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A practice exam for lcdc (licensed chemical dependency counselor) certification, covering topics such as asam's patient placement criteria, client confidentiality, engagement strategies for mandated clients, assessment interpretation, and ethical considerations. It includes questions on treatment planning, transference, substance use screening questionnaires, informed consent, service coordination, and crisis management. The exam also addresses stages of change, referral processes, and the use of tools like the dsm-5 in making diagnostic impressions. This practice exam is designed to help counselors prepare for certification by testing their knowledge of key concepts and best practices in addiction counseling, ensuring they are well-versed in ethical and practical aspects of the field. (415 characters)
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Which level of care is most appropriate according to ASAM's Patient Placement Criteria?
a. outpatient b. Intensive outpatient / partial hospitalization c. residential / inpatient d. Medically Managed Intensive Inpatient - โ๏ธ โ Correct Answer d. Medically Managed Intensive Outpatient When a client has appropriately consented to the transfer of client records to third party, counselors MUST be sure to
a. send all original copies
b. include records from other professionals c. document when, where, and what files were sent to whom d. transfer all documents, progress notes, and records the counselor created on the client - โ๏ธ โ Correct Answer c. document when, where, and what files were sent Which of the following is the MOST important principle to remember in promoting engagement when working with clients mandated to treatment?
a. discussing the positive impact treatment will have on the client's life by helping them avoid the consequences of noncompliance. b. acknowledging the influence external pressures had on the client's decision to enter treatment and the anger and sense of dehumanization they could feel.
c. it demonstrates to the client that the counselor understands their problems and needs so they can accept the solutions determined by the counselor. d. it helps the client realize the level and complexity of their problem and they better work hard at treatment. - โ ๏ธ โ Correct Answer b. it assists clients in identifying their strenghts, weaknesses, and goals to be incorporated in a treatment plan. A client discloses that her husband is abusing her three year old daughter. Jurisdictional law mandates the abuse must be reported, however, previous experiences with child protective services have been ineffective. The counselor fears if the abuse is reported it will escalate as child protective services will investigate the matter but take no further action. The counselor's BEST course of action is to
a. consult with their immediate supervisor and follow the supervisor's directives on whether or not to report the abuse b. adhere to reporting protocols and determine if and if and when the client should be informed of the report. c. develop a plan with the client to remove her and her daughter from the abusive situation and then report the abuse to appropriate authorities d. document as much detail as possible regarding the abuse and continue to monitor the situation until the counselor can make a clear decision abo - โ๏ธ โ Correct Answer b. adhere to reporting protocols and determine if and if and when the client should be informed of the report. A client's treatment plan contains the following statement:
b. projection c. countertransference d. displacement - โ๏ธ โ Correct Answer a. transference
In the process of assessment, all of the following substance use screening questionnaires may be used EXCEPT:
a. CAGE (Cut down, Annoyed, Guilty, Eye-opener) b. TWEAK (Tolerance, Worried, Eye-Opener, Amnesia, K/Cut Down) c. DALI (Dartmouth Assessment of Lifestyle Instrument d. AUDIT (Alcohol Use Disorders Identification Test) - โ๏ธ โ Correct Answer c. DALI Client education on the expected outcomes and possible risks of the counseling process is an important part of:
a. treatment process b. placement criteria c. informed consent d. referral management - โ๏ธ โ Correct Answer c. Informed Consent The activities that bring the client, treatment services, and other resources together to focus on identified issues and needs is known as:
a. clinical evaluation b. treatment planning c. referral planning d. service coordination - โ๏ธ โ Correct Answer d. Service coordination
c. cancel an appointment d. terminate treatment - โ ๏ธ โ Correct Answer a. break confidentiality Administrative supervision provides an opportunity to address
a. countertransference issues b. developing a therapeutic alliance c. mutuality, respect and connection for clients d. program policies and standards - โ ๏ธ โ Correct Answer d. program policies and standards Which of the following client attributes is an important predictor of treatment outcomes?
a. practicing self-care
b. self-esteem c. self-efficacy d. ability to self-soothe - โ ๏ธ โ Correct Answer c. self-efficacy
What potential factors of each change strategy are considered when developing a solid plan for change?
a. potential outcomes b. financial cost c. time restrictions d. environmental impact - โ๏ธ โ Correct Answer a. potential outcomes Knowledge of which of the following is MOST important for crisis management?
Clients with low levels of motivation to abstain from substance use should be placed in which type of group?
a. psychoeducational b. skill building c. process
d. support - โ๏ธ โ Correct Answer a. psychoeducational The assessment process begins when the client
a. admits they have a problem b. makes their first appoint for counseling c. attends their first counseling session d. first makes contact with their counselor - โ๏ธ โ Correct Answer c. attends their first counseling session
To abstain from drug use and maintain abstinence, individualized counseling emphasizes short term behavioral goals and helps the client develop
a. coping strategies and tools b. natural support systems c. community partners d. defense mechanisms - โ ๏ธ โ Correct Answer a. coping strategies and tools A client who is thinking about overcoming a problem but has not yet made a commitment to finding a resolution is in which stage of change?
a. preparation
b. gauge the validity of the instrument c. provide a diagnosis d. quantify an symptomatology - โ๏ธ โ Correct Answer a. gather detailed information for the treatment plan Empty Chair, Behavior Contracts, Scaling Questions, Journaling and Art are all examples of techniques that help clients examine their
a. behaviors, attitudes, and feelings b. unconscious feelings c. core belies d. creative self - โ๏ธ โ Correct Answer a. behaviors, attitudes, and feelings Counselors should foster the client's entry into treatment by stressing the importance of
a. ending all relationships that cause emotional distress b. avoiding any and all substances c. complying with treatment recommendation to ensure positive outcomes d. attending self-help meetings - โ๏ธ โ Correct Answer c. complying with treatment recommendation to ensure positive outcomes The DSM-5 is a tool used to
a. make a diagnostic impression based on presenting symptoms b. identify risk and protective factors relevant to the client c. determine the appropriate level of care
a. problem statements, goals, and objectives b. goals, strengths, and barriers c. goals, resources, and supports d. objectives, estimated date of accomplishment, and responsible parties - โ๏ธ โ Correct Answer a. problem statements, goals, and objectives The key attitude for counselors to have in order to facilitate a client's engagement in the treatment and recovery process is
a. respect for the client's frame of reference and context b. appreciation for the value of the evaluation process c. agency specific protocols and procedures
d. awareness of one's biases when presenting information - โ๏ธ โ Correct Answer a. respect for the client's frame of reference and context Which of the following best describes one of the causes of decreased ability to experience pleasure after long time substance use?
a. lower amounts of dopamine are produced causing feelings of depression b. dopamine receptors become damaged from continued substance use c. changes in the chemical makeup of dopamine alter its effects from pleasure to depression d. higher amounts of dopamine are produced causing a constant euphoria to which the user becomes accustomed - โ๏ธ โ Correct
