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Quiz Session - Attempts With Random Questions

IC RC ADC Exam Questions

Page 3 of 40

41.

Which of the following accurately describes the adequate length of time one should attend 12-step groups?

  • As long as it takes

  • One year

  • Three years

  • The rest of one's life

Correct answer: As long as it takes

There is no rule that would apply to all potential clients with respect to the proper participation in a 12-step group process. The only possible answer is, as long as it takes for that client to reach their personal treatment goals, which are likely in this context to be informal and private to that person.

42.

When does relapse start?

  • Before the actual recurrence of substance use

  • After the actual recurrence of substance use

  • With the first recurrence of substance use

  • Without relationship to the recurrence of substance use

Correct answer: Before the actual recurrence of substance use

Relapse is a complicated, chain-reaction process that begins well before the actual recurrence of substance use, made up of various factors that are cognitive, behavioral, and environmental. Though it begins before the actual recurrence of use, there is a relationship to use; without recurrent use there is no relapse.

43.

Which of the following is the recommended stance toward the consumption of illegal substances?

  • Not condoning, not judgmental

  • Confrontational about legal implications

  • Endorsing positive aspects of use

Correct answer: Not condoning, not judgmental

The consumption of illegal substances puts the addiction treatment provider in a different situation from the one in which they are confronting the problematic use of alcohol. The proper stance, in order to retain the ability to help while retaining ethical integrity, is to address the phenomenon as it is, without condoning use or judging it.

One's stance toward use should be based on clinical principles; the legal status of a substance may change. 

44.

Which of the following were barbiturates originally intended to treat?

  • Insomnia

  • Depression

  • Criminal behavior

  • Alcohol withdrawal

Correct answer: Insomnia

Barbiturates, introduced into medicine in the early 1900s, were originally intended to treat anxiety and insomnia. This was before more advanced thinking was done about the addiction potential of curative solutions.

The other conditions listed were not meant to be treated with barbiturates when they were first introduced.

45.

In terms of ongoing opioid use, what is the CORRECT description of the respective tolerance effects on euphoria and numbing of emotions? 

  • Tolerance develops to euphoria but not to emotional numbing 

  • Tolerance develops to emotional numbing but not to euphoria

  • Tolerance develops to both euphoria and emotional numbing 

  • Tolerance develops to neither euphoria nor emotional numbing 

Correct answer: Tolerance develops to euphoria but not to emotional numbing 

Opioids are the most effective medications known in the treatment of physical pain. They have a similar effect on emotional pain. However, with ongoing opioid use, the euphoric action of the drug tends to be tolerated—more opioid is needed to achieve the same effect—while the numbing of emotions tends to remain relatively constant in the same schedule of use. 

46.

Which of the following is the BEST thing to say if a client's family member calls you with unsolicited information about the client?

  • That you will share with the client everything that's said

  • That you will keep any such information confidential

  • That you will disregard the information

Correct answer: That you will share with the client everything that's said

There are times when a family member will be motivated to contact a clinician about their loved one without this having been planned or approved by the client. In these cases, it is best to be honest with all parties and state that you will be as transparent as possible with the information.

It is best not to establish a relationship of confidential informant with family members, and it is better in these circumstances to highlight the ethical issue rather than the truth or falsehood of the offered information.

47.

Of the following, which is the MOST congruent with Motivational Interviewing (MI)? 

  • Acceptance 

  • Confrontation 

  • Ultimatim 

  • Psychoanalysis 

Correct answer: Acceptance 

Motivational Interviewing (MI), a technique that has emerged within the past 20 years, is a technique in which the counselor attempts to elicit the client's own rationale and motivation for mitigation of substance use. It stands in contrast to previous styles of substance-use treatment, in which such techniques as direct confrontation were more common.

Ultimatims are rarely characteristic of any psychotherapeutic intervention. Psychoanalysis is the deep exploration of a person's inner conflict, which is not the technique employed by MI.

48.

Which of the following is considered the BEST malpractice prevention?

  • High-quality clinical care

  • Patient-client agreements

  • Reasonably priced clinical care

  • Professional credentials

Correct answer: High-quality clinical care

The best protection against malpractice suits is high-quality clinical care. If the quality of the work is of a very high standard, then the opportunity for liability tends to be low. 

Patient-client agreements, the price of clinical care, and the credentials of the care provider are not as effective.

49.

Which of the following do patients comment on MOST often when reflecting on success?

  • A nonjudgmental attitude on the part of the therapist

  • The therapist's clinical expertise

  • The therapist's appearance and physical attractiveness

Correct answer: A nonjudgmental attitude on the part of the therapist

When patients comment on the success of their alcohol or drug treatment, they tend to comment on the caring, nonjudgmental attitude of the therapist. 

They do not comment as often on physical appearance or clinical expertise.

50.

Which of the following is the MOST important goal of early treatment?

  • The continuing attendance of the patient

  • Abstinence

  • Maintenance

Correct answer: The continuing attendance of the patient

The most important factor in any sort of psychiatric treatment is the relationship between counselor and client. Adherence to a program of treatment in the long run will be more important than an insistence on abstinence, particularly in the early process.

Maintenance would be an issue for later stages of treatment.

51.

Is it necessary to convince a person with a serious substance use disorder that they have a problem before behavioral change can be suggested?

  • No

  • Yes

  • Yes, in serious cases

Correct answer: No

Behavioral change that will be helpful to someone with a substance abuse disorder can be suggested and acted on before the patient acknowledges that they have such a problem. Often it is as this change is attempted that the patient realizes a problem exists.

52.

Which of the following is FALSE about the progression of alcohol and/or drug problems? 

  • Progression to a worse stage is inevitable in the case of both alcohol and drug problems

  • Progression to a worse stage is inevitable in the case of alcohol problems 

  • Progression to a worse stage is inevitable in the case of  drug problems

  • Progression to a worse stage is not inevitable in the case of both alcohol and drug problems

Correct answer: Progression to a worse stage is inevitable in the case of both alcohol and drug problems

A mistaken impression exists that the progression of drug and alcohol problems is inevitable to the point of crisis. The reality is that many people with these problems either remit on their own without treatment or stay at a functional stage of use for years or even decades without progression to the point of crisis, if such a progression ever happens at all. 

This lack of definite progression is similar in both alcohol and drug problems. 

53.

Which of the following is the overall purpose of the New Patient Questionnaire (NPQ)?

  • To structure and guide the assessment interview 

  • To formulate a substance-use diagnosis 

  • To create a list of reasons the patient should not use 

  • To gather data about early life trauma 

Correct answer: To structure and guide the assessment interview 

Though the New Patient Questionnaire (NPQ) is designed to gather a great deal of information regarding a patient's current circumstances, its overall purpose is to help structure and guide the assessment interview itself. 

The NPQ is not designed to formulate a substance-use diagnosis per se, though its use will inform a diagnosis. The NPQ is not a motivational list of reasons not to use, nor is it expressly meant to gather data about early life trauma; this is useful information but is not the NPQ's overall purpose. 

54.

In treating substance abuse disorders, which of the following is MOST important?

  • Empathy

  • Therapist's theoretical orientation

  • Therapist's treatment philosophy

  • Lived history of the therapist

Correct answer: Empathy

Rogerian factors such as empathy are considered more important in the successful treatment of substance abuse disorders than the theoretical orientation of the therapist, the therapist's treatment philosophy, or the therapist's lived experience of substance abuse. In many cases, it is the rapport between the therapist and client that most accurately forecasts success or failure.

55.

Which of the following is FALSE about cravings? 

  • They show that treatment is ineffective 

  • They are a natural effect of substance use 

  • They are not a sign of weakness 

  • Cravings can continue indefinitely 

Correct answer: They show that treatment is ineffective 

Cravings are thought to be a natural feature of substance use in an individual, as the brain's reward system reacts to not having its main reinforcer. They are not a sign of weakness because they are not actually under the control of the individual. Cravings can continue long after the person has stopped using, an effect that is highly variable by individual. 

Cravings are not a sign that treatment is ineffective; they are an expected, natural part of substance-use treatment. 

56.

Why are negative affect states triggers for relapse? 

  • The substance of choice promises relief 

  • The negative affect states become psychotic 

  • The substance of choice increases sensitivity 

  • The negative affect states create suicidality 

Correct answer: The substance of choice promises relief 

Relapse is a complicated phenomenon that rests on the idea of "triggers," which in the case of substance use are environmental factors, situations, or people that provoke use. Negative internal affect states, such as depression or anxiety, can be triggers because the client has likely used the substance of choice to achieve relief from these same affect states in the past. Thus, a relapse promises to relieve the intolerable internal affective world.

Negative affect does not usually result in psychosis on its own. Suicidality is a common feature of substance-using clients and should be regularly assessed, but it is not a trigger for relapse. The substance of choice, if used in these situations, will likely not increase sensitivity to negative internal affect but may numb the affective states. 

57.

Which of the following is the name for a cost-benefit analysis of use and consequences?

  • Decisional balance analysis

  • Decision matrix analysis

  • Analysis of consequences

  • Analysis of use pattern

Correct answer: Decisional balance analysis

A decisional balance analysis is the name for a cost-benefit analysis of use and consequences. It is meant to bring awareness to a client of their ambivalence and motivation. Such an analysis clarifies the stakes of the use proposition for client and therapist. 

The other options are fabricated terms.

58.

What should group supervision provide for its members, in a therapeutic sense? 

  • The group can be therapeutic but not therapy 

  • The group can provide a basic level of therapy 

  • The group cannot provide therapeutic support 

  • The group can perform treatment planning for its members 

Correct answer: The group can be therapeutic but not therapy 

The purpose of group supervision is not to provide therapy to group members, nor is such an effort within the scope of its true purpose. Though the members can offer each other therapeutic support, if one member needs treatment planning, it should be provided within the proper context outside group supervision. 

59.

What is the proper way to help trauma survivors manage their trauma in early recovery? 

  • By managing the emerging feelings 

  • By engaging the trauma at a deep level directly 

  • By shifting the focus entirely to the trauma 

  • By referring the client to a trauma specialist 

Correct answer: By managing the emerging feelings 

An effect of stopping alcohol and/or drug use is the reemergence of feelings that are troubling or that have been suppressed by substance use. This often occurs in trauma survivors, who in early recovery may find that their previously suppressed feelings begin to be vivid and present. It is recommended not to ignore the issues related to trauma but to manage the emerging feelings. Engaging with trauma at a deep level directly and immediately may derail the more urgent and pressing issue of substance-use treatment since dealing with trauma is lengthy, deep work that must be done in detail. 

60.

What is the MAIN purpose of coping questions?

  • To instill hope

  • To provoke reflection

  • To create awareness

  • To initiate change

Correct answer: To instill hope

Coping questions are those designed to instill hope in the client that change is possible by highlighting successes in dealing with the problem.

Coping questions are not specifically designed to provoke reflection, create awareness, or initiate change. They primarily exist to bring hope and belief in one's own strength.

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