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LCDC TX Exam Latest Updated.
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LCDC TX Exam Latest UpdatedA method of reinforcing therapeutic alliance & spirit of collaboration between the PT &
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counselor: - answer-setting mutually-established goals
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A mental status exam includes: - answer-Appearance
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Speech
Thought Process v
The provision of info concerning alcohol/drug abuse & the available srvcs & resources: -
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answer-client education
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When should significant others should be involved in the treatment process? - answer-
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From the clients first contact with the treatment center
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The NIDA-financed Drug Abuse reporting Program found that: (having to do with
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therapeutic communities) - answer-Therapeutic communities do reduce drug use
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relative to untreated clients or those who are simply detoxified and released.
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A dually-diagnosed PT, stablized on meds for his psychatric D/O, wants to quit smoking.
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You should: - answer-Consult with his physician regarding nicotine/medication
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interaction.
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A cognitive-based therapy, developed by Ellis, designed to confront a PT's irrational
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thinking - answer-Rational-Emotive Therapy
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A "release of information" must include: name, address, DOB & _____? - answer-The
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purpose of the release of information
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When a client discloses suicidal thougths, the counselor's first step is to: - answer-
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Assess the degree of risk v v v v
When conducting an assessment what is the counselor's primary focus? - answer-
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Identifying the clients problems and needs, strengths and weaknessess.
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The BEST indicator if an individual is physically dependent upon alcohol or another drug
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is: - answer-The presence of withdrawal symptoms.
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Guilt and ___ are painful emotions that are part of grieving. - answer-Anger
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,Despite vast personality differences, virtually all substance abusers experience: -
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answer-remorse, self-hatred and shame
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You are having difficultiy with a client early on in the case. The BEST thing for you to do
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is: - answer-Seek out supervision with a colleage or supervisor
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Self report screening instrument consists of 4 Y/N questions. Requires aprox 1 min to
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complete - answer-CAGE questionnaire
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Drug Offender Profile Evaluation/Refferal Strategies - answer-D.O.P.E.R.S.
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Michigan Alcoholism Screening Test - answer-MAST
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Self Administered Alcoholism Screening Test - answer-SAAST
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Short Michigan Alcoholism Screening Test - answer-SMAST
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Substance Abuse Subtle Screening Inventory - Adult or Adolescent Version - answer-
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SASSI
Addiction Severity Index - answer-ASI v v v v
Diagnostic and Statistical Manual of Mental Disorders - answer-DSM
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Adapted Short Michigan Alcoholism Screening Test for Fathers - answer-F-SMAST
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Global Appraisal of Individual Needs - answer-GAIN
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Minnesota Multiphasic Personality Inventory - answer-MMPI
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Minnosota Substance Abuse Problems Scale - answer-MSAPS
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Readiness To Change Questionnair - answer-TRCQ v v v v v
Substance Abuse Subtle Screening Invnetory for Adolescents - answer-SASSI-A
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Human Immunodeficiency Virus - answer-HIV
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The Stages of Change : - answer-1) pre-contemplation
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2) contemplation
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3) preparation
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4) action
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5) maintenance
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6) relapse
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,(SCM) Not yeat acknowledging that there is a problem behavoir that needs to be
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vchanged - answer-Pre-Contemplation v v
(SCM) Acknowledging that there is a problem but not yet ready or sure of wanting to
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vmake a change - answer-Contemplation
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(SCM) Getting ready to change - answer-Preparation
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(SCM) Changing behavior - answer-Action
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SCM) Maintaining the behavior change - answer-Maintenance
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(SCM) Returning to older behaviors and abandoning the new changes - answer-relapse
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The Stages of Change Model was originally developed in the late 1970's and early
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1980's by... - answer-James Prochaska, Carlo DiClemente
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Bio-psychosocial perspective - answer-This recognizes that there are biological, v v v v v v v v
psychological and social causes of substance abuse and dependence.
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Biological factors - answer-These include brain chemistry problems, which may be
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genetic, making some people particularly vulnerable to addiction to certain drugs once
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they try them.
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Psychological factors - answer-These include cognitive styles, personality traits, and
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early developmental experiences that may contribute to a client's causes of substance
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abuse and dependence.
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Social factors - answer-These include poverty, oppression, poorly developed social
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skills, and family dysfunction that may contribute to a client's causes of substance abuse
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and dependence.
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Motivational interviewing - answer-This is a style of interacting with clents, used not only
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for assessment, but for all phases of treatment, that is particularly helpful for reducing
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defensiveness and encouraging therapeutic collaboration between the counselor and
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client. Uses the interpersonal process to enhance clients' motivation to change, and
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encourages clients to move on to the next stage of readiness for change.
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Assessment Instruments - answer-These aid in the identification of, and treatment
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planning for substance related disorders.
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Reliability - answer-This refers to the consistency with which an assessment instrument
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measures.
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Validity - answer-This refers to what an assessment instrument measures and how it is
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used.
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, Screening Instrument - answer-This distinguishes individuals who do not have a disorder
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from those who might have one.
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` - answer-`
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CAGE - answer-4 questions - Yes to 1 indicates possibility of alcohol dependence. Cut
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down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eye-opener?
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DAST - answer-Drug Abuse Screening Test (adapted from MAST) used to detect abuse
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or dependence on drugs other than alcohol.
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MAST - answer-Michigan Alcoholism Screening Test - yes or no to 25 questions.
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RAPS-4 (Rapid Alcohol Problems Screen) - answer-An answer of yes to one or more
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questions indcates the possibility of alcohol dependence during the past year. The
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questions have to do with remorse, amnesia, performance of life duties, and starting the
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day with alcohol.
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SASSI (Substance Abuse Subtle Screening Inventory) - answer-This brief self-report is
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designed to identify individuals with a high probability of having a substance related
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disorder.
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SASSI-A2 - answer-Substance Abuse Subtle Screening Inventory for Adolescents ages
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12 to 18.
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TLFB (Time Line Follow Back Procedure) - answer-This is a Comprehensive Measure of
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Drinking which makes connections between significant events in the client's life and
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alcohol/drug use patterns and intensity, for the past year.
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ADS (Alcohol Dependence Scale) - answer-This diagnostic instrument is a 25-item
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instrument that provides a quantitative measure of the severity of alcohol dependence.
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DIS-IV (Diagnostic Interview Schedule - Alcohol Module) - answer-This diagnostic
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instrument asks 28 questions that permit diagnosis of alcohol abuse or dependence.
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ICS (Impaired Control Scale) - answer-This diagnostic instrument is a pencil and paper
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vself-administered insturment that measures clients' attempts to control drinking during v v v v v v v v v
vthe last 6 months and their perception of their ability to control it now.
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OCDS - answer-Obsessive Compulsive Drinking Scale
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SADD - answer-Short Alcohol Dependence Data
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SDSS - answer-Substance Dependence Severity Scale
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