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CAADC PRACTICE EXAM | 100% Correct
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What are the Diagnostic Criteria for Panic Disorder without Agoraphobia? All of the above Recurrent and unexpected Panic Attacks. Neither a substance nor a general medical condition accounts for the Panic Attacks. No Agoraphobia present. - ✔✔ALL OF THE ABOVE An individual who has lost control of their drinking (alcohol) and is unable to stop or cut down despite serious negative health consequences and the loss of valued activities or relationships, seems to be suffering from: Alcohol dependency Codependent personality disorder Alcohol abuse Fetal alcohol syndrome - ✔✔ALCOHOL DEPENDENCY A commonly used instrument in psychological assessment which obtains a diagnosis by testing such indices as anxiety, paranoia, depression, and gender issues: Thematic Apperception Test Luria-Nebraska Test MMPI Korsakoff's Psychosis Test - ✔✔MMPI A client has a history of depression, mood swings, and problems with his body image. He is an exercise junkie and hits the gym at least twice a day even when he is sick. One day he asks if you can refer him to a physician that can prescribe some pills to help him control his weight. You should suspect: Performance anxiety An eating disorder Chemical dependency
A metabolic imbalance - ✔✔AN EATING DISORDER The diagnosis of Panic Disorder in children is controversial, with some arguing that they do not have panic attacks because: Children are not capable of making internal, catastrophic interpretations of physical symptoms Their nervous systems are not fully developed Children don't have as many fears as adults They have much less life experience - ✔✔Children are not capable of making internal, catastrophic interpretations of physical symptoms When performing a psychosocial assessment on an infant by questioning her parents, what data gathered during the session would have the greatest significance? Information about the mother's pregnancy, including any drug use Information about the infant's development Information about the infant's caregivers Information about the infant's siblings - ✔✔The correct answer: Information about the infant's development Pure brain! The psychosocial deals specifically with the psychological and social development of the individual- therefore the best information from the parents of an infant would have to consist of developmental information about the infant. While the other choices consist of information that would be helpful in making the psychosocial assessment, the information provided by a developmental history from the parents would be of the greatest value. For a diagnosis of delusional disorder: At least three non-bizarre delusions must have occurred for at least two weeks One or more non-bizarre delusions must have occurred for at least a month More than one bizarre delusion must have occurred for at least two months One or more bizarre delusions must have occurred for at least six months - ✔✔One or more non-bizarre delusions must have occurred for at least a month As an addictions counselor your are legally and ethically, bound to take reasonable steps to prevent a client's threatened suicide. These steps depend on the degree of risk and your client's willingness and
culture affects the manner in which clients' problems are defined. - ✔✔culture affects the manner in which clients' problems are defined. This is a psychological assessment tool which presents a set of ambiguous stimuli to an individual: Projective test Intelligence test Achievement test Personality inventory - ✔✔Projective test A woman presents to your office dressed very provocatively. Her emotions seem superficial, she cries easily and she notes that, recently, her husband has not been paying attention to her. The most likely tentative diagnosis is: Schizotypal Personality Disorder Adjustment Disorder with Depressed Mood Histrionic Personality Disorder Borderline Personality Disorder - ✔✔Histrionic Personality Disorder A standard criteria for admission to an inpatient program or a residential program is: A court order A polysubstance dependence 3 DUI convictions within 5 years A need for 24 hour supervision - ✔✔A need for 24 hour supervision The first session or first initial interview is mainly intended to: Work with the patient to determine what his or her treatment expectations might be Determine if the patient is appropriate and ready for treatment Work with the patient by showing him or her that significant change can happen with the first session Get the patient started by the creation of a formal contract - ✔✔Work with the patient to determine what his or her treatment expectations might be A Korean client comes to your practice; you are unfamiliar with Korean customs and beliefs. The first thing you should do is to:
Postpone therapy with the client until you have read up on Wicca culture Indicate to the client that you are unfamiliar with her cultural background Say nothing, but continue therapy Refer the client to someone with a similar background - ✔✔Indicate to the client that you are unfamiliar with her cultural background An ethical practitioner does not intentionally practice outside his/her major areas of competence, and makes it his/her business to attempt to objectively assess where his/her deficits lie. Since all clinical problems exist in particular contexts, however, the practitioner must attempt to distinguish general clinical principles that transcend particular contexts and "micro-competencies" that are needed to work effectively with particular client populations. In addition, competence must be evaluated against a constantly changing context of existing knowledge in a particular field. The practitioner is advised to be honest with his/her client regarding his/her lack of knowledge in a particular area. When dealing with crisis intervention, a addictions professional should FIRST: Do a "reality check" with the patient Present a rational explanation to the patient Go with the patient's feelings regarding the traumatic experience Talk with the patient about future goals and objectives to keep him focused - ✔✔Go with the patient's feelings regarding the traumatic experience Which is not a repercussion of compliance with HIPAA standards? Eliminate redundant paperwork Allow remote access to records Streamline operations Increased exposure to lawsuits - ✔✔Increased exposure to lawsuits A 28-year-old woman comes to your agency, indicating that she is ready to cash in her chips. She is depressed, but also recognizes that she needs help. She really seems upset, but doesn't seem to have a plan to commit suicide at this time. She has a support network consisting of her husband and his parents. To protect the safety of this patient you might first: Establish rapport and have your secretary call her husband Try some self-disclosure with the patient, indicating that everyone feels down in the dumps from time to time
Write the employer a letter, with the client's consent, explaining why he would be a good candidate for the position - ✔✔Write the employer a letter, with the client's consent, explaining why he would be a good candidate for the position You are an intake counselor working in a drug treatment facility. When you screen for suicide potential, your most important concern should be lethal plan, means, and opportunity. When you identify that the client in front of you presents these qualities you should: (Choose the BEST answer) Contact her family in order to provide her support and taking steps to maintain her safety Contact your supervisor, to maintain her safety Call the police to have her Baker Acted into protective custody to maintain her safety Begin a crisis intervention, taking steps to maintain her safety - ✔✔Begin a crisis intervention, taking steps to maintain her safety During the screening appointment, the client sitting across from you begins to tell you that he has had to put aluminum foil over his windows to block the radio transmissions, and stop the voices. As an Addictions Counselor you should: Terminate the interview and arrange for this client to be screened and evaluated by a mental health counselor Following the interview, arrange for this client to be screened and evaluated at a mental health crisis unit Following the interview, give this client a referral to a mental health provider Terminate the interview and write an evaluation that indicates that this client is not appropriate for treatment at this time - ✔✔Following the interview, arrange for this client to be screened and evaluated at a mental health crisis unit Any client that manifests an indication of a serious mental health issue or problem needs to be assessed by competent mental health providers. Being an addictions counselor does NOT qualify one to deal with schizophrenia. Before any treatment, a client with mental health problems MUST be stabilized prior to addictions treatment. What is the best way to respond to a client who is dissatisfied with the way her counseling is progressing? discuss her concerns and make necessary changes refer her to a new counselor confront her resistance
terminate her counseling - ✔✔discuss her concerns and make necessary changes Your client has been married to a substance user for twelve years. He tells you that he had always used sleeping pills and enjoyed an occasional cocktail, but that recently he has been using a gram of cocaine each week. He has begun taking cash advances on their credit cards and writing bad checks. The MOST appropriate referral for this client would be: (Choose the BEST answer) A referral to A referral to Narcanon A referral to Alcoholics Anonymous A referral to Narcotics Anonymous A referral to CoDA - ✔✔A referral to Narcanon This group is targeted to dealing with those involved with cocaine One of your clients is a 40 year old chronic alcoholic male, a veteran of the USMC. He has begun treatment after a family intervention. During group he has expressed his anger towards his employer, and his coworkers, whom he feels is treating him unfairly. This client, when he was drinking was abusive to his wife and children. You know that he is a hunter, and has firearms in the home. He has become withdrawn and sullen. According to his assessment he has few hobbies or outside interests. He often disagrees with other group members and is argumentative. Based on these observations, and in reviewing all of these factors you are concerned that he may be: (Choose the BEST answer) Dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor Secretly drinking or using drugs. You would do a random drug screen Demonstrating Post Acute Withdrawal Syndrome In the midst of a rela - ✔✔Dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor Based on these observations, and in reviewing all of these factors you are concerned that he may be dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor. One of your clients witnessed a severe accident in which individuals were killed and badly injured. During group, about a month following the accident, he discloses that he has been having vivid physical reactions which include feelings of panic, shortness of breath, sweating, a tightness in his chest and palpitations. As an addictions counselor you would recognize these symptoms as: (Choose the BEST answer)
The DSM-5 defines "Macropsia" as: The visual perception that objects are larger than they actually are. The misinterpretation of a real external stimulus. A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light. Interpretation that things are smaller in proportion to the background landscape. - ✔✔The visual perception that objects are larger than they actually are. In the DSM-5, the term "Macropsia" is defined as: The visual perception that objects are larger than they actually are. Macropsis is different from micropsia, which the DSM-5 defines as the visual perception that objects are smaller than they actually are. Macropsia is a diagnostic criteria under substance use disorders, like Hallucinogen Persisting Perception Disorder. The DSM-5 defines "Mood" as: An exaggerated feeling of well-being, euphoria, or elation. A person experiencing mood may describe feeling "high," "ecstatic," "on top of the world", or "up in the clouds". An unpleasant emotion, such as sadness, anxiety, or irritability. A pervasive and sustained emotion that colors the perception of the world. A mental state that arises spontaneously rather than through conscious effort and is often accompanied by physiological changes. - ✔✔A pervasive and sustained emotion that colors the perception of the world. In the DSM-5, "Mood" is defined as: A pervasive and sustained emotion that colors the perception of the world. Common examples of mood include depression, elation, anger, and anxiety. In contrast to affect, which refers to more fluctuating changes in emotional "weather", mood refers to a pervasive and sustained emotional "climate". Types of mood include dysphoric, elevated, euthymic, expansive, and irritable. The DSM-5 defines "Parasomnias" as: Disorders involving the amount, quality, or timing of sleep. Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep- wake transitions. Undesired daytime sleep episodes caused by excessive sleepiness. Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia. - ✔✔Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia.
The DSM-5 defines "Parasomnias" as: Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions. Parasomnias are different from dyssomnias, which the DSM-5 defines as primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as the major presenting symptom. Dyssomnias are disorders of the amount, quality, or timing of sleep. Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep- wake transitions. - ✔✔Parasomnias DSM-5 defines as primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as the major presenting symptom. Disorders of the amount, quality, or timing of sleep - ✔✔Dyssomnias The DSM-5 defines "Auditory Hallucination" as: A hallucination involving the perception of sound, most commonly of voice. A sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ. A hallucination when one may continue to speak even though no one is listening. A misperception of a real external stimulus, such as hearing the rustling of leaves as the sound of voices.
- ✔✔The DSM-5 defines "Auditory Hallucination" as: A hallucination involving the perception of sound, most commonly of voice. In general, consist of perception-like experiences with the clarity and impact of a true perception but without the external stimulation of the relevant sensory organ. One person may recognize the false sensory experience, whereas another may be convinced that the experience is grounded in reality. Are further categorized as: auditory, geometric, visual, gustatory, mood-congruent, mood-incongruent, olfactory, somatic, tactile, and visual. - ✔✔Hallucinations The DSM-5 defines "Olfactory Hallucination" as: An imagined perception that people are conspiring to steal one's nose (or other sensory body part). An imagined perception where one envisions people having multiple noses or lacking one altogether. An imagined perception involving the sensation of electric shocks. An imagined perception involving odor, such as burning rubber or decaying fish. - ✔✔An imagined perception involving odor, such as burning rubber or decaying fish.
Mood is further defined as a pervasive and sustained emotion that colors the perception of the world. Examples of mood include depression, elation, anger, and anxiety whereas types of mood include dysphoric, elevated, euthymic, expansive, and irritable. The DSM-5 defines "Micropsia" as: The visual perception that objects are smaller than they actually are. The interpretation that objects are larger than they appear to be. A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light. The misinterpretation of a real external stimulus. - ✔✔The visual perception that objects are smaller than they actually are. Micropsia is a diagnostic criteria under substance use disorders, like Hallucinogen Persisting Perception Disorder. The DSM-5 defines "Tic" as: Stereotyped or repetitive/rhythmic motor movements, use of objects, or speech. Repetitive, seemingly driven, and nonfunctional motor behavior. The manifestation of impaired skills requiring motor coordination. An involuntary, sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. - ✔✔An involuntary, sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. Tics are often associated under neurodevelopmental motor disorders that include Developmental Coordination Disorder, Stereotypic Movement Disorder, Tourette's Disorder, Persistent (Chronic) Motor or Vocal Tic Disorder, and Provisional Tic Disorder. The duration, presumed etiology, and clinical presentation define the specific tic disorder that is diagnosed; Diagnostic Criterion A states that "Both multiple motor and one or more vocal tics have been present at some time during the illness, although not necessarily concurrently." - ✔✔Tourette's Disorder Criterion A states that "Single or multiple motor OR vocal tics have been present during the illness, but NOT BOTH motor and vocal." - ✔✔Persistent Motor or Vocal Tic Disorder Criterion A states that there should be a "single or multiple motor and/or vocal tics." - ✔✔Provisional Tic Disorder
The DSM-5 defines "Irritable Mood" as: A pervasive and sustained emotion that colors the perception of the world. An unpleasant mood, such as anxiety, or irritability. Mood with the absence of depressed or elevated affect. Easily annoyed and provoked to anger. - ✔✔Easily annoyed and provoked to anger. The DSM-5 defines "Late Insomnia" as: Awakening in the middle of the night followed by eventual return to sleep, but with difficulty. Difficulty in falling asleep. Early-morning awakening with an inability to return to sleep. A subjective complaint of difficulty falling or staying asleep or poor sleep quality. - ✔✔Early-morning awakening with an inability to return to sleep. In general, refers to a subjective complaint of difficulty falling or staying asleep or poor sleep quality. Different manifestations of insomnia can occur at different times of the sleep period; these are: Initial insomnia/Sleep-onset insomnia; Sleep maintenance insomnia/Middle insomnia); and Late insomnia. Difficulty maintaining sleep is the most common single symptom of insomnia, followed by difficulty falling asleep, while a combination of these symptoms is the most common presentation overall. - ✔✔INSOMNIA Difficulty maintaining sleep is the most common single symptom, followed by difficulty falling asleep, while a combination of these symptoms is the most common presentation overall. - ✔✔INSOMNIA The DSM-5 defines "Unexpected Panic Attack" as: A panic attack that almost invariably occurs immediately on exposure to, or in anticipation of, a situational trigger. A panic attack more likely to occur on exposure to a situational trigger, but that is not invariably associated with it. A panic attack where the onset of the attack is not associated with an obvious trigger. A panic attack that is triggered by the anticipation of developing a life-threatening illness. - ✔✔A panic attack where the onset of the attack is not associated with an obvious trigger.
addiction professional all to herself so she can get things off her chest without her partner around. What should the addiction professional do? Do not see her this time, explaining that she and her boyfriend must make the effort to both show up together Call the boyfriend to ask him why he has not come to the treatment session See her, but let her know that her boyfriend will also be entitled to a confidential session Continue the session but let her know that you won't maintain confidentiality from her boyfri - ✔✔Continue the session but let her know that you won't maintain confidentiality from her boyfriend next session Since the addiction professional has been working with the couple as a couple, the addiction professional must explain to the woman that anything she tells the clinician must be shared with the other party or the clinician will be unable to continue to work with them. Martha is a therapist who subleases an office. To save money, her peer supervision group began meeting at a local coffee shop to avoid the additional hourly charge that had to be paid and instead, assigned random case numbers so that no identifying information would need to be verbalized when discussing a case. Martha has: Found an efficient way to improve her practice's 'bottom line' while increasing her client's care Violated labor laws by seeking reimbursement for services in a non-clinical setting Violated the code of ethics by not maintaining discussion of client information in a setting where she can be reasonable certain of client privacy Violated her client's privacy by failing to document this practice in her client's informed consent for treatment. - ✔✔Violated the code of ethics by not maintaining discussion of client information in a setting where she can be reasonable certain of client privacy Ethical standards call for not discussing any case related materials outside a setting in which one can reasonable presume client privacy. This precludes public or semi-public settings. This would also preclude common areas in agency or medical settings (i.e. the elevator, hallways) One may consider "duty to warn": Necessary, but not a sufficient condition for protection Ethics protecting the public A legal decision affecting therapists Government deciding for the therapist - ✔✔A legal decision affecting therapists
"Duty to warn" is case law that came out of the now famous Tarasoff v. Board of Regents of California decision in 1976. This law mandates that when practitioners become aware of a threat of physical harm to an identifiable individual or to the public welfare, the practitioners have the legal responsibility to take some action to protect the intended victim from their client. This duty can be usually discharged by a phone call to the proper authorities. When reporting incidents of child abuse, you should maintain your client's confidentiality include your client's complete records only include the information necessary to protect the child ask the client for his/her permission - ✔✔only include the information necessary to protect the child You receive a call from a female who has been beaten up by her boyfriend. She is crying and seems to be in pain. Your first action might be to: Help her receive medical treatment, and maintain confidentiality Help her receive medical treatment, and contact the police Advise her to call the police while you coordinate with the appropriate community service agency Ask her to assess whether she needs to see a doctor, and advise her that you may be under an obligation to call the police - ✔✔Help her receive medical treatment, and maintain confidentiality Addictions professionals are aware of the intimacy and responsibilities inherent in the treatment relationship, maintain respect for clients, and act in their best interest and maintain confidentiality. In this case, it is clearly of primary importance that the client receive medical attention as well as having her confidentiality protected. Group participants have a right to expect a description of the group format, procedures, and: Ground rules Group rules Attendance rules Payment rules - ✔✔GROUND RULES A patient is in treatment for 36 sessions on issues related to alcohol. The patient graduates with success. To celebrate the end of treatment, the therapist treats the client to coffee and a bagel at a local diner where the therapist goes to relax before or after work. The therapist encourages the patient to find and
A client has a right to have access to all information regarding his or her treatment except: The Assessment Unedited progress notes The Treatment recommendation The Discharge Summary - ✔✔Unedited progress notes The result of the Tarasoff decision is that a therapist must warn: The intended victim and the appropriate public health intervention agency The appropriate public health intervention agency The intended victim and the police The police and the client's closest immediate family member - ✔✔The intended victim and the police Which of the following statements is true? When a client is suicidal, confidentiality may be breached Even if a client is suicidal, confidentiality must never be breached When a client is suicidal, confidentiality must always be breached If a client is suicidal, confidentiality may only be breached to the police - ✔✔When a client is suicidal, confidentiality may be breached Which of the following is not required by federally-assisted abuse programs of consent from a client prior to releasing confidential information? be signed and dated be typed specify a time limit be in written form - ✔✔BE TYPED A client who suffers from debilitating anxiety attacks tells you that she doesn't want to take her Xanax anymore, because it just doesn't seem to be working. You might: Advise her to decrease the dosage to decrease reliance on the drug Advise her that this is a proven treatment that she should keep taking
Advise her to get in touch with her M.D. Stop seeing her at that point in favor of a referral to a psychiatrist - ✔✔Advise her to get in touch with her M.D. Medical decisions and questions regarding medications are the domain of the prescribing physician. The client should discuss the effectiveness or lack of effectiveness of particular medications with her/his MD. Which of the following is the ideal structuring for a brief group therapy situation: The sexual orientation of the group is not important. The group is heterogeneous. The group is both homogeneous and heterogeneous. The group is homogeneous. - ✔✔The group is homogeneous of the same kind; alike. Sue leads a therapy group. A client gives her negative feedback about her approach with him. She listens, considers what he has to say, but does not believe his perceptions are accurate. She does not want to increase the client's sense of powerlessness. Her next step is to: Confirm his reality, but note her different perception Seek feedback from the group (consensual validation) Apologize to him and move forward, either way, he feels slighted Challenge his beliefs about her approach - ✔✔Seek feedback from the group (consensual validation) After listening and considering his statement, she should seek consensual validation from the group and from that point, act accordingly. It may be a transference reaction, but it may not. She cannot validate a false reality or give an "I'm sorry, but" apology. Stroking, game/racket and structural analysis belong to this group orientation: Adlerian RET Gestalt Transactional Analysis - ✔✔Transactional Analysis Doing to ourselves what we would like to do to another individual is known as:
