Question 1

A seventeen year old girl is arrested for possession. She denies using drugs saying she was given some just before arrested. She is pregnant. Recently the procedure has been to jail pregnant chemical abusers until delivery to protect the unborn child. As this is the child's first arrest the judge is reluctant to do that. As your treatment center provides education to that precinct your center was called. What course would you advise?
A)Administer the TWEAK and give the results to the judge to decide.
B)Administer the TWEAK, interview the adolescence and parents to determine the extent of the drug usage. Recommend appropriate treatment outside of jail if the interview and assessment indicates a beginning drug dependency and one is available that is bette
C)Do your best to persuade the judge to keep the adolescent in jail until delivery as releasing her would put the child at risk.
D)Talk to the parents about begging the judge to refer the adolescent to your treatment center as you treat adolescents and have a good program.

Accepted Answer

The best course for a jailed pregnant adolescent would be to use the TWEAK to assess tolerance. This test targets the current concern of relatives and friends along with an interview of the parents and adolescence regarding the woman's drug usage. if the results indicate the girl might have used drugs several times the family's medical insurance and the community resources should be assessed for possible admission into treatment. It would be a conflict of interest if all of these options were not explained to the parents and the judge. To jail a pregnant adolescent is not an inappropriate decision. However it exposes her to other prisoners' experiences and knowledge that might not be in her best interest.

Question 2

A client disclosed the behavior before coming into treatment during which he had started masturbating while watching his teenage girl bath through a peephole. During which category would that disorder fall into? Choose those that apply.
A)Substance Use Disorder.
B)Substance Induced Disorder.
C)Substance Abuse Delirium.
D)Substance Dependence.

Accepted Answer

The substance abuse delirium disorder and the substance induced disorder would best label the behavior described by the client. Those are some of the 16 categories listed in Axis I clinical disorders that are related to substance. This behavior would be categorized as a sexual dysfunction as listed under substance abuse delirium under substance induced disorders.

Question 3

If an adolescent entering treatment has a history of multidrug usage what step should be take?
A)The client should be placed in an area where staff is present.
B)Friends should be contacted to give him support.
C)The client should be put in a padded room and the door locked.

Accepted Answer

The step that should be taken when an adolescent with a history of multidrug abuse enters treatment is to watch the client closely for withdrawal life threatening symptoms that might indicate a difficult withdrawal. Though padded rooms are used for adolescence it is important that the client be observed for possible withdrawal symptoms.

Question 4

What is the proper diagnosis for anxiety that is a direct consequence of drugs?
A)Substance-induced anxiety disorder.
B)Mental Retardation.
C)Substance abuse.
D)Substance dependence.

Accepted Answer

The proper diagnosis for an anxiety disorder that is a direct physiological consequence of drug or medication abuse is a substance-induced anxiety disorder. Counselors are likely to encounter several of these mood disorders when working with chemical abusing clients.

Question 5

What instrument assesses anxiety as a direct physiological consequence of a drug and/or medication abuse?
A)The Minnesota Multiphasic Personality Inventory
B)The Strong interest Inventory.
C)The Wechsler Adult Intelligence.
D)The Mental Status Exam.

Accepted Answer

The instrument, the Mental Status Exam, is the tool that identifies anxiety as a direct result of the use of a drug or medication abuse. The tool that evaluates the client's time, place and person is the Mental Status Exam. This assessment includes observations related to judgment, behavior, thought process, perception and memory.

Question 6

A former client calls asking to be admitted. He has completed treatment in this center two times before; both times have been within the recent eight months. He says he has been sober for 6 months; but he has relapsed. What recommendation is the most appropriate?
A)Client should be asked to come immediately for an assessment interview. if he is drinking, transportation should be arranged.
B)As he has been sober for six months he should return to AA at the first available AA meeting.
C)The counselor and the client will review the discharge plan in an attempt to identify the cause for the relapse. The plan will be amended or redrawn.
D)Staff will determine that he has plenty of orange juice on hand and client is told to wait until the counselor returns to work.

Accepted Answer

An assessment and discharge plan review would be the appropriate recommendations. if an alcoholic has had no alcohol for six months he is more venerable to severe withdrawal systems. He does need to return to AA; but he first needs to be medically assessed. With two relapses over eight months careful attention should be paid to the relapse plan.

Question 7

A woman calls from a high-crime area of the city saying that she needs treatment and gives insurance information and her address. Two staff members go to pick her up; but she refuses to leave the room. During the conversation she reveals she is a history professor from out of town, divorced with no children and sober for thirty nine years. She demands that the staff members leave, saying she has changed her mind. She becomes increasingly hostile and threatens to attack them. What should be done?
A)Leave a card and tell her to call again if she changes her mind
B)Call the police complaining about a drunk woman who has threatened to harm someone
C)Wait her out until she changes her mind
D)None of the above

Accepted Answer

Calling the police would be the most appropriate answer to protect the woman and the others she might be in contact with. Sometimes waiting for a caller to change their mind does work, but since this is not in a safe neighborhood, the staff's safety needs to be considered.

Question 8

What measuring tool evaluates the client's orientation to time, place and person?
A)The Minnesota Multiphasic Personality Inventory
B)The Strong interest Inventory
C)The Wechsler Adult Intelligence
D)The Mental Status Exam.

Accepted Answer

The Mental Status Exam tool is used to assess and evaluates the client's time, place and person is the Mental Status Exam. This test includes observations related to judgment, behavior, thought process, perception and memory.

Question 9

CSAT represents which of the following?
A)Cocaine substance abuse treatment
B)Collective summary alcohol treatment
C)Client substance assessment treatment

Accepted Answer

This represents the gathering and interpreting of client's information in an assessments used to plan treatment and evaluate the results.

Question 10

A client that is expected of being suicidal is often given which two of the tests below?
A)The Mental Status Exam
B)The Strong Interest Inventory
C)The Beck Depression Inventory 11
D)Family Tree Questionnaire

Accepted Answer

The family Tree Questionnaire and the Beck Depression Inventory are often given when suicide concerns are present. The Beck Depression Inventory name gives you one of the answers; it is often used as it can be used more than once in treatment and judge the changes that might have been taking place in the depressive mode. The Family Tree Questionnaire is sometimes given to signal past family suicide attempts.

Question 11

A biopsychosocial perspective is necessary for an assessment. What statement is not relevant to that perspective?
A)Biological factors
B)Genetic factors
C)Friend's genetic factors.

Accepted Answer

The option that is not relevant to the biopsychosocial perspective of an assessment is the friend's genetic factors. . Though there is a growing thought that individuals are influenced by the health of others that is not a consideration in a substance abuse inventory.

Question 12

Which is not considered one of the four main components of a treatment plan?
A)Problems.
B)Goals.
C)Summary.
D)Strategies.

Accepted Answer

Summary is not considered to be one of the main components to a treatment plan. The items of problems, goals, and strategies are major elements of a comprehensive treatment plan. Though the summary gives the most important aspects of the plan that might be used to peruse to review, the detailed outline of the problems that brought the client to treatment, the goals the client wishes to reach, and the strategies that will be used to reach these goals are what is composed of a treatment plan.

Question 13

Why should you epxlain the need for an assessment to adult clients?
A)To encourage the client to enlist the help of a spouse to approve the questions
B)To assist in building client rapport and cooperation
C)So that the client will not interrupt and ask questions
D)To allow the client to reword the questions

Accepted Answer

The reason to explain the need for an assessment is to enlist the client's cooperation. If the assessment is read aloud the client feels the counselor is sincere in wishing the client understands the procedures and the reasons for them.

Question 14

What would be the reason for the psychiatric assessment?
A)The client presents difficulties in focusing and low motivation.
B)It is an additional procedure for which the client can be charged.
C)This assessment could identify a possible physical problem.

Accepted Answer

When a client is displaying behavior that might be related to a mood disorder other than alcohol abuse the need for a psychiatric assessment is that it might identify recovery barriers. A psychiatric diagnosis not recognized can easily interfere with continued recovery.

Quiz 1: Assessment

A client disclosed the behavior before coming into treatment during which he had started masturbating while watching his teenage girl bath through a peephole. During which category would that disorder fall into? Choose those that apply.

If an adolescent entering treatment has a history of multidrug usage what step should be take?

What is the proper diagnosis for anxiety that is a direct consequence of drugs?

What instrument assesses anxiety as a direct physiological consequence of a drug and/or medication abuse?

A former client calls asking to be admitted. He has completed treatment in this center two times before; both times have been within the recent eight months. He says he has been sober for 6 months; but he has relapsed. What recommendation is the most appropriate?

What measuring tool evaluates the client's orientation to time, place and person?

CSAT represents which of the following?

A client that is expected of being suicidal is often given which two of the tests below?

A biopsychosocial perspective is necessary for an assessment. What statement is not relevant to that perspective?

Which is not considered one of the four main components of a treatment plan?

Why should you epxlain the need for an assessment to adult clients?

What would be the reason for the psychiatric assessment?