 days 4. treatment (inpatient, IOP) 5.
transitional housing, sober living 6. outpatient counseling, individual, couples, and marital
therapy, recovery coaching 7. mutual support groups.
Questions to consider when evaluating the results of a treatment provider's assessment 1. do
the recommendations match the employer's policies, benefits, and expectations? 2. do the
recommendations include: level of care needs, ability to pay or access insurance coverage,
, immediate availability, appropriate location/ease of access/ convenience of time of operations,
detox services, alcohol, drug, mental health and medical treatment services, and a plan for
ongoing care, follow-up and community support services? 3. what impact does the cost/insurance
coverage have on the likelihood of non-compliance? 4. what is the expected duration of intensive
treatment services? 5. does the client need to be absent from work or can she continue working
while engaged in treatment? does this match the employer policy? 6. does your client have health
insurance that covers the recommended treatments? if not, how can the financial costs and time
from work be covered?
should RTW meetings be coordinated in advance of the actual date the employee returns to the
workplace? Yes. This is more likely to occur if the reason for the release from work included
a violation of company policy, such as a positive drug or alcohol test result.
What should a RTW meeting with an employee cover? 1. congratulating the employee on
their successful completion of a treatment program 2. discussing what/how information about the
employee's absence had been framed to the workgroup 3. ongoing job performance expectation
4. any aspects of the aftercare plan which may impact the workplace 5. review/signing of the
return-to-work agreement (if any.)
should a work organization's decision to return an employee to work be based on the employee's
tx compliance or on their job performance? Their job performance. Return-to-work agreements
are almost always voluntary.
who is covered by Workman's comp? most employees, but not all employees.
what is the function of supervisory training programs? to address job performance issues.
these programs do not train supervisors to support, diagnose or treat employees.
if an employee discloses plans to sabotage the computer system, what should an EA professional
do? Report the plan to security, but not identify the employee who made the plan. do not try
to obtain the employee's permission to report the plan.
What is the ethical decision-making model? 1. identify the potential ethical issues in the
situation? 1. competing values or interests b. your personal values on this issue and how they
conflict c. are there any ethical guidelines that apply to this issue 2. Who are the stakeholders?
(e.g., anyone impacted by the decision: corporation, employee, family, public, yourself. 3/ list all
possible choices of action a. which choice benefits the client? b. which choice benefits the work
org? c. which choice benefits you? d/ which choice benefits society? 4. make your decision
What CFR governs the procedures for drug and alcohol testing and substance abuse evaluations?
Code of Federal Regulations (CFR) 40 section 49.
what is the primary safety objective of the DOT rules? prevent, through deterrence and
detection, alcohol and controlled substance users from performing transportation industry safety-
sensitive functions.