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CAADC PRACTICE EXAM Questions and answers, rated A+. latest version. What are the Diagnostic Criteria for Panic Disorder without Agoraphobia? All of the above Recurrent and unexpected Panic Attac... ks. Neither a substance nor a general medical condition accounts for the Panic Attacks. No Agoraphobia present. - ✔✔-ALL OF THE ABOVE An individual who has lost control of their drinking (alcohol) and is unable to stop or cut down despite serious negative health consequences and the loss of valued activities or relationships, seems to be suffering from: Alcohol dependency Codependent personality disorder Alcohol abuse Fetal alcohol syndrome - ✔✔-ALCOHOL DEPENDENCY A commonly used instrument in psychological assessment which obtains a diagnosis by testing such indices as anxiety, paranoia, depression, and gender issues: Thematic Apperception Test Luria-Nebraska Test MMPI Korsakoff's Psychosis Test - ✔✔-MMPI A client has a history of depression, mood swings, and problems with his body image. He is an exercise junkie and hits the gym at least twice a day even when he is sick. One day he asks if you can refer him to a physician that can prescribe some pills to help him control his weight. You should suspect: Performance anxiety An eating disorder Chemical dependency A metabolic imbalance - ✔✔-AN EATING DISORDER The diagnosis of Panic Disorder in children is controversial, with some arguing that they do not have panic attacks because: Children are not capable of making internal, catastrophic interpretations of physical symptoms Their nervous systems are not fully developed Children don't have as many fears as adults They have much less life experience - ✔✔-Children are not capable of making internal, catastrophic interpretations of physical symptoms When performing a psychosocial assessment on an infant by questioning her parents, what data gathered during the session would have the greatest significance? Information about the mother's pregnancy, including any drug use Information about the infant's development Information about the infant's caregivers Information about the infant's siblings - ✔✔-The correct answer: Information about the infant's development Pure brain! The psychosocial deals specifically with the psychological and social development of the individualtherefore the best information from the parents of an infant would have to consist of developmental information about the infant. While the other choices consist of information that would be helpful in making the psychosocial assessment, the information provided by a developmental history from the parents would be of the greatest value. For a diagnosis of delusional disorder: At least three non-bizarre delusions must have occurred for at least two weeks One or more non-bizarre delusions must have occurred for at least a month More than one bizarre delusion must have occurred for at least two months One or more bizarre delusions must have occurred for at least six months - ✔✔-One or more nonbizarre delusions must have occurred for at least a month As an addictions counselor your are legally and ethically, bound to take reasonable steps to prevent a client's threatened suicide. These steps depend on the degree of risk and your client's willingness and ability to follow your recommendations. When the risk is not immediate, these recommendations could be to: Develop a no-suicide contract Consider hospitalization All answers are correct Involve the client's support systems and relieve isolation. - ✔✔-All answers are correct Procedures or instruments such as inventories, questionnaires, checklists, structured interviews, etc. which are the basis developing and forming a judgment regarding the specific nature extent of the client's problems. Testing tools Assessment tools Diagnostic tools Screening tools - ✔✔-Assessment tool Assessment tools are the procedures or instruments such as inventories, questionnaires, checklists, structured interviews, etc. which are the basis developing and forming judgment regarding the specific nature extent of the client's problems. Achievement tests are different from ability tests because: Achievement tests are less related to school subjects than are ability tests Achievement tests are more related to school subjects than are ability tests Ability tests access what a client already knows Ability tests access past performance - ✔✔-Achievement tests are more related to school subjects than are ability tests When formulating a diagnosis in counseling, the counselor must bear in mind that Diagnosis is a function of the value judgments of the particular counselor it is important to obtain a consensus of not less than three of your colleagues before submitting an official diagnosis Diagnoses are useful primarily for insurance and billing purposes but of little or no use when it comes to treatment culture affects the manner in which clients' problems are defined. - ✔✔-culture affects the manner in which clients' problems are defined. This is a psychological assessment tool which presents a set of ambiguous stimuli to an individual: Projective test Intelligence test Achievement test Personality inventory - ✔✔-Projective test A woman presents to your office dressed very provocatively. Her emotions seem superficial, she cries easily and she notes that, recently, her husband has not been paying attention to her. The most likely tentative diagnosis is: Schizotypal Personality Disorder Adjustment Disorder with Depressed Mood Histrionic Personality Disorder Borderline Personality Disorder - ✔✔-Histrionic Personality Disorder A standard criteria for admission to an inpatient program or a residential program is: A court order A polysubstance dependence 3 DUI convictions within 5 years A need for 24 hour supervision - ✔✔-A need for 24 hour supervision The first session or first initial interview is mainly intended to: Work with the patient to determine what his or her treatment expectations might be Determine if the patient is appropriate and ready for treatment Work with the patient by showing him or her that significant change can happen with the first session Get the patient started by the creation of a formal contract - ✔✔-Work with the patient to determine what his or her treatment expectations might be A Korean client comes to your practice; you are unfamiliar with Korean customs and beliefs. The first thing you should do is to: Postpone therapy with the client until you have read up on Wicca culture Indicate to the client that you are unfamiliar with her cultural background Say nothing, but continue therapy Refer the client to someone with a similar background - ✔✔-Indicate to the client that you are unfamiliar with her cultural background An ethical practitioner does not intentionally practice outside his/her major areas of competence, and makes it his/her business to attempt to objectively assess where his/her deficits lie. Since all clinical problems exist in particular contexts, however, the practitioner must attempt to distinguish general clinical principles that transcend particular contexts and "micro-competencies" that are needed to work effectively with particular client populations. In addition, competence must be evaluated against a constantly changing context of existing knowledge in a particular field. The practitioner is advised to be honest with his/her client regarding his/her lack of knowledge in a particular area. When dealing with crisis intervention, a addictions professional should FIRST: Do a "reality check" with the patient Present a rational explanation to the patient Go with the patient's feelings regarding the traumatic experience Talk with the patient about future goals and objectives to keep him focused - ✔✔-Go with the patient's feelings regarding the traumatic experience Which is not a repercussion of compliance with HIPAA standards? Eliminate redundant paperwork Allow remote access to records Streamline operations Increased exposure to lawsuits - ✔✔-Increased exposure to lawsuits A 28-year-old woman comes to your agency, indicating that she is ready to cash in her chips. She is depressed, but also recognizes that she needs help. She really seems upset, but doesn't seem to have a plan to commit suicide at this time. She has a support network consisting of her husband and his parents. To protect the safety of this patient you might first: Establish rapport and have your secretary call her husband Try some self-disclosure with the patient, indicating that everyone feels down in the dumps from time to time Don't mess around. Call 911 and get her into a hospital ASAP Since she does not have a specific plan, work with the patient on writing a no-suicide agreement - ✔✔- Since she does not have a specific plan, work with the patient on writing a no-suicide agreement For an intense, chronic, dual disorder the client probably will have: Some treatment complications, to need more care, and will progress in TX more slowly No treatment complications, to need less medical care, and will progress quickly in TX Extensive treatment complications, to need more medical care, and will progress slowly Few treatment complications, to need some medical care, and will progress in TX - ✔✔-Extensive treatment complications, to need more medical care, and will progress slowly During the course of working with a client, you discover that he cannot perform sexually. As an addictions counselor you would: (Choose the BEST answer) Make a referral to a Psychiatrist Make a referral to a Mental Health Professional Make a referral to Medical Doctor Make a referral to a Sex Therapist - ✔✔-Make a referral to Medical Doctor Mary is three months pregnant and wants to quit smoking. She says she currently smokes a pack of cigarettes a day. You should refer Mary to: (Choose the BEST answer) Her nearest pharmacy for nicotine patches or gum A medical doctor Social services A psychologist - ✔✔-A medical doctor A client of yours was not hired for a position after the employer discovered that he is a recovering alcoholic. You feel that your client would be an excellent candidate for the job and know that he has been sober for over a year. What should you do? Offer your client a job working with you Offer to help your client sue the employer for discrimination Discuss other employment options with your client Write the employer a letter, with the client's consent, explaining why he would be a good candidate for the position - ✔✔-Write the employer a letter, with the client's consent, explaining why he would be a good candidate for the position You are an intake counselor working in a drug treatment facility. When you screen for suicide potential, your most important concern should be lethal plan, means, and opportunity. When you identify that the client in front of you presents these qualities you should: (Choose the BEST answer) Contact her family in order to provide her support and taking steps to maintain her safety Contact your supervisor, to maintain her safety Call the police to have her Baker Acted into protective custody to maintain her safety Begin a crisis intervention, taking steps to maintain her safety - ✔✔-Begin a crisis intervention, taking steps to maintain her safety During the screening appointment, the client sitting across from you begins to tell you that he has had to put aluminum foil over his windows to block the radio transmissions, and stop the voices. As an Addictions Counselor you should: Terminate the interview and arrange for this client to be screened and evaluated by a mental health counselor Following the interview, arrange for this client to be screened and evaluated at a mental health crisis unit Following the interview, give this client a referral to a mental health provider Terminate the interview and write an evaluation that indicates that this client is not appropriate for treatment at this time - ✔✔-Following the interview, arrange for this client to be screened and evaluated at a mental health crisis unit Any client that manifests an indication of a serious mental health issue or problem needs to be assessed by competent mental health providers. Being an addictions counselor does NOT qualify one to deal with schizophrenia. Before any treatment, a client with mental health problems MUST be stabilized prior to addictions treatment. What is the best way to respond to a client who is dissatisfied with the way her counseling is progressing? discuss her concerns and make necessary changes refer her to a new counselor confront her resistance terminate her counseling - ✔✔-discuss her concerns and make necessary changes Your client has been married to a substance user for twelve years. He tells you that he had always used sleeping pills and enjoyed an occasional cocktail, but that recently he has been using a gram of cocaine each week. He has begun taking cash advances on their credit cards and writing bad checks. The MOST appropriate referral for this client would be: (Choose the BEST answer) A referral to A referral to Narcanon A referral to Alcoholics Anonymous A referral to Narcotics Anonymous A referral to CoDA - ✔✔-A referral to Narcanon This group is targeted to dealing with those involved with cocaine One of your clients is a 40 year old chronic alcoholic male, a veteran of the USMC. He has begun treatment after a family intervention. During group he has expressed his anger towards his employer, and his coworkers, whom he feels is treating him unfairly. This client, when he was drinking was abusive to his wife and children. You know that he is a hunter, and has firearms in the home. He has become withdrawn and sullen. According to his assessment he has few hobbies or outside interests. He often disagrees with other group members and is argumentative. Based on these observations, and in reviewing all of these factors you are concerned that he may be: (Choose the BEST answer) Dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor Secretly drinking or using drugs. You would do a random drug screen Demonstrating Post Acute Withdrawal Syndrome In the midst of a relapse episode, and staff him with the treatment team - ✔✔-Dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor Based on these observations, and in reviewing all of these factors you are concerned that he may be dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor. One of your clients witnessed a severe accident in which individuals were killed and badly injured. During group, about a month following the accident, he discloses that he has been having vivid physical reactions which include feelings of panic, shortness of breath, sweating, a tightness in his chest and palpitations. As an addictions counselor you would recognize these symptoms as: (Choose the BEST answer) Possible evidence of a Schizoid Disorder and make a referral to a mental health professional for an evaluation Possible evidence of a health disorder and make a referral to a medical health professional for an evaluation Possible evidence of Post Traumatic Stress Disorder and make a referral to a mental health professional for an evaluation Possible evidence of Depression and make a referral to a mental health professional for an evaluation - ✔✔-Possible evidence of Post Traumatic Stress Disorder and make a referral to a mental health professional for an evaluation These symptoms, feelings of panic, shortness of breath, sweating, a tightness in his chest and palpitations are possible evidence of Post Traumatic Stress Disorder, and would justify a referral to a mental health professional for an evaluation. Which of these clients most need a referral to a physician? A 25 year old female who has relapsed using crack cocaine following a miscarriage A 53 year old woman grieving for a longer than normal period for her deceased husband A 47 year old man with a history of depression who suddenly exhibits bouts of rage A 12 year old boy who has been using inhalants - ✔✔-A 47 year old man with a history of depression who suddenly exhibits bouts of rage The DSM-5 defines "Psychological Stressor" as: A chemical or biological agent that aggravates a symptoms of a mental disorder. Any emotional or physical factor that disrupts the normal physiological, cognitive, emotional, or behavioral balance of an individual. An early or premonitory sign or symptom of a disorder. Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. - ✔✔-Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. The DSM-5 defines "Psychological Stressor" as: Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. For example, the diagnosis of Conversion Disorder (Functional Neurological Symptom Disorder) requires the examiner to specify: with psychological stressor (specify stressor) or without psychological stressor. The DSM-5 defines "Macropsia" as: The visual perception that objects are larger than they actually are. The misinterpretation of a real external stimulus. A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light. Interpretation that things are smaller in proportion to the background landscape. - ✔✔-The visual perception that objects are larger than they actually are. In the DSM-5, the term "Macropsia" is defined as: The visual perception that objects are larger than they actually are. Macropsis is different from micropsia, which the DSM-5 defines as the visual perception that objects are smaller than they actually are. Macropsia is a diagnostic criteria under substance use disorders, like Hallucinogen Persisting Perception Disorder. The DSM-5 defines "Mood" as: An exaggerated feeling of well-being, euphoria, or elation. A person experiencing mood may describe feeling "high," "ecstatic," "on top of the world", or "up in the clouds". An unpleasant emotion, such as sadness, anxiety, or irritability. A pervasive and sustained emotion that colors the perception of the world. A mental state that arises spontaneously rather than through conscious effort and is often accompanied by physiological changes. - ✔✔-A pervasive and sustained emotion that colors the perception of the world. In the DSM-5, "Mood" is defined as: A pervasive and sustained emotion that colors the perception of the world. Common examples of mood include depression, elation, anger, and anxiety. In contrast to affect, which refers to more fluctuating changes in emotional "weather", mood refers to a pervasive and sustained emotional "climate". Types of mood include dysphoric, elevated, euthymic, expansive, and irritable. The DSM-5 defines "Parasomnias" as: Disorders involving the amount, quality, or timing of sleep. Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleepwake transitions. Undesired daytime sleep episodes caused by excessive sleepiness. Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia. - ✔✔-Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia. The DSM-5 defines "Parasomnias" as: Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions. Parasomnias are different from dyssomnias, which the DSM-5 defines as primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as the major presenting symptom. Dyssomnias are disorders of the amount, quality, or timing of sleep. Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleepwake transitions. - ✔✔-Parasomnias DSM-5 defines as primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as the major presenting symptom. Disorders of the amount, quality, or timing of sleep - ✔✔-Dyssomnias The DSM-5 defines "Auditory Hallucination" as: A hallucination involving the perception of sound, most commonly of voice. A sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ. A hallucination when one may continue to speak even though no one is listening. A misperception of a real external stimulus, such as hearing the rustling of leaves as the sound of voices. - ✔✔-The DSM-5 defines "Auditory Hallucination" as: A hallucination involving the perception of sound, most commonly of voice. In general, consist of perception-like experiences with the clarity and impact of a true perception but without the external stimulation of the relevant sensory organ. One person may recognize the false sensory experience, whereas another may be convinced that the experience is grounded in reality. Are further categorized as: auditory, geometric, visual, gustatory, mood-congruent, mood-incongruent, olfactory, somatic, tactile, and visual. - ✔✔-Hallucinations The DSM-5 defines "Olfactory Hallucination" as: An imagined perception that people are conspiring to steal one's nose (or other sensory body part). An imagined perception where one envisions people having multiple noses or lacking one altogether. An imagined perception involving the sensation of electric shocks. An imagined perception involving odor, such as burning rubber or decaying fish. - ✔✔-An imagined perception involving odor, such as burning rubber or decaying fish. The DSM-5 defines "Echolalia" as: The pathological, parrot-like, and apparently senseless repetition (echoing) of a word or phrase just spoken by another person. A nearly continuous flow of accelerated speech with abrupt changes from topic to topic. Repetition by imitation of the movements of another. The action is not a willed or voluntary one and has a semiautomatic and uncontrollable quality. Discordance between affective expression and the content of speech or ideation. - ✔✔-The pathological, parrot-like, and apparently senseless repetition (echoing) of a word or phrase just spoken by another person. Echolalia falls under Criterion B - restricted, repetitive patterns of behavior, interests, or activities required to diagnose Autism Spectrum Disorder. Echolalia is also one of the behaviors that characterizes complex vocal tics necessary in the diagnosis of Tourette's Disorder and Persistent (Chronic) Motor or Vocal Tic Disorder. The DSM-5 defines "Hypervigilance" as: An enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect threats. A state of unresponsiveness with immobility and mutism. An increased auditory perception. The condition of maintaining an abnormally low awareness of environmental stimuli. - ✔✔-An enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect threats. Also accompanied by a state of increased anxiety which can cause exhaustion. Other symptoms include abnormally increased arousal, a high responsiveness to stimuli, and a continual scanning of the environment for threats. In hypervigilance, there is a perpetual scanning of the environment to search for sights, sounds, people, behaviors, smells, or anything else that is reminiscent of threat or trauma. The individual is placed on high alert in order to be certain danger is not near. Hypervigilance can lead to a variety of obsessive behavior patterns, as well as producing difficulties with social interaction and relationships. The DSM-5 defines "Expansive Mood" as: An unpleasant mood, such as sadness, anxiety, or irritability. Mood in the "normal" range, which implies the absence of depressed or elevated mood. An exaggerated feeling of well-being or elation. Lack of restraint in expressing one's feelings, frequently with an overvaluation of one's significance or importance. - ✔✔-Lack of restraint in expressing one's feelings, frequently with an overvaluation of one's significance or importance. Mood is further defined as a pervasive and sustained emotion that colors the perception of the world. Examples of mood include depression, elation, anger, and anxiety whereas types of mood include dysphoric, elevated, euthymic, expansive, and irritable. The DSM-5 defines "Micropsia" as: The visual perception that objects are smaller than they actually are. The interpretation that objects are larger than they appear to be. A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light. The misinterpretation of a real external stimulus. - ✔✔-The visual perception that objects are smaller than they actually are. Micropsia is a diagnostic criteria under substance use disorders, like Hallucinogen Persisting Perception Disorder. The DSM-5 defines "Tic" as: Stereotyped or repetitive/rhythmic motor movements, use of objects, or speech. Repetitive, seemingly driven, and nonfunctional motor behavior. The manifestation of impaired skills requiring motor coordination. An involuntary, sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. - ✔✔-An involuntary, sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. Tics are often associated under neurodevelopmental motor disorders that include Developmental Coordination Disorder, Stereotypic Movement Disorder, Tourette's Disorder, Persistent (Chronic) Motor or Vocal Tic Disorder, and Provisional Tic Disorder. The duration, presumed etiology, and clinical presentation define the specific tic disorder that is diagnosed; Diagnostic Criterion A states that "Both multiple motor and one or more vocal tics have been present at some time during the illness, although not necessarily concurrently." - ✔✔-Tourette's Disorder Criterion A states that "Single or multiple motor OR vocal tics have been present during the illness, but NOT BOTH motor and vocal." - ✔✔-Persistent Motor or Vocal Tic Disorder Criterion A states that there should be a "single or multiple motor and/or vocal tics." - ✔✔-Provisional Tic Disorder The DSM-5 defines "Irritable Mood" as: A pervasive and sustained emotion that colors the perception of the world. An unpleasant mood, such as anxiety, or irritability. Mood with the absence of depressed or elevated affect. Easily annoyed and provoked to anger. - ✔✔-Easily annoyed and provoked to anger. The DSM-5 defines "Late Insomnia" as: Awakening in the middle of the night followed by eventual return t [Show More]

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