Complete Test Bank Chapter.11 Special Problems - Complete Test Bank | Chemical Dependency Counseling 6e by Robert R. Perkinson. DOCX document preview.
Chapter 11: Special Problems
Test Bank
Multiple Choice
1. To best illuminate the presence of other mental health issues, the assessment should include which of the following?
A. physical status exam
B. risk assessment for harm to self or others
C. evaluation of relationships
D. family history
Learning Objective: 11-2: Identify the components of the psychiatric/psychological assessment and develop a treatment plan for a client after the secondary problem has been diagnosed.
Cognitive Domain: Knowledge
Answer Location: The Psychiatric/Psychological Assessment
Difficulty Level: Easy
2. The inability to experience pleasure is referred to as ______.
A. depression
B. hedonia
C. anhedonia
D. sadness
Learning Objective: 11-3: Describe the depressed client, including how to treat the client with pharmacology and use different therapy models.
Cognitive Domain: Comprehension
Answer Location: The Depressed Client
Difficulty Level: Medium
3. Common medication types for treating depression include which of the following?
A. sedatives
B. dopamine
C. amphetamine sulphates
D. monoamine oxidase inhibitors
Learning Objective: 11-3: Describe the depressed client, including how to treat the client with pharmacology and use different therapy models.
Cognitive Domain: Comprehension
Answer Location: Psychopharmacology
Difficulty Level: Medium
4. According to cognitive therapists, much depression comes from ______.
A. sedentary lifestyle
B. lack of motivation
C. chemical imbalances in the brain
D. negative self-talk
Learning Objective: 11-3: Describe the depressed client, including how to treat the client with pharmacology and use different therapy models.
Cognitive Domain: Comprehension
Answer Location: Cognitive Therapy
Difficulty Level: Medium
5. In interpersonal therapy, the easiest type of conflict to resolve is ______.
A. grief work
B. couples therapy
C. childhood trauma
D. renegotiating a dispute
Learning Objective: 11-3: Describe the depressed client, including how to treat the client with pharmacology and use different therapy models.
Cognitive Domain: Comprehension
Answer Location: Interpersonal Therapy
Difficulty Level: Medium
6. Suicidal clients move through which of the following three levels of increased lethality?
A. ideation, planning, and acting on the plan
B. preoccupation, fantasy, and ideation
C. ideation, determination, and action
D. sadness, depression, and anhedonia
Learning Objective: 11-3: Describe the depressed client, including how to treat the client with pharmacology and use different therapy models.
Cognitive Domain: Knowledge
Answer Location: Suicide
Difficulty Level: Easy
7. There are times a therapist may encounter a situation where there may be imminent risk of harm to another person. This “Duty to Warn” stems from which of the following famous court cases?
A. Webb v. United States
B. Plessey v. Ferguson
C. Roe v. Wade
D. Tarasoff v. Regents of the University of California
Learning Objective: 11-4: Understand how to treat the angry client.
Cognitive Domain: Comprehension
Answer Location: The Duty to Warn
Difficulty Level: Medium
8. A key skill set for offsetting anger and aggression is ______.
A. chemical interventions
B. talk therapy
C. using batakas
D. assertiveness skills
Learning Objective: 11-4: Understand how to treat the angry client.
Cognitive Domain: Comprehension
Answer Location: Assertiveness Skills
Difficulty Level: Medium
9. Personality is composed of ______ and ______.
A. id; ego
B. ego; superego
C. temperament; character
D. rational; irrational
Learning Objective: 11-5: Discuss the concept of personality, including antisocial personality.
Cognitive Domain: Knowledge
Answer Location: Personality
Difficulty Level: Easy
10. A client with rapid changing moods and impulsive acting out and overreaction to environmental stimulus is most closely related to the ______ personality disorder.
A. narcissistic
B. antisocial
C. dependent
D. borderline
Learning Objective: 11-6: Explain how to interact with the borderline client
Cognitive Domain: Comprehension
Answer Location: The Borderline Client
Difficulty Level: Medium
11. A client who is consistently challenging rules, taking littler personal responsibility for their actions, and appears to be lacking in empathy is most closely related to the ______ personality disorder.
A. narcissistic
B. antisocial
C. dependent
D. borderline
Learning Objective: 11-5: Discuss the concept of personality, including antisocial personality.
Cognitive Domain: Comprehension
Answer Location: A Disorder of Empathy
Difficulty Level: Medium
12. A client who demands to be treated special due to their uniqueness is most closely related to the ______ personality disorder.
A. narcissistic
B. antisocial
C. dependent
D. borderline
Learning Objective: 11-7: Summarize the characteristics of the narcissistic client, anxious client, the needs of a client suffering from post-traumatic stress disorder, a client having a panic attack, and the psychotic client.
Cognitive Domain: Comprehension
Answer Location: The Narcissistic Client
Difficulty Level: Medium
13. ______ is an effective therapy for working with the exaggeration of threat common with general anxiety disorders.
A. Behavioral therapy
B. Cognitive therapy
C. Gestalt therapy
D. Task oriented therapy
Learning Objective: 11-7: Summarize the characteristics of the narcissistic client, anxious client, the needs of a client suffering from post-traumatic stress disorder, a client having a panic attack, and the psychotic client.
Cognitive Domain: Comprehension
Answer Location: Cognitive Therapy
Difficulty Level: Medium
14. Which of the following can cause psychosis?
A. schizophrenia
B. panic attacks
C. posttraumatic stress
D. anxiety
Learning Objective: 11-7: Summarize the characteristics of the narcissistic client, anxious client, the needs of a client suffering from post-traumatic stress disorder, a client having a panic attack, and the psychotic client.
Cognitive Domain: Comprehension
Answer Location: Hallucinations and Delusions
Difficulty Level: Medium
15. Among the elderly, substance abuse is the ______ ranked mental health disorder.
A. first
B. second
C. third
D. fifth
Learning Objective: 11-10: Identify the symptoms of special populations, such as elderly clients who have become addicts, a client with early childhood trauma, clients who have fallen in love in the treatment center, and the characteristics of a pathological gambler.
Cognitive Domain: Knowledge
Answer Location: The Elderly Client
Difficulty Level: Easy
True/False
1. In the event of comorbidity, the addictive disorder is generally primary.
Learning Objective: 11-1: Distinguish between primary and secondary diagnoses which create special problems.
Cognitive Domain: Knowledge
Answer Location: Special Problems
Difficulty Level: Easy
2. Medications have not always been congruent with 12 program philosophies.
Learning Objective: 11-2: Identify the components of the psychiatric/psychological assessment and develop a treatment plan for a client after the secondary problem has been diagnosed.
Cognitive Domain: Knowledge
Answer Location: How to Develop the Treatment Plan
Difficulty Level: Easy
3. Medication should never be the only treatment for depression.
Learning Objective: 11-3: Describe the depressed client, including how to treat the client with pharmacology and use different therapy models.
Cognitive Domain: Comprehension
Answer Location: Psychopharmacology
Difficulty Level: Medium
4. Personality disorders are less chronic than depression or schizophrenia.
Learning Objective: 11-7: Summarize the characteristics of the narcissistic client, anxious client, the needs of a client suffering from post-traumatic stress disorder, a client having a panic attack, and the psychotic client.
Cognitive Domain: Comprehension
Answer Location: Hallucinations and Delusions
Difficulty Level: Medium
5. Delusions can be treated similarly as denial.
Learning Objective: 11-7: Summarize the characteristics of the narcissistic client, anxious client, the needs of a client suffering from post-traumatic stress disorder, a client having a panic attack, and the psychotic client.
Cognitive Domain: Comprehension
Answer Location: Hallucinations and Delusions
Difficulty Level: Medium
Short Answer
1. In assessing a client for violent acting out or homicidal ideation, at what point is it the duty to warn indicated?
Learning Objective: 11-4: Understand how to treat the angry client.
Cognitive Domain: Comprehension
Answer Location: The Duty to Warn
Difficulty Level: Medium
2. Angry clients must learn how to forgive others. How is this skill related to anger?
Learning Objective: 11-4: Understand how to treat the angry client.
Cognitive Domain: Analysis
Answer Location: The Importance of Forgiveness
Difficulty Level: Medium
3. You suspect a client is suicidal. What strategy must you employ to gauge their level of lethality?
Learning Objective: 11-7: Summarize the characteristics of the narcissistic client, anxious client, the needs of a client suffering from post-traumatic stress disorder, a client having a panic attack, and the psychotic client.
Cognitive Domain: Application
Answer Location: Suicide
Difficulty Level: Hard
4. The antisocial personality disorder is described as a disorder of empathy. What does this mean?
Learning Objective: 11-5: Discuss the concept of personality, including antisocial personality.
Cognitive Domain: Comprehension
Answer Location: A Disorder of Empathy
Difficulty Level: Medium
5. There is a high degree of comorbidity between addictions and other mental health disorders. Would it be best to focus on the substance use disorder first?
Learning Objective: 11-1: Distinguish between primary and secondary diagnoses which create special problems.
Cognitive Domain: Comprehension
Answer Location: Special Problems
Difficulty Level: Medium
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Complete Test Bank | Chemical Dependency Counseling 6e
By Robert R. Perkinson