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Quiz Session - Attempts With Random Questions

IC RC ADC Exam Questions

Page 10 of 40

181.

Which of the following would NOT be used to manage alcohol withdrawal?

  • Naltrexone

  • Valium

  • Ativan

Correct answer: Naltrexone

Naltrexone would not be used to manage alcohol withdrawal, as it is not in the same class as alcohol and would have no mitigating effect on the symptoms.

Valium and Ativan would both be indicated for this use.

182.

When does relapse start? 

  • Long before use occurs 

  • When use occurs 

  • After use occurs 

  • When treatment begins 

Correct answer: Long before use occurs 

It is a misconception that relapse occurs when use occurs. Relapse is best understood as a process that starts long before use, with unmanageable thoughts and failed coping strategies. Relapse is a process in which use is the end rather than the beginning. 

Treatment is not the beginning of relapse but of recovery. 

183.

Which of the following is NOT a benefit of removing intoxicants from the family home of a substance abusing client?

  • It establishes recovery

  • It builds solidarity

  • It buys time

Correct answer: It establishes recovery

The establishment of recovery is a complicated process involving time, effort, and planning. Removing intoxicants from the family home will aid in this process, but recovery will not be a result of this strategy alone.

Removing intoxicants from the home can build solidarity among family members as they symbolically and practically accompany the client in their recovery journey. This strategy also buys time, as the person will have the opportunity to build skills and establish success experiences more easily if the substance is not readily available.

184.

According to the disease model, what produces change in the addicted person?

  • Behavioral change by the addicted person

  • Behavioral intervention by treatment professionals

  • Psychopharmacology in the proper dosage

Correct answer: Behavioral change by the addicted person

According to the disease model, the thing that produces change in addicted people is behavioral change. This is a far more significant factor in establishing lasting improvement than any intervention by treatment professionals or the timely intervention of psychopharmacology.

185.

Which of the following is used to treat alcohol dependence?

  • Acamprosate

  • Lithium

  • Klonopin

Correct answer: Acamprosate

Acamprosate is a drug used to treat alcohol dependence by reducing the desire to drink alcohol, as opposed to other drugs whose action would be to induce negative physical effects upon consumption of alcohol.

Lithium and Klonopin are not used to treat alcohol dependence. They are used to treat mood disorders and anxiety, respectively.

186.

What is the BEST course to take with ambivalence in early substance abuse treatment?

  • Normalize it

  • Ignore it

  • Confront it

  • Acknowledge it

Correct answer: Normalize it

Transference issues are common in treatment, and they contribute to the complexity of ambivalence in patients. It is best to normalize this feeling, bringing it out into the open and addressing it so that the patient does not act on these mixed feelings without guidance.

Ignoring or confronting ambivalence is not likely to be useful. Simply acknowledging it does not educate the patient about its normalcy.

187.

Which of the following is TRUE regarding the participation of people with personality disorders in 12-step programs?

  • They often do better in 12-step programs than in individual treatment

  • They do not benefit from 12-step programs

  • They often refuse to participate in 12-step programs

  • They do about as well in 12-step programs as in others

Correct answer: They often do better in 12-step programs than in individual treatment

People with personality disorders often do better in 12-step programs than they do in individual treatment, as the transference factors are minimized and deficits in relational ability are diffused.

188.

In general, how does sexual misconduct take place between clients and counselors? 

  • It is a result of a long process 

  • It is a sudden, impulsive mistake 

  • It is an expression of psychopathology 

  • It is an expression of transference 

Correct answer: It is a result of a long process 

Studies have shown that sexual misconduct between clients and counselors takes place, in general, as the end of a long process between the two participants in which both play a role. It is not usually a snap decision based on impulsivity. This kind of misconduct may or may not occur due to transference and is a completely normal, if unethical, expression of human relational dynamics: bad choices and not pathology drive it.

189.

Which of the following is a reason why some patients only partially improve on buprenorphine?

  • The dose ceiling

  • The means of administration

  • The quantities available

Correct answer: The dose ceiling

Buprenorphine has a dose ceiling, meaning that there is a maximum safe application of the drug. This is problematic for long-term opioid users who may have a greater tolerance.

The means of administration and the quantities available are not problematic with respect to buprenorphine.

190.

Which should come first, changes to family systems or changes to substance-using behavior? 

  • Changes to substance-using behavior must occur first 

  • Changes to family systems must occur first 

  • Both changes must occur simultaneously 

  • Neither set of changes takes precedence over the other 

Correct answer: Changes to substance-using behavior must occur first 

According to research and practice, when a family system is struggling with a substance-using member, the first change that must occur is a change in the substance-using behavior. This is because it is highly likely that the family system has grown around the behavior, and the behavior must change before the family can change in a healthy way to support the substance user's recovery.

191.

Why is Rohypnol described as a "date rape drug"?

  • It induces amnesia

  • It loosens inhibitions

  • It induces euphoria

  • Its onset is quick

Correct answer: It induces amnesia

Rohypnol is described as a "date rape drug" because it induces amnesia in the user. It does not necessarily loosen inhibitions or induce euphoria, and its onset is unremarkable within its class.

192.

Which of the following MOST accurately describes the proportion of substance-using clients who have antisocial and narcissistic traits?

  • These traits exist in only a small minority of the clinical population 

  • These traits characterize the vast majority of the clinical population 

  • These traits are no different in substance-using clients than in the general population 

  • All substance-using clients have these traits in clinically specific ways

Correct answer: These traits exist in only a small minority of the clinical population 

Contrary to the belief of many providers, antisocial and narcissistic traits do not characterize most substance-using clients who seek treatment. In fact, clients with these traits exist in only a small minority of the clinical population. The scientific evidence seems to show that the substance use, in a complex interaction with the client's history, present circumstances, and brain chemistry, changes the client's personality, not that a certain personality either seeks help for substance use or is more prone to seeking out substances in the first place. 

193.

What would be the BEST piece of evidence to suggest that a person's substance use is NOT problematic or pathological? 

  • The absence of apparent harm or dysfunction

  • No evidence is required; all substance use is pathological

  • The client's self-report 

  • The testimony of law enforcement 

Correct answer: The absence of apparent harm or dysfunction

It should be remembered, particularly by diagnosing clinicians, that all substance use is not problematic or pathological. Some chronic users of substances proceed for decades with no apparent sign of global harm or dysfunction in their lives. When present, these signs are strong evidence that a person has a substance-use problem. In their absence, a true diagnosis of substance-use disorder becomes very difficult to establish.

Evidence of harm or dysfunction impacting the client's life from the use of substances will eventually dictate a formal diagnosis, not the client's self report, which may or may not be useful. Similarly, the testimony of others (such as family or law enforcement) can be biased and should not be considered as strongly as dysfunction in the person's life. 

194.

Which of the following BEST describes alexithymia?

  • The inability to recognize one's own internal affective states

  • The inability to recognize others' affective states

  • The inability to see situations from another point of view

Correct answer: The inability to recognize one's own internal affective states

Alexithymia, a key concept in the self-medication hypothesis, holds that some people are unable to recognize their own internal affective states, which drives them to consume substances in an effort to regulate them.

195.

Which of the following is the main reason substance-use counselors might recommend a sexual "cooling off period"?

  • To reduce the power of the drug-sex connection 

  • To help the client avoid sexually transmitted diseases 

  • To help the client concentrate on recovery 

  • To encourage the client to develop new social networks 

Correct answer: To reduce the power of the drug-sex connection 

In many substance users, particularly those who use stimulants such as methamphetamine and cocaine, binge sex or risky sex is part of the drug experience. By recommending that a client step back from sexuality briefly, the counselor attempts to help the client reduce the power of the connection between sex and drugs. 

Avoiding sexually transmitted diseases is valuable but not the main point of recommending sexual abstinence for a brief time. Clients can concentrate on recovery and develop new social networks without sexual abstinence.

196.

Which of the following BEST characterizes the cause of substance use problems in individuals?

  • Multidimensional

  • Genetic 

  • Behavioral

Correct answer: Multidimensional

The causes of substance use problems in individuals are highly idiosyncratic and multidimensional. The many factors that contribute to a substance use problem in an individual can contain such diverse elements as genetic factors, behavioral factors, past trauma, culture, and many others.

The etiology of substance using individuals cannot be limited to genetic or behavioral factors.

197.

Which of the following psychiatric phenomena does a methamphetamine high MOST closely resemble?

  • A manic episode

  • A depressive episode

  • A hypomanic episode

  • A psychotic episode

Correct answer: A manic episode

Of the choices presented, a methamphetamine high most closely resembles a manic episode. The person experiencing the effect will exhibit increased appetite, activity, and excitement to a degree that compromises general function and either resembles, mirrors, or produces actual psychosis.

A methamphetamine high does not resemble a depressive episode, a hypomanic episode, or a psychotic episode.

198.

How is solution-focused supervision similar to solution-focused therapy? 

  • They both suggest that a person has the inner resources necessary to solve the problem

  • They both demand a high level of engagement with psychopathology 

  • They both use trauma-informed modalities of feedback 

  • They require an understanding of psychoanalysis 

Correct answer: They both suggest that a person has the inner resources necessary to solve the problem

Solution-focused therapy and supervision rest on the notion that the client or supervisee has the inner resources necessary to solve a problem, if a problem is clarified in enough detail for them to take appropriate action. Rather than dwell on the affective feelings of a conflict or situation, solution-focused therapy and supervision both attempt to move toward a resolution rather than extended processing. 

Solution-focused modalities do not necessarily demand a high level of engagement with a given psychopathology; rather, they emphasize a visible solution to a problem. Solution-focused modalities do not rely on trauma-informed principles, though these may be useful. Nor does the solution-focused paradigm involve psychoanalysis, which is a deeper exploration of unconscious issues. 

199.

Which type of group is BEST suited to work on improving communication skills?

  • A late recovery group

  • An early recovery group

  • This is not a skill that is generally learned in groups

  • A crisis group

Correct answer: A late recovery group

A late recovery group is best suited to improving communication skills. If assigned to a late recovery group, the patient is likely out of crisis and ready to engage in learning new skills.

Early recovery groups and crisis groups are geared toward recovery and maintenance rather than skill building.

200.

Which of the following is MOST useful to provide to a client after they have made a commitment to stop using?

  • Encouragement and guidance

  • Sympathy and reflection

  • Boundaries and structure

  • Social support

Correct answer: Encouragement and guidance

When a client has made a commitment to stop using, it is important to offer encouragement and guidance. 

Sympathy and reflection can be useful in a therapeutic context, but some therapeutic direction is part of treatment. Boundaries and structure are essential to the relationship, but the need of the client for basic emotional support is not to be forgotten. Social support is valuable to the person in recovery, but the role of the therapist is to provide both support and direction.

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