Perkinson: Chemical Dependency Counseling 5th Edition Instructor Resources
Test Bank
Chapter 2: “1st Hours”
The following questions are multiple choice. Please circle the correct response
1. Trust is essential to the therapeutic alliance. Which of the following is NOT an important
element in the establishment of trust?
2. A counselor should establish and maintain relationships with community resources to:
a. identify service gaps.
b. help address unmet needs.
3. The following are all referenced as important elements of the initial contact with exception
of:
a. unconditional positive regard.
b. offer a facility tour to the family if possible.
4. The author expresses the importance of screening for organic brain dysfunction. A referral to
a medical professional should be made if:
a. they fall outside the cut off scores of the screening instruments.
b. clients display unusual speech patterns.
5. The purpose of the assessment is to determine:
6. The Addiction Severity Index (ASI) assesses seven (7) dimensions involved in many addicted
persons. These include all but:
7. John D came into treatment willingly following an intervention facilitated by family and
friends. He identifies having a problem and needs to change. What ASAM Dimension would
this fit within?
a. Acute Intoxication/withdrawal complications.
b. Biomedical conditions.
8. Jill was court ordered to treatment following a series of drunken driving mishaps. She has
been sober for two weeks and is medically stable. While she admits being anxious, most of
this is related to her legal consequences. She lives alone and has a friend in recovery. Using
the ASAM scales, ill meets the criterion for:
9. Lorenzo has been a daily drinker with a history of domestic violence when using. He has
recently been diagnosis as positive for hepatitis C. He has been detoxed in the past but never
followed up by going to treatment. He currently lives with a group of college friends who are
also heavy drinkers. Using the ASAM scales, ill meets the criterion for:
10. All the following are elements of an effective intervention except:
11. After _______ year(s) of sobriety, relapse rated fall to near zero.
a. 1
b. 2
12. American Society of Addiction medicine (ASAM) patient placement criterion includes all the
following dimensions except:
a. withdrawal potential.
b. readiness for change.
13. Criterion for diagnosis of Substance Use Disorders is guided by criterion from the:
a. Diagnosis Manual.
b. American Medical Association.
14. Substance Use Disorder should have specifiers regarding:
15. The following are all recognized “levels of care” with the exception of:
a. outpatient treatment.
The following Questions are True or False. Circle the correct response.
1. Consistency is a critical element in establishing trust. T F
2. Denial must be addressed, at least minimally, in the initial hours of treatment.
3. Initially, counselors must only focus on the clients’ addiction. Ancillary referrals should only
4. The text identifies several highly sophisticated toxicology technologies capable of rendering
The following are all short answer questions:
1. A clinician should be knowledgeable in the community demographics and cultures. Why is this
referral in treatment, or the selection of referrals sources?
2. Typically, addiction impacts multiple areas of a person’s life. What are some typical
complicating issues and needs a person may have? What are some community resource
systems that may be important to be familiar with?
3. One of the elements critical to treatment placement is recovery/living environment. Why is
this important to consider. Given an example how living environment can aid recovery? Be a
barrier to recovery?
4. John is self-referred to treatment for Opiate use. He was diagnosed with a Opiate Use
Disorder with physiological dependence. He has no complicating medical concerns, works full
time, and has no treatment resistance. Presently, he lives in an apartment with a friend who
uses opiate pain medicine daily. This means opiate medication is in the household. Which of
the ASAM Dimensions would have the most concern?
5. Kim is a 17-year-old female diagnosed with drug dependence. Her parents are supportive and
have removed all drugs of abuse from the home. She is presently behind in school. What
would be the ideal level of care? Why?
Perkinson: Chemical Dependency Counseling 5th Edition Instructor Resources