FREE Chemical Dependency Counselor MCQ Question and Answers
Which of the following levels did Abraham Maslow NOT include in his Hierarchy of Needs?
Abraham Maslow's Hierarchy of Needs has been outlined in a number of different ways, but the basic components are as follows: Physical needs (needs for basic sustenance); Security needs (safety and protection as a family and society); Love and Belonging Needs (social needs such as friendship, love, appreciation, etc.); Esteem Needs (self-respect, recognition as unique, personal value, etc.); Purpose Needs (meaning to life, discovering and realizing one's inner potential, etc.); Self-actualization Needs (creativity, morality, wisdom, etc.). It is challenging to invest in or even fully appreciate higher-order demands until lower-order needs are satisfied. Abuse of substances temporarily obscures any knowledge of requirements and, on occasion, even provides fake substitutes for them (feelings of well-being, status, creativity, etc.). As a result, obstacles to ending drug misuse are likely to endure until significant progress is made in satisfying hierarchical needs.
What is the purpose of the Symptom Checklist-90-R (SCL-90-R)?
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An extensive spectrum of psychological issues and significant signs of psychopathology are evaluated using the Symptom Checklist-90-R (SCL-90-R). The tool is also used to gauge patient improvement or therapeutic results. The SCL-90-R can be finished in as little as twelve to fifteen minutes because it only has ninety items and a five-point rating system. The exam, which is recommended for people aged thirteen and over, generates an overview of symptoms and their intensity at a certain moment. Somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism are the nine main symptom aspects that are assessed. The indicator of symptom severity makes treatment choices easier and spots issues before they become serious. The summary is provided by the Global Severity Index. More than 1,000 different investigations have verified the instrument's validity and reliability.
What does the acronym CHEAP progress note mean?
The principal complaint is the current issue or any important problems needing immediate action. History is any pertinent historical information, whether it is recent history that is pertinent to the main complaint or the current issue, or deep history at the time of intake. The exam is any change or absence of change in mental state (MMSE), mood, and behavior, including the client's current demeanor, speech patterns, psychomotor changes, mood or affect, observed facial expressions and emotive range, thought processes, insight, judgment, and impulse control. A brief statement of general impression, comments from other service providers, and any positive diagnostic studies, medication concerns, or consultation summaries are all included in an assessment. It may also include five axes diagnoses. The plan outlines the reasons for any modifications to the treatment strategy, continuing interventions, medicine, or program. It also addresses placement issues, among other things.
Which of the following stages of cocaine addiction development is NOT typical?
Experimental use of cocaine is the first step toward abuse. The majority of interactions are with nonusers, and no overt effects of experimentation are seen. The compulsion to utilize is the second stage. Cocaine is used in this stage to deal with sadness, mood swings, tension, and the aftereffects of a pleasurable high. Friends who don't use start to be shunned as the number of friends who do so rises. Financial issues start to surface. The third and final stage, dysfunctional use, is characterized by an obsession with drug use, ongoing sleep and health issues, significant disruptions in social and family life, and severe damage to jobs and finances. As the problems grow and the want to use grows stronger, treatment may be sought. Due to the prevalence of trading sexual favors for drugs, there is a greater danger of contracting sexually transmitted diseases (STIs).
What is the main objective of screening a client who has a history of substance abuse?
Reviewing and analyzing symptoms, the existing situation, available resources, amenability to treatment, willingness for change, program goodness of fit, potential dual diagnoses, potential referral needs, and other factors can help you achieve this main objective. Many things will be discovered during screening and intake examination, however, all information should primarily be utilized to choose the best first path of intervention and therapy, given the client's needs and features. There might be instances where a client's features call for referral to a different type of treatment, but the screening process should never be used as a means of simply offloading troublesome individuals. Inpatient detoxification, hospitalization, or referral to a program setting with a higher degree of care or the ability to more effectively examine and treat specific multiple disorders may all be required in rare cases of medical needs. Otherwise, screening should continue to concentrate on developing a treatment plan that would maximize the client's chance of success in the long run.
Which of the following tools is used to test people who frequently embellish or falsify the truth for drug abuse?
Research and revisions on the Substance Abuse Subtle Screening Inventory (SASSI) have been considerable. It is currently in its third iteration (SASSI-3), and it includes both overt and covert components. This makes it especially helpful in circumstances where people are unable or reluctant to accept they have a problem with substance usage. It has 67 true-false questions as well as a 26-item self-report component on substance usage and can be finished in less than 15 minutes. It is not suitable for pre-employment screening or other nonclinical uses because it is intended for clinical usage. Although the Michigan Alcohol Screening Test (MAST) is one of the most reliable and established alcohol screening tests, it does not provide any unique techniques for identifying issues of veracity. The Screening, Brief Intervention, and Referral to Treatment (SBIRT) method is a quick and easy way to determine who is using drugs or alcohol at an unsafe level and who is already having problems with their use of the drug. It does not, however, provide any unique techniques for avoiding compromised truth-telling. The Addiction Severity Index (ASI) is a tool for assessment and treatment planning, not for screening.
Which TWO of the following are suggested by social control theorists as causes of deviation?
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Weak family relationships cause a loss of the internalized behavioral and decision-making restrictions that are often present. Family alienation feelings contribute to inadequate family and community socialization and a lack of prosocial constructs. Particularly deficient in the capacity to have good, conforming influences and to forge deeper bonds and commitment within the community are highly unorganized, chaotic, and underprivileged communities. Lack of ties to the community and society at large results in a loss of responsibility. When closer links are established with people who support and adhere to the drug subculture's rules, external limitations are subsequently diminished or removed totally. The subcultural norms substitute and negate those of the often dominant wider social structure in such situations, bypassing the customary restrictions of social disapproval and fear of punishment. Youth are left insufficiently vulnerable to peer pressure, materialism, and hedonistic pursuits, including drug use and abuse, in highly prosperous societies by absent, negligent, and emotionally unavailable elders. Weak family and community bonds can therefore cause substance misuse problems in both disadvantaged and wealthy populations.