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Quiz Session - Attempts With Random Questions

IC RC ADC Exam Questions

Page 7 of 40

121.

Which of the following is an example of a "miracle question"?

  • "What will life look like for you when you are well?"

  • "How many times a week do you drink?"

  • "Why do you think others want you to change?"

  • "Why are you here?"

Correct answer: "What will life look like for you when you are well?"

A miracle question is a motivational tool that invites the client to imagine a future state. The answer to this question often puts the client in the therapeutically useful position of connecting their present struggle to a future vision and is key to finding the inner motivation to change.

Such a question is also useful in assessment because it can quickly show a client's status on their substance-use journey. 

122.

Which of the following is the greatest potential barrier to providing psychoeducation? 

  • The client's ambivalence about using 

  • The client's mood 

  • The client's relapse triggers 

  • The client's late-stage recovery 

Correct Answer: The client's ambivalence about using 

Providing psychoeducation can be a very valuable part of treatment, as it drains some of the emotionality from therapy by relying only on the transmission of factual information about use. However, timing is important. If a client is still unsure about whether they want to continue using, their ambivalence makes psychoeducation less effective. A client who is committed to pursuing abstinence is a much better receiver of psychoeducation than one who is not.

Substance-using clients are vulnerable to mood issues; at the proper time, this is no barrier to psychoeducation. Relapse triggers are not a barrier to psychoeducation; in fact, education about relapse can be very useful. Clients in late-stage recovery can benefit from psychoeducation; their status is no barrier to its effectiveness. 

123.

Which of the following is the BEST example of vicarious liability?

  • A supervisor is held accountable for the actions of a supervisee

  • A supervisee is held accountable for the actions of a supervisor 

  • An agency is held accountable for the actions of a supervisor 

  • A supervisor is held accountable for the actions of an agency 

Correct answer: A supervisor is held accountable for the actions of a supervisee

Vicarious liability is the concept that a supervisor is accountable for the actions of their supervisee. Though rarely applied, it is a reminder that the overall responsibility for a supervisee's professional conduct rests with the supervisor. 

A supervisee is almost never accountable for the actions of the supervisor because the responsibility rests with the supervisor in supervisory relationships. Similarly, agencies are not held accountable for the actions of a supervisor unless that supervisor was employed by the agency. A supervisor is not held accountable for the actions of an agency, as overall responsibility for the agency's actions rests with the agency. 

124.

Which of the following would be LEAST desired as a characteristic of effective goals?

  • Repeatable

  • Realistic

  • Attainable

  • Desirable

Correct answer: Repeatable

Goals set in treatment planning should be realistic, attainable, and desirable. 

Being repeatable is not as vital a concern, unless, for some reason, the goal needs to be repeated.

125.

How long does it take for the psychoactive effects of snorted cocaine to become noticeable? 

  • Ten to 15 minutes 

  • 20 to 30 minutes 

  • About one hour 

  • Five to ten minutes 

Correct answer: Ten to 15 minutes 

Snorting cocaine produces an onset of noticeable psychoactive experience ten to 15 minutes after a dose is introduced nasally. Peak effects usually occur 30 to 60 minutes after ingestion. 

126.

Why would a clinician reject labels like "addict" or "alcoholic" to describe clients in substance-use treatment? 

  • They are pejorative, nonspecific labels 

  • They are no longer used in substance-use treatment 

  • They are not used in 12-step programs 

  • They have a religious overtone 

Correct answer: They are pejorative, nonspecific labels 

Though it is often still a matter of the preference of individual therapists, many therapists reject the labels "addict" and "alcoholic" for two major reasons. One is that these terms don't really describe a clinical condition in appropriate detail, and the other is that they carry a significant stigma. However, some styles of treatment, such as 12-step programs, have this language as part of their overall perspective. The concern about the labels is not religiosity but their nonspecific, pejorative nature. 

127.

What is the end purpose of evaluation and feedback for supervisees? 

  • A skill-building process 

  • A statement of what was done correctly 

  • A statement of what was done incorrectly 

  • An evaluation of professional qualification 

Correct answer: A skill-building process 

Supervisees are definitionally engaged in a learning and skill-building process, in which the essential step is evaluation and feedback. This skill-building process is the true end goal of evaluation and feedback. Though it is important to point out errors and strong points as part of this feedback, its best value is a way forward to better competence for the supervisee. As this kind of supervision is a learning process, it is not an evaluation of qualification—this need will most likely be served later in some sort of credentialing or licensing process. 

128.

Which of the following is the MAIN problem with group supervision?

  • Individualization 

  • Time management 

  • Accountability 

  • Confidentiality 

Correct answer: Individualization 

Group supervision is valuable in many ways that are analogous to group therapy: it gives an opportunity for peer feedback, it demystifies the supervisory process, and so on. The pitfalls are also the same in both; the main problem in group supervision is that often, trainee counselors need individual feedback and engagement that are not possible in a group format.

Time management and confidentiality are concerns in group supervision, but these can be addressed through agreement or adjustment. Similarly, accountability may vary, but there is no reason group accountability should be less than that in individual supervision. Overall, the nature of group supervision causes it to focus on the group rather than the individual.

129.

What is the effect of methadone treatment on psychosocial interventions?

  • It makes them more effective

  • It makes them less effective

  • It has no proven effect

Correct answer: It makes them more effective

Psychosocial interactions with those who suffer from opioid use disorders are made more difficult by withdrawal symptoms. Methadone treatment, by addressing these symptoms, makes psychosocial interventions more effective.

130.

Is a desire for mood alteration pathological? 

  • A desire for mood alteration is not inherently pathological 

  • A desire for mood alteration is inherently pathological 

  • A desire for mood alteration is indicative of personality disorder 

  • A desire for mood alteration is diagnostic of substance-use disorders

Correct answer: A desire for mood alteration is not inherently pathological 

Human beings have used psychoactive substances to alter mood throughout history. The desire to alter mood is not pathological in itself and is experienced by most people often. The pathology is diagnosed when the means used to achieve mood alteration take on an added meaning beyond mood alteration, taking the person into the realm of dependence and addiction. 

Desire for mood alteration does not indicate a personality disorder or substance-use disorders. 

131.

How can psychotropic medications be used to manage cravings? 

  • Psychotropic medications are not effective in reducing cravings 

  • Psychotropic medications are marginally effective in reducing cravings 

  • Psychotropic medications are effective in reducing cravings

Correct answer: Psychotropic medications are not effective in reducing cravings 

Though they can be effective in many other respects, psychotropic medications are not effective in their own right in managing or reducing cravings for substances. Ultimately, the underlying causes of the substance use and the cravings will need to be addressed as a separate item. 

132.

Can recovery from substance use occur without formal treatment?

  • Yes, in many cases 

  • No, under no circumstances 

  • Only in non-Western cultures 

  • Yes, if the client self-educates about addiction 

Correct answer: Yes, in many cases 

In many cases, persons recover without formal treatment for their substance use issues. They may go through an "aging out" process of natural social learning, they may find other activities more attractive, or they may make the choice to stop using for a host of personal reasons. 

This phenomenon is known in all cultures, and may or may not have to do with the client's ability to self-educate.

133.

Which of the following is TRUE regarding impulse control and decision-making in substance abuse?

  • Any substance use encourages a lack of impulse control

  • Only the substance of choice encourages a lack of impulse control

  • Only alcohol involves a decisional loss of impulse control

Correct answer: Any substance use encourages a lack of impulse control

Virtually any mood-altering substance use will involve some loss of impulse control. This phenomenon is not related to the kind of substance used or to the status of the drug with respect to the client's preferences. Many substance users feel that switching to the non-preferred substance will result in a lower risk of impaired impulse control, but generally speaking, all substances present impaired impulse control as one of their main factors of attraction to a potential user. 

134.

Which of the following BEST characterizes the 12-step program view of addiction? 

  • A permanent identity 

  • A temporary distress 

  • A transitory diagnosis 

  • A helpless state 

Correct answer: A permanent identity 

One of the constructs of the 12-step schema is the sense that addiction and substance-use issues are a permanent identity for the individual. In this view, the person who struggles with substance use is not dealing with a temporary distress or transient diagnosis, as other perspectives might characterize it. Nor is the person seen as helpless to do anything about it, though in the 12-step schema, they are viewed as helpless against the overwhelming power of the substance in their life. 

135.

Which of the following is TRUE about the course of individual cravings?

  • They build, peak, and decrease

  • They build and stay at a peak until use

  • They build, peak, and increase until use

  • They decrease, then build and peak 

Correct answer: They build, peak, and decrease

Cravings do not always have to result in use. Without use, cravings tend to build, peak, then decrease. This is important for clients to know as they learn new strategies for managing their acute cravings for their substance of choice.

136.

What is the role of the clinician in traditional group therapy?

  • Quiet and nondirective

  • Active and directive

  • Neutral and directive

  • A clinician should not be present

Correct answer: Quiet and nondirective

In traditional group therapy, the clinician's role is usually to simply facilitate the group interaction, and they remain quiet and nondirective in the group. The school of thought tends to be that the group itself bears the burden of the clinical work. By contrast, in abstinence groups, the clinician's role is much more active and directive.

137.

In the context of motivating patients in substance abuse treatment, is it acceptable to offer advice?

  • Yes

  • No, under no circumstances

  • Yes, if the patient is in recovery

Correct answer: Yes

In the context of helping patients find their motivation to pursue substance abuse treatment, it is acceptable to offer advice. Getting advice from a reasonable, informed source may be one of the main reasons the client sought treatment in the first place and can be empowering.

The patient's status in recovery may or may not affect their need for advice or their ability to be motivated by it.

138.

Is a coexisting disorder necessary for a person to self-medicate?

  • No

  • Yes, in most cases 

  • Yes, in all cases

Correct answer: No

A person can enact the patterns of self-medication that they have learned without having a coexisting disorder, though a coexisting disorder will complicate such behavior. Coexisting disorders can be of any magnitude, can be clinically diagnosed or undiagnosed, and vary in presentation. A person can self-medicate internal affective states without having a clinical mental disorder.

139.

Which of the following is LEAST characteristic of an effective question?

  • It asks why

  • It asks how

  • It asks what

  • It is open-ended 

Correct answer: It asks why

Effective questions are those that a supervisor asks a supervisee to help clarify emerging issues and put the burden on the supervisee for a thoughtful response. These questions are generally open-ended, and rather than asking why, they tend to focus more on the how and what of a given issue. For example, a supervisor may ask a supervisee, "How will you ensure this doesn't happen again?" or "How do you think you improved this month?"

140.

For the most part, who uses LSD?

  • White male adolescents and young adults

  • African-American men 

  • Middle-aged adults below the poverty line

Correct answer: White male adolescents and young adults

The hallucinogen LSD, after being unpopular for many decades, began rising in popularity again in the 1990s. In modern times, its main users are white male adolescents and young adults.

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