Chapter Eight Test Bank Questions
1. The development of community-based mental health clinics were required to have five
essential services, which one is not one of the five:
a. Inpatient counseling
b. emergency services
c. outpatient counseling
d. trauma/ disaster counseling
e. consultation/ education
2. There are no differences between the needs of homeless women and men:
a. True
b. False
3. The Train/ Place model states that clients’ clinical needs are best met by:
a. Living in independent living arrangements
b. Attending group counseling
c. Living in group transitional housing
d. By moving through a range of housing options
4. ACT programs have been shown to be effective in:
a. reducing hospitalization
b. increasing stability of housing
c. increasing client satisfaction
d. all of the above
5. _____________ is often shortchanged among the academic setting, although there is
substantial evidence that show the presence of both substance-related and psychiatric
conditions in clients:
a. Dual disorders
b. combination disorders
c. comorbidity
d. both a and c
6. When diagnosing a client, it is always important to:
a. Document prior diagnoses and collect information about current diagnoses
b. Ask client to discuss family history
c. complete an intake form
d. only discuss current diagnoses
7. What percentage of persons incarcerated in state prisons have reported depression?
a. 10%
b. 23%
c. 50%
d. 60%
8. As many as ________ of clients presenting with substance abuse disorders have another
co-existing condition.
a. 15%
b. 25%
c. 50%
d. 66%
9. Which of the following three groups represents the smallest number of mentally ill
persons who are incarcerated in local jails?
a. mentally ill persons arrested for misdemeanor offenses, some of which would not
result in the arrest of non-disordered persons
b. persons with psychotic symptoms who commit violent acts
c. persons with co-occurring personality and substance abuse disorders
10. Which disaster response involves an evidence-informed practice that aims to reduce
initial post-trauma distress and facilitate the short-and long-term adaptive functioning of
trauma survivors?
a. Three phase intervention model
b. Crisis incident stress debriefing
c. Psychological first aid
d. Emergency management systems
11. Pre-booking diversion programs intervene for:
a. individuals with mental illness whose behavior is violent
b. individuals with mental illness whose behavior is non-violent and unrelated to an
existing psychiatric condition
c. individuals with mental illness whose behavior is non-violent and related to
existing psychiatric condition
d. individuals with mental illness whose behavior is violent and and unrelated to an
existing psychiatric condition
12. When applying the paradigm of clinical mental health counseling to crisis and disasters,
counselors gain all of the following except:
a. perspective on the nature of the crisis
b. immediate network of relationship and social supports
c. a consideration for racism, socioeconomic class, subcultural values
d. individual’s past traumatic experiences
13. When using this approach to respond to a disaster, this approach is designed to prevent
future post traumatic disorders:
a. Crisis intervention
b. Critical incident stress debriefing (CISD)
c. Psychological first aid (PFA)
d. Trauma prevention
14. The primary goal of trauma informed care is:
a. to facilitate resilience and restore a sense of intrinsic control and empowerment
b. to treat the trauma the client has experienced
c. to understand the trauma and its impact on the client’s whole being
d. to treat first responders and practitioners who were indirectly exposed to trauma
15. Which of the following is considered a drawback to private practice:
a. Taking time off can cause a cash flow problem
b. There is complete autonomy
c. It can be challenging to continue education
d. Administrative tasks
e. both a and c
16. One of the challenges for working at a substance use treatment is:
a. Being physically harmed
b. Experiencing indirect trauma
c. clients often resist treatment
d. Working after hours
17. While working at a small college counseling center, the counselor:
a. Only works with students
b. Has the ability to specialize in a specific area
c. Has the opportunity to pursue a variety of interests
d. works at their own pace
18. One of the benefits of using equine therapy is:
a. The horse becomes a tool for emotional growth
b. underlying symptoms of pathology are addressed
c. It enhances clients well-being
d. All of the above
19. Home based therapy requires the counselor to:
a. only provide services in the home
b. work with a multi-disciplinary team
c. Work autonomously
d. Provide services mainly to individuals
20. When working in a university health services:
a. a counselor may work with individuals or groups
b. a counselor may develop educational programs
c. a counselor will work as an on-call counselor for after hours
d. all of the above
21. For purposes of valid research and program development, homelessness can be defined
simply as the absence of housing or permanent residence.
a. true
b. false
22. Compared to domiciled adults with severe mental illness, the homeless, severe mentally
ill have:
a. less severe psychiatric symptoms.
b. lower rates of psychiatric inpatient admissions.
c. more stable employment histories.
d. higher frequency of alcohol and chemical abuse.
23. Which of the following is critical for adequate treatment of persons with chronic, severe
mental illness in community settings?
a. the availability of doctorally-trained direct service providers
b. accurate diagnosis
c. the capacity of mental health care providers to integrate multiple services into a
coherent treatment package
d. numerous outpatient treatment options from which the consumer can choose
Essay Questions
1. In what ways do you see professional practice in an integrated behavioral health care
setting differing from a traditional community mental health setting? Consider presenting
issues, delivery format, and techniques used.
2. Define and briefly describe integrated dual diagnosis treatment (IDDT). How does it
differ from the delivery of traditional services and what are its advantages?
Test Bank Multiple Choice Answer Key