Download LCDC TX Exam Questions and Answers: A Comprehensive Guide to Substance Abuse Counseling and more Exams Nursing in PDF only on Docsity!
LCDC TX Exam questions & answers
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A method of reinforcing therapeutic alliance & spirit of collaboration between the PT & counselor: - correct answer setting mutually-established goals A mental status exam includes: - correct answer Appearance Speech Thought Process The provision of info concerning alcohol/drug abuse & the available srvcs & resources: - correct answer client education When should significant others should be involved in the treatment process? - correct answer From the clients first contact with the treatment center The NIDA-financed Drug Abuse reporting Program found that: (having to do with therapeutic communities) - correct answer Therapeutic communities do reduce drug use relative to untreated clients or those who are simply detoxified and released. A dually-diagnosed PT, stablized on meds for his psychatric D/O, wants to quit smoking. You should: - correct answer Consult with his physician regarding nicotine/medication interaction. A cognitive-based therapy, developed by Ellis, designed to confront a PT's irrational thinking - correct answer Rational-Emotive Therapy A "release of information" must include: name, address, DOB & _____? - correct answer The purpose of the release of information
When a client discloses suicidal thougths, the counselor's first step is to: - correct answer Assess the degree of risk When conducting an assessment what is the counselor's primary focus? - correct answer Identifying the clients problems and needs, strengths and weaknessess. The BEST indicator if an individual is physically dependent upon alcohol or another drug is: - correct answer The presence of withdrawal symptoms. Guilt and ___ are painful emotions that are part of grieving. - correct answer Anger Despite vast personality differences, virtually all substance abusers experience: - correct answer remorse, self-hatred and shame You are having difficultiy with a client early on in the case. The BEST thing for you to do is: - correct answer Seek out supervision with a colleage or supervisor Self report screening instrument consists of 4 Y/N questions. Requires aprox 1 min to complete - correct answer CAGE questionnaire Drug Offender Profile Evaluation/Refferal Strategies - correct answer D.O.P.E.R.S. Michigan Alcoholism Screening Test - correct answer MAST Self Administered Alcoholism Screening Test - correct answer SAAST Short Michigan Alcoholism Screening Test - correct answer SMAST Substance Abuse Subtle Screening Inventory - Adult or Adolescent Version - correct answer SASSI Addiction Severity Index - correct answer ASI
(SCM) Getting ready to change - correct answer Preparation (SCM) Changing behavior - correct answer Action SCM) Maintaining the behavior change - correct answer Maintenance (SCM) Returning to older behaviors and abandoning the new changes - correct answer relapse The Stages of Change Model was originally developed in the late 1970's and early 1980's by... - correct answer James Prochaska, Carlo DiClemente Bio-psychosocial perspective - correct answer This recognizes that there are biological, psychological and social causes of substance abuse and dependence. Biological factors - correct answer These include brain chemistry problems, which may be genetic, making some people particularly vulnerable to addiction to certain drugs once they try them. Psychological factors - correct answer These include cognitive styles, personality traits, and early developmental experiences that may contribute to a client's causes of substance abuse and dependence. Social factors - correct answer These include poverty, oppression, poorly developed social skills, and family dysfunction that may contribute to a client's causes of substance abuse and dependence. Motivational interviewing - correct answer This is a style of interacting with clents, used not only for assessment, but for all phases of treatment, that is particularly helpful for reducing defensiveness and encouraging therapeutic collaboration between the counselor and client. Uses the interpersonal process to enhance clients' motivation to change, and encourages clients to move on to the next stage of readiness for change. Assessment Instruments - correct answer These aid in the identification of, and treatment planning for substance related disorders.
Reliability - correct answer This refers to the consistency with which an assessment instrument measures. Validity - correct answer This refers to what an assessment instrument measures and how it is used. Screening Instrument - correct answer This distinguishes individuals who do not have a disorder from those who might have one. - correct answer CAGE - correct answer 4 questions - Yes to 1 indicates possibility of alcohol dependence. Cut down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eye-opener? DAST - correct answer Drug Abuse Screening Test (adapted from MAST) used to detect abuse or dependence on drugs other than alcohol. MAST - correct answer Michigan Alcoholism Screening Test - yes or no to 25 questions. RAPS-4 (Rapid Alcohol Problems Screen) - correct answer An answer of yes to one or more questions indcates the possibility of alcohol dependence during the past year. The questions have to do with remorse, amnesia, performance of life duties, and starting the day with alcohol. SASSI (Substance Abuse Subtle Screening Inventory) - correct answer This brief self-report is designed to identify individuals with a high probability of having a substance related disorder. SASSI-A2 - correct answer Substance Abuse Subtle Screening Inventory for Adolescents ages 12 to 18. TLFB (Time Line Follow Back Procedure) - correct answer This is a Comprehensive Measure of Drinking which makes connections between significant events in the client's life and alcohol/drug use patterns and intensity, for the past year.
MMPI-2 - correct answer The Minnesorta Multiphasic Personality Inventory contaings several clinical scales that detect pathology including the MacAndrew Alcoholism Scale. The Mental Status Exam - correct answer A series of observations about a client's appearance, behavior, attention, mood, affect, perceptual and thought processes, judgement, and memory at a given point in time. Includes observations of a client's orientation to time, place and person. MBTI (The Myers-Briggs Type Indicator) - correct answer This is a personality inventory that looks at clients' preferred ways of being in the world and assigns them to 1 of 16 personality types. Frequently used in vocational and relationship counseling. The Beck Depression Inventory II - correct answer Used to track changing levels of depression over the course of treatment for clients age 13 and over. Individuals rate themselves on 21 groups of statements that tap the affective, behavioral, cognitive, and physiological symptoms of depression for the 2 weeks prior to testing. Biomarkers - correct answer Measuring these physiological markers at intervals throughout treatment may provide early identification of relapse. EMIT - correct answer Enzyme Multiplied Immunoassay Test - this urine testing kit uses antibodies that react to the presence of a drug or its metabolites. GGT - correct answer Gamma-glutamyltransferase - indicates prolonged, rather than episodic drinking. ASAT - correct answer Aspartate aminotransferase - screens for heavy drinking. ALAT - correct answer Alanine aminotransferase - screens for heavy drinking. CDT - correct answer Carbohydrate Deficient Transferrin - sensitive enough to pick up moderate drinking over a peoiod of a few weeks.
SOCRATES - correct answer A readiness-to-change scale that stands for Stages Of Change Readiness And Treatment Eagerness Scale. URICA - correct answer A readiness-to-change scale that stands for the University of Rhode Island Change Assessment. FTQ - correct answer Family Tree Questionnaire helps clients report information about the incidence of alcohol problems in their blood relatives. Genogram - correct answer A pictorial representation of family structure, using a least three generations and a standard set of symbols. DSM-IV-TR - correct answer Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (APA, 2000). Axis I - correct answer Contains 16 categories of clinical disorders, one of which is Substance Related Disorders. Substance Related Disorders - correct answer This category of clinical disorders in Axis I of the DSM IV-TR includes both Substance Use Disorders and Substance Induced Disorders. Substance Use Disorders - correct answer This sub-category of Substance Related Disorders includes both Substance Abuse and Substance Dependence. Substance Induced Disorders - correct answer These Axis I disorders are a sub-category of Substance Related Disorders and can include Substance Intoxication and Substance Withdrawal, Substance induced delirium, persisting dementia, persisting amnesic disorder, psychotic disorder, mood disorder, anxiety disorder, sexual dysfunction disorder, and sleep disorder. Axis II - correct answer This axis of the DSM IV- TR includes the personality disorders as well as mental retardation.
work, recurrent substance use in situations in which it is physically hazardous, recurrent substance use legal problems, and continued substance use despite having persistent or recurring problems caused or exacerbated by the effects of the substance. Substance Dependence - correct answer A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by 3 or more of the following 7 criteria: tolerance, withdrawal, increased dose or dosing for longer periods of time, attempts to cut down unsuccessfully, time spent obtaining, using, recovering from use, important social, occupational and recreational activities given up or reduced because of use, physical or psychological problems caused or exacerbated by continued use. Physiological Dependence - correct answer Indicated by whether tolerance and withdrawal are present. Withdrawal - correct answer Defined by either the characteristic withdrawal syndrome for the substance or the same or a closely related substance being taken to relieve or avoid withdrawal symptoms. Specifiers - correct answer Used for Substance Dependence Diagnosis, these 6 categories are: Early full remission, early partial remission, sustained full remission, sustained partial remission, on agonist therapy, in a controlled environment. Polysubstance Dependence - correct answer The proper diagnosis for a client who has repeatedly taken at least three groups of substances, and who meets creiteria for dependence for the substances as a group, but not for the substances individually. Dually-Diagnosed - correct answer This client has one or more other psychiatric disorders along with substance abuse or substance dependence. Also known as co-occurring disorders. All disorders should be treated concurrently and aggressively. Affect - correct answer The external expression of an internal emotional state. Mood - correct answer A sustained emotion. Changes less frequently than affect. Delusions - correct answer False beliefs that are maintained despite proof against their truth.
Hallucinations - correct answer Perceiving something in the absence of a sensory input. May be auditory, visual, olfactory, gustatory or tactile. Illusions - correct answer Misperceptions of actual sensory input. Problem Statement - correct answer Component of a MTP that should be stated in client's words whenever possible. Answers the question, "Why are you here?" Include statement of problem and evidence for it. Goal Statement - correct answer Component of a MTP that should be acceptable to the client and answers the question, "What is necessary to remedy the problem?" Should be stated positively - eg. "Client will maintain abstinence," rather than, "Client will not drink." Objectives - correct answer Component of a MTP that states specific things the client will do to meet the goal. Stated in behavioral terms, and are observable, realistic, time specific, appropriate to the level of treatment and measurable. Strategies - correct answer Component of a MTP that states what the counselor will do to help meet the client's objectives. Includes the theoretical model to be used, (eg. reality therapy) and the specific techniques to be employed (eg. assertiveness training or refusal skills training). These are sometimes also called "Interventions". Axis I, IV and V - correct answer CASACs are responible for these three axes on the Written Assessment Summary. Other axes can be written up as "deferred" or list symptoms eg. deferred, reports frequent headaches. AUDIT - correct answer world health organization, over 8 suggests harmful consumption, looks at frequency - correct answer DAST - correct answer drug dependence other than alc...lifetime severity
Axis II Cluster A - correct answer odd...eccentric...suspicious Axis II Cluster B - correct answer dramatic...emotional..impulsive...lack empathy Axis III Cluster C - correct answer Fearful...anxious...perfectionist Axis III - correct answer medical Substance abuse - correct answer maladaptive patter of abuse...1 of 4 criteria..failure to meet life duties. cant quit, legal problems, continues regardless of danger Substance dependence - correct answer maladaptive pattern...3 of 7 criteria..cutting back, cont use despite prob, tolerance, gives up activities - correct answer Mood - correct answer sustained emotion that colors the perception of the world Dellusions - correct answer continued belief of something even when proof against it....false belief based on faulty external reality Hallucinations - correct answer sensory perception of reality occuring without external stimuli Illusions - correct answer misperception about a real external stimuli...rustling leafs... Assesment - correct answer gathering info about pt in order to make informed diagnostic impression Empathy - correct answer ability to perceive pt emotions and see their world thru their eyes
concreteness - correct answer relates vague aspect to concrete terms...helps with coping skills paraphrasing - correct answer picking out emotions and repeating them back with added clarity...builds trust and reduces resistance Reflection - correct answer restates content that produces emotions, counselor stays neutral simplifying - correct answer reflection, removes confusion, avoids convoluted explanations so they can solve problem in here and now Probing - correct answer open ended questions help clarify and move to new understanding Reframing - correct answer offers new perspective to situation exploring alternatives - correct answer examine various options to pt Person Centered Theory - correct answer Carl Rogers Person Centered - correct answer Here and now...people are resourceful and capable of solving own problems and are trustworthy Person Centered - correct answer 3 characteristics; unconditional positve regard, genuiness and accurate empathy Person Centered - correct answer in addictions counseling; builds rapport and T.R to help pt recover Reality Therapy - correct answer William Glasser Reality Therapy - correct answer Help pt in here and now...frustrated with psychoanalysis
Cognitive behavior - correct answer focus on here and now, pt with emotional probls have faulty thinking or incorrect info Cognitive behavior - correct answer cognitive distortions - over generalization, minimization, personalizing events, polarized thinking Cognitive behavior - Techniques - correct answer challenge faulty thoughts, ask where did evidence come from, instill hope, Socratic Brief Therapy - correct answer time limited, structured, directed at specific goal Brief Therapy - correct answer uses motivation to change behavior, avoid getting ahead of pt, understands stages to help clinican Brief Therapy - correct answer reduces pt risk of harm from controlled substance use, specific goals for consumption pattern, key is to extract single behavior change process Brief Therapy - correct answer Five Stages Brief Therapy - Precontemplation - correct answer user not considering change, or acknowledge problem exists Brief Therapy - contemplation - correct answer acknowledges problem, ambivalent about change Brief Therapy - determination - correct answer begins once user decides to change - plan of action Brief Therapy - action - correct answer putting plan into action, uses new behav, not yet stable Brief Therapy - maintenance - correct answer establishes new behav on long term basis Constructivism - correct answer George Kelly
Constructivism - correct answer people have system of constructs and symbols that reflect themselves in their world. Problem is discrepancy between people capacity and current demands of environment. Constructivism - correct answer focus current problem,then patterns...attention given to background and early attachment Constructivism - correct answer view people in positive optimistic terms, proactive, goal driven, operate according to the knowledge they posses Constructivism - correct answer clinican does not direct or pursuade, they use elaboration and metaphors to advance the process, serve as co-investigators helping pt construct rewarding way of being and coping. Feminist therapy - correct answer Helen Deutsch and Karen Horney Feminist therapy - correct answer Give women view of social position and sense of community with new power, possibilities and overriding binding stigmas Family Systems Theory - correct answer help addicts decrease anxiety by getting family members to focus on their own recovery, Families are systems of interconnected ad interdependent individuals, a system of interacting parts Human Validation process - correct answer Virginia Satir - assisting individuals in transforming family rules and messages (specifically abut individuation and communication) to be more acceptable and flexible, allowing for change, enhance and validate self-esteem; family rules; sculpting; nurturing triads; congruence & openness in communication; family mapping & chronologies Therapist is the role model, facilitator, resource person and investigator Structural famly therapy - present & past - correct answer Salvador Minuchin- modify the present, past changed by interventions. Three subsystems of nuclear family - parent subsystem, sibling, sibling/parent Structural famly therapy - Clear boundaries - correct answer Clear but firm boundaries
Case Mgt - Assessment - correct answer identify pt strength, weakness and needs Case Mgt - Planning - correct answer negotiate what pt wants, develop plan for achieving it Case Mgt - linking system - correct answer help pt obtain required services by referring to services for formal/informal care Case Mgt - advocacy - correct answer intercede on behalf of pt to obtain needed resources Case Mgt - monitoring - correct answer evaluate progress continuously and take action if needed Case Mgt - Brokerage- - correct answer id pt needs help access resources, no advocacy but when pt needs access to resources Case Mgt - Assertive community - correct answer frequent long term contact with pt in natural setting, focus on practical problems of daily living Case Mgt - strengths based - correct answer aggressive outreach, helps pt develop goal, advocates, and view community as resources not a barrier, this is an alternative to disease concept Level I Treatment - correct answer outpatient Level 2 treatment - correct answer intensive outpatient/partical hospitalization Level 3 - correct answer residential or inpatient Level 4 - correct answer medically managed intensive inpatient Aftercare - correct answer called continuing care, follows discharge, case mgr helps transition, and take responsibility for their lives
Disengagement - correct answer takes place over time, discuss what has been learned in treatment Community resources - correct answer coordination variety of resources, counselor should be familiar with resources Advocacy coordination in case mgt - correct answer involves coordinating with family, community agencies, legal system and legislative bodies Culturally sensitive case mgt - correct answer pt should be linked to services whose values are consistent with their own Case mgt with women - correct answer reluctant to seek treatment without encouragement, medical, mental health and family counseling see more women case mgt with adolescents - correct answer encouraging family involvement, provide support, track relapse episodes, connect with school, work and community resources Evaluate case mgt effectiveness - correct answer track through interviews, professionals, self report, arrests.. Sociocultural view of substance disorders - correct answer stressful socioeconomic conditions, cultural differences in drinking patterns can enhane or reduce risk; social pressure, attitudes and cultural norms all influence behavioral view - correct answer influence both positive and negative reinforcement as casual factor for cont drug use; positve reinforcement reinforces the cont use because of pleasure pathway, reinforcement pleasure thru effects on GABA neurotransmitters Negative reinforcement - correct answer provides escape from neg feelings, also called tension reduction, self medication; avoiding unpleasant w/d symptoms
