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CADC Exam (practice test) 2024-2025
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1
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talk with a client any place other than the counseling office
b
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refuse treatment for certain clients
d
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treat client problems that are beyond his skill
level
10
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As a counselor, your MOST important
function is:
a
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to refer him/her to the nearest psychiatrist
c
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to try not to get the client any more upset than they already are - ANSc
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While progress has been made, society still disapproves much more strongly of
substance abuse by women than by men
...
women have customarily been expected to live up to a higher standard of moral and
social behavior
b
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mothers bear the additional burden of guilt over how substance abuse has interfered
with their childrearing responsibilities
d
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mothers
bear the additional burden of guilt over how substance abuse has interfered with their
childrearing responsibilities
12
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counselors should take their clients to AA meetings
b
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an AA representative should be invited to visit the program
d
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counselors should visit AA meetings and have a list of meetings to share with
clients

13
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assist in client education
b
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demonstrate counselor competence
d
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ensure continuity of client care
14
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they are mandated by most funding sources
b
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counselor's caseloads are generally too large to manage alone
d
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input and
information from others will assist the treatment process
15
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tears
b
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spinal fluid
d
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vaginal secretions
16
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going to the same AA meeting as a former client
b
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leaking to the public the name of a celebrity who is in treatment at your facility
d
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leaking to the public the name of a celebrity who is in treatment at your facility
17
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the client's family dynamics as they relate to the specific dynamics of the crisis
situation
b
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focusing questions about the present situation and the client's means of coping with
the stress
d
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focusing questions about the present situation and the client's means
of coping with the stress
18
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cultural ignorance
b
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overt racism and hostility
d
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the "color-blind" counselor
19
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He/she
is experiencing a(an):
a
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approach-avoidance conflict
c
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relapse conflict - ANSb
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When participating in the screening process, a counselor must also be skilled in:
a
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making referrals
c
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release of information forms - ANSb
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The first stage in the process of family change is:
a
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a period of sobriety for all family members
c
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interruption of ongoing patterns with confrontation or disengagement - ANSd
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Hallucinogens work on the brain by interfering with various neurotransmitters,
causing an overlap of the senses to occur
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synergy
b
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synesthesia
d
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synesthesia
22
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stronger in males than in females
b
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not a problem for the non-substance abusing family members
d
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a common barrier to overcome in the early stage of accepting the abuse problem
23
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self-assessment
b
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medication evaluation
d
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self-assessment
24
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complete a mental status exam
b
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develop a treatment plan
d
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establish rapport with the client
25
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a client's fears and denial
b
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preliminary identification of client goals
d
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treatment planning
26
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need to be accepted by most people
b
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overemphasis on childhood experiences
d
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intrinsic beliefs about certain beliefs
27
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the amount consumed daily
b
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presence of withdrawal symptoms
d
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presence of withdrawal symptoms
28
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a compete medical report
b
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an overview of the client's educational and psychological history
d
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the
client's problems and services to be provided
29
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identify alternative courses of action
b
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offer emotional support
d
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assess the degree of risk
3
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they must be avoided
b
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they are left to the discretion of the counselor
d
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they must be avoided
30
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The counselor can help by:
a
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detailing a schedule of increased AA attendance for the client
c
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normalizing the drinking urge and encouraging continued efforts towards relapse
prevention - ANSd
...
Which of the following is TRUE about case management?
a
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it is the clinical supervision of the counseling staff by case manager
c
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it is the process of monitoring the client's compliance with accreditation standards ANSa
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Sally is a 16-year old girl who has been admitted to a program for chemical
dependency
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In assessing Sally, the counselor
should first consider:
a
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Sally's social resources
c
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Sally's familial relationships and social milieu - ANSd
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It is appropriate for a counselor to teach a client about the physiological effects of
the drugs he/she has been using during the administration of which of these core
functions?
a
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assessment
c
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client education - ANSd
...
Which of the following woul be the MOST appropriate way to assure follow-through
on a referral?
a
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have the client sign a release form in case the resource calls
c
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notify the referral resource of the referral and have client call to make an appointment
- ANSd
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Client files are reviewed by the clinical supervisor for the purpose of:
a
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identifying the counselor's incompetencies
c
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providing professional feedback to enhance the counseling process - ANSd
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If a client is experiencing difficulties conforming to the rules and expectations of the
program, the counselor's first course of action would be to:
a
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refer the client to the agency psychiatrist
c
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consult with supervisor and other members of the treatment team
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consult
with supervisor and other members of the treatment team
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All of the following counseling theories are appropriate for the direct care of
recovering addicts during the first month of rehabilitation EXCEPT:
a
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Reality Therapy
c
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Gestalt Therapy - ANSc
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According to the addiction counselor code of ethics, a certified counselor must do all
of the following EXCEPT:

a
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make provisions for the maintenance of confidentiality and the ultimate disposition of
confidential reports
c
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espouse objectivity and integrity and maintain the highest standards in the services
provided - ANSc
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Which of the following is a characteristic of Gestalt therapy?
a
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a focus on unfinished business
c
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a focus on the conflict between the id and the superego - ANSb
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If the orientation process is neglected or incomplete a client may:
a
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have incorrect information and unanswered questions about the program
c
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need additional education about addiction and its effects on the body
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have
incorrect information and unanswered questions about the program
41
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denying
b
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repressing
d
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mourning
42
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peer pressure
b
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mass media
d
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parental role models
43
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One particular
chemical, however, is the main psychoactive chemical that makes marijuana "go
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Tetrahydroisoquinolone

b
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Trideltagammanase
d
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Cannabinoid
44
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valium
b
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ativan
d
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percodan
45
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discuss this with his/her supervisor
b
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inform the client of this fact
d
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inform the client of this fact
46
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client's orientation
b
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client's education
d
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screening
47
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depression and lethargy accompanied by radical mood swings
b
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continued use despite experiencing problems that result from drinking
d
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increased tolerance and withdrawal symptoms when abstinence is attempted
48
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treatment plans should relate to the counselor's treatment philosophy and methods
b
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client's own goals for treatment must be considered and discussed
d
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client's own goals for
treatment must be considered and discussed
49
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analyze the denial
b
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realize denial enhances entrance into treatment
d
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directly confront the
denial
5
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processing the data collected from the client
b
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moving too quickly from data collection to treatment planning
d
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moving too
quickly from data collection to treatment planning
50
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they are fairly reliable indicators of emotional impairment
b
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they are ways of coping that are used by everyone
d
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they are ways
of coping that are used by everyone
51
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conduct one-on-one sessions in the group
b
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use the group process to share mutual concerns
d
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use the group
process to share mutual concerns
52
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acting out behavior
b
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lack of trust
d
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acting out behavior
53
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regularly attend AA and/or NA meetings
b
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assume that the client will ask for what he/she needs
d
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stay wellinformed and aware of recent developments in the field

54
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the client and family
b
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only persons directly involved in providing clinical services
d
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only persons directly involved in providing clinical services
55
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best practices related to confidentiality
b
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the client's ability to adapt
d
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best practices related to confidentiality
56
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dementia
b
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wasting syndrome
d
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dementia
57
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It is your
professional responsibility to:
a
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work for an agency that provides a continuum of care
c
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develop a plan for ongoing client support - ANSd
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_________ is defined as "the revulsion toward homosexuals and often the desire to
inflict punishment as retribution, and in the case of homosexuals themselves, selfloathing
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sexual hatred
b
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homophobia
d
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homophobia
59
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the inequality of services provided

b
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viewing the Hispanic culture as heterogeneous
d
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viewing the Hispanic
culture as heterogeneous
6
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admitting to a drinking and/or drug problem
b
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inpatient treatment and aftercare
d
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admitting to a drinking and/or drug problem
60
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an increase in one's self-esteem
b
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significant repetition of the phobic behaviors
d
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a reduction in one's feelings of anxiety
61
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The MOST useful approach to the couple is to:
a
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consider that family therapy may be needed since the basis of the relapse may be
rooted in dynamics that involve other members of the family
c
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explore the relapse as a difficulty in the couple's ability to negotiate - ANSa
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If an individua were to take two barbiturates, such a phenobarbital and secobarbital
simultaneously, the drug interaction effect would most appropriately be described as:
a
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potentiating
c
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synergistic - ANSa
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With regard to case management, which of the following is TRUE?
a
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good integration of services requires team meetings with the client present
c
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once the treatment plan is written, the use of other services is determined and will
remain unchanged - ANSa
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Which of the following statements made by a client in a group would MOST warrant
documentation in the client's progress notes?
a
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"Getting caught for drunk driving was a mixed blessing"
c
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Did anyone see the game last night"
d
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"Ever since I stopped drinking, my emotional swings have been quite intense"
65
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another street name for crack
b
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an injectable mixture of heroin and cocaine
d
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an injectable mixture of heroin
and cocaine
66
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allows the client not to feel guilty for being addicted
b
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predicts that the problem is permanent and there is little hope for recovery
d
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allows
the client not to feel guilty for being addicted
67
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are likely to relapse unless they attend support groups on a daily basis
b
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can't remember aspects of their lives while drinking or using other drugs
d
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are
overly optimistic about their futures and don't predict normal stresses
68
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What
is the most appropriate course of action for the counselor?
a
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suggest a public restaurant
c
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have dinner as it will help the therapeutic relationship - ANSa
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In determining whether a chemically dependent patient should be treated in an
inpatient or outpatient program, all of the following should be considered EXCEPT:
a
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whether the patient believes he can succeed in an outpatient program
c
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whether the patient's family is likely to give him another chance if this treatment fails ANSd
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Interventions by a group counselor should:
a
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address issues critical to the functioning of the group as a whole
c
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only be made to halt potential violence - ANSb
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The identification and ranking of problems needing resolution is a function of:
a
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client education
c
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counseling - ANSa
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When clients ask directly for advice, it is usually helpful for counselors to:
a
...
encourage the client to explore various alternatives
c
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give advice since it encourages independence in the counseling relationship - ANSb
...
Which of the following does NOT have to appear on a "Release of Information" form?
a
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name of the recipient of information
c
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signature of client - ANSc
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She reports daily smoking crack cocaine and crystal methamphetamine
for more than three years
...
Her boyfriend, who lives
with her, is insisting that she doesn't really have a problem
...
Coralynn says that they enjoy experimenting
sexually at parties and do not plan to alter this aspect of their lifestyle
...
What level of treatment would be most appropriate for Coralynn?
a
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detox first, then out-patient counseling because she has been a daily user
c
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inpatient because of the destructive environment and lack of support
Coralynn is a 24-year-old African American woman seeking treatment for a substance
use disorder
...
She states that she used which ever one was readily
available, particularly since she has been in graduate school
...
He also uses, maintaining
that the drugs enhance their sex life
...

72
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this part of her lifestyle is not related to her recovery
b
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encourage her to stop this destructive behavior regardless of her recovery status ANSb
...
She reports daily smoking crack cocaine and crystal methamphetamine
for more than three years
...
Her boyfriend, who lives
with her, is insisting that she doesn't really have a problem
...
Coralynn says that they enjoy experimenting
sexually at parties and do not plan to alter this aspect of their lifestyle
...
What strengths do you see in Coralynn, aside from her motivation toward
treatment?
a
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being sexually adventurous shows that she is open-minded and social
c
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her
intelligence and work ethic are demonstrated in her education level
Coralynn is a 24-year-old African American woman seeking treatment for a substance
use disorder
...
She states that she used which ever one was readily
available, particularly since she has been in graduate school
...
He also uses, maintaining

that the drugs enhance their sex life
...

74
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her HIV status is unclear
b
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lack of a support system and risky sexual behavior - ANSc
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For the past 9
years, he drinks daily
...
He has been suicidal in the past, although he denies it now
...

75
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Outpatient counseling on a weekly basis, in place of support meetings
b
...
support meetings, as his past attempts have shown that the lack of support has led to
failure - ANSc
...
For the past 9
years, he drinks daily
...
He has been suicidal in the past, although he denies it now
...

76
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No, because Julio has made it clear that he will not comply with any aftercare
b
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Yes, because attitudes can change and this is an opportunity to try to reach him ANSc
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For the past 9
years, he drinks daily
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He has been suicidal in the past, although he denies it now
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77
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admit him and allow him to self-detox
b
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deny admission because the client is unwilling to follow even the most necessary
measures - ANSc
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Overt Racism and Hostility
b
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the "color-blind" counselor
d
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the "culturally-liberated" counselor



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