PSY 481 FIU Psychology Comprehensive Treatment Approaches Questions

Please, write your answers underneaththe questions.

1. What is “Hal S. Marchman Alcohol and Other Drug Services Act.”?

2. Define: “Clinical Assessment”

3. Define: “Habitual Abuser”

4. Define: “Detoxification”

5. Define: “Inpatient Treatment”

6. Define: “Outpatient Treatment”

Highlight your answer:

1. At what blood alcohol level is a person considered legally impaired in Florida?

A.  .01

B.  .04

C. .08

D.  .10

E.  8.0

2. Psychiatric symptoms are difficult to diagnose among drug and alcohol abusers because: 

A. alcohol and drug use can cause psychiatric symptoms and mimic psychiatric syndromes.

B. alcohol and drug use can initiate or exacerbate a psychiatric disorder.

C. alcohol and drug use can mask psychiatric symptoms and syndromes.

D. alcohol and drug withdrawal can cause psychiatric symptoms and mimic psychiatric syndromes.

E. all the above.

3. Per the DSM-5, all the following are criteria for Alcohol Use Disorder except:

A. Alcohol is often taken in larger amounts than the person intended.

B. Marked lack of initiative, interest, or energy.

C. A need for markedly increased amounts of alcohol to achieve intoxication or desired effect.

D. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.

E. Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve or avoid withdrawal symptoms.

4. The SASSI is most used to assess

A. probability of substance dependence.

B. marital problems.

C. cocaine abuse.

D. liver dysfunction.

E. level of functioning

5. Addictive behaviors often represent biological and psychological social problems that require:

A. Additional social workers trained in addiction medicine.

B. Additional doctors trained in addiction medicine.

C. Additional public safety personnel trained in addiction medicine.

D. A comprehensive treatment approaches.

E. A focused addiction medicine approach.

6. In assessing a crisis, each patient’s adaptational mode and reaction to extreme psychological stress must be assessed. In the case of attempted suicide, which of the following two factors are most important to assess?

A. The immediate problem and the patient’s interpretation of the problem.

B. Previous mental health care and patient’s response to it.

C. The patient’s intentions and the method of attempt.

D. The immediate problem and the method of attempt.

E. The patient’s living environment and support system.

7. A complete alcohol and drug evaluation should include:

A. Screening, assessment, and diagnosis.

B. Screening, assessment, and detox.

C. Screening, documentation, and diagnosis.

D. Documentation, assessment, and treatment.

E. Rehabilitation, assessment, and diagnosis.

8.The initial interview is designed to:

A. Learn more about the individual.

B. Form the basis for a diagnosis and a treatment plan.

C. Discover information to include in the patient database.

D. Determine if the individual feels he/she is a problem drinker.

E. Discover the individual’s family history related to alcoholism and drugs.

9.Cocaine floods and then depletes the brain of what chemical?

A. Endorphins

B. Adrenaline

C. Dopamine

D. Estrogen

E. Alcohol 

10. A primary withdrawal symptom from cocaine is:

     A.  Depression

     B.  Agitation

     C.  Headaches

     D.  Arrhythmia

     E.  Muscle spasms 

11. Heroin releases what naturally occurring pain suppressant into the body?  

A. Dopamine

B. Endorphins

C. Epinephrine

D. Progesterone

E. Anesthesia 

12. Mental retardation, craniofacial deformities, and central nervous system damage in a child are the result of:

A. Cerebral atrophy.

B. Wernicke-Korsakoff syndrome.

C. Fetal Alcohol Effects.

D. Fetal Alcohol Syndrome.

E. Maternal cocaine abuse.

13. Dilated pupils are an indication of what drug?

A. Heroin

B. Valium

C. Inhalants

D. LSD and Marijuana 

E. None of the above

14.You observe a client with contracted pupils and skin lesions.  These are symptoms of

A. Heroin


C. Marijuana

D. Cocaine

E. Inhalants

15. A client tells you she has been abusing heroin and wants to know what to expect from withdrawal.  You tell her she will probably experience which of the following except?

A. stomach cramps and diarrhea

B. panic attacks

C. irritability

D. fever

E. insomnia



1. A person abusing alcohol for several years may expect to experience which of the following?

A. gastric ulcers

B. peripheral neuropathy

C. blackouts

D. liver damage

E. a and b

F. all the above

2.Methadone maintenance therapy is used to treat:

A. opiate addiction.

B. barbiturate addiction.

C. alcohol withdrawal.

D. amphetamine withdrawal.

E. hallucinogen addiction

3. You are having difficulty with a client early in the case.  The best thing for you to do is:

A. transfer the client to another counselor.

B. let the relationship develop and try to work it out.

C. challenge the client about his/her resistance to treatment.

D. seek out supervision with a colleague or supervisor.

E. read the current literature that relates to the difficulty you are having with this client.

4. One aspect of professional responsibility is clinical supervision designed to enhance and develop counselor competencies and skill.  Which of the following best describes a counselor need which is met by clinical supervision?

A. Ongoing personal growth and therapeutic interaction

B. Assistance with case planning and adjunct services for continuity of care.

C. Ongoing feedback and evaluation of clinical skills.

D. Academic and theoretical training in counseling.

E. Gathering, sharing, and reviewing program information.

5.It is important to understand clients and their expectations for counseling. Clients coming in for treatment carry with them both helpful and harmful expectations. Which of the following is a harmful client expectation?

A. “This counselor is a stranger, but maybe I can learn to trust her.”

B. “My counselor will direct me to do what I need to do, and everything will be OK.”

C. “My counselor will be a resource that I can use to resolve my problems.”

D. “The counselor’s main concern and responsibility is to help me achieve my goals and objectives.”

E. “The counselor and I can have a relationship in which we are both equally responsible.”

6.Information disclosed by a client is covered by confidentiality regulations.  Any disclosure of client information is prohibited unless:

A. there is an emergency which requires disclosure to a third party without the client’s consent.

B. it is a disclosure to qualified personnel for the purposes of research, audit, or evaluation.

C. it is a disclosure to the courts requested by an officer with strong justification for the need.

D. both A and C

E. both A and B

7.Sarah, a counselor in a drug treatment center, grew up in an alcoholic home and still has strained relationships. Which statement BEST describes Sarah’s situation?

A. Sarah can resolve her personal pain by working professionally with addicted family units in a treatment center.

B. Sarah can work most effectively with the adult children of alcoholics.

C. Sarah may have unfinished business with her parents.

D. Sarah may be more comfortable with her clients because she is familiar with their behavior.

E. Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center.

8. Relapse prevention efforts are aimed at:

A. Maintaining new strategies.

B. Developing a therapeutic relationship for sobriety and maintenance.

C. Changing expectations regarding the effects of intervention.

D. Identifying high-risk situations and learning alternative coping skills.

E. Discussing aspects of evaluation and treatment.

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