Deck 4: Assessment and Treatment Planning

Question 1

Which of the following is in the 2016 revision of the American Mental Health Counselors Association's code of ethics?

A) Mental health counselors determine the client's particular needs based on the nature of the abused substance in the context of his or her situation.
B) Mental health counselors must have a single approach that accommodates all categories of gender and sexual orientation in devising methods for assessing their clients.
C) Mental health counselors must, to the extent possible, provide test results in a neutral and nonjudgmental manner.
D) Mental health counselors must not differentiate between ethnicities and race in devising methods for assessing their clients.

Answer 1

C

Question 2

Which of the following is true of the Short Michigan Alcoholism Screening Test (SMAST)?

A) It tends to produce false-positive results and offers very general diagnoses of alcohol problems.
B) It is a simple, quick test but offers a low degree of reliability and validity.
C) It is specifically designed to target alcohol-abusing populations over the age of 30.
D) It generates weighted scores ranging from 0 to 53. Scores of 20 or higher indicate severe.

Answer 2

D

Question 3

Write a summary of the Comprehensive Drinker Profile (CDP).

Answer 3

Answers may vary.

Question 4

The Short Michigan Alcoholism Screening Test (SMAST) is composed of 17 open-ended questions that allow respondents to give descriptive answers.

Question 5

Which of the following is a question from the CAGE, the simple four-item self-report assessment device?

A) Have you ever craved for recreational chemicals not legally available?
B) Have you ever been anxious about what people might say about your substance use?
C) Have you ever felt greedy for higher levels of intoxication through your substance use?
D) Have you ever used alcohol or other drugs as an eye-opener to get going after a heavy night of use?

Question 6

Which of the following must substance abuse practitioners bear in mind to avoid oversimplification of the issues concerned?

A) Abstinence must be equated with health and nonabstinence with illness.
B) Substance abuse and dependence are unitary, well-defined, and largely predictable disorders.
C) Substance abuse problems are multivariate syndromes but should be treated as a single undifferentiated collective.
D) Chemical dependency involves multiple patterns of use, misuse, and abuse and multiple causal variables combine to produce problems.

Question 7

Which of the following is true of behavioral assessment?

A) Once the behavioral assessment and functional analysis are done, the counselor completes the substance use history.
B) A behavioral assessment and functional analysis also lets the counselor determine what is reinforcing and punishing for the client.
C) The behavioral assessment, a component of functional analysis, clearly shows when and why a client abuses substances.
D) The behavioral assessment and functional analysis interview are designed to be administered in the form of a questionnaire.

Question 8

Which of the following is true of the Comprehensive Drinker Profile (CDP)?

A) It works on principles significantly different from those of the Michigan Alcoholism Screening Test.
B) The quantitative indexes it yields are focused entirely on life problems directly linked to problem drinking.
C) The CDP is the most comprehensive empirically derived instrument of this kind.
D) The interview is simple enough to be administered by any mental health or substance abuse worker familiar with the problem.

Question 9

A client's walking into a substance abuse treatment facility does NOT, in and of itself, warrant a diagnosis of chemical dependency or alcoholism.

Question 10

Which of the following is true of the Substance Abuse Problem Checklist?

A) The checklist is a self-administered inventory containing specific problems grouped into 21 categories.
B) It can provide a clear indication of the importance of the ecological perspective.
C) The client assumes the role of a passive recipient in the treatment process.
D) It fails to uncover the contribution of suppressed and depressed feelings to the evolution of chemical dependency.

Question 11

Kevin has a desire to cut back on his use of alcohol, but he has failed in his efforts to do so. He spends an inordinate amount of time trying to obtain alcohol, using it, or recovering from its effects. Determine the severity indicator of his case.

A) Mild
B) Moderate
C) Severe
D) Indeterminate

Question 12

Which of the following represents a valid approach in substance abuse counseling?

A) Suicidal clients must have their chemical dependency issue addressed before their depression is treated.
B) Clients who are physically dependent on drugs or alcohol must be medically detoxified before other treatment can begin.
C) Psychotic individuals must already be on a chemical dependency treatment before their psychotic symptoms are addressed.
D) Clients who appear to have little hope and no faith in treatment should be given harder tasks that result in greater confidence.

Question 13

The Cognitive Appraisal Questionnaire is based on a structured interview and is not to be filled out by the clients themselves.

Question 14

According to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, substance use disorder is diagnosed if certain criteria are met. List any six of these and explain how you will determine the severity indicator.

Question 15

The Drug Use Screening Inventory is a 159-item assessment designed to determine drug use-related problems in both adults and adolescents.

Question 16

What must counselors bear in mind when using the DSM-5?

A) It minimizes problems associated with reductionism resulting from seeing a client through only one lens.
B) It underscores the importance of considering whether the client is physiologically dependent.
C) The use and the application of diagnostic schema are logical, self-evident, and self-explanatory and thus easy to use.
D) The counselor can choose not to diagnose when the diagnosis could hurt the client.

Question 17

An advantage of the Substance Abuse Problem Checklist (SAPC) is its suitability for clients with limited ability in English.