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IC RC ADC Exam Questions
Page 1 of 40
1.
Which of the following MOST corresponds to in vivo supervision?
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Alternating between teaching techniques and observing the supervisee in their work
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Creating a plan for a supervisee that involves psychoeducation
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Recording an interaction between a client and a supervisee
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Reading the detailed notes of a supervisee's whole day in the job setting
Correct answer: Alternating between teaching techniques and observing the supervisee in their work
In vivo supervision is distinguished from other kinds of supervision in that it calls for the supervisor to directly observe the supervisee in their setting. For example, a supervisor might alternate between teaching techniques and observing the supervisee in their work. Though a supervisor should definitely read the supervisee's documentation and provide feedback, this is not a live observation nor, strictly speaking, a recorded interaction. Psychoeducation, though valuable, is more a technique for clients in which a counselor provides information that the client might find therapeutic.
2.
According to research, about how many counselors engage in hugging, kissing, and affectionate touch with clients?
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59 percent
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39 percent
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19 percent
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69 percent
Correct answer: 59 percent
The substance-use field is more prone to engage in hugging, kissing, and affectionate touch between counselors and clients. Research shows that 59 percent of counselors engage in this behavior. The vulnerability of both clients and counselors in this regard is obvious, and all touch in a therapeutic context should be carefully considered. Particularly in the complicated nature of substance-using clients, in which trauma and soothing can contribute to their issues, all touch between clients and counselors should be evaluted for its therapeutic meaning.
3.
Which of the following is the term for the way a drug enters the bloodstream?
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Route of administration
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Route of contact
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Means of contact
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Means of administration
Correct answer: Route of administration
The way a drug enters the bloodstream and begins to affect distal organ systems is called the route of administration. For example, a drug can be smoked, injected, eaten, and so on. This route of administration has implications for many areas of treatment, such as level of intoxication, speed of intoxication, and consequences related to route.
4.
Which of the following is a common early risk to client adherence to treatment?
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Lack of early success
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Lack of therapeutic theory
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Lack of treatment planning
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Lack of accountability
Correct answer: Lack of early success
A common early risk to client adherence to substance abuse treatment is lack of early success in meeting initial treatment goals, which leads to discouragement and dropout. This is in keeping with other threats of relapse in early treatment.
This factor is more common in early treatment than a lack of therapeutic theory, treatment planning, or accountability.
5.
Which of the following is TRUE according to the disease model?
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People with addiction problems respond differently to substances than those without these problems
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People with addiction problems respond to substances in ways similar to those without these problems
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People with addiction problems have less sensitivity to substances than those without these problems
Correct answer: People with addiction problems respond differently to substances than those without these problems
According to the disease model, people with addiction problems respond differently to substances than those without addiction problems.
This model does not suggest that people with addiction problems respond in ways similar to those without these problems, or that people with addiction problems have less sensitivity to substances than those without these problems.
6.
What is the purpose of "double trouble" 12-step meetings?
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To help address co-occurring disorders
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To help address those addicted to two or more substances
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To help address adolescent behavior
Correct answer: To help address co-occurring disorders
Double trouble 12-step meetings help address the needs of those who suffer from co-occurring disorders. In traditional AA meetings, the focus tends to be exclusively on the addiction problem at hand.
7.
About how many stimulant-using males report sexual acting-out behaviors?
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50%
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20%
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10%
Correct answer: 50%
About 50% of stimulant-using males report sexual acting-out behaviors of various kinds as a side effect or intended outcome of the use of stimulants. These behaviors can result in a binge loop of stimulant use and hypersexuality.
8.
Are arguments with patients sometimes acceptable in the course of substance abuse treatment?
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No
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Yes, it is expected during early treatment
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Only if the client begins the confrontation
Correct answer: No
Under no circumstances is it acceptable or useful to engage in an adversarial argument with a patient in treatment for substance use disorders. Among other issues, this risks the therapeutic relationship and establishes a relational style that is adversarial rather than therapeutic. The only thing to be settled in such arguments, if anything, is a temporary sense of satisfaction.
9.
Who is responsible in a legal sense for the supervisee's conduct in their profession?
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The supervisor in all circumstances
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The supervisee in all circumstances
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The supervisor in some circumstances
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The supervisee in most circumstances
Correct answer: The supervisor in all circumstances
In a legal sense, it is generally considered that the supervisor is ultimately responsible for the client's clinical conduct in all circumstances. Though the supervisee may bear immediate responsibility, the nature of the supervisory relationship implies overall responsibility for the work of supervisees.
10.
What is the expectation of counselors with respect to allegations of impropriety among supervisees?
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Supervisors have overall responsibility for any such allegations
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Supervisors have no responsibility for any such allegations
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Responsibility for any such allegations is a matter of organizational policy
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Responsibility for any such allegations is a matter for state boards
Correct answer: Supervisors have overall responsibility for any such allegations
In addition to any specifics about supervisee impropriety with respect to organizational policy, supervisors bear overall responsibility for allegations of impropriety among supervisees. This includes any corrective action specific to the supervisor-supervisee relationship, documentation of such action, and follow-up. The supervisory relationship takes place in the context of overall approval by a state behavioral sciences regulatory board.
11.
Which of the following is the BEST definition of responsible drinking?
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Drinking that puts no one at risk
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Drinking within limits set by the therapist
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Drinking within limits set by the family
Correct answer: Drinking that puts no one at risk
Responsible drinking is drinking that puts no one at risk and that brings out positive effects. It is a pattern of good decisions made by the user and is not enacted within limits set by the therapist or family. Responsible drinking is characterized overall by a lack of negative consequences for anyone.
12.
What has been the MAIN traditional stigma surrounding people with severe substance use disorders?
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That they are fundamentally untreatable
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That they are criminals
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That they have serious psychiatric problems
Correct answer: That they are fundamentally untreatable
The traditional stigma surrounding people with severe substance use disorders is that they are fundamentally untreatable. This untrue idea is based on the traditional perception of these individuals as suffering from a defect in character.
The main stigma has not been that these clients are criminals or that they have severe psychiatric problems.
13.
Can a person with significant drinking problems ever return to moderate drinking?
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The issue is deeply controversial and not settled
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No, under no circumstances
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Yes, in most cases
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Yes, with proper support, recovery, and supervision
Correct answer: The issue is deeply controversial and not settled
The issue of whether a person with significant drinking problems can ever return to moderate drinking is a deeply controversial one, inspiring much heated debate. On the one hand are those who say this is essentially what recovery means: to return to a previous level of functioning in life, including recreational use of alcohol. On the other hand is the position that the brain has essentially changed if an addiction to alcohol is present, necessitating lifelong abstinence. The best course of action for clinicians is to keep up to date on the current thinking from all perspectives and concentrate on providing the best care possible to individual clients based on their unique circumstances.
14.
Which of the following technically refers to slipping backward into an earlier stage of change?
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Relapse
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Precontemplation
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Action
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Contemplation
Correct answer: Relapse
Relapse is not actually a stage of change, but the process of going backward rather than forward or maintaining the current stage.
Precontemplation is the first stage in the stages-of-change model. It describes the situation that exists before the client realizes they have a problem, but while those around the client are aware of a problem. Contemplation is the next stage, involving a high degree of ambivalence about whether change is necessary or desirable. Preparation, the next stage, involves the client making the first steps toward change without really changing anything. The Action stage follows, in which concrete steps are taken. Maintenance follows, in which gains are consolidated.
Relapse can happen at any stage and is technically a return to an earlier stage of change.
15.
Which of the following is a major concern with competency assessments in supervision?
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They are usually incomplete
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They lack accountability
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They imply incompetence
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They pose ethical problems
Correct answer: They are usually incomplete
One major concern with competency assessments in supervision is that these assessments tend to be incomplete. There are so many elements that go into a supervisee's performance, and these are so much in flux, that there is usually not enough information to form a completely accurate appraisal of competency.
There are not usually concerns with accountability, the implication of incompetence, or ethical problems with competency assessments in supervision.
16.
What does reciprocal relapse mean in substance-use treatment?
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Relapse in one issue provokes relapse in another
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Two issues relapse at the same time
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Improvement in one issue provokes relapse in another
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Improvement in two issues spontaneously changes to relapse
Correct answer: Relapse in one issue provokes relapse in another
Often clients who have two or more co-occurring psychiatric conditions, including substance use, experience reciprocal relapse. No matter what drives the initial relapse in one of their issues, reciprocal relapse means the relapse continues into other psychiatric issues under treatment. For example, a person who is taking antidepressants and recovering from cocaine use might decide to stop pursuing antidepressant treatment and then relapse into cocaine use.
If two issues relapse at the same time, this is not reciprocal. The important point about reciprocal relapse is not what causes it but the pattern of successive relapse. Improvement can spontaneously change to relapse, but this is not reciprocal.
17.
Which of the following is the MOST health-threatening period of stimulant use?
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Acute intoxication
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Withdrawal
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The "crash"
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Administration
Correct answer: Acute intoxication
Acute intoxication is considered to be the most health-threatening period of stimulant use, both behaviorally and physiologically. It is during acute intoxication that the psychological risks associated with stimulant use are most likely to occur.
The other periods listed, though involving some risk, are not as health-threatening as the period of acute intoxication.
18.
Is it necessary to identify oneself as an addict or alcoholic to improve?
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Yes, in some paradigms of recovery
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No, under no circumstances
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Yes, in all circumstances
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No, unless the issue is very severe
Correct answer: Yes, in some paradigms of recovery
There is a broad array of treatment paradigms for dealing with substance-use issues. In many of them, such as harm reduction, the question of whether identifying oneself as an addict or alcoholic is necessary may not emerge. In others, such as most 12-step programs, this identification is viewed as the first step toward recovery.
19.
Should one address goals for issues other than substance abuse in substance abuse treatment planning?
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Yes, if the issues are significant
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No, under no circumstances
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Yes, if the client's family suggests it
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No, unless the client insists
Correct answer: Yes, if the issues are significant
Goal-setting in substance abuse treatment is aimed at meeting a client where they are. Quite often, clients are experiencing a cascade of difficulties resulting from their substance abuse problem. Though many of these issues will resolve as the substance abuse issue resolves, it is important to engage with these issues in goal-setting according to their significance.
The client's family and the client's insistence are not the most important factors in this regard.
20.
Which of the following stages of change involves a decision to change, but no concrete steps?
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Preparation
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Precontemplation
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Contemplation
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Action
Correct answer: Preparation
Preparation involves the client making the first steps toward change without really changing anything.
Precontemplation is the first stage in the stages-of-change model. It describes the situation that exists before the client realizes they have a problem, but while those around the client are aware of a problem. Contemplation is the next stage, involving a high degree of ambivalence about whether change is necessary or desirable. Preparation, the next stage, involves the client making the first steps toward change without really changing anything. The Action stage follows, in which concrete steps are taken. Maintenance follows, in which gains are consolidated. Relapse can happen at any stage and is technically a return to an earlier stage of change.