AUSAP Substance Use

What would be the addiction counselors case management responsibilities for a client who is lacking job skills?
A. Help the client write a resume.
B. refer the client for vocational counseling. 
C. take an employment history.
D. Help the client set up a job interview.
E. assess the clients employment skills.

Which of the following is the best way to communicate concern and caring for the client.
A. frequently reassuring the client.
B. Use of self disclosure.
C. demonstrating unconditional positive regard.
D. use of affectionate gestures.

Which words best characterize the changes that occur in an alcohol or drug abusers relationship with family, friends, and society as a result of the substance abuse?
A. immorality and sexual acting out.
B. independence and self-reliance.
C. generous and fun loving.
D. contempt and hostility.
E. Withdrawal and isolation. 

During a session you notice that the client is getting progressively more agitated. You suspect a potential for violence unless something is done immediately. Your best course of action would be. 
A. summarize the inappropriateness of the clients feelings.
B. instruct the client in relaxation techniques. 
C. call for assistance.
D. confront the clients behavior.
E. continue trying to solve problem.

The provision of information concerning alcohol and other drug abuse and the available service and resources, is termed.
A. consultation
B. crisis intervention
C. case management
D. client education

A heavy barbiturate user who has steadily increased usage over many months realizes that it takes a lot of alcohol to get a "buzz". What pharmacological process does this illustrate? 
A. potentiation
B. decreased tolerance.
C. substitution
D. paradoxical effect
E. increased tolerance

Which of the following statements are true?
A. There is no need for a counselor to assist a client in making the initial referral contact once the client needs to be self-motivated to seek help
B. knowledge of alternative resources is not important for counselors
C. Counselors should visit facilities to which they frequently make referrals.
D. A referral to an outside resource should be made only when there is a crisis.

When entering progress notes in the clinical record, the counselor must include all of the following, except:
A. Description of any changes in the condition of the client.
B. the clients current status.
C. interpretations of progress without reference to directly observed behaviors.
D. interventions utilized by staff.
E. chronological documentation.

Which of the following drugs is not associated with physical withdrawal?
A. narcotics and synthetic narcotics.
B. barbiturates. 
C. minor tranquilizers.
D. hallucinogens
E. All of the above

Which of the following would be considered a consultation?
A. an in-house staffing where client cases are reviewed.
B. an individual session with counselor and supervisor.
C. A meeting with probation officer.
D. case discussion with the agency psychiatrist.
E. All of the above.

In 1985, the issue of AIDS was targeted as a top priority for training and assistance to:
A. drug abuse treatment professionals
B. Sexual abuse counselors
C. Medical professionals
D. All human services counselors.
E. counselors working with gay/lesbian populations

A professional discipline is defined by:
A. A common body of knowledge
B. A code of ethics.
C. A concern for their peers
D. All of the above.
E. none of the above.

Its important to consider the attributes that a dependent individual brings from the special population he ore she identifies with because:
A. Such views influence the definition of dependence.
B. such views influence the treatment outcome
C.  such views influence the likelihood of long-term sobriety. 
D. All of the above.
E. none of the above.

The word "abnormal" literally means behavior that:
A. interferes with the well-being of the individual.
B. is "away from the normal"
C. is odd.
D. Deviates from societies norms
E. is undesirable

An inpatient medical unit is appropriate for treating an alcoholic who: 
A. has experienced seizures.
B. has no support system.
C. has experienced blackouts.
D. Has recently been arrested for felony offence.
E. drinks daily and has missed work

Chemical dependency effects people with varied personalities, cultures and lifestyles. To be effective in counseling these diverse populations, a counselor must:
A. understand his/her perceptions of addiction and realize that perceptions of others may differ.
B. Both A & C
C. understand that external sociopolitical forces have limited influence on, culturally different groups. 
D. Both A & B
E. understand that skills, methods and goals need to be appropriate for the experience and lifestyle of the culturally different client. 

Five basic counseling styles have been identified that define how a non-minority counselor might deal with a minority client. The style of counseling in which a counselor acts out the deep-seated prejudices that he/she has toward a minority group is known as:
A. The "Culturally-Liberated" Counselor
B.  Overt Racism and Hostility.
C.  Cultural Ignorance.
D.  The ""Color-Blind" Counselor.
E.  Covert Prejudice.

The term ""freebasing"" refers to:
A. snorting cocaine
B. mixing cocaine with heroin
C. withdrawing from cocaine
D. smoking cocaine that has been processed
E. sterilizing a needle prior to injection

In a dysfunctional family system, the role which the eldest child generally plays is referred to as:
A. The Lost Child.
B. The Mascot.
C. The Primary Enabler.
D. The Scapegoat.
E. The Hero.

Substances which can alter the normal course of body functions, including thoughts, moods and emotions are called:
A. vitamins.
B. nutrients.
C. psychoactive drugs.
D. medicines.
E. drugs.

When assessing a client's past and present cocaine use, which of the following would indicate chronic abuse?
A. all of the above
B. paranoia
C. insomnia and irritability
D. compulsive use and loss of control
E. problems with headaches, coughing and nosebleeds

In an initial interview, a client complains of extreme constipation and poor appetite. Such symptoms may point to addiction to which of the following drugs?
A. narcotics
B. alcohol
C. amphetamines
D. diazepam
E. non-barbiturate sedatives

Counselors who recognize that certain clinical problems continually upset them should consider which of the following?
A. seek clinical supervision
B. refer clients with these problems to other counselors
C. re-evaluate their expectations
D. explore their feelings with the client
E. seek specialized training

The first contact that a potential client would have with an agency would likely be for the purpose of:
A. psycho-social assessment
B. education
C. treatment planning
D. screening
E. family therapy

The intake process involves:
A. completing the initial procedures for admission to a program
B. making referrals to outside agencies
C. collaborating with other professionals
D. development of a treatment plan
E. all of the above

The description of the client's rights typically occurs during the:
A.  orientation
B. referral
C. assessment
D. screening
E. intake

Of the following problems presented by an alcoholic or addicted client during an initial interview, which is most important as it applies to counseling?
A. he cannot admit his alcoholism/addiction
B. he is heavily in debt
C. all of his friends are heavy drinker/drug users
D. he has a poor family support system
E. he was arrested for drunk driving

When alcohol and barbiturates are taken together, what pharmacological effect are they likely to have?
A. protagonistic
B. antagonistic
C. synergistic
D. additive
E. tolerance

Experts refer to three stages of effective treatment for alcohol and drug problems. The first stage consists of medical-physical interventions, the second and third stages are:
A. skill development and reinforcement
B. family therapy and A.A./N.A
C. after care and A.A./N.A. meetings.
D. vocational counseling and after care
E. psycho-social rehabilitation and after care

The most important criteria for client inclusion in group counseling is:
A. motivation
B. prior experience in individual counseling
C. limited insight capability
D. interpersonal problems only
E. prior experience in group counseling

Spouses of active alcoholics who do not receive treatment experience all of the following except:
A. greater skills at independent living than spouses of non-alcoholics
B. greater problems with co-workers than spouses of non-alcoholics
C. greater incidence of physical illnesses than spouses of non-alcoholics
D. greater incidence of chemical dependency than spouses of non-alcoholics
E. greater incidence of depression than spouses of non-alcoholics

For the counselor, ""self -knowledge is important
because:        

A.     the counselor can then work to resolve his/her
own vulnerable areas   
B.     the counselor can then treat every client             
C.     the counselor can then disclose their personal
issues to clients 
D.     the counselor cannot become emotionally affected
by a client  
E.      none of the above

During the screening process, a critical task that the
counselor has is to:

A.      establish rapport with the client               
B.      complete a mental status exam               
C.       consult with colleagues
D.      develop a treatment plan           
E.      engage the client's family in treatment 

The completion of various forms, including releases of information, financial, and consent for treatment, happens during the client's:
A. orientation
B. intake
C. case review
D. psycho-social assessment
E. discharge

The orientation process includes:
A. providing the client with the information about the nature and goals of the treatment program
B. collecting a substance abuse history from the client
C. providing the client with information about addiction
D. determining a client's eligibility for admission
E. all of the above

The method by which disulfiram (Antabuse) acts to deter the consumption of alcohol is:
A. by decreasing the body's ability to break down poisonous metabolites of alcohol
B. by decreasing the ability of alcohol to effect the brain and lead to intoxication
C. by increasing the rate at which alcohol is metabolized, thereby shortening the period of intoxication
D. by increasing adrenal gland output of adrenalin, causing flushing, difficulty breathing and dizziness, which causes the patient to get scared
E. none of the above.

The majority of Americans use drugs to:
A. have fun.
B. work longer and harder.
C. cope with stress.
D. none of the above.
E. All of the above.

When conducting an assessment, what is the counselor's primary focus?
A. identifying the client's problems and needs, strengths and weaknesses
B. confronting the client's denial
C. explaining the rules of the program
D. exploring treatment options
E. having the client sign Release of Information forms

Which of the following is an essential treatment goal during the first two to four weeks of sobriety?
A. understanding one's family dynamics
B. securing employment
C. developing new peer relationships
D. physical withdrawal from non-essential mood altering drugs
E. resolving residual grief

In the first stage of group development, the group focuses on:
A. conflict between group members
B. establishing a social pecking order
C. negative comments and criticism
D. acceptance and approval issues
E. dominance and control

As an alcoholic's or addict's chemical use progresses, he/she:
A. is overwhelmed by an upsurge of emotions
B. progressively loses touch with his/her emotional life
C. become increasingly aware of feelings that are now disinhibited by the drug
D. is out of touch with feelings only when he/she is drinking or using
E. loses touch with negative emotions

A counselor best communicates a non-judgmental attitude by:
A. self-disclosures
B. offering frequent reassurance
C. non-verbal behavior
D. direct confrontations
E. analytic interpretations

The most essential ingredient in the case management process is:
A. the counselor's progress notes
B. the after care treatment plan
C. the discharge summary
D. the social history
E. the mental status exam

A client informs you that he has frequent thoughts and plans of suicide. He says however, that if you tell anyone, he will definitely carry out the plan. As a counselor, you should:
A. have him sign a release so his family can be notified
B. formulate a protective treatment plan
C. recommend hospitalization
D. convince him that he is irrational
E. conduct a family intervention

Codeine, morphine and opium fall under which of the following drug classifications?
A. hallucinogens
B. narcotics
C. stimulants
D. inhalants
E. depressants

Client education is usually provided in all of the following ways, except:
A. films or videotapes
B. formal classes
C. self-help group lists
D. uncovering the client's feelings about his/her addiction
E. reading materials

Referral pertains to:
A. attending an A.A. or N.A. meeting with a client
B. identifying and ranking problems
C. providing drug and alcohol information to clients
D. assisting a client to utilize the support systems and community resources available
E. meeting with other professionals for discussions and planning

A ""Release of Information"" form must include, in addition to the client's name, address and date of birth, which of the following?
A. the client's ethnic background
B. the purpose of the release of information
C. the client's social security number
D. the staff member's social security number
E. a signature by a medical doctor

What are some of the effects of heroin use?

A. relaxation, exaggerated laughter, altered sense of time
B. increased energy and alertness, loss of appetite
C. rapid pulse, headaches, loss of appetite
D. changes in sensation, hallucinations, illusions
E. euphoria followed by ""nodding"" and possible nausea

Relating with in-house and other professionals to assure comprehensive, quality care for the client describes the process of:

A. client education
B. referral
C. consultation
D. assessment
E. counseling

A major concern regarding AIDS and IV drug users is:

A. Direct transmission.
B. Indirect transmission.
C. Impaired judgment leading to risk behaviors.
D. None of the above are true.
E. All of the above are true.

Which of the following does not define ethics?

A. Principles of morality.
B. The science of the good.
C. Rules of conduct.
D. The nature of the right.
E. The legal issues of counseling.

When developing treatment needs for any individual, a therapist must take into account how a person ___, ___ and ___in order to effect change.

A. learns, tries, does.
B. acts, reacts, and changes.
C. thinks, feels, and behaves.
D. understands, learns, chooses.
E. All of the above are correct.

According to recent studies, what percentage of chemically dependent clients also suffer from an underlying psychiatric disorder?

A. 50%
B. 20%
C. 65%
D. 45%
E. 80%

The use of a drug in some socially prescribed fashion is referred to as:

A. drug therapy.
B. drug use.
C. drug abuse.
D. drug misuse.
E. drug dependence.

Which of the following terms refers to a mental condition of relatively short duration?

A. responsive.
B. acute
C. chronic.
D. episodic.
E. factitious.

Hippocrates erroneously held which of the following beliefs?

A. Heredity may cause mental abnormality.
B. There are basically four types of body fluids which determine mental functioning.
C. Head injuries may cause sensory and motor disorders.
D. The brain is the central organ of human activity.
E. Dreams are important in understanding the personality.

Multi-cultural means:

A. living in a country with more than one cultural orientation.
B. understanding more than one culture AND growing up with more than one cultural orientation.
C. growing up with more than one cultural orientation
D. understanding more than one culture AND living in a country with more than one cultural orientation.
E. understanding more than one culture.

An example of drug misuse would be:


A. taking prescribed medicines under a doctors care.
B. combining alcohol with other depressant drugs.
C. using small amounts of alcohol to aid sleep.
D. all of the above.
E. none of the above.

The interpersonal style in which a member of a minority group is neither accepting nor rejecting of his/her cultural identity is known as:

A. The Traditional Interpersonal Style.
B. The Acculturated Interpersonal Style.
C. The Bi-Cultural Interpersonal Style.
D. The Cultural-Immersed interpersonal Style.
E. None of the above.

In a dysfunctional family system, the role which the youngest child generally plays is referred to as:

A. The Lost Child.
B. The Primary Enabler.
C. The Hero.
D. The Mascot.
E. The Scapegoat.

Narcotic drugs:

A. kill pain.
B. depress the central nervous system.
C. induce sleep.
D. none of the above.
E. all of the above

Why do counselors benefit from having a theoretical basis from which to work?

A. They find it easier to show empathy
B. The are more likely to gain the respect of the client
C. They find it easier to organize information that may help improve performance
D. They can effectively deal with transferential issues
E. They are better equipped to diagnose drug dependence