Question 1

A heroin addict has been sentenced to a halfway house after being released from a one-year jail term. He has a history of many arrests and long term drug usage. What are the best strategies to follow to promote his continued chemical abstinence? Choose all that apply.

Accepted Answer

A)  Enroll him in a methadone program
B)  Take unscheduled urine samples and give him one relapse chance
C)  Require weekly attendance to NA meetings and counseling
D)  None of the above B,C

Question 2

What are the reasons to include the precipitating event included in the treatment plan?

Accepted Answer

A)  It helps to justify the reason for treatment.
B)  It can be used if needed to confront client with the need for treatment.
C)  It serves as the element that begins treatment.
D)  It is not necessary to include the precipitating events in the treatment plan. D

Question 3

A 6-month study will compare clinical case management to other types of case management. Which of the following factors is least helpful to include in the analysis?

Accepted Answer

A)  Alcohol use
B)  Medical status
C)  Family relations
D)  Financial status D

Question 4

A former client called. He is 71 and has been sober for five years. He reports he binged with a quart of vodka last night but he is not drinking now. What should be done first?

Accepted Answer

A)  Have the former client call AA immediately.
B)  Send an ambulance to pick him up to be medically assessed.
C)  Talk to him about reentering treatment.
D)  Schedule a TLFD to establish the pattern and intensity of the relapse.

Question 5

An assessment is a collaboration involving the counselor and the client during which information is gathered and interpreted for the purpose of planning treatment and evaluation progress. What tool is not utilized?

Accepted Answer

A)  Laboratory tests
B)  Interviews
C)  The Big Book of Alcoholics Anonymous
D)  Counselor's observations

Question 6

In a family the only worker, the father, after staying sober for a span of six months following inpatient treatment relapsed following a surgical procedure. What type of treatment is most appropriate for him?

Accepted Answer

A)  Outpatient Treatment
B)  Intensive Outpatient Treatment
C)  Inpatient Treatment
D)  Chemical Substitution Program

Question 7

Why is it necessary to include goals in the written assessment?

Accepted Answer

A)  They are the objectives the client wishes to achieve when leaving treatment.
B)  These are the goals criminal justice system demands of a client when being forced to enter treatment instead of going to jail.
C)  These are the goals the counselor and client determine that needs to be worked on while in treatment.
D)  These are the goals the staff determines that have been achieved in the first two weeks that allows him to stay in treatment.

Question 8

A client's treatment plan contains a list of strengths and weaknesses such as homeless, limited medical resources, and bachelors degree. Which would NOT be considered a weakness?

Accepted Answer

A)  Strong family support
B)  Physical impairments
C)  Motivated to complete treatment
D)  Limited social support

Question 9

When is a treatment plan due?

Accepted Answer

A)  On the day of discharge.
B)  Two weeks after discharge.
C)  One week after a client admits to the group that the person is an alcoholic or an addict.
D)  None of the above.

Question 10

Case management supports clients through all phases of treatment. Which term is not considered a case management consideration?

Accepted Answer

A)  Medical Status.
B)  Employment.
C)  Religions affiliation.
D)  Legal status.

Question 11

Which state is not appropriate for the reason to go into treatment?

Accepted Answer

A)  When there are numerous other events indicating alcoholism abuse.
B)  When a family member believes the client needs and the resource is available.
C)  When legal problems related to alcohol abuse is escalating.
D)  When there have been emergency admissions recently indicating a pattern is developing.

Question 12

A strategy is a stratagem included in a treatment plan. Which statement best describes that concept?

Accepted Answer

A)  This describes the various ploys employed by a client trying to cover up substance abuse behavior justice department might be interested in.
B)  A term used to describe a client's attempt to divert attention away from an issue he did not want to deal with would said to be using strategies.
C)  Strategies are the techniques used to achieve the treatment plan objectives.
D)  A strategy employed by clients to get more drugs while in treatment.

Question 13

A woman calls from a seedy part of the city saying she needs treatment and gives insurance information and her address. Two staff members go to pick her up; but she refuses to leave the room. During the conversation she reveals she is a history professor from out of town, divorced with no children and sober for thirty nine years. She demands that we leave, saying she has changed her mind. She becomes increasingly hostile. What should be done?

Accepted Answer

A)  Leave a card, leave and say a prayer for her safety.
B)  Don't leave, wait her out, at some point she may give up.
C)  Supply her with booze until she passes out; then take her to the clinic.
D)  Call the police complaining about the noise and the drunken woman that has threatened to do harm. When the police arrive explain the situation, that the woman may harm self or others and suggest the police give the woman the choice of being taking to the precinct and jailed for assessment or to the clinic you represent.

Question 14

A client that is suspected of being suicidal is often given which two of the tests below?

Accepted Answer

A)  The Mental Status Exam
B)  The Strong Interest Inventory
C)  The Beck Depression Inventory 11
D)  Family Tree Questionnaire

Question 15

Which of these statements would not considered a strategy.

Accepted Answer

A)  Attend NA meetings with other teens to discover the pros and cons of using drugs.
B)  Attend AA meetings while in treatment to decide if you are an alcoholic.
C)  Attend the family gets together this weekend without drugging to see if you can go without having arguments with others.
D)  Abstain from drinking until after 4 PM on weekends.

Question 16

Who is involved in treatment planning? Choose those that apply.

Accepted Answer

A)  The treatment center directory.
B)  The counselor.
C)  The client.

Question 17

Case management is one of the twelve cores brought together to provide services to clients. Which is not considered a case management approach?

Accepted Answer

A)  Criminal Justice.
B)  Substance Abuse.
C)  Mental Health.
D)  Social services.

Question 18

A sixty year old woman is brought to the clinic by the police after being drunk and disorderly. She agrees to be assessed for appropriate treatment. She claims she has been sober for thirty-nine years, and is a history professor who has recently lost her husband. What are the two reasons to mark a suicide risk on her file?

Accepted Answer

A)  The loss of her husband.
B)  A relapse following long term sobriety.
C)  The threat of physical withdrawal.
D)  Being picked up by the police in a seedy neighborhood.

Question 19

A long-term heroin addict has been picked up for the third time for breaking and entering. There is no insurance to cover treatment and he does not have a job. What is the best option for him?

Accepted Answer

A)  Recommend that he plead guilty so he can get clean in prison
B)  Refer him to a methadone program
C)  Tell his legal counsel to take a plea deal for commitment into a rehab program
D)  None of the above

Question 20

What does the problem statement, family enmeshment, indicate to a counselor?

Accepted Answer

A)  The family is close and will provide appropriate support related to client's recovery.
B)  There is a considerate amount of brown grass apparent in the client's yard indicating soil disease.
C)  The family members have been affected by the substance abuse of the client.

Exam 4: Treatment Plan