Free Addiction Counselor Practice Test

1. Your patient does not seem to be meeting treatment goals after a substantial period of time in therapy. What should you do?

a. terminate therapy
b. terminate therapy and refer the patient to another therapist
c. continue therapy
d. document that the patient is resistant and continue with the treatment plan

2. Your patient is of a spiritual faith that is counter to your own. You should...

a. avoid spiritual discussions.
b. discuss the spiritual differences and continue with treatment.
c. terminate treatment.
d. continue with treatment, being respectful of the patient's beliefs.

3. While your patient is seeing you for a substance abuse problem, you begin to see indications of bipolar disorder. What should you do?

a. refer to, or consult with, a clinician trained in bipolar disorder
b. treat for the bipolar disorder as well as the substance abuse
c. discontinue treatment
d. continue to treat for the substance abuse problem only

4. A young person meeting with you for the first time asks if treatment will be effective for him or her. What should you say?

a. tell the person that treatment is not always effective
b. assure the person that treatment will work
c. reassure the person that treatment will work if the person commits to it
d. explain that treatment works to varying degrees for each individual patient

5. You find that recording therapy sessions works well for you. In relation to this practice, what should you do?

a. explain the purpose of the recording, and obtain the patient's permission
b. do not inform the patient of the recording, as this can inhibit the patient's participation in therapy
c. tell the patient about the recordings, but only after treatment is completed
d. tell the patient that you will be recording therapy sessions

Answers and Explanations

1. B: Terminate therapy and refer the patient to another therapist. The therapist has an ethical responsibility to terminate therapy when treatment is not effective. When terminating, the therapist should also take steps to refer the patient to another clinician who might better be able to work with the patient.

2. D: Continue with treatment, being respectful of the patient's beliefs. A patient's belief system should be respected, and a competent professional should be able to work with a patient regardless of that belief system. If this is not possible, then the patient should be referred to another practitioner.

3. A: Refer to, or consult with, a clinician trained in bipolar disorder. A therapist should never treat a patient for something the therapist is not trained in. In this case, it would be best either to refer the patient to another therapist, or enter into co-therapy with a therapist trained in bipolar disorder.

4. A: Tell the person that treatment is not always effective. It is unethical to present therapy as always effective for every individual. A therapist should never misrepresent his or her ability or training, or the effectiveness of therapy.

5. A: Explain the purpose of the recording, and obtain the patient's permission, The therapist should inform the patient of the recording, but also gain permission to record. This is also the case when having students involved in treatment or when any other observation by third parties is allowed.

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Last Updated: 03/01/2017


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