LADC exam Questions with accurate
answers, rated A+
A common error that counselors make when conducting an assessment - ✔✔moving too quickly from
data collection to treatment planning
A pretreatment period is frequ
...
LADC exam Questions with accurate
answers, rated A+
A common error that counselors make when conducting an assessment - ✔✔moving too quickly from
data collection to treatment planning
A pretreatment period is frequently the result of waiting lists or client reluctance to become fully
engaged in primary treatment. what might be a danger of this pretreatment period? - ✔✔may be when
clients lose interest in treatment
According to Marlatt's model of the relapse process, which of the following statements is not true? -
✔✔Clients should be helped to recognize that one or more temporary lapses are likely to occur and are
permitted
All of the following are goals of person-centered therapy EXCEPT - ✔✔teaching clients to formulate and
carry out plans to change their behavior
During the screening process, a critical task that the counselor has is to: - ✔✔establish rapport with the
client
During the assessment process, your alcohol and tranquilizer abusing client reveals a history of selfdestructiveness when frustrated and an inability to delay impulses. The MOST appropriate assessment
batter in this case is - ✔✔Beck depression scale, the MAST test, MMPI
Effective case management for persons in need of multiple services requires: - ✔✔monitoring,
feedback, and evaluation of services
Alcohol decreases resistance to HIV infection by - ✔✔compromising T-cell functions
Sarah, a counselor in a drug treatment center, grew up in an alcoholic home and still has strained
relationships. Which statement BEST describes Sarah's situation?
a. Sarah can expect her unresolved conflicts to rise to the surface because of
her work in the treatment center.
b. Sarah can resolve her personal pain by working professionally with
addicted family units in a treatment center.
c. Sarah may be more comfortable with her clients because she is familiar
with their behavior. d. Sarah may have unfinished business with her parents. - ✔✔A. Sarah can expect
her unresolved conflicts to rise to the surface because of her work in the treatment center
Pupils dilated; gooseflesh; lacrimation; muscle jerks' flu syndrome; vomiting; diarrhea; nervousness;
yawning' and severe anxiety. Withdraw substance? - ✔✔Opioids
The organization founded as an alternative to programs with spiritual overtones, whose publication is
called "The Small Book," is: - ✔✔Rational Recovery and SMART recovery
One of the counselor's tasks is to guide the client in relating and communicating in specific terms, rather
than in general or abstract terms. That characteristic or ability is called: - ✔✔Concreteness
One of the earliest models of case management services in the criminal justice system was created in
1972, when the White House launched a demonstration program known as: - ✔✔Treatment
Alternatives to Street Crime (TASC)
Jesus
Stress inoculation focuses primarily on: - ✔✔increasing coping skills
The CAGE test is a simple assessment that is administered to individuals with a drinking problem. The
questions on the test refer to: - ✔✔cutting down on drinking, feeling annoyed and guilty, and dealing
with hangovers
cut, annoyed, guilty, hangovers
The focus of intervention in the criminal justice system is first to - ✔✔protect the health, safety, and
welfare of the public
The description of the client's rights typically occurs during the ...... I'm rolling my eyes - ✔✔Orientation
During the intake, a counselor can expect to address all of the following
issues EXCEPT:
a. a client's fears and denial.
b. confidentiality.
c. information gathering.
d. treatment planning. - ✔✔treatment planning
A cocaine-dependent client admits being fired from his job for absenteeism, losing his home and car by
defaulting on his loans, and associating with peers who use cocaine. He states that he does not require
residential treatment because his problem is not serious enough. He further states that he has lost his
house and car because his wife didn't work enough hours. Defense mechanisms? - ✔✔Denial,
minimization, and rationalization
The primary purpose of a professional code of ethics is to: - ✔✔serve as a guide in helping clients while
behaving in a fair way to colleagues
When making a referral you should do all of the following EXCEPT:
a. share what you know about the referral agency with your client.
b. follow through with the referral agency to ensure you get your referral fee.
c. offer to make the initial contact in order to ensure that the client sees the
right person.
d. Have the client sign a release of confidentiality form before following
through with the referral. - ✔✔b. follow through with the referral agency to ensure you get your referral
fee
What situation requires a client's informed consent? - ✔✔A client reports recent child abuse
Significant others should be involved in the treatment process: - ✔✔from the client's first contact with
the treatment center
Because addictions affects so many facets of the addicted person's life ____________ promotes
recovery and enables he substance abuse client to fully integrate into society as a healthy, substancefree individual - ✔✔a comprehensive continuum of services
When assessing the signs and symptoms of alcohol withdrawal, all of the following may be noted
EXCEPT:
a. restlessness, irritability, anxiety, agitation
b. tremor, elevated heart rate, increased blood pressure
c. decreased sensitivity to sounds, oversensitivity to tactile sensations
d. decreased appetite, nausea, vomiting - ✔✔c. decreased sensitivity to sounds, oversensitivity to tactile
sensation
Your client has been advised by his sponsor to discontinue a needed antidepressant medication. You
believe this advice to be premature and possibly harmful. What action should you take as a first step? -
✔✔Obtain your client's authorization and contact the sponsor to discuss the situation further
You have assessed your client and determined that he is a problem drinker. He insists that the reason he
drinks is because of his wife's behavior. Your initial objective should be to help him - ✔✔take
responsibility for his behavior
All of the following statements about the effects of alcohol abuse on the body are true EXCEPT:
a. malnutrition can occur in drinkers who eat well-balanced diets
b. stimulation of the brain's frontal lobe can occur
c. the second stage of liver deterioration can be reversed
d. a vitamin B6 deficiency can occur - ✔✔b. stimulation of the brain's frontal lobe can occur
The interpersonal style in which a member of a minority group has made a conscious or subconscious
decision to reject general attitudes, behaviors, customs, rituals, and stereotypic behaviors associated
with his/her own minority group to assimilate into the mainstream white culture is known as: - ✔✔the
Acculturated Interpersonal Style
Despite vast personality differences, virtually all substance abusers experience: - ✔✔remorse, selfhatred, and shame
The therapeutic reasoning for self-disclosure in group counseling is to: - ✔✔facilitate the growth of the
group by relating to client or group issues
Barbiturates can be sub-classified into groups based on: - ✔✔the speed of onset and duration of the
effects
Heroin is an example of a - ✔✔semi-synthetic narcotic
apparently difference between men and women alcohol abusers - ✔✔Women more often than men will
cite a traumatic event that precipitated their drinking
Pointing out parallels between a client's interpersonal relationships and client/counselor interaction
serves to focus awareness on - ✔✔the "here and now."
Branch of pharmacology dealing with biological, biochemical, and physical characteristics of natural
drugs is - ✔✔Pharmacognosy
The term "late-onset" as it applies to chemical dependency refers to: - ✔✔elderly people who develop
chemical dependency late in life
Some populations suffer greater rates of addiction than others. The Native American population, for
example, have addiction rates of: - ✔✔>50%
The BEST way of dealing with individual needs in a group is to:
a. use the group process to share mutual concerns.
b. see the client for individual counseling outside of group.
c. conduct one-on-one sessions in the group.
d. not allow monopolizing by members in group. - ✔✔a. use the group process to share mutual concerns
A mutually-agreed-upon treatment plan should include: - ✔✔clear expectations, specific goals, and
methods of achievement
Which of the following statements about dysfunctional families is TRUE?
a. the family cannot get well until the dependent person seeks help
b. the children in a dysfunctional family can be protected from the problems caused by chemical
dependency
c. the divorce rate in dysfunctional families is highest after recovery has been initiated
d. family problems develop in the later phases of the addiction process - ✔✔c. the divorce rate in
dysfunctional families is highest after recovery has been initiated
A reward is something given for a special behavior, whereas positive reinforcement is: - ✔✔something
specifically designed to increase the occurrence of a particular behavior
patterns of disproportionate increased occurring among (around 1995 ) - ✔✔females and the young
If Seconal is taken in combination with _____ it leads to a "potentiation" of effect. Which drug will cause
this effect? - ✔✔Alcohols
To assist them in handling termination issues, effective counselors use appropriate levels of:
a. counter-transference.
b. investigation.
c. self-disclosure.
d. role-playing. - ✔✔c. self-disclosure
What is not included in ASAM categories of treatment? - ✔✔detox
The process of termination should be discussed: - ✔✔at the onset of therapy
pharmacoepidemiology - ✔✔the use and effect of drugs in societies
pharmacognosy - ✔✔drugs obtained from natural sources, such as plants, mold, etc
pharmacokinetics - ✔✔what the body does to drugs
pharmacodynamics - ✔✔what drugs do to the body
pharmacotherapeutics - ✔✔the use of drugs to treat disease
toxicology - ✔✔the study of the poisonous nature of drugs
psychopharmacology - ✔✔the scientific study of the effects of drugs on both normal and abnormal
mental functions, mood, sensation, thinking, and behavior
acetylcholine - ✔✔a major neurotransmitter responsible for the transmission of nerve impulses in the
body, including those responsible for muscle movement
agonist/antagonist - ✔✔counteracts or inhibits neurotransmitter effects on the post-synaptic cell
akathisia - ✔✔restlessness- from mild anxiety to difficulty lying or sitting still, to insomnia, often an
extrapyramidal side effect produced by neuroleptic drugs
anticholinergic - ✔✔acetylcholine blocker in the CNS and PNS
antiemetic - ✔✔aids in the prevention of nausea and vomiting
arrhythmia - ✔✔atypical heart rhythm
arthalgia - ✔✔joint pain
ataxia - ✔✔loss of muscle coordination, especially voluntary muscles
athetosis - ✔✔continuous slow, involuntary, writhing movements (sometimes drug induced)
autonomic - ✔✔that portion of the nervous system outside voluntary control
ballismus - ✔✔violent flinging movemements of one or more limbs of body parts
bradycardia - ✔✔unusually slow heartbeat
bradyphrenia - ✔✔slowness of thought
campral - ✔✔drug for alcohol abuse- affects calcium channels and transmission along GABA and
glutamine pathways- reduce positive reinforcement and minimize withdrawal cravings
chorea - ✔✔non-rhythmic, involuntary, brief, unexpected jerking movements that flow from one body
part to another (sometimes drug-induced)
cortex (cerebral) - ✔✔the outer-most layer of the brain, substantially responsible for higher functions,
such as movement, memory, though and reasoning
another word for tolerance - ✔✔counter-adaption
creatinine - ✔✔a metabolic byproduct in the urine indicative of kidney function and health
diaphoresis - ✔✔profuse sweating, even when cool or cold to the touch ("cold sweat"), often indicative
of physiological or emotional stress
dysphagia - ✔✔difficulty swallowing
dyskinesia - ✔✔impaired or failing voluntary muscle control evidenced by grimacing, twitching, etc.
dystonia - ✔✔involuntary muscle contractions and spasms that result in repetitive, twisting body
movements and awkward postures
extrapyramidal syndrome - ✔✔a constellation of physical symptoms, including akathisia, bradyphrenia,
dystonia, tremor, slurred speech, anxiety and paranoia- primarily associated with irregular reactions to
or improper dosing of antipsychotic medications
GABA - ✔✔gamma amino butyric acid- a major neurotransmitter that serves to slow nerve activity in the
brain
hypertension - ✔✔high blood pressure
interference therapy - ✔✔treatment that reduces an abused drug capacity to produce intensely
pleasurable effects
limbic system - ✔✔cerebral structures associated with regulation of mood and emotion
MAOIs - ✔✔monoamine oxidase inhibitors; when taking must avoid foods high in Tyramine (aged
cheese, cured meats, wine, chocolate, etc.) which can result in a hypertensive crisis
semisynthetic narcotics - ✔✔etorphine, heroin, hydromorphone, meperidine, oxycoddone
symptoms of serotonin syndrome - ✔✔agitation, diaphoresis, fe
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