Health Care > QUESTIONS & ANSWERS > LADC exam Questions with accurate answers, rated A+ (All)
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 pret... reatment 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 [Show More]
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