Sample Questions Flashcards

A counselor working with a Native American client should prioritize which of the following approaches?

Answer: Incorporating culturally specific healing practices and community support

Culturally competent care for Native American clients includes recognizing and integrating traditional healing practices, spirituality, and community-based support systems.

Which neurotransmitter is most directly associated with the rewarding effects of most addictive substances?

Answer: Dopamine

Dopamine release in the mesolimbic reward pathway is the primary neurochemical mechanism underlying the reinforcing effects of addictive substances.

A client discloses they plan to harm a specific coworker when they leave the session. The counselor's FIRST obligation is to:

Answer: Warn the intended victim and notify appropriate authorities (Tarasoff duty)

The Tarasoff ruling established the duty to protect identifiable third parties from serious threats of harm by warning the victim and notifying law enforcement.

In group counseling for substance use disorders, 'universality' refers to:

Answer: The therapeutic benefit of recognizing that one's struggles are shared by others

Universality, identified by Yalom as a curative factor in group therapy, is the experience of discovering that other members share similar problems, reducing isolation.

Which medication is used as an opioid antagonist to help prevent relapse by blocking the euphoric effects of opioids?

Answer: Naltrexone

Naltrexone is an opioid antagonist that blocks opioid receptors, preventing opioids from producing euphoric effects and thereby reducing the reinforcement of use.

A counselor who develops romantic feelings toward a client should:

Answer: Seek clinical supervision and, if necessary, transfer the client

Countertransference requires clinical supervision to address; if feelings cannot be managed ethically, transfer to another qualified counselor is the appropriate action.

The CAGE questionnaire is a brief screening tool for which substance use disorder?

Answer: Alcohol use disorder

The CAGE (Cut down, Annoyed, Guilty, Eye-opener) questionnaire is a validated four-question screening tool specifically designed to identify problematic alcohol use.