--
-- Host: localhost    Database: waterfront_school
-- ------------------------------------------------------


--
-- Table structure for table `course`
--

CREATE TABLE `course` (
  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
  `name` varchar(60) CHARACTER SET utf8 NOT NULL,
  `short_description` text CHARACTER SET utf8,
  `description` text CHARACTER SET utf8,
  `passing_percentage` int(11) DEFAULT NULL,
  `cost` varchar(60) CHARACTER SET utf8 DEFAULT NULL,
  `instruction_methods` text CHARACTER SET utf8,
  `evaluation_method` text CHARACTER SET utf8,
  `study_guide` varchar(60) CHARACTER SET utf8 DEFAULT NULL,
  `study_guide_2` varchar(60) CHARACTER SET utf8 DEFAULT NULL,
  `case_study` varchar(60) CHARACTER SET utf8 DEFAULT NULL,
  `powerpoint` varchar(60) CHARACTER SET utf8 DEFAULT NULL,
  `powerpoint_2` varchar(60) CHARACTER SET utf8 DEFAULT NULL,
  `syllabus` varchar(60) CHARACTER SET utf8 DEFAULT NULL,
  `video` text CHARACTER SET utf8,
  `ceu_credit` int(11) unsigned DEFAULT '0',
  `promo_code` varchar(60) DEFAULT NULL,
  `frequency_required` varchar(90) DEFAULT NULL,
  `staff_requirement` varchar(90) DEFAULT NULL,
  `required_within_time` varchar(90) DEFAULT NULL,
  `in_person` varchar(11) DEFAULT NULL,
  `essay_question` int(1) DEFAULT NULL,
  `essay_question_content` text,
  PRIMARY KEY (`id`)
) ENGINE=InnoDB AUTO_INCREMENT=38 DEFAULT CHARSET=latin1;

--
-- Dumping data for table `course`
--

INSERT INTO `course` VALUES (27,'AAP001: Clinical Evaluation','<p>This course will provide a comprehensive overview of the various processes that are involved in conducting a thorough, clinically-­‐based evaluation. The readings will explain, define and give examples of screening, intakes, assessments, stage of change, the ASAM and much more!</p>','<p>This course will provide a comprehensive overview of the various processes that are involved in conducting a thorough, clinically-­‐based evaluation. The readings will explain, define and give examples of screening, intakes, assessments, stage of change, the ASAM and much more!</p><p>Clinical Evaluation is one of the Practice Dimensions in the TAP-­‐21, which is the guideline used throughout your course work. Clinical Evaluation sets the stage for determining diagnosis, treatment level, treatment planning, discharge planning, case management need etc. In other words Clinical Evaluations serve as the platform for basically everything on behalf of the client and the counselor.</p>',80,'0','',NULL,'Clinical-Evaluation-Outline.pdf',NULL,'Clinical+Evlauation+Case+Study.pdf','AAP001-Clinical-Evaluation-Presentation.pps',NULL,'AAP001-Clinical-Evaluation-Syllabus.pdf',NULL,35,'','',NULL,'','0',1,'Please write at least 1000 words each on the following two topics. If your essay does not meet the minimum word count requirement it will not be considered for grading.\r\n \r\na) How addiction and mental health correlates to suicidal behavior and\r\n\r\nb) How and why do we assess substance abusers for co-occurring disorders?\r\n'),(28,'AAP002: Treatment Planning','<p>This course will provide the knowledge and skills for the preparation, implementation, and continual update of the addiction treatment plan.</p>','<p>This course will provide the knowledge and skills for the preparation, implementation, and continual update of the addiction treatment plan . Each section of this 30 hour course will be guided by the Florida Certification Board (FCB) adopted National Standards for Substance Abuse Treatment Planning and Continued Assessment and Treatment Planning indicated in the Center for Substance Abuse Treatment/Substance Abuse and Mental Health Services Administration (CSAT/SAMHSA) Technical Assistance Publication (TAP) 21, Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice.</p>',80,'0','',NULL,'AAP-002-Treatment-Planning-Outline.pdf','Example-Treatment-Plan.pdf','Case-Study.pdf','AAP002-Treatment-Planning-Presentation.ppsx',NULL,'AAP002-Treatment-Planning-Syllabus.pdf',NULL,30,'','',NULL,'','0',1,'Please write at least 500 words on the following topic. If your essay does not meet the word requirement it will not be considered for grading.\r\n \r\nWhat is a treatment plan and why is it important?\r\n\r\nand\r\n\r\nPlease write at least 1000 words on the following topic. If your essay does not meet the word requirement it will not be considered for grading.\r\n \r\nHow do you develop a “Problem List” and how do you approach client “Buy-In” to the problem?'),(29,'AAP003: Case Management and Referral','<p>This course will provide a concise definition and professional skills for best practice of case management (service coordination) specific to the treatment of addiction.</p>','<p>This course will provide a concise definition and professional skills for best practice of case management (service coordination) specific to the treatment of addiction. Each section of this 15 hour course will be guided by the Florida Certification Board (FCB) adopted National Standards for Substance Abuse Case Management including: Service Coordination, Consultation, and Referrals indicated in the Center for Substance Abuse Treatment/Substance Abuse and Mental Health Services Administration (CSAT/SAMHSA) Technical Assistance Publication (TAP) 21, Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice, pages 43-54.</p>',80,'','',NULL,'AAP003-Case-Management-Outline.pdf',NULL,NULL,'AP003CM-Referral-Service-Coordination.ppsx',NULL,'AAP003-Case-Management-Syllabus.pdf',NULL,15,'','',NULL,'','0',1,'Please write at least 1000 words on each of the following topics. If your essay does not meet the minimum word requirement, it will not be considered for grading.\r\n \r\na) Explain the importance of a multi-disciplinary approach to service coordination and\r\n\r\nb) What are the benefits of case management to the substance abuser?\r\n'),(30,'AAP004: Counseling','<p>The counseling course will provide the knowledge and skills of various addiction models from current research and best-practice literature for counseling. It will also cover the application of these models and balancing counselor attitudes will be learned in didactic exercises.</p>','<p>The counseling course will provide the knowledge and skills of various addiction models from current research and best-practice literature for counseling. It will also cover the application of these models and balancing counselor attitudes will be learned in didactic exercises.</p>',70,'','',NULL,'Counseling-Outline.pdf',NULL,NULL,'AP004CO-Types-Groups-SA-TX.ppsx','AAP004-Stages-Of-Change-Model.ppsx','AAP004-Counseling-Syllabus.pdf',NULL,50,'','',NULL,'','0',1,'Please write at least 1000 words on each of the following topics. If your essay does not meet the minimum word requirement, it will not be considered for grading.\r\n \r\na) Why is addiction a disease?\r\n\r\nb) Define the role of a counselor as you see it\r\n'),(31,'AAP005: Client, Family and Community Education','<p>This course will provide a thorough description of the many and varied processes of how, why and where professional addiction counselors provide addiction education through prevention, intervention, treatment and recovery services to clients, families, significant others and community groups.</p>','<p>This course will provide a thorough description of the many and varied processes of how, why and where professional addiction counselors provide addiction education through prevention, intervention, treatment and recovery services to clients, families, significant others and community groups.</p>',70,'','',NULL,'AAP005-Client-Family-Outline.pdf',NULL,NULL,'AP005CFCE-Client-Family-Community-Education.ppsx',NULL,'AAP005-Client-Family-Syllabus.pdf',NULL,15,'','',NULL,'','0',1,'Please write at least 1000 words on each of the following topics. If your essay does not meet the minimum word requirement, it will not be considered for grading.\r\n \r\na) Describe how families can participate in the prevention of substance abuse\r\n\r\nb) Describe how schools can create substance abuse prevention programs'),(32,'AAP006: Documentation','<p>This course will provide the knowledge and skills for the accurate record keeping of all client-related data within the treatment process from the client’s initial screening to the discharge summary. </p>','<p>This course will provide the knowledge and skills for the accurate record keeping of all client-related data within the treatment process from the client’s initial screening to the discharge summary. Each section of this 15 hour course will be guided by the Florida Certification Board (FCB) adopted National Standards for Substance Abuse record and documentation guidelines indicated in the Center for Substance Abuse Treatment/Substance Abuse and Mental Health Services Administration (CSAT/SAMHSA) Technical Assistance Publication (TAP) 21, Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice, pages 89 through 93. Examples of addiction treatment documentation will be provided for practical application exercises with special focus on federal and state laws governing the confidentiality rights of the client in recovery from addiction.</p>',70,'','',NULL,'AAP006-Documentation-Outline.pdf',NULL,NULL,'Documentation-Integrated-Summary.ppsx','Documentation-Progress-Notes.ppsx','AAP006-Documentation-Syllabus.pdf',NULL,15,'','',NULL,'','0',1,'Please write at least 1000 words on each of the following topics. If your essay does not meet the minimum word requirement, it will not be considered for grading.\r\n \r\na) Why is documentation important?\r\n\r\nb) How does HIPAA affect documentation?'),(33,'AAP007: Ethical and Professional Responsibilities','<p>This course will cover the ethical and professional mandates of the addiction counselor</p>','<p>This course will cover the ethical and professional mandates of the addiction counselor as they pertain to: Ethical standards of conduct, client confidentiality, client records confidentiality, professional clinical practices, boundaries, assessing crisis, and the importance of continuing professional development.</p>',70,'','',NULL,'RK-Ethical-Professional-Outline.pdf',NULL,NULL,'Confidentiality.pps','Prof+&+Ethical+Resp.pps','RK-Ethical-Professional-Syllabus.pdf',NULL,30,'','',NULL,'','0',1,'Please write at least 1000 words on the following topic. If your essay does not meet the word requirement it will not be considered for grading:\r\n\r\na) What is informed consent and why is it important?\r\n\r\nor \r\n\r\nb) Describe counselor self-disclosure, when it may be appropriate and when it’s not'),(34,'AAP008: Understanding Addiction','<p>This course will provide a comprehensive introduction to the treatment of addiction. Terms and concepts related to historical context, theory, research, and practice will be reviewed.</p>','<p>This course will provide a comprehensive introduction to the treatment of addiction. Terms and concepts related to historical context, theory, research, and practice will be reviewed. Each section of this 45 hour course will be guided by the Florida Certification Board (FCB) adopted National Standards for Substance Abuse Treatment indicated in the Center for Substance Abuse Treatment/Substance Abuse and Mental Health Services Administration (CSAT/SAMHSA) Technical Assistance Publication (TAP) 21, Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice, pages 13-20. Group exercises, case examples, and film will provide opportunities for class discussion and integration of knowledge into skills in the development of a helping attitude in the treatment of addiction.</p>',70,'','',NULL,'Understanding-Addiction-Outline.pdf',NULL,NULL,'AP008-Understanding-Addiction-YourBrainOnDrugs.ppsx',NULL,'Understanding-Addiction-Syllabus.pdf',NULL,45,'','',NULL,'','0',1,'Please write at least 1000 words on the following topics. If your essay does not meet the word requirement it will not be considered for grading.\r\n\r\na) What is your definition of addiction and why is it so harmful?\r\n\r\nb) Describe how drugs of abuse affect the brain to create addiction\r\n\r\nc) Describe the difference between addiction and tolerance and how it affects the course of substance abuse'),(35,'AAP009: Treatment Knowledge','<p>This course will provide both an overview and detailed description of addiction treatment</p>','<p>This course will provide both an overview and detailed description of addiction treatment including; levels of care, types of treatment, process of treatment, theories of practice, criteria for treatment, tools needed for assessments, diagnoses. In addition, there is detailed information on treatment for clients with co-occurring disorders, families and significant others in the treatment process and utilization management.</p>',70,'','',NULL,'Treatment-Knowledge-Outline.pdf',NULL,NULL,'Treatment-Knowledge-Presentation.pps',NULL,'Treatment-Knowledge-Syllabus.pdf',NULL,40,'','',NULL,'','0',1,'Please write at least 1000 words on the following topics. If your essay does not meet the word requirement it will not be considered for grading.\r\n\r\na) Describe the effectiveness of drug treatment and improvements in treatment on the horizon\r\n\r\nb) What are the counselor’s core responsibilities and why are they important?\r\n\r\nc) Substance Abuse Treatment can be undertaken voluntarily or involuntarily (as part of a hospitalization, legal proceeding, etc.). What are the potential benefits and risks of involuntary treatment?'),(36,'AAP010: Application to Practice','<p>This course will provide the knowledge and skills which meet the obligations of an addictions counselor to adhere to accepted ethical and behavioral standards of conduct and continuing professional development as related to Application to Practice.  Understand the established diagnostic criteria within the continuum of care.</p>','<p>This course will provide the knowledge and skills which meet the obligations of an addictions counselor to adhere to accepted ethical and behavioral standards of conduct and continuing professional development as related to Application to Practice. Understand the established diagnostic criteria within the continuum of care.</p>',70,'','',NULL,'Application-Practice-Outline.pdf',NULL,NULL,'AP010+-+Application+to+Practice+DSM+PP.pps',NULL,'Application-Practice-Syllabus.pdf',NULL,40,'','',NULL,'','0',1,'Please write at least 1000 words on the following topics. If your essay does not meet the word requirement it will not be considered for grading.\r\n\r\na) State and describe 4 stages of drug addiction\r\n\r\nb) What is cultural competence and how do you, as a counselor achieve it?'),(37,'AAP011: Professional Readiness','<p>This course will provide the knowledge and skills which meet the obligations of an addictions counselor to adhere to accepted ethical and behavioral standards of conduct and continuing professional development.</p>','<p>This course will provide the knowledge and skills which meet the obligations of an addictions counselor to adhere to accepted ethical and behavioral standards of conduct and continuing professional development.</p>',70,'','',NULL,'Professional-Readiness-Outline.pdf',NULL,NULL,NULL,NULL,'Professional-Readiness-Course-Syllabus.pdf',NULL,40,'','',NULL,'','0',1,'Please write at least 1000 words on the following topics. If your essay does not meet the word requirement it will not be considered for grading.\r\n\r\na) How does a professional manage stress and burnout?\r\n\r\nb) What are dual relationships and how are they detrimental?');

--
-- Table structure for table `course_category`
--

CREATE TABLE `course_category` (
  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
  `name` varchar(60) CHARACTER SET utf8 NOT NULL,
  PRIMARY KEY (`id`)
) ENGINE=InnoDB AUTO_INCREMENT=8 DEFAULT CHARSET=latin1;

--
-- Dumping data for table `course_category`
--

INSERT INTO `course_category` VALUES (1,'Continuing Education'),(2,'Personal Development'),(3,'Communication'),(4,'Management & Leadership'),(5,'Marketing'),(6,'Organizational Efficiency'),(7,'Certified Behavioral Health Technician (CBHT)');

--
-- Table structure for table `course_has_category`
--

CREATE TABLE `course_has_category` (
  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
  `course_id` int(11) unsigned NOT NULL,
  `course_category_id` int(11) unsigned NOT NULL,
  `course_offering_id` int(11) unsigned NOT NULL,
  PRIMARY KEY (`id`),
  KEY `course_id` (`course_id`),
  KEY `course_offering_id` (`course_offering_id`),
  KEY `course_category_id` (`course_category_id`),
  CONSTRAINT `course_has_category_ibfk_3` FOREIGN KEY (`course_offering_id`) REFERENCES `offerings` (`id`) ON DELETE NO ACTION ON UPDATE NO ACTION,
  CONSTRAINT `course_has_category_ibfk_5` FOREIGN KEY (`course_id`) REFERENCES `course` (`id`) ON DELETE CASCADE ON UPDATE NO ACTION,
  CONSTRAINT `course_has_category_ibfk_6` FOREIGN KEY (`course_category_id`) REFERENCES `course_category` (`id`) ON DELETE CASCADE ON UPDATE NO ACTION
) ENGINE=InnoDB AUTO_INCREMENT=36 DEFAULT CHARSET=latin1;

--
-- Dumping data for table `course_has_category`
--

INSERT INTO `course_has_category` VALUES (25,27,4,1),(26,28,4,1),(27,29,4,1),(28,30,4,1),(29,31,4,1),(30,32,4,1),(31,33,4,1),(32,34,4,1),(33,35,4,1),(34,36,4,1),(35,37,4,1);

--
-- Table structure for table `evaluation`
--

CREATE TABLE `evaluation` (
  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
  `course_id` int(11) DEFAULT NULL,
  `date` int(11) NOT NULL,
  `student_name` varchar(60) DEFAULT NULL,
  `question_1` text,
  `question_2` text,
  `question_3` text,
  `question_4` text,
  `question_5` text,
  `rating` int(11) NOT NULL,
  PRIMARY KEY (`id`)
) ENGINE=InnoDB AUTO_INCREMENT=116 DEFAULT CHARSET=utf8;

--
-- Dumping data for table `evaluation`
--

INSERT INTO `evaluation` VALUES (15,4,1427386170,'kris schupbach','learning','nothing\r\n','nothing','yes','same',5),(16,4,1427421842,'Deshaun Jones','The Different types of barriers.','Nothing,Everything was informative. ','I think this was well but together.','Yes it was.','First time taken this course in the future I will no a little more about these courses and will be able to choice..',4),(17,5,1427423480,'Deshaun Jones ','The different types of diseases that\'s out there','Everything was very informative','Nothing','Yes is was','',4),(18,5,1427423580,'Deshaun Jones ','The different types of diseases that\'s out there','Everything was very informative','Nothing','Yes is was','First time take course',5),(19,4,1427435159,'William Robinson ','Very easy to understand ','Nothing','Nothing','Yes','Searching a client ',3),(20,4,1427498282,'a','everythig','othing','nothing','yes','cpr',3),(21,5,1431426018,'Joyns Fleming','ease of use','information was valuable','nothing','yes','computerized',5),(22,11,1433064894,'Robert Elvir','The clear presentation.','Lack of A/V aides.','Add A/V aids.','yes','Laws',3),(23,13,1433270595,'','','','','','',5),(24,12,1433271685,'Ron Cook','','','','','',4),(25,11,1433864218,'Albert Diaz','Wording.','Obvious','None','Yes','Same',4),(26,5,1433864456,'Albert Diaz','Yes','Yes','Nothing','Yes','All',4),(27,5,1433864459,'Albert Diaz','Yes','Yes','Nothing','Yes','All',4),(28,9,1433946160,'Ron Cook','','','','','',4),(29,14,1433946716,'Ron Cook','','','','','',4),(30,12,1434374865,'Pedro Diaz','','','','','',5),(31,13,1434375773,'Pedro Diaz','','','','','',4),(32,9,1434375995,'Pedro Diaz','','','','','',5),(33,14,1434376329,'Pedro Diaz','','','','','',4),(34,15,1434376575,'Pedro Diaz','','','','','',4),(35,5,1435166762,'','','','','','',5),(36,4,1454952013,'Eric Crear','it was quick','nothing','nothing','yes','The same',5),(37,4,1455022353,'Al Diaz','Everything.','Reading.','Nothing.','Yes.','All types.',5),(38,4,1455045695,'','','','','','',5),(39,5,1455491901,'Melanie Duffy','Very informative.','It was all fine. No complaints.','I have no answer for that.','Yes, it was well written.','Psychopharmacology',4),(40,5,1455640585,'Burt Boyle','All','All','Good','Yes it was','',5),(41,11,1458136526,'Pedro Diaz','Convenience. ','It was all good.','Don\'t know.','It was interesting.','Don\'t know.',4),(42,4,1459528711,'Sonya Skinner','Everything.','None.','Nothing, great course!!','Very stimulating, thank you.','',5),(43,14,1460250321,'Sonya Skinner','Everything','N/A','Nothing','Yes','',5),(44,7,1460252018,'Sonya Skinner','Everything','Nothing','Nothing','Yes','',5),(45,5,1461184659,'Sonya Skinner','Everything','Nothing','Nothing','Very stimulating.','Required courses to renew our credentials.',5),(46,11,1461186639,'Sonya Skinner','Everything','Nothing','Nothing','Very stimulating.','Required courses to renew our credentials.',5),(47,15,1461465425,'Sonya Skinner','Everything','Nothing','Nothing','Very stimulating.','CEU\'s that are needed to nenew our nursing credentials.',5),(48,12,1461468529,'Sonya Skinner','Everything','Nothing','Nothing','Very stimulating','CEU\'s that pertain to our nursing credentials.',5),(49,13,1461776358,'Sonya Skinner','Everything','None','Nothing','Very stimulating.','CEU\'s needed for licensure.',5),(50,8,1461860606,'Sonya Skinner','Everything','Nothing','Nothing','Very stimulating.','CEU\'s pertaining to renewal of licensure.',5),(51,8,1462002614,'Joyns Fleming','everything','nothing','nothing','very','same',5),(52,10,1462487919,'Sonya Skinner','Everything','Nothing','Nothing','Very stimulating','CEU on Medical Errors, required for our licensure!',5),(53,3,1463162417,'Sonya Skinner','Everything','Nothing','Nothing','Very stimulating','CEU\'s  that are required for licensure.',5),(54,5,1487903557,'Andrea Bonkosky','that the course is online. ','the web portal was down at times','n/a','yes.','n/a',4),(55,25,1488072433,'Andrea Bonkosky','It\'s offered online and I can access at any time.','n/a. the course was great.','n/a. the course was great. ','yes.','No other courses at this time. ',4),(56,5,1488072513,'Andrea Bonkosky','I can access the course online at any time. ','n/a. I enjoyed the course.','n/a. I enjoyed the course.','yes. ','no other courses at this time. ',4),(57,8,1488072656,'Andrea Bonkosky','I can access the course online at any time. ','n/a. I enjoyed the course. ','n/a. ','Yes. ','no other courses at this time. ',4),(58,10,1488075475,'Andrea Bonkosky','It was online and was accessible at all times. ','Experienced problems with the portal. The exam was not loading. Once it loaded, it shows me as taking it 5 times; when in fact, it was taken and passed successfully on the first attempt. ','Experienced problems with the web portal that requiring fixing. ','yes. ','n/a',4),(59,11,1488076863,'Andrea Bonkosky','I can access course online at any time. ','I had to take the exam several times due to experiencing technical difficulties with loading the portal among other factors. ','n.a','yes.','none at this time. ',3),(60,13,1488078041,'Andrea Bonkosky','online course that can be accessed online at any time. ','none at this time. ','none at this time','yes.','none at this time',3),(61,15,1488078303,'Andrea Bonkosky','The course can be accessed online at any time. ','too short. not enough information covered. important information was left out. ','n.a','no','a more developed cultural competency course. ',1),(62,12,1488079543,'Andrea Bonkosky','The course is accessible online. ','n/a','n/a','yes.','I can\'t think of any at this time. ',4),(63,3,1488163905,'Theodore Thompson ','','','','','',5),(64,7,1498963143,'Christopher Foster','That there was multiple options and it allowed the users to pick different options','There is not enough questions','Nothing','Yes','None',5),(65,5,1498964410,'Chris Foster','The questions made you think','I felt the questions had multiple answers','The system has errors','Yes','None',5),(66,5,1498973757,'Sam carpenter','Solid information.','Na','More pictures','Yes','Na',5),(67,14,1498974417,' ',' ',' ',' ',' ',' ',5),(68,4,1499283353,'John Sannicandro','ease of access','na','more examples','yes','similar course on client direct care',3),(69,4,1499963922,'','','','','','',3),(70,4,1499963950,'','','','','','',3),(71,5,1499964658,'','','','','','',3),(72,4,1500580956,'Mark Macaluso','it was very straight forward and educational.','nothing it was fine','nothing','yes','',5),(73,5,1502562192,'William Judd','Nothing','All','Nothing','no','none ',5),(74,4,1513356583,'','','','','','',3),(75,4,1518782781,'Frankie johnson','N/a','N/a','N/a','N/a','N/a',4),(76,11,1520295974,'Serge Bazin','How specific it was lol','How specific it was','Not be so specific','No','none',3),(77,4,1520346773,'','','','','','',3),(78,4,1520346794,'','','','','','',3),(79,4,1520531105,'','','','','','',3),(80,4,1520531297,'','','','','','',3),(81,4,1520531298,'','','','','','',3),(82,4,1522325261,'Frankie johnson','Na ','Na','Na','Na','Na',2),(83,4,1522325351,'Frankie johnson','Na','Na','Na','Na','Na',2),(84,5,1522326295,'Frankie johnson','Na','Na','Na','Na','Na',2),(85,11,1522345285,'Frankie johnson','Na','Na','Na','Na','Na',2),(86,3,1522345982,'Frankie johnson','Na','Na','Na','Na','Na',2),(87,5,1522697280,'Dawn DeCosta','Nothing','Repetitious','Interactive','No','',2),(88,4,1522759039,'','','','','','',4),(89,4,1522759061,'Shantel Ingraham','','','','','',4),(90,9,1523581702,'FRANKIE B JOHNSON','Na','Na','Na','Na','Na',2),(91,8,1524351112,'FRANKIE B JOHNSON','Na','Na','Na','Na','Na',3),(92,3,1524514823,'Lewis E. Hastings','fast','stuff','have someone else take the test','yes','N/A',5),(93,5,1524526350,'Joseph Kennedy','Mostly common sense but very informative','Hard read','A video or some pictures','no','',3),(94,13,1524574998,'Frankie johnson','Na','Na','Na','Na','',3),(95,14,1524575994,'FRANKIE B JOHNSON','Na','Na','Na','Na','',3),(96,15,1524576389,'FRANKIE B JOHNSON','Na','Na','Na','Na','',3),(97,25,1524577894,'FRANKIE B JOHNSON','Na','Na','Na','Na','',3),(98,3,1551824395,'Mary K. Crow','Learning about HIV/AIDS','nothing','','yes','',5),(99,3,1552930289,'Judith Serfaty','Knowing the phases of the disease.','','','Yes','Trauma',3),(100,3,1553087092,'Jeanne Hix','','','','','',5),(101,4,1553108070,'Judith Serfaty','','','','','',3),(102,27,1558538817,'Dave Cotner','Learning new concepts and skills.','Outline format provides too little information. Some of the study material is poorly written.','A text book to read and study would be better.','Yes.','More professional courses.',3),(103,28,1558624624,'Dave Cotner','Learning new information.','Some material, including the final exam, is poorly written.','Better quality study material including complete text book, not just outlines.','Yes.','More on professional addictions counseling.',3),(104,29,1567203889,'Neil Bryant','Good outline, clear, concise and easy to understand.','I was very satisfied with the course.','No','Good information put in a way that is easy to retain.','N/A',4),(105,27,1568088461,'Sparkie Green','Learning more effective means of clinical evaluate.','I can say I didn\'t enjoy anything, because I am learning.','Noting ','Very.','How the brain is effected by addiction.',5),(106,27,1570216072,'bryan allen waters','','The essay questions do not seem to both be related to the subject matter. There was about a paragraph that I was asked to submit a 1000 word essay on. The topic was not explained or reviewed. It seemed that the designers of the curriculum expected us to know the information before we took the class.','','','',3),(107,27,1571602588,'Stephen Kountz','I enjoyed every part of this course.','There wasn\'t a specific area I did not like. Everything studied was new to me.','I think the Essay could be shorter.','Yes','Unsure ',5),(108,27,1571860798,'Michael White','Self-paced.','Minimum of 1000 word count requirement on essays. ','Shorten exam. ','Yes.','Instruction based on Bowen\'s and Friedman\'s Family System Theory.',4),(109,33,1572602547,'Dave Cotner','The topic is useful in understanding professional responsibilities.','The course material is poorly written. The exam questions are on topics not covered anywhere in the course material. The exam is either extremely poorly written or it is intentionally misleading to \"trick\" the student. ','The course material should be checked for quality. The exams should match the course material and not ask questions that were not dealt with at all. The exams should never be \"tricky\" and try to fool the student into answering incorrectly.','Somewhat.','Unknown',1),(110,31,1576346905,'Larry McGruder','learning the different approach with engaging the entire family...And discussion concerning dysfunctional family.  ','The discussion in regards to DSM-5 ','There\'s nothing i think can be done that is not already being done.','Yes it was very much so....','i would like to see more in regards to dysfunctional family situations... ',4),(111,32,1579919523,'Larry McGruder','I enjoy learning about Documentation whereas I\'ve come to understand the important of documentation in the area of malpractice. ','There were anything I saw that wasn\'t important. ','Nothing ','Yes it was very stimulating for me...','I can\'t think of anything at the moment. ',5),(112,33,1582242290,'Larry McGruder','The do and don\'t for personal safety... ','Some of the information was redundant.  ','There is nothing I can think of at this moment...','Yes ','I can\'t think of anything at the moment... ',4),(113,34,1583419810,'Larry McGruder ','I truly enjoyed this session of the study...It was very informality ','Knowing what the cause and effect of drugs...','There\'s nothing ','yes it was stimulating. ','There\'s nothing at the moment ',5),(114,35,1584339800,'Sparkie Green','I enjoy this course completely','The question was some what vague','Chapter shorter','Yes Course had many scenarios ','I need material like this daily',4),(115,35,1584339803,'Sparkie Green','I enjoy this course completely','The question was some what vague','Chapter shorter','Yes Course had many scenarios ','I need material like this daily',4);

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-- Table structure for table `exam_results`
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INSERT INTO `offering_has_category` VALUES (1,1),(1,2),(1,3),(1,4),(1,5);

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-- Dumping data for table `offerings`
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INSERT INTO `offerings` VALUES (1,'Professional Development');

--
-- Table structure for table `option`
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CREATE TABLE `option` (
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INSERT INTO `option` VALUES (12293,1,'There were no physical complications and the client was motivated',1),(12294,1,'The client was court-ordered and had the ability to pay for services',NULL),(12295,1,'The client was intelligent and highly motivated',NULL),(12296,1,'The client lived close by and was gainfully employed',NULL),(12297,2,'The client was assigned a primary counselor',NULL),(12298,2,'An initial assessment was completed',NULL),(12299,2,'The client was admitted to the program',NULL),(12300,2,'The client signed all required consent forms',1),(12301,3,'The client admitting all of his legal problems were alcohol related',NULL),(12302,3,'The client\'s denial of use of prescription medication',NULL),(12303,3,'The client\'s report of increased use of alcohol and occasional memory loss',1),(12304,3,'The client\'s conviction for his second DUI offense',NULL),(12305,4,'The client was provided an estimate of the cost of his treatment',1),(12306,4,'The client\' rights were explained to him',NULL),(12307,4,'The client was provided a copy of the programs goals and objectives',NULL),(12308,4,'The client was provided information about schedule times for meetings',NULL),(12309,5,'Co-dependency',NULL),(12310,5,'Substance Dependence',1),(12311,5,'Relationship Issues',NULL),(12312,5,'Prone to Relapse',NULL),(12313,6,'Client reports intimacy and co-dependency issues',1),(12314,6,'Client reports being homosexual',NULL),(12315,6,'Client attended 3 prior treatments',NULL),(12316,6,'Client reports being molested at age 13',NULL),(12317,7,'Client reports intimacy and co-dependency issues',NULL),(12318,7,'Client reports being homosexual',NULL),(12319,7,'Client attended 3 prior treatments',1),(12320,7,'Client reports being molested at age 13',NULL),(12337,9,'Unresolved Grief/Loss Issues',1),(12338,9,'Prone to Relapse',NULL),(12339,9,'Relationship Issues',NULL),(12340,9,'Anger Issues',NULL),(12341,8,'Substance Dependence',NULL),(12342,8,'Prone to Relapse',NULL),(12343,8,'Relationship Issues',NULL),(12344,8,'Anger Issues',1),(12349,10,'Describe the history and nature of sexual promiscuity',NULL),(12350,10,'Implement adaptive stress-reduction techniques',NULL),(12351,10,'Identify occupational problems and how the relate to addiction',NULL),(12352,10,'Write a detailed chemical use history, describing treatment attempts and situations surrounding relapse',1),(12353,11,'Refer client to physician to perform physical exam',NULL),(12354,11,'Assign the client to complete 12-step recovery program\'s, Step One paper, admitting powerlessness over mood-altering chemicals, and present in group therapy session',1),(12355,11,'Attend group therapy sessions focused on addiction',NULL),(12356,11,'Direct staff to administer the client\'s prescription medication',NULL),(12357,12,'Whenever the client asks for it',NULL),(12358,12,'When they need care your treatment center cannot provide',NULL),(12359,12,'When they have a medical condition that needs to be treated in a medical setting',NULL),(12360,12,'When they have family and marriage issues best addressed by a family counselor',NULL),(12361,12,'B, C & D',1),(12362,12,'All of the above',NULL),(12363,13,'Ignore this problem and move onto his parental issues',NULL),(12364,13,'Start to tutor him',NULL),(12365,13,'Write a resume with him and begin a job hunt',NULL),(12366,13,'Refer him to job training or a vocational school',1),(12367,14,'The center’s treatment philosophy',NULL),(12368,14,'Start to tutPersonal and friendly relationships with the staff and ownership of the facilityor him',1),(12369,14,'Past successes and failures in referrals',NULL),(12370,14,'Costs and availability of payment options',NULL),(12371,15,'There is no bad or wrong time to refer a client to another level of care',1),(12372,15,'If unsure about anything, keep trying – you’ll figure it out',NULL),(12373,15,'Once referred, privacy rights cease to be in force',NULL),(12374,15,'You should always receive a cut of the treatment cost for referring a client',NULL),(12375,16,'Only warranted when a client becomes agitated with their progress',NULL),(12376,16,'Not appropriate until after a 30 day counseling period',NULL),(12377,16,'A sign that the treatment plan process is active, fluid and healthy',1),(12378,16,'A sign that counseling is not working',NULL),(12379,17,'Will happen and this fact should be discussed openly with the client beforehand',NULL),(12380,17,'Doesn’t happen much any longer due to highly effective sedatives',NULL),(12381,17,'Is an inevitability, especially after only one or two trips to rehab',NULL),(12382,17,'Can be minimized by exceptional service coordination and productive referrals',1),(12383,18,'Fact Only',NULL),(12384,18,'Objective Criteria',NULL),(12385,18,'Subjective Criteria',1),(12386,18,'None – Diagnoses can only be made by medical professionals',NULL),(12387,19,'Self-disclosure',NULL),(12388,19,'Screening',1),(12389,19,'Assessment',NULL),(12390,19,'Delving into the root causes of addiction',NULL),(12391,20,'Clarification of any information that may be confusing the client',NULL),(12392,20,'Asking for insurance information',NULL),(12393,20,'Using a warm tone when speaking to the client',NULL),(12394,20,'A, C and D only',1),(12395,20,'All of the Above',NULL),(12396,21,'Complete a mental status exam.',NULL),(12397,21,'Engage the client\'s family in treatment.',NULL),(12398,21,'Develop a treatment plan.',NULL),(12399,21,'Establish rapport with the client.',1),(12400,22,'Diagnostic',NULL),(12401,22,'Eligibility',1),(12402,22,'Establishing a rapport',NULL),(12403,22,'Screening information',NULL),(12404,23,'Develop a treatment plan.',NULL),(12405,23,'Have the client sign appropriate documents.',NULL),(12406,23,'Determine one\'s appropriateness and eligibility for admission.',1),(12407,23,'Identify the client\'s strengths and weaknesses.',NULL),(12408,24,'Collecting samples to determine of the client is HIV positive',NULL),(12409,24,'Making sure family members are notified of the client’s decision',NULL),(12410,24,'Complete admission forms which will help formulate the treatment plan',1),(12411,24,'Ensuring that proper transportation to and from referrals has been secured',NULL),(12412,25,'Introducing the client to others in the program',NULL),(12413,25,'Discussing the negative effects of drugs',NULL),(12414,25,'Offering a facility tour to family and friends',NULL),(12415,25,'Discussing program goals and general program features',1),(12416,26,'Remain in denial about his/her addiction.',NULL),(12417,26,'Have incorrect information and unanswered questions about the program.',1),(12418,26,'Need to be referred to an outside agency.',NULL),(12419,26,'Need additional education about addiction.',NULL),(12420,27,'The first step in the admissions process',NULL),(12421,27,'Comprised of various information sources including interviews, personal records and tests',1),(12422,27,'Focused on very specific pieces of information to use in treatment',NULL),(12423,27,'The best way to introduce client rights information to the client',NULL),(12424,28,'Screening',NULL),(12425,28,'Orientation',1),(12426,28,'Assessment',NULL),(12427,28,'Group therapy sessions',NULL),(12428,29,'A client\'s fears and denial.',NULL),(12429,29,'Confidentiality',NULL),(12430,29,'Information gathering.',NULL),(12431,29,'Treatment planning.',1),(12432,30,'Denial of the problem',NULL),(12433,30,'Enablers including friends and family',NULL),(12434,30,'The presence of other counselors',NULL),(12435,30,'Blackouts or repression of behaviors and activities',NULL),(12436,30,'A, B and D',1),(12437,30,'All of the Above',NULL),(12438,31,'Identifying the client\'s problems and needs, strengths and weaknesses',1),(12439,31,'Explaining the rules of the program',NULL),(12440,31,'Having the client sign Release of Information forms',NULL),(12441,31,'Confronting the client\'s denial',NULL),(12442,32,'Bogus as all people have roughly the same needs in treatment',NULL),(12443,32,'Important because of cultural and/or gender differences',1),(12444,32,'Difficult to treat because of their family relationships',NULL),(12445,32,'More likely to be referred to another level of care',NULL),(12446,33,'3',NULL),(12447,33,'5',1),(12448,33,'9',NULL),(12449,33,'1',NULL),(12450,34,'Appropriate interventions',1),(12451,34,'Detox',NULL),(12452,34,'Understanding the science of addiction',NULL),(12453,34,'Collection of monies due',NULL),(12454,35,'Denial, surrender, and acceptance.',NULL),(12455,35,'Self-hatred, anger, and guilt.',NULL),(12456,35,'Remorse, self-hatred, and shame.',1),(12457,35,'Shame, euphoric recall, and relapse.',NULL),(12458,36,'Recognizing a deviation from normal physical responses',NULL),(12459,36,'Ruling out non-drug related issues',NULL),(12460,36,'Diagnosing which combination of drugs is causing the deviation from normal',NULL),(12461,36,'All of the above',1),(12462,37,'A licensed physician should conduct a physical examination of the client.',NULL),(12463,37,'The client should complete psychological tests to be used in the evaluation.',NULL),(12464,37,'The counselor should conduct an initial family therapy session in order to address problems caused by the client\'s use.',NULL),(12465,37,'The counselor should provide the client with an overview describing the goal, objectives, rules, and obligations of the program.',1),(12466,38,'Intake',1),(12467,38,'Orientation',NULL),(12468,38,'Case review',NULL),(12469,38,'Psychosocial Assessment',NULL),(12470,39,'Blood analysis',1),(12471,39,'Biopsy',NULL),(12472,39,'Reflex analysis',NULL),(12473,39,'DNA testing',NULL),(12474,40,'Skilled staff to administer',NULL),(12475,40,'No motivation on the part of the client',NULL),(12476,40,'Motivation on the part of the client',1),(12477,40,'Nothing; they have not been used in over 2 decades',NULL),(12478,41,'Assessment',NULL),(12479,41,'Intake',NULL),(12480,41,'Orientation',1),(12481,41,'Referral',NULL),(12482,42,'Self-disclosure',NULL),(12483,42,'Releasing information',NULL),(12484,42,'Protecting confidentiality',NULL),(12485,42,'Obtaining informed consent for treatment',1),(12486,43,'Not the counselor’s responsibility',NULL),(12487,43,'Intended to identify problems that need to be dealt with',1),(12488,43,'Rarely able to treat an addicted individual',NULL),(12489,43,'Separate from any referral activity',NULL),(12490,44,'Rarely apply to a treatment center',NULL),(12491,44,'Must be reviewed for accuracy and pertinence',1),(12492,44,'Are only offered in English',NULL),(12493,44,'Are cheap and usually ineffective',NULL),(12494,45,'Evaluating referral outcomes are not a part of clinical evaluation',NULL),(12495,45,'Evaluations only apply to medical referrals',NULL),(12496,45,'Evaluations are generally inaccurate because the referred to center will manipulate results',NULL),(12497,45,'Evaluations should include whether or not a referral completed the task as promised',1),(12498,46,'Advanced medical testing such as CT scans and chest X-rays to look for damage',1),(12499,46,'Group counseling only to begin with, then individual counseling',NULL),(12500,46,'Routine wellness testing including primary care and preventative care',NULL),(12501,46,'As little as possible until the patient has reached two weeks from admission',NULL),(12502,47,'Cognitive impairment, mental health issues, no insurance',NULL),(12503,47,'Mental Health issues, no insurance, denial',1),(12504,47,'Denial, cognitive impairment, mental health issues',NULL),(12505,47,'Blackouts, poor memory, prior treatment',NULL),(12506,48,'Respect, empathy, willingness to confront client denial',NULL),(12507,48,'Respect, empathy, recognition of personal value judgments',1),(12508,48,'Respect, detachment,  acceptance of non-readiness of stage of change',NULL),(12509,48,'Empathy, willingness to confront client denial, acceptance of non-readiness of stage of change',NULL),(12510,49,'Crisis states requires 911 to be called for a client, risk potential requires client to monitored',NULL),(12511,49,'Crisis states  indicates an act of self-harm by the client, risk potential in clients indicates a potential for self-harm',NULL),(12512,49,'Crisis state is identified as an acute reaction(s) by a client requiring immediate assistance, risk potential  identifies areas In a client’s life that unstable',1),(12513,49,'Crisis states can affect areas in a client’s life like – legal, relationships, job and risk potential can affect how the counselor feels about the client',NULL),(12514,50,'Psychopharmacology and psychiatric treatment',NULL),(12515,50,'Determining level of care placement and stage of readiness for treatment',1),(12516,50,'Aftercare treatment and confronting denial',NULL),(12517,50,'Identifying risk potential and becoming friendly with the client they are assessing',NULL),(12518,51,'Clients who have psychosocial issues and medical issue.',NULL),(12519,51,'Client who have family issues and substance misuse  issues',NULL),(12520,51,'Clients who have legal issues and substance misuse issues',NULL),(12521,51,'Clients who have substance misuse issues and mental health issues',1),(12522,52,'Inform client that there is a single best treatment for co-occurring disorders',NULL),(12523,52,'Act like they know about a mental health issues when they don’t so they can re-assure the client',NULL),(12524,52,'Become familiar with the specific role that your program or setting plays in delivering services related to COD in the wider context of the system of care',1),(12525,52,'Remain detached from client during the assessment process in order to obtain unbiased information',NULL),(12526,53,'Minimal, low, severe',1),(12527,53,'Acute, non-threatening, crisis',NULL),(12528,53,'Moderate, extreme, none',NULL),(12529,53,'History of suicide, no history of suicide, threatening suicide',NULL),(12530,54,'Whether the substance abuse (or mental health) client being screened show signs of a possible mental health (or substance abuse) problem',1),(12531,54,'What kind of problem the person might have',NULL),(12532,54,'How serious a client’s problems might be',NULL),(12533,54,'Whether the client need psychiatric medication',NULL),(12534,55,'The ASI',NULL),(12535,55,'The Beck Depression Inventory',NULL),(12536,55,'Personality Assessment Inventory (PAI)',NULL),(12537,55,'There is no one best tool',1),(12538,56,'Medication management, individual session and family sessions',NULL),(12539,56,'Integrated case management, outpatient substance abuse treatment and psychotropic medication management',NULL),(12540,56,'12-step support groups, anti-depressants, family sessions',NULL),(12541,56,'All of the above',1),(12542,57,'Identify and Obtain collateral information (with the correct ROI) from family members and pertinent other',NULL),(12543,57,'Invite family members to join assessment process to make sure the client is telling the truth',NULL),(12544,57,'Conduct a safety screening',NULL),(12545,57,'Both A & C',1),(12546,58,'The counselor being able to ask anything during the assessment',NULL),(12547,58,'The client being able to enter any level of care they are requesting',NULL),(12548,58,'Formal recognition by a service system that individuals with COD may enter a range of community service sites',1),(12549,58,'None of the above',NULL),(12550,59,'The counselor asking the client questions that only relate to that client',NULL),(12551,59,'The counselor not focusing on forms but finding out what the client wants based on their own perceptions',1),(12552,59,'The counselor focusing on one client at a time',NULL),(12553,59,'The counselor keeping the client focused on the assessment questions',NULL),(12554,60,'Promoting safety and gentleness during the assessment interview',1),(12555,60,'Asking the details of a client’s trauma',NULL),(12556,60,'Showing no reaction if a client provides information of a significant trauma',NULL),(12557,60,'Cutting the client off if they try to give details of a significant trauma',NULL),(12558,61,'Level of care/placement for treatment',NULL),(12559,61,'Level of client’s current risk',NULL),(12560,61,'Whether the client is COD',NULL),(12561,61,'The severity of the mental and substance use disorders',1),(12562,62,'Each disorder has a specific intervention matched to problem',1),(12563,62,'Whether the client is taking psychotropic medication',NULL),(12564,62,'Client’s mental health symptoms before their substance use issues',NULL),(12565,62,'Client’s substance use issues before their mental health issues',NULL),(12566,63,'To determine whether a client meets criteria for substance abuse treatment',NULL),(12567,63,'To determine whether a client needs detoxification',1),(12568,63,'To determine whether a client meets DSM criteria for a substance use diagnosis',NULL),(12569,63,'To determine whether a client needs a psychiatric evaluation',NULL),(12570,64,'Potential for suicide',NULL),(12571,64,'Potential for seizures',1),(12572,64,'Potential for chronic mental health issues',NULL),(12573,64,'Potential for cognitive issues',NULL),(12574,65,'Partial Hospitalization and Medically Managed Inpatient',1),(12575,65,'Partial Hospitalization and Intensive Outpatient',NULL),(12576,65,'Medically Managed Inpatient and Intensive Outpatient',NULL),(12577,65,'Intensive Outpatient and Low-Intensity Residential',NULL),(12578,66,'Level of care placement decisions',NULL),(12579,66,'Link assessment to need for and focus of treatment',NULL),(12580,66,'Clinical outcomes: impact of treatment',NULL),(12581,66,'Provide diagnosis',1),(12582,67,'The ASAM provides criteria for insurance company approval and the LOCUS doesn’t',NULL),(12583,67,'The ASAM provides placement criteria for primary substance use and the LOCUS provides placement criteria for primary or co-occurring mental health issues',1),(12584,67,'The ASAM provides criteria for substance diagnosis and the LOCUS provides criteria for mental health diagnosis',NULL),(12585,67,'The ASAM provides criteria for substance abuse treatment placement and the LOCUS provides criteria for co-occurring diagnosis',NULL),(12586,68,'Anyone working in the mental health field',NULL),(12587,68,'Qualified Health Professionals only',NULL),(12588,68,'Licensed Professionals, Registered Interns and Certified Addiction Professionals',1),(12589,68,'Master level counselors',NULL),(12590,69,'Will complete both the ASAM & the LOCUS/CALOCUS',1),(12591,69,'Will refer the client to a mental health agency for assessment',NULL),(12592,69,'Will only ask questions related to the client’s substance use history and defer questions on client’s mental health for a psychiatric evaluation',NULL),(12593,69,'Will complete only the LOCUS/CALOCUS',NULL),(12594,70,'Guide the DSM-5 diagnosis',NULL),(12595,70,'Guide assessments and summarizing findings',1),(12596,70,'Guide mental health assessments',NULL),(12597,70,'None of the above',NULL),(12598,71,'Draw up a new contract with the client.',NULL),(12599,71,'Talk to the client about possible denial.',NULL),(12600,71,'Create new goals and objectives, and suggest alternate forms of therapy.',NULL),(12601,71,'Discuss these concerns with the client and make necessary changes in treatment goals.',1),(12602,72,'Reviewing documentation in progress notes.',1),(12603,72,'Consulting with the client\'s significant others.',NULL),(12604,72,'Referring the client to a professional outside your agency for an objective review.',NULL),(12605,72,'Asking the client to write a personal evaluation of his/her own progress.',NULL),(12606,73,'Identify alternative courses of action.',NULL),(12607,73,'Offer emotional support.',NULL),(12608,73,'Contact emergency personnel.',NULL),(12609,73,'Assess the degree of risk.',1),(12610,74,'Screening.',NULL),(12611,74,'Orientation.',NULL),(12612,74,'The assessment.',1),(12613,74,'Intake.',NULL),(12614,75,'Summarize the inappropriateness of the client\'s feelings.',NULL),(12615,75,'Confront the client\'s behavior.',NULL),(12616,75,'Instruct the client in relaxation techniques.',NULL),(12617,75,'Call for assistance.',1),(12618,76,'To check for cocaine in the bloodstream',NULL),(12619,76,'To diagnose and report infectious diseases.',NULL),(12620,76,'To ensure eligibility and appropriateness for a level of care.',1),(12621,76,'Evaluation of a client’s suitability for life in the outside world after treatment.',NULL),(12622,77,'They should be involved in all aspects of intervention and treatment',1),(12623,77,'They are likely the underlying problem and should be removed from the process',NULL),(12624,77,'Only parents and siblings should participate in treatment',NULL),(12625,77,'There is no place for family – treatment is strictly for the individual',NULL),(12626,78,'Be as technical as possible',NULL),(12627,78,'Use realistic terms and simple, lay language',1),(12628,78,'Defer to your boss to break the bad news',NULL),(12629,78,'Paint a rosy and optimistic picture of the situation',NULL),(12630,79,'Understand their level of commitment to getting clean',1),(12631,79,'Remove the family from all discussions',NULL),(12632,79,'Admit the client no matter what their outlook or needs – they need treatment. Period.',NULL),(12633,79,'Offer worst-case scenarios to see their reactions',NULL),(12634,80,'Can apply to addictive disorders as well as to mental health disorders, including gambling',1),(12635,80,'Requires extensive training to understand',NULL),(12636,80,'Provides a linear model of stages that are fixed and static',NULL),(12637,80,'Recommends that only motivated people should receive treatment',NULL),(12638,81,'Match treatment to the client’s readiness to change',1),(12639,81,'Ensure residential care is not wastefully utilized',NULL),(12640,81,'Avoid confrontational approaches that alienate the client',NULL),(12641,81,'Individualize the referral and treatment plan',NULL),(12642,81,'All of the above',NULL),(12643,82,'Is unnecessary as their judgment is so poor',NULL),(12644,82,'Is as important as assessing what the client needs',1),(12645,82,'Gives a false impression that they should have choice about treatments',NULL),(12646,82,'Leads to disrespect of the clinician’s authority and expertise',NULL),(12647,83,'Vague to protect confidentiality',NULL),(12648,83,'General to allow flexibility in lengths-of-stay',NULL),(12649,83,'Preprinted to improve consistency',NULL),(12650,83,'Highly technical to demonstrate professionalism',NULL),(12651,83,'Assessment-based to improve individualization',1),(12652,84,'Standardized and generic to allow speedy documentation',NULL),(12653,84,'Comprehensive and wordy enough to show professionalism',NULL),(12654,84,'Exclusively patient quotes so as to demonstrate individualization',NULL),(12655,84,'Brief and behavioral to allow measurable outcome',1),(12656,85,'screening',NULL),(12657,85,'orientation',NULL),(12658,85,'the assessment',1),(12659,85,'intake',NULL),(12660,86,'The initial treatment plan should be based on assessment of the needs as revealed during the intake',1),(12661,86,'The treatment plan is to be developed before the treatment plan can be developed',NULL),(12662,86,'The client must be motivated for treatment before the treatment plan can be developed',NULL),(12663,86,'All group members give input into formulating the treatment plan',NULL),(12664,86,'The counselor must develop the treatment plan without any feedback from the client',NULL),(12665,87,'focus on what the client says',1),(12666,87,'follow clinical textbooks',NULL),(12667,87,'consider feedback from other clients',NULL),(12668,87,'rely on information from the source of referral',NULL),(12669,87,'use their own intuition',NULL),(12670,88,'Is NOT just a written plan on paper',NULL),(12671,88,'Is most important with the most complex clients',NULL),(12672,88,'Should represent a shared vision',NULL),(12673,88,'All of the above',1),(12674,89,'O.A.R.S',NULL),(12675,89,'F.R.A.M.E.S',NULL),(12676,89,'M.A.T.R.S',1),(12677,89,'None of the above',NULL),(12678,90,'History of drug & alcohol issues',NULL),(12679,90,'Current presenting issues',1),(12680,90,'Family’s view of the client’s issues',NULL),(12681,90,'Legal history',NULL),(12682,91,'relevant to the client & incremental',1),(12683,91,'reflective of the agency & counselor goals',NULL),(12684,91,'preformatted & brief',NULL),(12685,91,'focused on long term goals & discharge',NULL),(12686,92,'a specific client-determined goal',NULL),(12687,92,'a concrete vision the client holds',NULL),(12688,92,'a concrete client outcome measure',NULL),(12689,92,'a specific skill that the patient must acquire to achieve a goal',1),(12690,93,'Reflects client stage of change',NULL),(12691,93,'Individualized for each client',NULL),(12692,93,'Reflects client’s pathology',1),(12693,93,'Client determined',NULL),(12694,94,'An abstract client issue',NULL),(12695,94,'A brief clinical statement of a client issue',1),(12696,94,'A vague client issue',NULL),(12697,94,'A brief statement of client’s goals',NULL),(12698,95,'Diagnostically focused',1),(12699,95,'Flexible and changing',NULL),(12700,95,'Individualized',NULL),(12701,95,'Collaborative',NULL),(12702,96,'The therapist’s interventions',NULL),(12703,96,'What is going to be done, when and by whom',NULL),(12704,96,'Client problems within the six ASAM dimensions',NULL),(12705,96,'How long a client’s particular problem has existed',1),(12706,97,'Specific, intelligible to client and expressed in behavioral terms',1),(12707,97,'Direct, abstinence driven, group focused',NULL),(12708,97,'Fixed, long term, program directed',NULL),(12709,97,'Counselor determined, abstinence driven, measurable',NULL),(12710,98,'Gathering information',NULL),(12711,98,'Data analysis',NULL),(12712,98,'Prescribing anti-psychotic medication',1),(12713,98,'Treatment plan development',NULL),(12714,99,'A well-developed outline for the discharge summary',NULL),(12715,99,'More than one goal established by the counselor',NULL),(12716,99,'Clear expectations, specific goals, and methods of achievement',NULL),(12717,99,'A detailed explanation of goals and objectives',1),(12718,100,'The counselor is not listening and doesn’t care',NULL),(12719,100,'They don’t have a voice in the treatment planning process',NULL),(12720,100,'It’s safe to express their uncertainty about whether they have a problem or not',1),(12721,100,'The counselor is judging them',NULL),(12722,101,'Match the client’s own perception of the situation',NULL),(12723,101,'Provides a motivational (personal) reason to address the situation',NULL),(12724,101,'Lays out a framework of tasks and actions that are understandable and reasonable to the client',NULL),(12725,101,'All of the above',1),(12726,102,'The client will remain abstinent from all drugs and alcohol',1),(12727,102,'The client will develop a positive self-image.',NULL),(12728,102,'The client will develop a program of recovery that matches a sober lifestyle',NULL),(12729,102,'The client will learn healthy communication skills',NULL),(12730,103,'Measurable, Attainable, Treatment, Realistic, Specific',NULL),(12731,103,'Measurable, Active, Treatment, Realistic, Specific',NULL),(12732,103,'Measurable, Attainable, Treatment, Realistic, Substance Related',NULL),(12733,103,'Measurable, Attainable, Time-limited, Realistic, Specific',1),(12734,104,'Client level of functioning or impairment',NULL),(12735,104,'Evidence-based practice counselor will use for each objective listed',NULL),(12736,104,'Time frame agreed upon for each objective listed',NULL),(12737,104,'All of the above',1),(12738,104,'None of the above',NULL),(12739,105,'Prioritize pressing needs by addressing the client’s pressing problems',1),(12740,105,'Keep them short and only address what the counselor sees as appropriate',NULL),(12741,105,'Use the client’s stated weaknesses',NULL),(12742,105,'Keep the goals firm and static as originally stated, no straying from established goals',NULL),(12743,106,'Salient, incremental and meaningful',NULL),(12744,106,'Able to increase desired behaviors',NULL),(12745,106,'Open-ended and focused on client weaknesses',NULL),(12746,106,'Specific and behavior-focused',NULL),(12747,106,'All of the above except C',1),(12748,107,'I can picture how quitting substance use would improve my self-esteem but I can’t imagine ever shooting up again',NULL),(12749,107,'I don’t see how my substance use warrants concern',1),(12750,107,'I am feeling good about setting a quit date, but I am wondering if I have the courage to follow through',NULL),(12751,107,'Staying clean for the past few weeks really makes me feel good, but part of me wants to celebrate by getting loaded',NULL),(12752,107,'These recent months of abstinence have made me feel that I’m progressing toward recovery, but I’m still wondering whether abstinence is really necessary',NULL),(12753,108,'I can picture how quitting substance use would improve my self-esteem but I can’t imagine ever shooting up again',NULL),(12754,108,'I don’t see how my substance use warrants concern',NULL),(12755,108,'I am feeling good about setting a quit date, but I am wondering if I have the courage to follow through',NULL),(12756,108,'Staying clean for the past few weeks really makes me feel good, but part of me wants to celebrate by getting loaded',NULL),(12757,108,'These recent months of abstinence have made me feel that I’m progressing toward recovery, but I’m still wondering whether abstinence is really necessary',1),(12758,109,'I can picture how quitting substance use would improve my self-esteem but I can’t imagine ever shooting up again',NULL),(12759,109,'I don’t see how my substance use warrants concern',NULL),(12760,109,'I am feeling good about setting a quit date, but I am wondering if I have the courage to follow through',1),(12761,109,'Staying clean for the past few weeks really makes me feel good, but part of me wants to celebrate by getting loaded',NULL),(12762,109,'These recent months of abstinence have made me feel that I’m progressing toward recovery, but I’m still wondering whether abstinence is really necessary',NULL),(12763,110,'I can picture how quitting substance use would improve my self-esteem but I can’t imagine ever shooting up again',1),(12764,110,'I don’t see how my substance use warrants concern',NULL),(12765,110,'I am feeling good about setting a quit date, but I am wondering if I have the courage to follow through',NULL),(12766,110,'Staying clean for the past few weeks really makes me feel good, but part of me wants to celebrate by getting loaded',NULL),(12767,110,'These recent months of abstinence have made me feel that I’m progressing toward recovery, but I’m still wondering whether abstinence is really necessary',NULL),(12768,111,'I can picture how quitting substance use would improve my self-esteem but I can’t imagine ever shooting up again',NULL),(12769,111,'I don’t see how my substance use warrants concern',NULL),(12770,111,'I am feeling good about setting a quit date, but I am wondering if I have the courage to follow through',NULL),(12771,111,'Staying clean for the past few weeks really makes me feel good, but part of me wants to celebrate by getting loaded',1),(12772,111,'These recent months of abstinence have made me feel that I’m progressing toward recovery, but I’m still wondering whether abstinence is really necessary',NULL),(12773,112,'Confront and challenge',NULL),(12774,112,'Present consequences to client to inject a  reality check',NULL),(12775,112,'Roll with it',1),(12776,112,'Shut client down and decide client is not ready to begin recovery',NULL),(12777,113,'In the counselor’s journal',NULL),(12778,113,'In the client’s chart',1),(12779,113,'In the daily log',NULL),(12780,113,'In the outcome record',NULL),(12781,114,'Understanding and validation',NULL),(12782,114,'Mildly confrontational and in recovery themselves',NULL),(12783,114,'Active listening and empathy',NULL),(12784,114,'Tolerance and patience',NULL),(12785,114,'All of the above except B',1),(12786,115,'Medical diagnosis',1),(12787,115,'Continued Care',NULL),(12788,115,'Discharge Planning',NULL),(12789,115,'Notating changes client treatment / recovery status',NULL),(12790,116,'Goal & objective number',NULL),(12791,116,'How client is doing in treatment',NULL),(12792,116,'Changes in goals or objectives and explanation why',NULL),(12793,116,'Successful completion of goals & objectives',NULL),(12794,116,'The participation of others in client’s treatment',NULL),(12795,116,'All of the above',1),(12796,117,'Assessment information and progress notes reflecting the treatment plan',1),(12797,117,'Assessment information and client’s admission of drug use',NULL),(12798,117,'Progress notes and program guidelines',NULL),(12799,117,'Progress notes and release of information',NULL),(12800,118,'After bio-psychosocial is completed',NULL),(12801,118,'After intake is completed',NULL),(12802,118,'During the treatment plan session',NULL),(12803,118,'During the assessment interview',1),(12804,119,'To guide the beginning days/weeks of treatment',NULL),(12805,119,'To establish behavioral contracts',NULL),(12806,119,'To establish level of care',NULL),(12807,119,'To weed out clients not serious about treatment',1),(12808,120,'TTM is a dynamic process that affect a client’s readiness for change',1),(12809,120,'TTM is focused more on pre-existing client characteristics',NULL),(12810,120,'TTM is focused on a more family approach',NULL),(12811,120,'TTM  is a client behavior based process',NULL),(12812,121,'The master treatment plan',NULL),(12813,121,'The discharge plan',NULL),(12814,121,'The initial treatment plan',1),(12815,121,'A behavior contract',NULL),(12816,122,'Pre-contemplation',NULL),(12817,122,'Contemplation',1),(12818,122,'Preparation',NULL),(12819,122,'Action',NULL),(12820,122,'Maintenance',NULL),(12821,123,'Pre-contemplation',NULL),(12822,123,'Contemplation',NULL),(12823,123,'Preparation',NULL),(12824,123,'Action',1),(12825,123,'Maintenance',NULL),(12826,124,'Pre-contemplation',1),(12827,124,'Contemplation',NULL),(12828,124,'Preparation',NULL),(12829,124,'Action',NULL),(12830,124,'Maintenance',NULL),(12831,125,'True',NULL),(12832,125,'False',1),(12833,126,'True',NULL),(12834,126,'False',1),(12835,127,'True',1),(12836,127,'False',NULL),(12837,128,'True',NULL),(12838,128,'False',1),(12839,129,'True',1),(12840,129,'False',NULL),(12841,130,'True',NULL),(12842,130,'False',1),(12843,131,'True',1),(12844,131,'False',NULL),(12845,132,'True',1),(12846,132,'False',NULL),(12847,133,'Whenever the client asks for it',NULL),(12848,133,'When they need care your treatment center cannot provide',NULL),(12849,133,'When they have a medical condition that needs to be treated in a medical setting',NULL),(12850,133,'When they have family and marriage issues best addressed by a family counselor',NULL),(12851,133,'B, C & D',1),(12852,133,'None of the above',NULL),(12853,134,'Ignore this problem and move onto his parental issues',NULL),(12854,134,'Start to tutor him',NULL),(12855,134,'Write a resume with him and begin a job hunt',NULL),(12856,134,'Refer him to job training or a vocational school',1),(12857,135,'The center’s treatment philosophy',NULL),(12858,135,'Personal and friendly relationships with the staff and ownership of the facility',1),(12859,135,'Past successes and failures in referrals',NULL),(12860,135,'Costs and availability of payment options',NULL),(12861,136,'There is no bad or wrong time to refer a client to another level of care',1),(12862,136,'If unsure about anything, keep trying – you’ll figure it out',NULL),(12863,136,'Once referred, privacy rights cease to be in force',NULL),(12864,136,'You should always receive a cut of the treatment cost for referring a client',NULL),(12865,137,'Only warranted when a client becomes agitated with their progress',NULL),(12866,137,'Not appropriate until after a 30 day counseling period',NULL),(12867,137,'A sign that the treatment plan process is active, fluid and healthy',1),(12868,137,'A sign that counseling is not working',NULL),(12869,138,'Will happen and this fact should be discussed openly with the client beforehand',NULL),(12870,138,'Doesn’t happen much any longer due to highly effective sedatives',NULL),(12871,138,'Is an inevitability, especially after only one or two trips to rehab',NULL),(12872,138,'Can be minimized by exceptional service coordination and productive referrals',1),(12873,139,'Counselor sends an HIV / AIDS client to a facility without the capability to accommodate medical issues',NULL),(12874,139,'Client is an alcoholic and counselor refers them to NA',NULL),(12875,139,'Client has a history of domestic violence and the counselor refers them to a family counselor that specializes in anger management',1),(12876,139,'Client wants to find a job so the counselor refers them to a financial specialist to learn how to save money',NULL),(12877,140,'Evaluate your facility’s ability to handle his case and refer out to detox, treatment centers and medical facilities as necessary',1),(12878,140,'HIV has a slow progression. Treat the primary substance abuse problem now and defer the medical treatment',NULL),(12879,140,'Immediately send him to a HIV/AIDS clinic to be tested and avoid an admission to prevent the spread of the disease in your center',NULL),(12880,140,'Get him into treatment and begin treating for HIV',NULL),(12881,141,'Orienting the client with the treatment center',NULL),(12882,141,'Understanding what treatment has worked in the past',NULL),(12883,141,'Determining the client’s ability to pay',NULL),(12884,141,'Assessing the urgency of the issue at hand',1),(12885,142,'The act of referring a patient to another facility',NULL),(12886,142,'Unrelated to case management',NULL),(12887,142,'Creating the foundation for and addressing the needs of the treatment plan',1),(12888,142,'None of the above',NULL),(12889,143,'Making sure all documentation is complete and accurate',NULL),(12890,143,'A balance and cooperation between counselor, client and referrals',NULL),(12891,143,'Identifying improvements in the treatment and service plan',NULL),(12892,143,'Keeping family and other enablers away from the process',NULL),(12893,143,'A, B & C',1),(12894,143,'B, C & D',NULL),(12895,144,'Taking money from a referral source.',NULL),(12896,144,'Directing a client toward the referral that the counselor thinks is best.',NULL),(12897,144,'All are unethical',NULL),(12898,144,'Meeting with the client at a restaurant outside of treatment to follow up on the referral.',NULL),(12899,144,'A & D',1),(12900,145,'Never, there’s no need',NULL),(12901,145,'At least every six months and more often for high volume referral facilities',1),(12902,145,'When a problem crops up, no particular schedule',NULL),(12903,145,'Once every few years',NULL),(12904,146,'Referral to a medical professional or hospital',NULL),(12905,146,'Referral to what the counselor believes is the best insurance company for the client',1),(12906,146,'Referral to a county-level HIV/AIDS prevention and support program',NULL),(12907,146,'Referral to another treatment center',NULL),(12908,147,'Treat and release to a Halfway House',NULL),(12909,147,'Refer, refer, refer',NULL),(12910,147,'Treat, defer and refer',1),(12911,147,'Refer for a nominal fee',NULL),(12912,148,'Important, because a client’s participation in their own treatment plan offers a greater likelihood of successful recovery',1),(12913,148,'Not important, because family members will have to make these decisions while the client is high',NULL),(12914,148,'Important, because otherwise the client will be hostile',NULL),(12915,148,'Not important, because the referral will be made one way or other',NULL),(12916,149,'Sarah is doomed to failure – if it hasn’t worked twice, it won’t work this time',NULL),(12917,149,'Counselors should notify techs that she will be a difficult client and to pay extra attention to her',NULL),(12918,149,'As a counselor, learning from strategies that did and did not work in prior treatments will increase the likelihood of a successful treatment this time around',1),(12919,149,'Sarah should be referred out to a treatment center of last resort',NULL),(12920,150,'The counselor being able to interpret and evaluate the screening and assessment.',NULL),(12921,150,'Having an understanding of the community referral options available to the client.',NULL),(12922,150,'Establishing accurate treatment and recovery expectations with the client and involved significant others',1),(12923,150,'None of the above',NULL),(12924,151,'Strengths Perspective',NULL),(12925,151,'Generalist',NULL),(12926,151,'Solution Focused',NULL),(12927,151,'PACT',NULL),(12928,151,'A, B & D',1),(12929,151,'All of the above',NULL),(12930,152,'Treatment and referrals',NULL),(12931,152,'Planning and linking',1),(12932,152,'Counseling and discharge planning',NULL),(12933,152,'Grief counseling and assessment',NULL),(12934,152,'All of the above',NULL),(12935,153,'Help in achieving self-sufficiency',NULL),(12936,153,'Enhanced access to care',NULL),(12937,153,'Drug testing',NULL),(12938,153,'Improved Treatment Outcomes',NULL),(12939,153,'A, B & D',1),(12940,153,'All of the above',NULL),(12941,154,'Coaching and connecting',NULL),(12942,154,'Confronting and referring',NULL),(12943,154,'Advocating and reducing barriers',NULL),(12944,154,'Both A & C',1),(12945,155,'Nothing, both types of assessments are virtually the same',NULL),(12946,155,'Case management assessment focuses on client needs',1),(12947,155,'Case management assessment indicates what type of counseling style would be most beneficial',NULL),(12948,155,'Case management assessments are done after treatment is completed',NULL),(12949,156,'True',1),(12950,156,'False',NULL),(12951,157,'Neighbors doing chores for each other',NULL),(12952,157,'Neighbors being friendly in their immediate neighborhood',NULL),(12953,157,'Neighbor’s offering money to others',NULL),(12954,157,'Groups of people helping others in their real world struggles',1),(12955,158,'Increased crime rates',NULL),(12956,158,'Expansion of community-based services',1),(12957,158,'Increased outpatient mental health facilities',NULL),(12958,158,'Expansion of mental health services',NULL),(12959,159,'Improving treatment retention and outcomes',1),(12960,159,'Improving needs assessments and treatment plans',NULL),(12961,159,'Improving counseling and discharge planning',NULL),(12962,159,'Improving diagnosing and therapy',NULL),(12963,160,'Insane asylums',NULL),(12964,160,'County work farms',1),(12965,160,'Shelters',NULL),(12966,160,'Chain gangs',NULL),(12967,161,'Decriminalize drugs',NULL),(12968,161,'Educate society that addicts are not criminals',NULL),(12969,161,'Provided substance abuse services in jails',NULL),(12970,161,'Link criminal justice with drug treatment',1),(12971,162,'Adhering to applicable laws, regulations and agency policies governing the disclosure of client-identifying data.',NULL),(12972,162,'Assuring comprehensive, quality care for the client.',NULL),(12973,162,'Recognizing issues that are beyond the counselor\'s base of knowledge and/or skill.',NULL),(12974,162,'Demonstrating respect and non-judgmental attitudes toward clients in all contacts with community professionals and agencies.',NULL),(12975,162,'All of the above',NULL),(12976,162,'Both A & B',1),(12977,163,'Insurance Utilization Review',NULL),(12978,163,'Awareness of limitations of the client and of a client service',NULL),(12979,163,'Discharge/Aftercare planning',NULL),(12980,163,'Both B & C',1),(12981,164,'Diagnosing',NULL),(12982,164,'Medicating',NULL),(12983,164,'Collaborating',1),(12984,164,'Labeling',NULL),(12985,165,'Addiction and mental health treatment combined',1),(12986,165,'Multicultural treatment',NULL),(12987,165,'Drug and alcohol treatment',NULL),(12988,165,'Addiction treatment & case management combined',NULL),(12989,166,'Brief Strength Based Case Management',1),(12990,166,'Integrated Case Management',NULL),(12991,166,'Social Work',NULL),(12992,166,'Consultation',NULL),(12993,167,'Substance abuse treatment',NULL),(12994,167,'Case management',NULL),(12995,167,'Co-occurring treatment',NULL),(12996,167,'All of the above',1),(12997,168,'The name of an attending physician, referrals made, diagnostic procedures used',NULL),(12998,168,'Information about consultations, diagnosis, treatment, prognosis, and progress',1),(12999,168,'Names of family members, emergency numbers, DSM-IV-TR diagnosis',NULL),(13000,168,'Personal notes, insurance information, treatment notes',NULL),(13001,168,'All of the above',NULL),(13002,169,'Is best achieved when done independently from direct client care',NULL),(13003,169,'Facilitates communication and enhances accountability',1),(13004,169,'Is used primarily by the primary counselor.is a standardized process',NULL),(13005,169,'Is a standardized practice',NULL),(13006,169,'All of the above',NULL),(13007,170,'\"I\'m finding the support from this group to be very helpful.\"',NULL),(13008,170,'\"Getting caught for drunk driving was a mixed blessing.\"',NULL),(13009,170,'\"Ever since I stopped drinking, my emotional swings have been quite intense.\"',1),(13010,170,'\"Let\'s change the subject. Did anyone see the game last night?\"',NULL),(13011,170,'All of the above',NULL),(13012,171,'Assist in client education',NULL),(13013,171,'Ensure continuity of client care',1),(13014,171,'Promote team work among the clinical staff',NULL),(13015,171,'Identify client strengths and weaknesses',NULL),(13016,171,'None of the above',NULL),(13017,172,'The client',NULL),(13018,172,'All staff of the facility',NULL),(13019,172,'The agency board of directors',NULL),(13020,172,'Only those persons directly involved in providing clinical services',1),(13021,172,'All of the above',NULL),(13022,173,'The client\'s current status',NULL),(13023,173,'Interpretations of progress without reference to directly observed behaviors',1),(13024,173,'Interventions utilized by staff',NULL),(13025,173,'Description of any changes in the condition of the client',NULL),(13026,173,'Chronological documentation',NULL),(13027,174,'General observations',NULL),(13028,174,'Client evaluation of their own status',NULL),(13029,174,'The course and progress of the client regarding each identified clinical problem',1),(13030,174,'Number of self-help groups attended during treatment',NULL),(13031,174,'Title of the counselor',NULL),(13032,175,'Billing and audits',NULL),(13033,175,'Legal issues',NULL),(13034,175,'Superiors',NULL),(13035,175,'Accrediting agencies',NULL),(13036,175,'All of the above',1),(13037,176,'The counselor feels it is appropriate to tell others in the group',NULL),(13038,176,'The family gives verbal consent',NULL),(13039,176,'It is shared between counselors and clinical directors on a need to know basis',1),(13040,176,'When you tell the client 7 days in advance',NULL),(13041,176,'All of the above',NULL),(13042,177,'What services were performed',NULL),(13043,177,'Who performed the services',NULL),(13044,177,'Outcome of services performed',NULL),(13045,177,'General office policies',1),(13046,177,'Why those services were performed',NULL),(13047,178,'Internal counselor accountability',NULL),(13048,178,'Counselor training and growth',NULL),(13049,178,'Regulatory requirements',NULL),(13050,178,'Proof for legal proceedings',NULL),(13051,178,'All of the above',1),(13052,179,'Title 43 (43 CFR)',NULL),(13053,179,'Title 42 (42 CFR)',1),(13054,179,'Title 4 (4-2 CFR)',NULL),(13055,179,'HIPAA',NULL),(13056,179,'None of the above',NULL),(13057,180,'Generally unnecessary',NULL),(13058,180,'A risk to full and complete treatment',NULL),(13059,180,'A key skill to emphasize',1),(13060,180,'Not the recommended protocol',NULL),(13061,180,'None of the above',NULL),(13062,181,'Write separate group notes with individualized content for each client',1),(13063,181,'Write one group note but use only one client name on each note',NULL),(13064,181,'Write one group note with the same content listing each participating client',NULL),(13065,181,'Write progress note for each client stating they attended a particular group with date and time of group.',NULL),(13066,181,'None of the above',NULL),(13067,182,'SOAP',NULL),(13068,182,'LORP',1),(13069,182,'DAP',NULL),(13070,182,'BIRP',NULL),(13071,182,'None of the above',NULL),(13072,183,'Action',NULL),(13073,183,'Application',NULL),(13074,183,'Assessment',1),(13075,183,'Authorization',NULL),(13076,183,'None of the above',NULL),(13077,184,'Hard facts',NULL),(13078,184,'Professional application of skill, knowledge and judgement',NULL),(13079,184,'Client quotes',NULL),(13080,184,'A & C',NULL),(13081,184,'All of the above',1),(13082,185,'Potential for self-harm',NULL),(13083,185,'Past treatment outcomes',1),(13084,185,'Mood',NULL),(13085,185,'Motivation',NULL),(13086,185,'Non-verbal communication',NULL),(13087,186,'Counselor’s interventions, client’s attendance and client’s participation in treatment',NULL),(13088,186,'Counselors thoughts, client’s reactions to counselor, and client’s stage of change',NULL),(13089,186,'Counselor’s interventions, client’s stage of change, and client’s reaction to treatment',NULL),(13090,186,'Counselor’s interventions, client’s response to intervention, client’s stage of change',1),(13091,186,'None of the above',NULL),(13092,187,'The counselor’s clinical judgment',NULL),(13093,187,'The documented problem list from the assessment',1),(13094,187,'The integrated summary',NULL),(13095,187,'The client’s probation officer',NULL),(13096,187,'All of the above',NULL),(13097,188,'Summary of treatment',NULL),(13098,188,'Outcome of treatment',NULL),(13099,188,'Details of individual sessions',1),(13100,188,'Referrals',NULL),(13101,188,'Client\'s response to treatment episode',NULL),(13102,189,'The Problem List',NULL),(13103,189,'The Integrated Summary',1),(13104,189,'Client-Counselor rapport',NULL),(13105,189,'The first individual session with the client',NULL),(13106,189,'All of the above',NULL),(13107,190,'Analysis of findings from the assessment',NULL),(13108,190,'Client current stage of change',NULL),(13109,190,'Client diagnosis',NULL),(13110,190,'A & B',NULL),(13111,190,'A, B & C',1),(13112,191,'Clinical judgments',1),(13113,191,'Counselor interventions',NULL),(13114,191,'Client’s current stage of change',NULL),(13115,191,'Client progress with treatment plan goals & objectives',NULL),(13116,192,'Counselor’s license and/or credential',NULL),(13117,192,'State & Federal laws',NULL),(13118,192,'Clinical evidence-based interventions',NULL),(13119,192,'Standards of care & professional conduct',NULL),(13120,192,'Counselor’s theoretical leanings',1),(13121,193,'aftercare and A.A./N.A. meetings',NULL),(13122,193,'skill development and reinforcement',NULL),(13123,193,'psychosocial rehabilitation and after care',1),(13124,193,'vocational counseling and after care',NULL),(13125,193,'family therapy and A.A./N.A',NULL),(13126,194,'contempt and hostility',NULL),(13127,194,'independence and self-reliance',NULL),(13128,194,'immorality and sexual acting out',NULL),(13129,194,'withdrawal and isolation',1),(13130,194,'generous and fun-loving',NULL),(13131,195,'consultation',NULL),(13132,195,'client education',1),(13133,195,'counseling',NULL),(13134,195,'crisis intervention',NULL),(13135,195,'case management',NULL),(13136,196,'Medical professionals',NULL),(13137,196,'Drug abuse treatment professionals',1),(13138,196,'Sexual abuse counselors',NULL),(13139,196,'Counselors working with gay/lesbian populations',NULL),(13140,196,'All human services counselors',NULL),(13141,197,'job skills',1),(13142,197,'child care services',NULL),(13143,197,'educational training',NULL),(13144,197,'primary health care',NULL),(13145,198,'rehabilitate offenders.',NULL),(13146,198,'use the threat of incarceration as a motivator to change.',NULL),(13147,198,'protect the health, safety, and welfare of the public.',1),(13148,198,'keep the chronic, chemically dependent person off the streets',NULL),(13149,199,'detoxification and stabilization',NULL),(13150,199,'psychological evaluation and treatment',NULL),(13151,199,'integration into a self-help recovery program',NULL),(13152,199,'a comprehensive continuum of services',1),(13153,200,'education and training',NULL),(13154,200,'diagnosis and intervention',NULL),(13155,200,'segregated treatment programs',1),(13156,200,'integrated treatment programs with cultural programming',NULL),(13157,201,'regularly attend A.A. and/or N.A. meetings',NULL),(13158,201,'stay well-informed and aware of recent developments in the field',1),(13159,201,'teach classes about these topics',NULL),(13160,201,'assume that the client will ask for what he/she needs',NULL),(13161,202,'The family cannot get well until the dependent person seeks help',NULL),(13162,202,'The children in a dysfunctional family can be protected from the problems cause by chemical dependency',NULL),(13163,202,'The divorce rate in dysfunctional families is highest after recovery has been initiated',1),(13164,202,'Family problems develop in the later phases of the addiction process',NULL),(13165,203,'the Hero',1),(13166,203,'the Scapegoat',NULL),(13167,203,'the Primary Enabler',NULL),(13168,203,'the Mascot',NULL),(13169,204,'the Hero',1),(13170,204,'the Scapegoat',NULL),(13171,204,'the Primary Enabler',NULL),(13172,204,'the Mascot',NULL),(13173,205,'formal classes',NULL),(13174,205,'reading materials',NULL),(13175,205,'self-help group lists',NULL),(13176,205,'uncovering the client\'s feelings about his/her addiction',1),(13177,205,'film or videos',NULL),(13178,206,'Attempts to deny the problem',NULL),(13179,206,'Attempts to eliminate the problem',NULL),(13180,206,'Disorganization',NULL),(13181,206,'Reorganization',NULL),(13182,206,'Failure to react to the problem',1),(13183,207,'Divorce',NULL),(13184,207,'Child abuse',NULL),(13185,207,'Suicide',NULL),(13186,207,'Teen pregnancy',NULL),(13187,207,'All of the above',1),(13188,208,'Alcohol and marijuana',NULL),(13189,208,'Marijuana and cocaine',NULL),(13190,208,'Marijuana and pain pills',1),(13191,208,'Alcohol and pain pills',NULL),(13192,208,'Alcohol and inhalants',NULL),(13193,209,'Being placed on probation',NULL),(13194,209,'Moving',1),(13195,209,'Getting a tattoo or piercing',NULL),(13196,209,'Failing a class in school',NULL),(13197,209,'Alcohol and inhalants',NULL),(13198,210,'Dilated pupils and smelly breath',1),(13199,210,'Shakes and hallucinations',NULL),(13200,210,'Weight loss and isolation',NULL),(13201,210,'Poor hygiene and failing grades',NULL),(13202,210,'All of the above',NULL),(13203,211,'Can’t stop using, even when you want to',NULL),(13204,211,'Keep using even though bad things have happened',NULL),(13205,211,'Needing more & more to get high',NULL),(13206,211,'None of the above',NULL),(13207,211,'All of the above',1),(13208,212,'To help understand addiction',NULL),(13209,212,'To help understand addiction symptoms',NULL),(13210,212,'To determine an addiction diagnosis',1),(13211,212,'To determine level of care',NULL),(13212,212,'None of the above',NULL),(13213,213,'Indicator of dependence or abuse',NULL),(13214,213,'Indicator of drug type',NULL),(13215,213,'Indicator of length of time of presenting symptoms',NULL),(13216,213,'Indicator of severity',1),(13217,213,'All of the above',NULL),(13218,215,'It should identify or rule out a problem',NULL),(13219,215,'The primary therapist is the best person to perform a B-P-S',NULL),(13220,215,'B-P-S is part of the orientation process',1),(13221,215,'It is the basis for formulating a treatment plan',NULL),(13222,216,'prior experience in individual counseling',NULL),(13223,216,'motivation',1),(13224,216,'prior experience in group counseling',NULL),(13225,216,'interpersonal problems only',NULL),(13230,218,'summarize the inappropriateness of the client\'s feelings',NULL),(13231,218,'confront the client\'s behavior',NULL),(13232,218,'instruct the client in relaxation techniques',NULL),(13233,218,'call for assistance',1),(13234,219,'Such views influence the definition of dependency',NULL),(13235,219,'Such views influence the treatment outcome',NULL),(13236,219,'Such views influence the likelihood of long-term sobriety',NULL),(13237,219,'All of the above are true',1),(13238,220,'Understand his/her perceptions of addiction and realize that perceptions of others may differ',NULL),(13239,220,'Understand that external sociopolitical forces have limited influence on culturally different groups',NULL),(13240,220,'Understand that skills, methods and goals need to be appropriate for the experience and lifestyle of the culturally different client',NULL),(13241,220,'Both A & C',1),(13246,222,'The counselor can then work to resolve his/her own vulnerable areas',1),(13247,222,'The counselor can then treat every client',NULL),(13248,222,'The counselor can then disclose their personal issues to clients',NULL),(13249,222,'The counselor cannot become emotionally affected by a client',NULL),(13250,217,'Demonstrating unconditional positive regard',1),(13251,217,'Use of affectionate gestures',NULL),(13252,217,'Strongly confronting the client\'s denial',NULL),(13253,217,'Frequently reassuring the client use of self disclosure',NULL),(13254,223,'Dominance and control',NULL),(13255,223,'Acceptance and approval issues',1),(13256,223,'Conflict between group members',NULL),(13257,223,'Establishing a social pecking order, negative comments and criticism',NULL),(13258,224,'non-verbal behavior',1),(13259,224,'self-disclosures',NULL),(13260,224,'offering frequent reassurance',NULL),(13261,224,'direct confrontations',NULL),(13262,224,'analytic interpretations',NULL),(13263,225,'thinks, feels, and behaves',1),(13264,225,'learns, tries, and does',NULL),(13265,225,'acts, reacts, and changes',NULL),(13266,225,'understands, learns, chooses',NULL),(13267,225,'analytic interpretations',NULL),(13268,226,'establishing topic areas to be discussed',1),(13269,226,'selection of group leader',NULL),(13270,226,'confronting group members\' denial',NULL),(13271,226,'statements about group ground rules and the purposes of group',NULL),(13272,227,'the client\'s body posture',NULL),(13273,227,'the content of the discussion',NULL),(13274,227,'the counselor\'s feelings about the client',1),(13275,227,'the client\'s information and tone of voice',NULL),(13276,227,'the themes that repeat during a session',NULL),(13277,228,'appropriate assertiveness',NULL),(13278,228,'awareness of personal needs',1),(13279,228,'a calm and patient style',NULL),(13280,228,'a sense of responsibility',NULL),(13281,229,'having realistic expectations',NULL),(13282,229,'relying heavily on clinical supervision',NULL),(13283,229,'identification of flaws in one\'s agency and supervisor',NULL),(13284,229,'over-identification with clients',1),(13285,230,'self disclosure',NULL),(13286,230,'limit setting',NULL),(13287,230,'genuineness',NULL),(13288,230,'constant reassurance',1),(13289,231,'organizing your thoughts about the client and preparing your presentation to your supervisor',NULL),(13290,231,'assisting the client to mobilize his support network',1),(13291,231,'attend to your counter-transference issues',NULL),(13292,231,'contacting your client\'s family',NULL),(13293,232,'it caused a massive increase in the admissions to psychiatric hospitals',NULL),(13294,232,'it increased the crime rate',NULL),(13295,232,'it decreased the number of deaths associated with alcoholism',1),(13296,232,'A and B are correct',NULL),(13297,233,'little use of empathy',NULL),(13298,233,'appearing uninterested',NULL),(13299,233,'allowing the client to do all the talking',NULL),(13300,233,'failure to openly discuss each other\'s expectations',1),(13301,234,'\"What are your concerns about your health?\"',1),(13302,234,'\"Have you ever worried you might be an alcoholic?\"',NULL),(13303,234,'\"Is your health getting worse?\"',NULL),(13304,234,'\"Do others seem to be worried about you?\"',NULL),(13305,235,'Attempts to deny the problem',NULL),(13306,235,'Attempts to eliminate the problem',NULL),(13307,235,'Reorganization',NULL),(13308,235,'Failure to react to the problem',1),(13309,236,'The family cannot get well until the dependent person seeks help.',NULL),(13310,236,'The children in a dysfunctional family can be protected from the problems cause by chemical dependency.',NULL),(13311,236,'The divorce rate in dysfunctional families is highest after recovery has been initiated.',1),(13312,236,'None of the above statements are true',NULL),(13313,237,'draw up a new contract with the client',NULL),(13314,237,'talk to the client about possible denial',NULL),(13315,237,'create new goals and objectives, and suggest alternate forms of therapy',NULL),(13316,237,'discuss these concerns with the client and make necessary changes in treatment goals',1),(13317,238,'to be alert to and understand the power relationship',1),(13318,238,'to utilize the differential power to motivate the client',NULL),(13319,238,'to realize the importance of this power in client interventions',NULL),(13320,238,'to use differential power to get the client to try new behavior',NULL),(13321,239,'\"This counselor is a stranger, but maybe I can learn to trust her.\"',NULL),(13322,239,'\"My counselor will direct me to do what I need to do, and everything will be OK.\"',1),(13323,239,'\"My counselor will be a resource that I can use to resolve my problems.\"',NULL),(13324,239,'\"The counselor\'s main concern and responsibility is to help me achieve my goals and objectives.\"',NULL),(13325,240,'assess Joe\'s potential for suicide without directly asking him about suicide plans, but assess his high-risk factors',NULL),(13326,240,'assess Joe\'s potential for suicide by asking him about his intent, and evaluating high risk factors',1),(13327,240,'determine if Joe has a gun or other weapon',NULL),(13328,240,'initiate involuntary hospitalization procedures',NULL),(13329,241,'Sarah can expect her unresolved conflicts to rise to the surface because of her work in the treatment center.',1),(13330,241,'Sarah can resolve her personal pain by working professionally with addicted family units in a treatment center.',NULL),(13331,241,'Sarah may be more comfortable with her clients because she is familiar with their behavior.',NULL),(13332,241,'Sarah may have unfinished business with her parents',NULL),(13333,242,'message receivers hear \"you\" messages',NULL),(13334,242,'message receivers do not speak',NULL),(13335,242,'message senders use third-person pronouns',NULL),(13336,242,'message senders use \"I\" messages',1),(13337,243,'Contact child protective services to report this incident',1),(13338,243,'Explain to her the limits of confidentiality regarding drug use',NULL),(13339,243,'Admit her for treatment and arrange childcare services',NULL),(13340,243,'Contact law enforcement to have her arrested for child abuse and neglect',NULL),(13341,244,'Although Ralph did have a relapse, recovery should be easier the second time around.',NULL),(13342,244,'This constitutes a relapse, and Ralph may need to begin the recovery process all over again.',NULL),(13343,244,'Ralph should be reassured that this behavior is permissible as long as he did not lose control and become drunk.',NULL),(13344,244,'The counselor should talk to Ralph about the implications of dangerous situations like this, but assure him that it is possible to continue his recovery process.',1),(13345,245,'The name of an attending physician, referrals made, diagnostic procedures used',NULL),(13346,245,'Information about consultations, diagnosis, treatment, prognosis, and progress',1),(13347,245,'Names of family members, emergency numbers, DSM-5 diagnosis',NULL),(13348,245,'Personal notes, insurance information, treatment notes',NULL),(13349,246,'Help the client to express feelings generated by the crisis',NULL),(13350,246,'Eliminate negative beliefs that contributed to the crisis',NULL),(13351,246,'Assign specific behavior tasks such as spending time with people',NULL),(13352,246,'Immediately refer the client to an agency to help change the situation',1),(13353,247,'Move from direct care to an administrative position.',NULL),(13354,247,'Contact a supervisor and ask for fewer work hours.',NULL),(13355,247,'Attend to health through adequate sleep, an exercise program, and proper diet.',1),(13356,247,'Add more structure to work by using a commercial time management system.',NULL),(13357,248,'terminate the client\'s treatment and seek supervision',NULL),(13358,248,'talk openly about transference issues',NULL),(13359,248,'reciprocate your true feelings, but only if you are attracted to him/her',1),(13360,248,'refer the client to another professional',NULL),(13361,249,'discussing the client\'s plans for the future',NULL),(13362,249,'helping the client adapt',NULL),(13363,249,'determining the problem',1),(13364,249,'determining a solution',NULL),(13365,250,'equilibrium',NULL),(13366,250,'stability',NULL),(13367,250,'homeostasis',1),(13368,250,'accommodation',NULL),(13369,251,'interrupt the second speaker and remind him of the group rules',NULL),(13370,251,'remind Eric that you are here to treat addiction and ask how this relates to his addiction',NULL),(13371,251,'tell Eric that this disclosure is more appropriate for an individual session and you will meet with him later',NULL),(13372,251,'ask questions which facilitate a group response to Eric\'s disclosure and elicit more feeling content from Eric',1),(13373,252,'including the client\'s family members in counseling',NULL),(13374,252,'setting mutually-established goals',1),(13375,252,'going to 12-step meetings with the client',NULL),(13376,252,'offering to make home visits',NULL),(13377,253,'identify alternative courses of action',NULL),(13378,253,'offer emotional support',NULL),(13379,253,'contact emergency personnel',NULL),(13380,253,'assess the degree of risk',1),(13381,254,'the client\'s family dynamics',NULL),(13382,254,'getting all the information that you can',NULL),(13383,254,'what your immediate response should be',NULL),(13384,254,'focusing questions about the present situation and the client\'s means of coping with the stress',1),(13385,255,'transfer the client to another counselor',NULL),(13386,255,'let the relationship develop and try to work it out',NULL),(13387,255,'challenge the client about his/her resistance to treatment',NULL),(13388,255,'seek out supervision with a colleague or supervisor',1),(13389,256,'provide the group members with insight into the counselor\'s background',NULL),(13390,256,'convince group members that the counselor has more life experiences than they do',NULL),(13391,256,'demonstrate how to react when other group members disclose personal information',NULL),(13392,256,'facilitate the growth of the group by relating to client or group issues',1),(13393,257,'an understanding of self-help groups',NULL),(13394,257,'an ethical code of conduct',1),(13395,257,'certification',NULL),(13396,257,'an advanced degree',NULL),(13397,258,'use the group process to share mutual concerns.',1),(13398,258,'see the client for individual counseling outside of group.',NULL),(13399,258,'conduct one-on-one sessions in the group.',NULL),(13400,258,'not allow monopolizing by members in group',NULL),(13401,259,'formulate and carry out realistic personal and professional goals',1),(13402,259,'interpret the deeper meaning of problems',NULL),(13403,259,'analyze client problems',NULL),(13404,259,'convince clients to change',NULL),(13405,260,'getting him to gradually cut down on his drinking',NULL),(13406,260,'encouraging him to change sponsors',NULL),(13407,260,'referring him for additional treatment',NULL),(13408,260,'asking him what worked before',1),(13409,261,'Transference',1),(13410,261,'Counter-transference',NULL),(13411,261,'Reaction formation',NULL),(13412,261,'Sublimation',NULL),(13413,262,'\"What\'s the matter with you? Why didn\'t you just take care of the problem yourself?\"',NULL),(13414,262,'\"Let\'s get right to the point. You\'ve got a drinking problem\"',NULL),(13415,262,'\"Let\'s talk about each of our expectations for counseling\"',1),(13416,262,'\"Let me tell you what you need to stay sober\"',NULL),(13417,263,'defensiveness',NULL),(13418,263,'acting out behavior',1),(13419,263,'apathy',NULL),(13420,263,'lack of trust',NULL),(13421,264,'\"We\'re here to discuss your alcohol problem - I don\'t want to talk about your marriage\"',NULL),(13422,264,'\"Counseling is a very unstructured process - anything goes\"',NULL),(13423,264,'\"Our meetings will consist of four 50 minute sessions at 10 a.m. each Wednesday\"',1),(13424,264,'\"What\'s important is that I help you. I\'ll counsel you no matter what\"',NULL),(13425,265,'when the client appears to have gained all that he or she can from therapy',NULL),(13426,265,'at the point specified in the therapeutic contract',NULL),(13427,265,'at the onset of therapy',1),(13428,265,'when the client brings it up',NULL),(13429,266,'stage specific motivation enhancement',1),(13430,266,'behavioral confrontation to keep clients on task',NULL),(13431,266,'no specific therapeutic intervention, COD clients require a “free style” type atmosphere',NULL),(13432,266,'strict 12-step interventions only combined with medication management',NULL),(13433,267,'Reality Therapy',NULL),(13434,267,'Psychoanalytic Therapy',NULL),(13435,267,'Relapse Prevention Therapy',NULL),(13436,267,'Solution Focused Therapy',1),(13437,268,'getting close with your client',NULL),(13438,268,'creating a friendship-like relationship with your client',NULL),(13439,268,'allowing for mutual self-disclosure',NULL),(13440,268,'development of a cooperative relationship between counselor and client',1),(13441,269,'4 stages of individual counseling treatment',1),(13442,269,'the stages of change',NULL),(13443,269,'abuse, dependence, recovery',NULL),(13444,269,'denial, acceptance, grief',NULL),(13445,270,'to follow the counselor’s directives for change',NULL),(13446,270,'to be the effective agent of change',1),(13447,270,'to challenge the counselor’s directions',NULL),(13448,270,'to keep their mouth shut, listen and follow those who have had success in recovery',NULL),(13449,271,'rules for the client',1),(13450,271,'lessons for the client',NULL),(13451,271,'consistency for the client',NULL),(13452,271,'help for the counselor',NULL),(13453,272,'Motivational Interviewing',1),(13454,272,'Solution Focused Therapy',NULL),(13455,272,'Cognitive Behavioral Therapy',NULL),(13456,272,'Motivational Enhancement Therapy',NULL),(13457,273,'provide the group members with insight into the counselor\'s background',NULL),(13458,273,'convince group members that the counselor has more life experiences than they do',NULL),(13459,273,'demonstrate how to react when other group members disclose personal information',NULL),(13460,273,'facilitate the growth of the group by relating to client or group issues',1),(13465,275,'Motivational Interviewing',NULL),(13466,275,'Motivational Enhancement',1),(13467,275,'Cognitive Behavioral Therapy',NULL),(13468,275,'Solution Focused',NULL),(13469,276,'Motivational Interviewing',NULL),(13470,276,'Motivational Enhancement',NULL),(13471,276,'Cognitive Behavioral Therapy',NULL),(13472,276,'Solution Focused',1),(13473,277,'counter-transference',NULL),(13474,277,'projection',NULL),(13475,277,'transference',1),(13476,277,'blaming others',NULL),(13477,278,'pointing out discrepancies',NULL),(13478,278,'giving honest feedback',NULL),(13479,278,'the use of questions that gently point out client avoidance',NULL),(13480,278,'all of the above',1),(13481,279,'rehearse talking about their feelings',NULL),(13482,279,'bring their feelings to the surface',1),(13483,279,'learn how to listen better',NULL),(13484,279,'work out past issues',NULL),(13485,280,'promising the client rewards',NULL),(13486,280,'keeping the client\'s secrets',NULL),(13487,280,'the use of therapeutic communication',1),(13488,280,'the use of a soft vocal tone',NULL),(13489,281,'inducing transference',NULL),(13490,281,'role modeling',1),(13491,281,'giving advice',NULL),(13492,281,'self-disclosure',NULL),(13493,282,'go to therapy',NULL),(13494,282,'suck it up and deal with it',1),(13495,282,'discuss their personal issues with colleagues',NULL),(13496,283,'the counselor being in recovery',NULL),(13497,283,'the counselor following a 12-step ideology for all clients',NULL),(13498,283,'the counselor using the same therapeutic practice for all clients',NULL),(13499,283,'the counselor motivating readiness for change',1),(13500,284,'the power differential',1),(13501,284,'what clients want and need',NULL),(13502,284,'how to manipulate clients',NULL),(13503,284,'relapse prevention',NULL),(13504,285,'always let their clients know',NULL),(13505,285,'never let their clients know',NULL),(13506,285,'tell their clients to guess',NULL),(13507,285,'let their clients know if this will absolutely help their move forward in treatment',1),(13508,286,'intrapersonally and interpersonally',1),(13509,286,'introverted and extroverted',NULL),(13510,286,'introspectively and perceptively',NULL),(13511,286,'concretely and abstractly',NULL),(13512,287,'stabilize the imbalance of power',NULL),(13513,287,'appreciate the value of the beliefs and practices of other groups',NULL),(13514,287,'avoid stereotyping',NULL),(13515,287,'all of the above',1),(13516,288,'vulnerabilities and beliefs',NULL),(13517,288,'expectations and values',NULL),(13518,288,'language and coping styles',NULL),(13519,288,'all of the above',1),(13520,289,'the ability to direct the client',NULL),(13521,289,'the ability to meet the client where they are',1),(13522,289,'the ability to confront the client',NULL),(13523,289,'the ability to formulate the treatment plan',NULL),(13524,290,'Alcohol Dependence',NULL),(13525,290,'Alcohol Misuse Disorder, moderate',NULL),(13526,290,'Alcohol Use Disorder, severe',1),(13527,290,'Alcohol Abuse, in partial remission',NULL),(13528,290,'None of the above',NULL),(13529,291,'A brief intervention',NULL),(13530,291,'A referral process for treatment',NULL),(13531,291,'A method of screening',NULL),(13532,291,'An early intervention approach',NULL),(13533,291,'All of the above',1),(13534,292,'A research proven method of providing treatment',1),(13535,292,'A method of treatment using evidence compiled by client history',NULL),(13536,292,'A method of collecting data for treatment',NULL),(13537,292,'A research model of collecting client information',NULL),(13538,292,'None of the above',NULL),(13539,293,'Residential',NULL),(13540,293,'Detox',1),(13541,293,'Intensive Outpatient',NULL),(13542,293,'Partial Hospitalization',NULL),(13543,293,'Outpatient',NULL),(13544,294,'A client in treatment but is still drinking or using',NULL),(13545,294,'A client with a medical complication',NULL),(13546,294,'A client demonstrating a decrease in functioning',NULL),(13547,294,'All of the above',1),(13548,294,'None of the above',NULL),(13549,295,'A social sober support system',NULL),(13550,295,'Placing themselves in risky situations to test themselves',1),(13551,295,'Changing parts of their lives that support drinking and using',NULL),(13552,295,'Taking care of their physical and emotional issues',NULL),(13553,295,'Learning to communicate in productive ways',NULL),(13554,296,'Poverty & racism',1),(13555,296,'Faith & education',NULL),(13556,296,'After school activities',NULL),(13557,296,'Conventional norms about drugs & alcohol',NULL),(13558,296,'All of the above',NULL),(13559,297,'Anti-hate laws',NULL),(13560,297,'Faith-based resources',NULL),(13561,297,'After school activities',NULL),(13562,297,'Conventional norms about drugs & alcohol',NULL),(13563,297,'All of the above',1),(13564,298,'Treatment programs with multi-level staff',NULL),(13565,298,'Incorporation of behavioral, medical and social services',NULL),(13566,298,'A treatment system that allows clients to step up or step down in levels of care',1),(13567,298,'Referring clients to aftercare services',NULL),(13568,298,'Including 12-step meetings in treatment programs',NULL),(13569,299,'Aftercare planning',NULL),(13570,299,'Treatment planning',NULL),(13571,299,'Recovery planning',NULL),(13572,299,'Continuing community care',1),(13573,299,'None of the above',NULL),(13574,300,'Mental illness',NULL),(13575,300,'Low birth weight',1),(13576,300,'Developmental delays',NULL),(13577,300,'Missing limbs',NULL),(13578,300,'None of the above',NULL),(13579,301,'Alcohol',1),(13580,301,'Cocaine',NULL),(13581,301,'Pain killers',NULL),(13582,301,'Inhalants',NULL),(13583,301,'Marijuana',NULL),(13584,302,'Risk factors',NULL),(13585,302,'Protective factors',NULL),(13586,302,'Delaying age of first experimentation',NULL),(13587,302,'Early intervention',NULL),(13588,302,'All of the above',1),(13589,303,'Practicing safe sex',NULL),(13590,303,'Safeguards that promote resiliency',1),(13591,303,'Legal interventions that protect communities',NULL),(13592,303,'None of the above',NULL),(13593,304,'Outpatient',NULL),(13594,304,'Intensive Outpatient',NULL),(13595,304,'Detox',NULL),(13596,304,'Pre-treatment',1),(13597,304,'Aftercare',NULL),(13598,305,'In rehab treatment',NULL),(13599,305,'In 12-step meetings',NULL),(13600,305,'In an individual\'s home',1),(13601,305,'In intensive outpatient treatment',NULL),(13602,305,'In detox',NULL),(13603,306,'Strategic Prevention Framework',1),(13604,306,'Strategic Planning Framework',NULL),(13605,306,'Smart Prevention Framework',NULL),(13606,306,'Smart Planning Framework',NULL),(13607,306,'Strategy Preventing Foundation',NULL),(13608,307,'Active drugs addicts',NULL),(13609,307,'Active alcoholics',NULL),(13610,307,'Juvenile delinquents',NULL),(13611,307,'Non-dependent drug users',1),(13612,307,'All of the above',NULL),(13613,308,'To separate each family member’s identity',NULL),(13614,308,'To make each person whole',1),(13615,308,'To make each family member communicate',NULL),(13616,308,'To separate the active addict from the codependent person',NULL),(13617,308,'To make each family member aware of their role in family system',NULL),(13618,309,'Blaming others',1),(13619,309,'Walking on eggshells',NULL),(13620,309,'Flexible and open to changing',NULL),(13621,309,'Focus is on the active addict',NULL),(13622,309,'Direct communication',NULL),(13623,309,'A, B and D',NULL),(13624,310,'A patient-centered and directed approach',NULL),(13625,310,'Recognition of various values, beliefs and attitudes',NULL),(13626,310,'Awareness and screening for mental health issues',NULL),(13627,310,'Awareness and sensitivity of socially learned racial biases',NULL),(13628,310,'All of the above',1),(13629,310,'A, B and D',NULL),(13630,311,'Listen, exercise, attitude, recommend, and negotiate',NULL),(13631,311,'Listen, explain, acknowledge, recommend, and negotiate',1),(13632,311,'Learn, explain, acknowledge, recommend, and negotiate',NULL),(13633,311,'Learn, explain, adapt, recommend, and negotiate',NULL),(13634,311,'Listen explain, adapt, recommend, and negotiate',NULL),(13635,312,'HIV/AIDS',NULL),(13636,312,'Cancer',NULL),(13637,312,'Tuberculosis',NULL),(13638,312,'Sexually transmitted diseases',NULL),(13639,312,'Hepatitis',NULL),(13640,312,'All of the above',1),(13641,313,'Cancer of the liver',NULL),(13642,313,'A type of cirrhosis',NULL),(13643,313,'An inflammation of the liver',1),(13644,313,'Infection of the liver',NULL),(13645,313,'None of the above',NULL),(13646,314,'HIV/AIDS',NULL),(13647,314,'HBV',NULL),(13648,314,'HBC',NULL),(13649,314,'Tuberculosis',NULL),(13650,314,'All of the above',1),(13651,315,'Psycho-education',1),(13652,315,'Psycho-dynamic group',NULL),(13653,315,'Individual psychotherapy',NULL),(13654,315,'Early intervention',NULL),(13655,315,'All of the above',NULL),(13656,316,'Self-care',NULL),(13657,316,'Job interview skills',NULL),(13658,316,'Money management',NULL),(13659,316,'Problem-solving skills',1),(13660,316,'Nutrition',NULL),(13661,317,'In recovery themselves',NULL),(13662,317,'Culturally competent',NULL),(13663,317,'Addiction educators',NULL),(13664,317,'All of the above',NULL),(13665,317,'B & C only',1),(13666,318,'A Person\'s Identity',NULL),(13667,318,'Emotional Status',NULL),(13668,318,'Business Information',NULL),(13669,318,'Financial Status',NULL),(13670,318,'All of the Above',1),(13671,319,'Is our legal and moral obligation',1),(13672,319,'Is our legal but not moral obligation',NULL),(13673,319,'Is our moral but not legal obligation',NULL),(13674,319,'Is neither our legal nor moral obligation',NULL),(13675,320,'Should always be notified of a client\'s situation.',NULL),(13676,320,'Can never be notified of private information.',NULL),(13677,320,'Can be privy to protected information with client consent.',1),(13678,320,'Will harm a patient\'s progress if they are privy to private information.',NULL),(13679,321,'A collection of state committees',NULL),(13680,321,'The federal government through HIPAA',1),(13681,321,'The state of Florida in April 2003',NULL),(13682,321,'None of the above',NULL),(13683,322,'Health Insurance Portability and Accountability Act',1),(13684,322,'Health Insurance Portability Act of America',NULL),(13685,322,'Health Information Portability and Accountability Act',NULL),(13686,322,'Health Information Portability Act of America',NULL),(13687,322,'None of the Above',NULL),(13688,323,'True',NULL),(13689,323,'False',1),(13690,324,'Never be discussed where others can hear you.',NULL),(13691,324,'Not be duplicated without proper authorization.',NULL),(13692,324,'Not be divulged to anyone in a social setting.',NULL),(13693,324,'Not be kept in public view.',NULL),(13694,324,'All of the above',1),(13695,325,'Must have limited access - only to those on a \"need to know\" basis.',1),(13696,325,'Is usually secure enough',NULL),(13697,325,'is different from other protected health information',NULL),(13698,325,'Should be accessible only to anyone on the corporate network.',NULL),(13699,326,'Losing your job',NULL),(13700,326,'Legal issues',NULL),(13701,326,'Fines under Federal Law',NULL),(13702,326,'Prison time',NULL),(13703,326,'All of the above',1),(13704,327,'True',NULL),(13705,327,'False',1),(13722,332,'Keep functions separate based on location',NULL),(13723,332,'Understand your role as a counselor',NULL),(13724,332,'By having an honest conversation with the client about your relationship',NULL),(13725,332,'Stay wary of possible confidentiality breaches',NULL),(13726,332,'All of the above',1),(13727,333,'True',NULL),(13728,333,'False',1),(13729,334,'A counselor\'s beliefs',NULL),(13730,334,'A counselor\'s moral compass',NULL),(13731,334,'A counselor\'s experiences',NULL),(13732,334,'A counselor\'s values',NULL),(13733,334,'A counselor\'s daily routine',1),(13734,335,'Federal, state and local governments',1),(13735,335,'Federal government',NULL),(13736,335,'State government',NULL),(13737,335,'Local government',NULL),(13738,336,'Basic, requiring no knowledge of law and precedent',NULL),(13739,336,'Generally easy and apply to every client',NULL),(13740,336,'Nuanced, making them often very difficult',1),(13741,336,'Cut and dried when following the law',NULL),(13742,337,'Can offer a mixed message no matter how innocuous.',NULL),(13743,337,'Should be discussed during treatment to set guidelines.',NULL),(13744,337,'Is forbidden by some codes of ethics.',NULL),(13745,337,'All of the above',1),(13746,338,'The counselor cannot make up their mind',NULL),(13747,338,'Counselors have more than one client',NULL),(13748,338,'Counselors have more than one relationship with the client',1),(13749,338,'The client is bi-polar',NULL),(13750,339,'Are made to be broken',NULL),(13751,339,'Don’t generally apply to counselors',NULL),(13752,339,'Were more important in the past',NULL),(13753,339,'Are an important part of counseling',1),(13754,340,'Moral dilemma',NULL),(13755,340,'Failure to abide by regulations',NULL),(13756,340,'Making the wrong decision',NULL),(13757,340,'A & B',1),(13758,340,'A,B & C',NULL),(13759,341,'Only applies to detox facilities',NULL),(13760,341,'Is no longer being used',NULL),(13761,341,'Involves involuntary admission to treatment for those abusing substances',1),(13762,341,'Regulates prescription drugs',NULL),(13763,342,'True',NULL),(13764,342,'False',1),(13765,343,'May require a counselor to sign an agreement to uphold certain standards.',NULL),(13766,343,'Are important',NULL),(13767,343,'Require counselor training, in most states',NULL),(13768,343,'Are generally self-regulated by the industry',NULL),(13769,343,'All of the above',1),(13770,344,'Reducing client anxiety and fear',NULL),(13771,344,'Creating a role model for the client',NULL),(13772,344,'Reducing the risk of client exploitation',NULL),(13773,344,'A,B & C',1),(13774,344,'B & C only',NULL),(13775,345,'Following rules and regulations even when a supervisor says otherwise',NULL),(13776,345,'Reporting a case where a 12 year old client is being abused',NULL),(13777,345,'Not reporting child abuse',1),(13778,345,'Misunderstanding a client\'s needs',NULL),(13779,346,'An ethical, not legal concern',NULL),(13780,346,'Now illegal',NULL),(13781,346,'Florida law regarding admission to psychiatric facilities',1),(13782,346,'Federal law governing mental illness',NULL),(13783,347,'True',1),(13784,347,'False',NULL),(13785,348,'When a client shows frustration in treatment',NULL),(13786,348,'When a client\'s parent asks',NULL),(13787,348,'By order of a Certified Financial Planner',NULL),(13788,348,'Without written consent but according to regulations',1),(13789,349,'Are not worth understanding.',NULL),(13790,349,'Mean that a counselor must be able to make ethical decisions on the fly.',1),(13791,349,'Are unavoidable but largely irrelevant.',NULL),(13792,349,'Don\'t exist - there are standard responses to every problem.',NULL),(13793,350,'Only during counseling',NULL),(13794,350,'Only after counseling',NULL),(13795,350,'On rare occasions',NULL),(13796,350,'At all times now and in the future',1),(13797,351,'Attending regular training and continuing education',NULL),(13798,351,'Relying on other counselors to make tough decisions',NULL),(13799,351,'Striving to understand the theory behind the practice',NULL),(13800,351,'Turning to police with ethical considerations',NULL),(13801,351,'A and C',1),(13802,351,'All of the above',NULL),(13803,352,'Confidentiality',1),(13804,352,'Issuance of a Certificate of Financial Responsibility',NULL),(13805,352,'Oral records only',NULL),(13806,352,'Current clients only',NULL),(13807,353,'True',1),(13808,353,'False',NULL),(13809,354,'Should be encouraged',NULL),(13810,354,'Can increase the risk of exploitation or misinterpretation',1),(13811,354,'Is rarely a problem',NULL),(13812,354,'Can keep the client/counselor relationship more interesting',NULL),(13813,355,'True',1),(13814,355,'False',NULL),(13815,356,'The ability to leave cultural issues out of treatment',NULL),(13816,356,'The counselor understanding cultural norms',1),(13817,356,'The counselor having lived in the client\'s country in past',NULL),(13818,356,'Continuing education in other countries',NULL),(13819,357,'Administered by the counselor with minimal client input',NULL),(13820,357,'Not a part of professional ethics',NULL),(13821,357,'Helpful in allowing the client to understand the direction of their treatment',1),(13822,357,'Just about signing paperwork',NULL),(13823,358,'True',1),(13824,358,'False',NULL),(13825,359,'Should never be done',NULL),(13826,359,'Should be done with every client',NULL),(13827,359,'Should be done when counselor has strong belief client will benefit',1),(13828,359,'Should be done when the client asks a personal question',NULL),(13829,359,'All of the above',NULL),(13830,360,'To help counselors grow',NULL),(13831,360,'To help counselors with ethical dilemmas',NULL),(13832,360,'To help counselors understand the process of counseling',NULL),(13833,360,'To help counselor’s level of self-awareness',NULL),(13834,360,'All of the above',1),(13835,361,'You must be aware of how you present yourself to your clients.',NULL),(13836,361,'You must practice only within your framework of knowledge',NULL),(13837,361,'You must be worthy of your client’s trust',NULL),(13838,361,'A,B, and C',1),(13839,361,'A & B only',NULL),(13840,362,'Self-discovery techniques',NULL),(13841,362,'Desired characteristics for a professional counselor',1),(13842,362,'Theoretical principles',NULL),(13843,362,'Ways of being with a client',NULL),(13844,362,'All of the above',NULL),(13845,363,'Cognitive Behavioral Therapy',NULL),(13846,363,'Behavioral Therapy',NULL),(13847,363,'Motivational Interviewing',1),(13848,363,'Solution Focused',NULL),(13849,363,'All of the above',NULL),(13850,364,'A client placing feelings about others from their lives onto the counselor',1),(13851,364,'A client focusing on their feelings for the counselor',NULL),(13852,364,'A client transferring their feelings with the feelings of the counselor',NULL),(13853,364,'A client falling in love with the counselor',NULL),(13854,364,'All of the above',NULL),(13855,365,'A counselor sharing their personal feelings with their client',NULL),(13856,365,'A counselor experiencing an emotional connection beyond what is acceptable in the client-counselor relationship.',NULL),(13857,365,'A counselor falling in love with their client',NULL),(13858,365,'A counselor accepting a role projected on them by their client',NULL),(13859,365,'B & D',1),(13860,366,'May make clinical mistakes',NULL),(13861,366,'May begin to burn out',NULL),(13862,366,'May cross professional boundaries',NULL),(13863,366,'A & C',NULL),(13864,366,'A, B & C',1),(13865,367,'Seek advice from co-workers',NULL),(13866,367,'Seek advice from clinical supervisor',NULL),(13867,367,'Seek advice from a personal therapist',NULL),(13868,367,'A & B',NULL),(13869,367,'A, B & C',1),(13870,368,'Benign practices - Exploitative practices',1),(13871,368,'Exploitative practices – Benign practices',NULL),(13872,368,'Friendship-like practices – Purposefully mean practices',NULL),(13873,368,'A & B',NULL),(13874,368,'All of the above',NULL),(13875,369,'Counselor and hair stylist',NULL),(13876,369,'Counselor to your best friends brother',NULL),(13877,369,'Counselor and supervisor',NULL),(13878,369,'Counselor and 12-step sponsor',NULL),(13879,369,'All of the above',1),(13880,370,'Learning how to develop the therapeutic alliance',NULL),(13881,370,'Learning how to resolve counselor’s unresolved personal issues',NULL),(13882,370,'Learning how to promote the client’s sense of personal control and empowerment',NULL),(13883,370,'A & C',1),(13884,370,'A,B & C',NULL),(13885,371,'Continuing Education',1),(13886,371,'Proof of continued employment',NULL),(13887,371,'A master’s degree',NULL),(13888,371,'Another certification exam',NULL),(13889,371,'All of the above',NULL),(13890,372,'When witnessing some else’s trauma experience',NULL),(13891,372,'When a counselor does not address their own trauma history',NULL),(13892,372,'When a person is continuously exposed to other people’s traumatic experiences',1),(13893,372,'When a person does not have trauma training',NULL),(13894,372,'All of the above',NULL),(13895,373,'narcotics and synthetic narcotics',NULL),(13896,373,'barbiturates',NULL),(13897,373,'minor tranquilizers',NULL),(13898,373,'hallucinogens',1),(13899,373,'all of the above',NULL),(13900,374,'such views influence the definition of dependency.',NULL),(13901,374,'such views influence the treatment outcome.',NULL),(13902,374,'such views influence the likelihood of long-term sobriety.',NULL),(13903,374,'All of the above are true.',1),(13904,374,'None of the above are true.',NULL),(13905,375,'withdrawing from cocaine',NULL),(13906,375,'mixing cocaine with heroin',NULL),(13907,375,'sterilizing a needle prior to injection',NULL),(13908,375,'snorting cocaine',NULL),(13909,375,'smoking cocaine that has been processed',1),(13910,376,'medicines',NULL),(13911,376,'drugs',NULL),(13912,376,'psychoactive drugs',1),(13913,376,'vitamins',NULL),(13914,376,'nutrients',NULL),(13915,377,'have fun',NULL),(13916,377,'work longer and harder',NULL),(13917,377,'cope with stress',NULL),(13918,377,'all of the above',1),(13919,377,'none of the above',NULL),(13920,378,'become increasingly aware of feelings that are now disinhibited by the drug',1),(13921,378,'loses touch with negative emotions',NULL),(13922,378,'is out of touch with feelings only when he/she is drinking or using',NULL),(13923,378,'is overwhelmed by an upsurge of emotions',NULL),(13924,378,'progressively loses touch with his/her emotional life',NULL),(13925,379,'drug use',1),(13926,379,'drug misuse',NULL),(13927,379,'drug abuse',NULL),(13928,379,'drug therapy',NULL),(13929,379,'drug dependence',NULL),(13930,380,'episodic',1),(13931,380,'acute',NULL),(13932,380,'chronic',NULL),(13933,380,'factitious',NULL),(13934,380,'responsive',NULL),(13935,381,'taking prescribed medicines under a doctors care.',NULL),(13936,381,'combining alcohol with other depressant drugs.',1),(13937,381,'using small amounts of alcohol to aid sleep.',NULL),(13938,381,'all of the above.',NULL),(13939,381,'none of the above.',NULL),(13940,382,'kill pain',NULL),(13941,382,'depress the central nervous system',NULL),(13942,382,'induce sleep',NULL),(13943,382,'all of the above',1),(13944,382,'none of the above.',NULL),(13945,383,'periodic binges',NULL),(13946,383,'thought disorder',NULL),(13947,383,'an alcohol related arrest',NULL),(13948,383,'can\'t stop after one drink',1),(13949,383,'paranoia',NULL),(13950,384,'alcohol',1),(13951,384,'tobacco',NULL),(13952,384,'marijuana',NULL),(13953,384,'cocaine',NULL),(13954,384,'heroin',NULL),(13955,385,'episodic',NULL),(13956,385,'acute',NULL),(13957,385,'chronic',1),(13958,385,'factitious',NULL),(13959,385,'responsive',NULL),(13960,386,'Meperidine',NULL),(13961,386,'Methadone',1),(13962,386,'Demerol',NULL),(13963,386,'Darvon',NULL),(13964,386,'None of the above',NULL),(13965,387,'Ulcers',NULL),(13966,387,'High blood pressure.',NULL),(13967,387,'Sleep disorders.',NULL),(13968,387,'All of the above are true.',1),(13969,387,'None of the above are true.',NULL),(13970,388,'growing up a child of an alcoholic',1),(13971,388,'impulsive personality',NULL),(13972,388,'one\'s gender',NULL),(13973,388,'drinking to relax',NULL),(13974,388,'deficient ego strength',NULL),(13975,389,'alcoholic hepatitis.',NULL),(13976,389,'cirrhosis of the liver.',1),(13977,389,'hypoglycemia',NULL),(13978,389,'Wernicke\'s Syndrome.',NULL),(13979,389,'Cardiomyopathy',NULL),(13980,390,'frequent attendance at A.A. meetings',NULL),(13981,390,'over confidence in sobriety skills',1),(13982,390,'working the 12 steps too quickly',NULL),(13983,390,'increased sexual activities',NULL),(13984,390,'interpersonal difficulties',NULL),(13985,391,'adolescents who avoid use till their late teen years,',NULL),(13986,391,'women who don\'t begin use till after marriage.',NULL),(13987,391,'elderly people who develop chemical dependency late in life.',1),(13988,391,'All of the above are true',NULL),(13989,391,'None of the above are true',NULL),(13990,392,'prostaglandin',NULL),(13991,392,'endorphin',NULL),(13992,392,'histamine',NULL),(13993,392,'dopamine',NULL),(13994,392,'Norepinephrine',1),(13995,393,'substance often taken in larger amounts than the person intended.',NULL),(13996,393,'marked lack of initiative, interest or energy.',1),(13997,393,'frequent intoxication when expected to fulfill major role obligations.',NULL),(13998,393,'one or more unsuccessful efforts to cut down substance use.',NULL),(13999,394,'whether the patient has a history of sobriety during the last several years.',NULL),(14000,394,'whether the patient\'s job and family are likely to give him another chance if this treatment fails.',1),(14001,394,'whether the patient has family support for sobriety.',NULL),(14002,394,'whether the patient has a history of failed treatment on an outpatient or inpatient basis.',NULL),(14003,395,'compromising T-cell functions.',1),(14004,395,'impairing frontal cortical functions.',NULL),(14005,395,'increasing serotonin levels in the synaptic gap.',NULL),(14006,395,'decreasing cardiopulmonary functioning.',NULL),(14007,396,'Hallucinogens',NULL),(14008,396,'CNS depressants.',NULL),(14009,396,'Opioids',1),(14010,396,'Dextro-amphetamines.',NULL),(14011,397,'developing a therapeutic relationship for sobriety and maintenance.',NULL),(14012,397,'changing expectations regarding the effects of intervention.',NULL),(14013,397,'identifying high-risk situations and learning alternative coping skills.',1),(14014,397,'discussing aspects of evaluation and treatment.',NULL),(14015,398,'detoxification and stabilization',NULL),(14016,398,'psychological evaluation and treatment',NULL),(14017,398,'integration into a self-help recovery program',NULL),(14018,398,'a comprehensive continuum of services',1),(14019,399,'The amount consumed daily',NULL),(14020,399,'The length in years of heavy drinking or drug use',NULL),(14021,399,'The presence of withdrawal symptoms',1),(14022,399,'The frequency of memory blackouts',NULL),(14023,400,'Increased tolerance and withdrawal symptoms when abstinence is attempted',1),(14024,400,'Continued use despite experiencing problems that result from drinking',NULL),(14025,400,'Recurring incidents of driving under the influence',NULL),(14026,400,'Depression and lethargy',NULL),(14027,401,'malnutrition can occur in drinkers who eat well-balanced diets.',NULL),(14028,401,'stimulation of the brain\'s frontal lobe can occur.',1),(14029,401,'the second stage of liver deterioration can be reversed.',NULL),(14030,401,'a vitamin B6 deficiency can occur.',NULL),(14031,402,'regularly attend A.A. and/or N.A. meetings.',NULL),(14032,402,'stay well-informed and aware of recent developments in the field.',1),(14033,402,'teach classes about these topics.',NULL),(14034,402,'assume that the client will ask for what he/she needs.',NULL),(14035,403,'Desire to cut down',NULL),(14036,403,'Withdrawal',NULL),(14037,403,'Limited control',NULL),(14038,403,'Compulsive lying',1),(14039,403,'Tolerance',NULL),(14040,404,'Impaired control',NULL),(14041,404,'Risky use',NULL),(14042,404,'Legal history',1),(14043,404,'Social impairment',NULL),(14044,404,'Pharmacological criteria',NULL),(14045,405,'Cravings',NULL),(14046,405,'Excitement',NULL),(14047,405,'Depression',NULL),(14048,405,'Euphoria',1),(14049,405,'Sedation',NULL),(14050,406,'Obsession to use drugs and alcohol',NULL),(14051,406,'Genetic, environmental and biological origins',NULL),(14052,406,'Chemical issue',NULL),(14053,406,'Fatal',NULL),(14054,406,'All of the above',1),(14055,407,'Social model',NULL),(14056,407,'Psychodynamic model',1),(14057,407,'Medical model',NULL),(14058,407,'Moral model',NULL),(14059,407,'None of the above',NULL),(14060,408,'Flexibility, problems worked on in context of current stage, teaching lifestyle balance',1),(14061,408,'Problems worked on in context of current stage, lifestyle balance, medication management',NULL),(14062,408,'Psychiatric evaluation, medication management, flexibility',NULL),(14063,408,'Relapse prevention, stage continuum, resolution of family of origin issues',NULL),(14064,408,'All of the above',NULL),(14065,409,'Transition',NULL),(14066,409,'Stabilization',NULL),(14067,409,'Early Recovery',1),(14068,409,'Middle Recovery',NULL),(14069,409,'Later Recovery',NULL),(14070,410,'Maintenance',NULL),(14071,410,'Stabilization',NULL),(14072,410,'Middle Recovery',NULL),(14073,410,'Late Recovery',1),(14074,410,'Early Recovery',NULL),(14075,411,'Pharmacists',NULL),(14076,411,'Drug dealers',NULL),(14077,411,'Opium dealers',NULL),(14078,411,'Crop growers',NULL),(14079,411,'Doctors',1),(14080,412,'Cocaine',NULL),(14081,412,'Marijuana',1),(14082,412,'Heroin',NULL),(14083,412,'Methamphetamine',NULL),(14084,412,'LSD',NULL),(14085,413,'10',1),(14086,413,'7',NULL),(14087,413,'11',NULL),(14088,413,'15',NULL),(14089,413,'5',NULL),(14090,414,'True',1),(14091,414,'False',NULL),(14092,415,'Hippocampus, cerebral cortex, hypothalamus',NULL),(14093,415,'Brain stem, cerebral cortex, limbic system',1),(14094,415,'Limbic system, brain stem, hypothalamus',NULL),(14095,415,'Hippocampus, brain stem, cerebral cortex',NULL),(14096,415,'Limbic system, hypothalamus, hippocampus',NULL),(14097,416,'Neuron activation',1),(14098,416,'Neuron deactivation',NULL),(14099,416,'Dopamine reception',NULL),(14100,416,'Dopamine transmission',NULL),(14101,416,'None of the above',NULL),(14102,417,'Heroin, benzodiazepine',NULL),(14103,417,'Cocaine, marijuana',NULL),(14104,417,'Amphetamine, cocaine',1),(14105,417,'Heroin, marijuana',NULL),(14106,417,'Cocaine, benzodiazepine',NULL),(14107,418,'Psychosis',NULL),(14108,418,'Craving for more',1),(14109,418,'Depression',NULL),(14110,418,'Tolerance',NULL),(14111,418,'All of the above',NULL),(14112,419,'Speed of action',NULL),(14113,419,'How high you get',NULL),(14114,419,'How long the high lasts',NULL),(14115,419,'A & C',1),(14116,419,'A,B & C',NULL),(14117,420,'Prefrontal cortex',1),(14118,420,'Temporal lobe',NULL),(14119,420,'Occipital lobe',NULL),(14120,420,'Frontal lobe',NULL),(14121,420,'All of the above',NULL),(14122,421,'Impulsivity',NULL),(14123,421,'Craving',NULL),(14124,421,'Tolerance',NULL),(14125,421,'Compulsivity',1),(14126,421,'All of the above',NULL),(14127,422,'Emotions',NULL),(14128,422,'Memory',NULL),(14129,422,'Stress',NULL),(14130,422,'A & C',NULL),(14131,422,'A, B & C',1),(14132,423,'Waiting for drugs',NULL),(14133,423,'Environmental cues that can elevate craving',1),(14134,423,'Brain signals to get high',NULL),(14135,423,'Brain cues to memory',NULL),(14136,423,'None of the above',NULL),(14137,424,'Amygdala',NULL),(14138,424,'Hippocampus',NULL),(14139,424,'Cerebral Cortex',NULL),(14140,424,'Accumbens',NULL),(14141,424,'Hypothalmus',1),(14142,425,'Behavior modification',NULL),(14143,425,'Abstinence',NULL),(14144,425,'New coping skills',NULL),(14145,425,'A, B & C',1),(14146,425,'Addiction cannot be reversed',NULL),(14147,426,'True',NULL),(14148,426,'False',1),(14149,427,'Xanax',1),(14150,427,'Heroin',NULL),(14151,427,'Marijuana',NULL),(14152,427,'Alcohol',NULL),(14153,427,'All of the above',NULL),(14154,428,'Stages of change',NULL),(14155,428,'Stages of addiction',NULL),(14156,428,'Stages of drug use and abuse',1),(14157,428,'Stages of recovery',NULL),(14158,428,'All of the above',NULL),(14159,429,'Mental disorders',NULL),(14160,429,'Early use',NULL),(14161,429,'Method of administration',NULL),(14162,429,'Genetic predisposition',NULL),(14163,429,'All of the above',1),(14164,430,'The prefrontal cortex is still developing',1),(14165,430,'The cerebral cortex is still developing',NULL),(14166,430,'The hypothalamus is still developing',NULL),(14167,430,'The amygdala is still developing',NULL),(14168,430,'All of the above',NULL),(14169,431,'Drug abuse',NULL),(14170,431,'Heroin addiction',NULL),(14171,431,'Alcohol abuse',1),(14172,431,'Cocaine addiction',NULL),(14173,431,'A & C',NULL),(14174,432,'True',1),(14175,432,'False',NULL),(14176,433,'There is no difference',NULL),(14177,433,'Addiction is the inability to stop using - physical dependence is demonstrated by tolerance and withdrawal potential',1),(14178,433,'Addiction is the inability to stop using – physical dependence is demonstrated by relapse',NULL),(14179,433,'Addiction has relapse as a hallmark – physical dependence is demonstrated by the abuse of multiple drugs and alcohol',NULL),(14180,433,'A,B,C & D',NULL),(14181,434,'Marijuana and alcohol',NULL),(14182,434,'Prescription drugs and alcohol',NULL),(14183,434,'Alcohol and tobacco',1),(14184,434,'Tobacco and cocaine',NULL),(14185,434,'Prescription drugs and tobacco',NULL),(14186,435,'Parents with a drinking problem',NULL),(14187,435,'Older siblings who drink a lot',NULL),(14188,435,'The presence of co-occuring disorders',NULL),(14189,435,'High level of involvement in sports',1),(14190,436,'Genetics',NULL),(14191,436,'Uncontrollable, compulsive drug craving',1),(14192,436,'Health risks',NULL),(14193,436,'Death tolls',NULL),(14194,436,'All of the above',NULL),(14195,437,'Detox and treatment',NULL),(14196,437,'Biology, behavior, and social context',1),(14197,437,'Psychiatric history and treatment',NULL),(14198,437,'Behavior modification and abstinence',NULL),(14199,437,'All of the above',NULL),(14200,438,'It begins voluntarily',1),(14201,438,'It needs tolerance to a substance',NULL),(14202,438,'It exists separately from other issues',NULL),(14203,438,'It begins with genetics',NULL),(14204,438,'None of the above',NULL),(14205,439,'Drug dependence',NULL),(14206,439,'Addiction',NULL),(14207,439,'Mental health issues',NULL),(14208,439,'Relapses',1),(14209,439,'All of the above',NULL),(14210,440,'Brain imaging',NULL),(14211,440,'Blood analysis',NULL),(14212,440,'Genetics',NULL),(14213,440,'A & C',1),(14214,440,'A, B & C',NULL),(14215,441,'Isolation',NULL),(14216,441,'Negative thinking',NULL),(14217,441,'Anger outbursts',NULL),(14218,441,'Work difficulties',NULL),(14219,441,'All of the above',1),(14220,442,'Substance abuse and substance dependence',NULL),(14221,442,'Substance use disorders and substance induced disorders',1),(14222,442,'Substance misuse disorders and substance induced disorders',NULL),(14223,442,'Substance use disorder a d substance dependence',NULL),(14224,442,'None of the above',NULL),(14225,443,'Misuse, abuse, dependence',NULL),(14226,443,'Mild, moderate, severe',1),(14227,443,'Low, moderate, high',NULL),(14228,443,'Early, middle, late',NULL),(14229,443,'None of the above',NULL),(14230,444,'AODs may induce, worsen, or diminish psychiatric symptoms, complicating the diagnostic process.',NULL),(14231,444,'AOD use can cause psychiatric symptoms and mimic psychiatric disorders',NULL),(14232,444,'AOD use can prompt the development, provoke the reemergence, or worsen the severity of psychiatric disorders.',NULL),(14233,444,'AOD withdrawal can cause psychiatric symptoms and mimic psychiatric syndromes.',NULL),(14234,444,'All of the above',1),(14235,445,'Through the lungs',NULL),(14236,445,'Through the liver',NULL),(14237,445,'Through the bloodstream',1),(14238,445,'Through the diaphragm',NULL),(14239,445,'All of the above',NULL),(14240,446,'Heroin',NULL),(14241,446,'Benzodiazepines',NULL),(14242,446,'Methamphetamines',1),(14243,446,'Cocaine',NULL),(14244,446,'Alcohol',NULL),(14245,447,'Heroin',1),(14246,447,'Benzodiazepines',NULL),(14247,447,'Methamphetamines',NULL),(14248,447,'Cocaine',NULL),(14249,447,'Alcohol',NULL),(14250,448,'Heroin',NULL),(14251,448,'Benzodiazepines',NULL),(14252,448,'Methamphetamines',NULL),(14253,448,'Cocaine',1),(14254,448,'Alcohol',NULL),(14255,449,'Alcohol',NULL),(14256,449,'Nicotine',NULL),(14257,449,'Marijuana',1),(14258,449,'Prescription drugs',NULL),(14259,449,'Chewing tobacco',NULL),(14260,450,'Serotonin',NULL),(14261,450,'Norepinephrine',NULL),(14262,450,'Gamma',NULL),(14263,450,'Dopamine',1),(14264,450,'All of the above',NULL),(14265,451,'Historical period',NULL),(14266,451,'Type of drug',NULL),(14267,451,'Location/Setting',NULL),(14268,451,'Group affiliation',NULL),(14269,451,'All of the above',1),(14270,452,'Discrimination',1),(14271,452,'Group selection',NULL),(14272,452,'Group think',NULL),(14273,452,'Group formation',NULL),(14274,452,'None of the above',NULL),(14275,453,'Testing for HIV/HEP C, TB',NULL),(14276,453,'Understanding addiction as partly brain disease',NULL),(14277,453,'Understanding addiction as partly a behavioral issue',NULL),(14278,453,'Understanding that one type of treatment is helpful for all addicts',1),(14279,453,'Understanding that mental health issues needs to be treated concurrently with addiction issues',NULL),(14280,454,'Staying in treatment',NULL),(14281,454,'Preventing relapse',NULL),(14282,454,'Treating withdrawal',NULL),(14283,454,'A & C',NULL),(14284,454,'A,B & C',1),(14285,455,'Opiod addiction',NULL),(14286,455,'Benzodiazepine addiction',NULL),(14287,455,'Alcohol addiction',1),(14288,455,'Heroin addiction',NULL),(14289,455,'All of the above',NULL),(14290,456,'Negative consequences',NULL),(14291,456,'Hitting bottom',NULL),(14292,456,'Family pressure',NULL),(14293,456,'Client motivation',1),(14294,456,'All of the above',NULL),(14295,457,'The use of medications',NULL),(14296,457,'The use of hypnosis',NULL),(14297,457,'The use of behavioral therapies',NULL),(14298,457,'A & C',1),(14299,457,'A,B & C',NULL),(14300,458,'Provides an array of services that can change with the client’s needs',1),(14301,458,'Has set treatment rules',NULL),(14302,458,'Utilizes only 12-step principles',NULL),(14303,458,'Focuses on group therapy',NULL),(14304,458,'None of the above',NULL),(14305,459,'Problematic behaviors',NULL),(14306,459,'Compulsive behaviors',1),(14307,459,'Illegal activities',NULL),(14308,459,'Group activities',NULL),(14309,459,'All of the above',NULL),(14310,460,'Hyperactivity',1),(14311,460,'Lowered inhibitions',NULL),(14312,460,'Rapid speech',NULL),(14313,460,'Moodiness',NULL),(14314,460,'All of the above',NULL),(14315,461,'Clammy skin',NULL),(14316,461,'Itching',NULL),(14317,461,'Impaired coordination',NULL),(14318,461,'A & C',NULL),(14319,461,'A, B & C',1),(14320,462,'Benzodiazepines',NULL),(14321,462,'Opiods',NULL),(14322,462,'Barbiturates',NULL),(14323,462,'Stimulants',1),(14324,462,'Depressants',NULL),(14325,463,'10 thousand',NULL),(14326,463,'1 million',NULL),(14327,463,'10 million',1),(14328,463,'100 thousand',NULL),(14329,463,'5 million',NULL),(14330,464,'Residential',NULL),(14331,464,'No one type of treatment is best',1),(14332,464,'Rehab',NULL),(14333,464,'12 Step',NULL),(14334,464,'Combination of psychotherapy, drug treatment and 12 step support',NULL),(14335,465,'50 – 75%',1),(14336,465,'40 – 50 %',NULL),(14337,465,'35 – 50 %',NULL),(14338,465,'10 – 20 %',NULL),(14339,465,'All clients have a co-occurring disorder of some kind',NULL),(14340,466,'True',1),(14341,466,'False',NULL),(14342,467,'Overlapping genetic vulnerabilities.',NULL),(14343,467,'Overlapping environmental triggers',NULL),(14344,467,'Involvement of similar brain regions',NULL),(14345,467,'A & C',NULL),(14346,467,'All of the above',1),(14347,468,'Addiction to multiple drugs',NULL),(14348,468,'Criminal activity',NULL),(14349,468,'Mental health disorders',1),(14350,468,'Violence',NULL),(14351,468,'Developmental delays',NULL),(14352,469,'True',NULL),(14353,469,'False',1),(14354,470,'True',1),(14355,470,'False',NULL),(14356,471,'True',NULL),(14357,471,'False',1),(14358,472,'True',1),(14359,472,'False',NULL),(14360,473,'Treatment needs to attend to multiple needs',NULL),(14361,473,'Treatment needs to be readily available',NULL),(14362,473,'Brief treatment is beneficial for every client',1),(14363,473,'Many addicts have a mental disorder',NULL),(14364,474,'Acamprosate',NULL),(14365,474,'Zoloft',NULL),(14366,474,'Varenicline',NULL),(14367,474,'AZT',NULL),(14368,474,'A & C',1),(14369,474,'A & D',NULL),(14370,475,'Case management',NULL),(14371,475,'Prevention education',NULL),(14372,475,'Group therapy',NULL),(14373,475,'Peer support services',NULL),(14374,475,'A & B',NULL),(14375,475,'A, C & D',1),(14376,476,'Treatment initiation, early abstinence, advanced recovery',1),(14377,476,'Preparation, action, maintenance',NULL),(14378,476,'Prescribed use, abuse, dependence',NULL),(14379,476,'Awareness, treatment, aftercare',NULL),(14380,477,'Is focused on the client’s childhood',NULL),(14381,477,'Is responsive to the changing needs of the client',1),(14382,477,'Is changeable according to what the states they want',NULL),(14383,477,'Is focused on medication',NULL),(14384,478,'Being open to working issues of culture',NULL),(14385,478,'Being able to show full cultural empathy',NULL),(14386,478,'Being able to what is culturally relevant',NULL),(14387,478,'Being able to advance the field of cultural competence through leadership',1),(14388,479,'Parenting style',NULL),(14389,479,'Persistence in treatment',NULL),(14390,479,'Power differential',1),(14391,479,'Planning for recovery',NULL),(14392,480,'Social, medical, moral',NULL),(14393,480,'Social, medical, behavioral',1),(14394,480,'Social, Psychological, moral',NULL),(14395,480,'Medical, moral, behavioral',NULL),(14396,481,'Prevents suicide',NULL),(14397,481,'Works on past trauma events',NULL),(14398,481,'Minimizes the use of destructive coping skills',1),(14399,481,'Minimizes the use self-empowering skills',NULL),(14400,482,'Teaching clients to formulate and carry out plans to change their behavior.',1),(14401,482,'Therapist is non-directive',NULL),(14402,482,'Clients are the experts',NULL),(14403,482,'Empathetic environment',NULL),(14404,483,'How thoughts affect behavior',1),(14405,483,'Trauma symptoms',NULL),(14406,483,'Coping Skills',NULL),(14407,483,'Both A & C',NULL),(14408,484,'Learn to be specialists in all areas of concern',NULL),(14409,484,'Do the best they can with what they know',NULL),(14410,484,'Work within their own scope of practice',1),(14411,484,'Immediately ask to have those clients transferred off of their caseload',NULL),(14412,485,'Maintain ethical standards and responsibilities',NULL),(14413,485,'Practice confidentiality in in all client interactions including record keeping and referrals',NULL),(14414,485,'Utilize clinical supervision for guidance, clinical decision making and professional growth',NULL),(14415,485,'All of the above',1),(14416,486,'The Beck Depression Inventory and the CIWA',1),(14417,486,'The ASI',NULL),(14418,486,'The CAGE and the GAD 7',NULL),(14419,486,'The Beck Depression Inventory and the Life Events Check List',NULL),(14420,487,'Post-acute withdrawal symptoms',NULL),(14421,487,'An overview of problems related to substance',1),(14422,487,'Focus on mood disorders',NULL),(14423,487,'Client motivation for treatment',NULL),(14424,488,'Substance Misuse Disorder',NULL),(14425,488,'Substance Dependence Disorder',NULL),(14426,488,'Substance Related Abuse',NULL),(14427,488,'Substance Use Disorder',1),(14428,489,'Client stage of readiness',NULL),(14429,489,'Treatment level of care',1),(14430,489,'Treatment length of stay',NULL),(14431,489,'Client diagnosis',NULL),(14432,490,'Clients addicted to two different substances',NULL),(14433,490,'Clients participating in both medication and behavioral therapies',NULL),(14434,490,'Clients both addiction and mental health issues',1),(14435,490,'Clients with legal and substance issues',NULL),(14436,491,'Allowing clients to determine who they work with in treatment',NULL),(14437,491,'Client self-determination',NULL),(14438,491,'Allowing clients to choose what groups they will or won’t attend',NULL),(14439,491,'Assisting clients even if inappropriate for your facility',1),(14440,492,'Guide improvement in integration of care systems',1),(14441,492,'Determine level of care',NULL),(14442,492,'Inform a DSM diagnosis',NULL),(14443,492,'Assist client in understanding their mental health issues',NULL),(14444,493,'Multiple levels of care',NULL),(14445,493,'Multiple medications',NULL),(14446,493,'Services that treat adults and adolescents',NULL),(14447,493,'Services that treat addiction and mental health issues together',1),(14448,494,'DDC programs have staff that are capable at a basic level to work with COD clients while DDE programs have a fully integrated approach to substance abuse treatment',1),(14449,494,'DDC programs work with primary mental health clients and DDE programs do not',NULL),(14450,494,'DDC programs provide co-occurring groups and DDE programs psychiatric evaluations',NULL),(14451,494,'DDC programs acknowledge a client’s mental health issues but do not address them during their addiction treatment and DDE programs can manage clients who are lower functioning due to their mental health issues',NULL),(14452,495,'Psychosis',NULL),(14453,495,'Substance Use Disorders',NULL),(14454,495,'Substance Induced Disorders',1),(14455,495,'Substance Induced Hallucination Disorder',NULL),(14456,496,'Alcohol',NULL),(14457,496,'Inhalants',NULL),(14458,496,'Amphetamines',NULL),(14459,496,'Marijuana',NULL),(14460,496,'A,B & C',1),(14461,496,'A, B & D',NULL),(14462,497,'To provide group and individual therapy for family members of alcoholics.',NULL),(14463,497,'To provide a fellowship and support for individuals in relationships with alcoholics.',1),(14464,497,'To educate family members of their risk of becoming alcoholics.',NULL),(14465,497,'To provide families of alcoholics with the intervention necessary to prevent their substance abuse.',NULL),(14466,498,'A dual need',NULL),(14467,498,'A single need',NULL),(14468,498,'Multiple needs',1),(14469,498,'Family needs',NULL),(14470,499,'provide recognition of demonstrated competency in addictions counseling.',1),(14471,499,'ensure that each client receives equal treatment regardless of ability to pay.',NULL),(14472,499,'help programs qualify for Medicaid and other third-party reimbursement.',NULL),(14473,499,'allow unlicensed counselors to work in licensed facilities.',NULL),(14474,500,'whether the patient has a history of sobriety during the last several years.',NULL),(14475,500,'whether the patient\'s job and family are likely to give him another chance if this treatment fails.',1),(14476,500,'whether the patient has family support for sobriety.',NULL),(14477,500,'whether the patient has a history of failed treatment on an outpatient or inpatient basis.',NULL),(14478,501,'\"This counselor is a stranger, but maybe I can learn to trust her.\"',NULL),(14479,501,'\"My counselor will direct me to do what I need to do, and everything will be OK.\"',1),(14480,501,'\"My counselor will be a resource that I can use to resolve my problems.\"',NULL),(14481,501,'\"The counselor\'s main concern and responsibility is to help me achieve my goals and objectives.\"',NULL),(14482,502,'Identify potential risks in individual clients',1),(14483,502,'Identify depression in individual clients',NULL),(14484,502,'Keep clients happy and satisfied while in treatment',NULL),(14485,502,'Help individual clients achieve their treatment goals',NULL),(14486,503,'A relapse',NULL),(14487,503,'Leaving treatment AMA',NULL),(14488,503,'A crucial event that threatens the clients treatment efforts',1),(14489,503,'An interruption in the clients motivation',NULL),(14490,504,'Recognizing elements of the crisis and Implement an immediate course of action',1),(14491,504,'Telling the client to relax and sit down',NULL),(14492,504,'Letting the client “get it all out” of their system',NULL),(14493,504,'All of the above',NULL),(14494,505,'Threatening to hurt or kill self',NULL),(14495,505,'Looking for ways to kill self; seeking access to pills, weapons or other means',NULL),(14496,505,'Talking or writing about death, dying or suicide',NULL),(14497,505,'All of the above',1),(14498,506,'Strong connections to family',NULL),(14499,506,'Problem Solving Skills',NULL),(14500,506,'Beliefs that suicide is noble',NULL),(14501,506,'Access to good medical care',NULL),(14502,506,'A, B & D',1),(14503,506,'All of the above',NULL),(14504,507,'Drug court / Mental Health Court',NULL),(14505,507,'Inpatient treatment drug treatment/ Psychiatric medications',NULL),(14506,507,'Involuntary addiction treatment/ Involuntary inpatient psychiatric treatment',1),(14507,507,'Family involved addiction treatment / Outpatient psychiatric treatment',NULL),(14508,508,'Counselor’s offering mandated addiction treatment',NULL),(14509,508,'Counselor’s offering psychodynamic therapy',NULL),(14510,508,'Counselor’s offering treatment that supports an individual personal journey of recovery',1),(14511,508,'Counselor’s offering aftercare treatment and support',NULL),(14512,509,'Recovery is based on the client’s understanding of negative consequences',NULL),(14513,509,'Recovery is person driven',NULL),(14514,509,'Recovery is culturally influenced',NULL),(14515,509,'Recovery is holistic',NULL),(14516,509,'a, b and c',NULL),(14517,509,'b, c and d',1),(14518,510,'To foster safety and trust',1),(14519,510,'To educate clients on trauma',NULL),(14520,510,'To provide trauma therapy',NULL),(14521,510,'To assist clients in remembering past traumatic events in their lives',NULL),(14522,511,'Preparation, Action, Maintenance',NULL),(14523,511,'Drug use, Drug Abuse, Recovery',NULL),(14524,511,'Consideration, Exploring Recovery, Active Maintenance',1),(14525,511,'First use, Treatment, Recovery',NULL),(14526,512,'Four dimensions model',NULL),(14527,512,'Stages of change model',NULL),(14528,512,'Developmental model',1),(14529,512,'Holistic model',NULL),(14530,513,'It provides members of the family with an opportunity to verbalize their concerns',NULL),(14531,513,'It provides members of the family with an opportunity to review consequences with the client',NULL),(14532,513,'It offers the client an opportunity to hear how the family experiences the addiction.',NULL),(14533,513,'It offers the client an opportunity to hear how the family experiences the addiction.',NULL),(14534,513,'b and d',NULL),(14535,513,'a, c and d',1),(14536,514,'Family members get the help they need',1),(14537,514,'Clients resolve childhood issues',NULL),(14538,514,'Decreased client dropout rates from treatment',NULL),(14539,514,'Family members become more confrontational',NULL),(14540,514,'a and c',NULL),(14541,514,'all of the above',NULL),(14548,516,'Cognitive behavioral family work',NULL),(14549,516,'Solution focused family work',NULL),(14550,516,'Relapse prevention family work',NULL),(14551,516,'Integrated models family work',1),(14552,517,'A guideline for addiction treatment services',NULL),(14553,517,'The evaluation of the appropriateness and medical need of health care services procedures',1),(14554,517,'The evaluation of client motivation for treatment',NULL),(14555,517,'A guideline for psychiatric services',NULL),(14556,518,'Evaluating psychiatric need',NULL),(14557,518,'Evaluating length of stay',NULL),(14558,518,'Evaluating medical necessity',1),(14559,518,'Evaluating need for detox services',NULL),(14560,519,'An individual’s insurance company will pay for facility requested continued treatment',1),(14561,519,'An individual’s insurance company will pay for medications',NULL),(14562,519,'An individual’s insurance company will pay for any type of therapy a facility provides',NULL),(14563,519,'All of the above',NULL),(14564,520,'Knowledge of client’s childhood',NULL),(14565,520,'Knowledge of client’s past trauma',NULL),(14566,520,'Knowledge of client’s current emotional, physical and psychological status',1),(14567,520,'Knowledge of client’s legal status',NULL),(14568,521,'How much effort a treatment facility needs to put forth on behalf of the client',NULL),(14569,521,'Limiting the amount of personal health information requested by insurance companies for client treatment coverage',1),(14570,521,'Limiting the amount of personal health information the client needs to provide a treatment facility',NULL),(14571,521,'Knowledge of How much effort a client needs to invest in their treatment efforts legal status',NULL),(14572,522,'Interventions that clients like the most',NULL),(14573,522,'Interventions that include medication management',NULL),(14574,522,'Interventions that addiction counselors feel the most comfortable with',NULL),(14575,522,'Interventions that have shown consistent scientific client related outcomes',1),(14576,523,'Clinical interventions',NULL),(14577,523,'Evidence-based intervention',1),(14578,523,'Client profiling',NULL),(14579,523,'Client recovery model',NULL),(14580,524,'Assess Joe\'s potential for suicide without directly asking him about suicide plans, but assess his high-risk factors',NULL),(14581,524,'Assess Joe\'s potential for suicide by asking him about his intent, and evaluating high risk factors',1),(14582,524,'Determine if Joe has a gun or other weapon',NULL),(14583,524,'Initiate involuntary hospitalization procedures',NULL),(14584,525,'Job skills',NULL),(14585,525,'Child care services',1),(14586,525,'Educational training',NULL),(14587,525,'Primary health care',NULL),(14588,526,'Help the client to express feelings generated by the crisis',NULL),(14589,526,'Eliminate negative beliefs that contributed to the crisis',NULL),(14590,526,'Assign specific behavior tasks such as spending time with people',NULL),(14591,526,'Immediately refer the client to an agency to help change the situation',1),(14592,527,'is best achieved when done independently from direct client care',NULL),(14593,527,'facilitates communication and enhances accountability',1),(14594,527,'is used primarily by the primary counselor',NULL),(14595,527,'is a standardized process',NULL),(14596,528,'when the client requests interaction',NULL),(14597,528,'from the client\'s first contact with the treatment center',1),(14598,528,'after it has been determined that the clients treatment is going well',NULL),(14599,528,'after it has been determined that the interaction will not interfere with the client\'s treatment',NULL),(14600,529,'detoxification and stabilization',NULL),(14601,529,'psychological evaluation and treatment',NULL),(14602,529,'integration into a self-help recovery program',NULL),(14603,529,'a comprehensive continuum of services',1),(14604,530,'the client\'s family dynamics',NULL),(14605,530,'getting all the information that you can',NULL),(14606,530,'what your immediate response should be',NULL),(14607,530,'focusing questions about the present situation and the client\'s means of coping with the stress',1),(14608,531,'regularly attend A.A. and/or N.A. meetings',NULL),(14609,531,'stay well-informed and aware of recent developments in the field',1),(14610,531,'teach classes about these topics',NULL),(14611,531,'assume that the client will ask for what he/she needs',NULL),(14612,532,'The family cannot get well until the dependent person seeks help.',NULL),(14613,532,'The children in a dysfunctional family can be protected from the problems cause by chemical dependency.',NULL),(14614,532,'The divorce rate in dysfunctional families is highest after recovery has been initiated.',1),(14615,532,'Family problems develop in the later phases of the addiction process.',NULL),(14616,533,'A mutual reward to reinforce behavior by the same amount',NULL),(14617,533,'Something specifically designed to increase the occurrence of a particular behavior.',1),(14618,533,'The process of observing behavior of others.',NULL),(14619,533,'A type of learning in which behaviors are increased as the result of the consequences',NULL),(14620,534,'To enhance a client\'s emotional rehabilitation',NULL),(14621,534,'To minimize the client\'s use of denial',NULL),(14622,534,'To support the gains made in treatment',1),(14623,534,'To assign sponsors to clients',NULL),(14624,535,'Early intervention',NULL),(14625,535,'Detoxification services',1),(14626,535,'Intensive outpatient or partial hospitalization',NULL),(14627,535,'Residential or inpatient services',NULL),(14628,536,'A short process requiring multiple treatments',NULL),(14629,536,'A short process requiring one treatment',NULL),(14630,536,'A long process requiring multiple treatments',1),(14631,536,'A long process requiring one treatment',NULL),(14632,537,'To provide an alternative to self help groups when they are not available',NULL),(14633,537,'To help a client readjust his lifestyle to support sobriety',1),(14634,537,'To allow a client with sufficient sobriety to begin psychotherapy',NULL),(14635,537,'To provide counseling to alcoholics after they relapse',NULL),(14636,537,'To provide counseling for the family after the client is sober',NULL),(14637,538,'Women',NULL),(14638,538,'Adolescents',NULL),(14639,538,'Gay or lesbian populations',NULL),(14640,538,'Elderly populations',NULL),(14641,538,'All of the above are considered special populations',1),(14642,539,'such views influence the definition of dependency',NULL),(14643,539,'such views influence the treatment outcome',NULL),(14644,539,'such views influence the likelihood of long-term sobriety',NULL),(14645,539,'All of the above are true',1),(14646,539,'None of the above are true',NULL),(14647,540,'after care and A.A./N.A. meetings',NULL),(14648,540,'skill development and reinforcement',NULL),(14649,540,'psychosocial rehabilitation and after care',1),(14650,540,'vocational counseling and after care',NULL),(14651,540,'family therapy and A.A./N.A.',NULL),(14652,541,'Program accreditation and licensing, outcome measures, aftercare programming',1),(14653,541,'Outcome measures, aftercare programming, pharmacology',NULL),(14654,541,'Program accreditation and licensing, outcome measures, psychiatry',NULL),(14655,541,'Program accreditation and licensing, aftercare programming, 30 day length of stay',NULL),(14656,542,'Residential, Detox, Aftercare',NULL),(14657,542,'Detox, Intervention, Intensive Outpatient',1),(14658,542,'Residential, Outpatient, Aftercare',NULL),(14659,542,'Counseling, Residential, Detox',NULL),(14660,543,'NASW',NULL),(14661,543,'APA',NULL),(14662,543,'FCB',1),(14663,543,'FADAA',NULL),(14664,544,'Standards for confidentiality',NULL),(14665,544,'Rules of conduct',NULL),(14666,544,'Disciplinary actions',NULL),(14667,544,'Standards for substance abuse treatment facilities',1),(14668,545,'Confidentiality of substance abuse treatment records',1),(14669,545,'Confidentiality for personal health records',NULL),(14670,545,'Confidentiality for electronic health records',NULL),(14671,545,'Confidentiality for criminal justice records',NULL),(14672,546,'Allow Baker Acts in Florida',NULL),(14673,546,'Create mental health treatment programs',NULL),(14674,546,'Establish insurance minimum coverage guidelines for substance abuse & mental health treatment',1),(14675,546,'Force insurance companies to cover all substance abuse treatment',NULL),(14676,547,'Yes',1),(14677,547,'No',NULL),(14678,548,'All of their treatment related issues',NULL),(14679,548,'Only their diagnosis',NULL),(14680,548,'Only the minimum possible',NULL),(14681,548,'Specifically checked items (i.e. treatment plan, medical issues etc.) on release form',1),(14682,549,'Yes',NULL),(14683,549,'No',1),(14684,550,'Alcohol Dependence',NULL),(14685,550,'Alcohol Abuse – Moderate',NULL),(14686,550,'Alcohol Use Disorder – Mild',1),(14687,550,'Alcohol Abuse',NULL),(14688,551,'DSM diagnosis, bio-psychosocial, ASAM',NULL),(14689,551,'DSM diagnosis, ASAM, insurance',1),(14690,551,'ASAM, insurance, bio-psychosocial',NULL),(14691,551,'Insurance, bio-psychosocial, DSM diagnosis',NULL),(14692,552,'possible schizophrenia',NULL),(14693,552,'anger',NULL),(14694,552,'disrespect',NULL),(14695,552,'possible cultural issues',1),(14696,553,'Cultural issues',NULL),(14697,553,'Ethical issues',NULL),(14698,553,'Prior treatment',NULL),(14699,553,'All of the above',1),(14700,554,'Recovery, experimentation, regular use',NULL),(14701,554,'Regular use, action, dependence',NULL),(14702,554,'Risky use, regular use, addiction',1),(14703,554,'Regular use, risky use, recovery',NULL),(14704,555,'Awareness, consideration, exploring recovery',1),(14705,555,'Early recovery, active recovery, action',NULL),(14706,555,'Preparation, consideration, maintenance',NULL),(14707,555,'Maintenance, action, early recovery',NULL),(14708,556,'Contemplation, preparation, active recovery',NULL),(14709,556,'Precontemplation, maintenance, action',1),(14710,556,'Precontemplation, contemplation, late recovery',NULL),(14711,556,'Preparation, early recovery, maintenance',NULL),(14712,557,'Norms are expressions of values',1),(14713,557,'Norms are always positive',NULL),(14714,557,'Values and norms are the same thing',NULL),(14715,557,'Values are always negative',NULL),(14716,558,'Therapists give solutions to client’s problems',NULL),(14717,558,'Therapist and client only discuss solutions to client’s issues',NULL),(14718,558,'Therapist provides strength-based, positive, goal-directed therapy',1),(14719,558,'None of the above',NULL),(14720,559,'Determine whether client meets criteria for treatment',NULL),(14721,559,'Determine appropriate level of care',NULL),(14722,559,'Learn about client’s presenting problems',NULL),(14723,559,'All of the above',1),(14728,560,'family disruption, legal consequences',NULL),(14729,560,'Panic states, physical',NULL),(14730,560,'Both a & b',1),(14731,560,'None of the above',NULL),(14732,561,'Increased client information',NULL),(14733,561,'Confirmation of client report',NULL),(14734,561,'Clarification of client information',NULL),(14735,561,'All of the above',1),(14736,562,'Client unable to fully focus on treatment',1),(14737,562,'Medical issues can mimic mental health symptoms',NULL),(14738,562,'Difficulty stabilizing client',NULL),(14739,562,'All of the above',NULL),(14740,563,'Unresolved personal issues',NULL),(14741,563,'Personal morals',NULL),(14742,563,'Over identification with client',NULL),(14743,563,'All of the above',1),(14744,564,'Alcohol',NULL),(14745,564,'Benzodiazepine',NULL),(14746,564,'Oxycodone',NULL),(14747,564,'All of the above',1),(14748,565,'Evaluation techniques',NULL),(14749,565,'Communication techniques',1),(14750,565,'DSM 5 criteria',NULL),(14751,565,'Mental Status criteria',NULL),(14752,566,'Mood, drug use, memory',NULL),(14753,566,'Mood, affect, drug use',NULL),(14754,566,'Mood, affect, appearance',1),(14755,566,'Mood, affect, stage of change',NULL),(14756,567,'Detox',NULL),(14757,567,'The use of anti-depressants in addiction treatment',NULL),(14758,567,'Referrals for medical care in addiction treatment',NULL),(14759,567,'Pharmacological interventions used in addiction treatment',1),(14760,568,'Methamphetamines',1),(14761,568,'Benzodiazepines',NULL),(14762,568,'Alcohol',NULL),(14763,568,'Tobacco',NULL),(14764,569,'Severity of substance abuse and mental health issues',1),(14765,569,'Substance and Mental Health Diagnoses',NULL),(14766,569,'Current readiness for treatment',NULL),(14767,569,'Level of care',NULL),(14768,570,'Health difference based on insurance coverage',NULL),(14769,570,'Health differences based on social and economic disadvantages',1),(14770,570,'Health differences based on severity of medical issues',NULL),(14771,570,'Health differences based on addiction issues',NULL),(14772,571,'Moderate unless the potential client has tried to detox themselves',NULL),(14773,571,'Low – there are plenty of places at which to get help',NULL),(14774,571,'None – a client needs treatment and will find it',NULL),(14775,571,'Without it, a potential client may be lost',1),(14776,572,'The first stage of treatment',NULL),(14777,572,'Is never effective',NULL),(14778,572,'Can be effective',1),(14779,572,'Is dangerous to the abuser',NULL),(14780,573,'Discuss how substance abuse has affected loved ones',NULL),(14781,573,'Active listening',NULL),(14782,573,'Patience and empathy',NULL),(14783,573,'All of the above',1),(14784,574,'Within normal range',1),(14785,574,'Depressed',NULL),(14786,574,'Well elevated and a danger to the addict',NULL),(14787,574,'Easily irritable and illogical',NULL),(14788,575,'Cure addiction',NULL),(14789,575,'Get clients involved in the counseling process to resolve substance related problems',1),(14790,575,'Develop a comprehensive community wide drug prevention program',NULL),(14791,575,'Offer both medical and psychological remedies for what is ailing the addict',NULL),(14792,576,'DSM IV – TR',NULL),(14793,576,'DSM 4 TR',NULL),(14794,576,'DSM 5',1),(14795,576,'DSM 5 TR',NULL),(14796,577,'Sitting with legs and arms uncrossed',NULL),(14797,577,'Sitting with legs crossed',1),(14798,577,'Leaning forward',NULL),(14799,577,'Making eye contact',NULL),(14800,578,'Will help you resolve your own issues',NULL),(14801,578,'Does not necessarily apply to the client’s situation',1),(14802,578,'Can be used to guide the client’s plan if you both have similar stories',NULL),(14803,578,'Should guide your client’s treatment plan',NULL),(14804,579,'Orientation',1),(14805,579,'Screening',NULL),(14806,579,'Admissions',NULL),(14807,579,'Treatment planning',NULL),(14808,580,'Character, compulsion, cravings',NULL),(14809,580,'Chronic denial, continues use, cravings',NULL),(14810,580,'Compulsion, continued use, cravings',1),(14811,580,'Compulsion, cravings chronic denial',NULL),(14812,581,'The addict has acknowledged a problem and is ready to change',NULL),(14813,581,'The addict has not yet acknowledged the problem',NULL),(14814,581,'Where the addict has acknowledged a problem and is not sure if they are ready to change',1),(14815,581,'Where the addict is changing their behavior',NULL),(14816,582,'A week after entering treatment',NULL),(14817,582,'When the client enters treatment',1),(14818,582,'Within 60 days of discharge',NULL),(14819,582,'A week before discharge',NULL),(14820,583,'Establish rapport',1),(14821,583,'Gather data information',NULL),(14822,583,'Screen for substances',NULL),(14823,583,'Teach life lessons',NULL),(14824,584,'Treats all substances',NULL),(14825,584,'Is required for every client before entering rehab',NULL),(14826,584,'Is rarely effective on its own',1),(14827,584,'None of the above',NULL),(14828,585,'Respect for client’s background',NULL),(14829,585,'Flexibility in treatment',NULL),(14830,585,'Appropriate strategies for different levels of dependence',NULL),(14831,585,'All of the above',1),(14832,586,'A multi-axial documentation system of diagnosis',NULL),(14833,586,'A non-axial documentation system of diagnosis',1),(14834,586,'A non-psychosocial point of view',NULL),(14835,586,'A single diagnosis for all people',NULL),(14836,587,'Gambling disorder',NULL),(14837,587,'Nicotine disorder',NULL),(14838,587,'Gaming disorder',NULL),(14839,587,'All of the above',1),(14840,588,'Is not required for Hep C positive clients',NULL),(14841,588,'Serves as a medical diagnosis',NULL),(14842,588,'Identifies and rules out problems',1),(14843,588,'Should be performed within a week of admission',NULL),(14844,589,'Use',NULL),(14845,589,'Misuse',1),(14846,589,'Addiction',NULL),(14847,589,'Abuse',NULL),(14848,590,'An intrinsic motivator',1),(14849,590,'An extrinsic motivator',NULL),(14850,590,'A medical motivator',NULL),(14851,590,'Both A & B',NULL),(14852,591,'DSM IV –TR',NULL),(14853,591,'ICD 10',NULL),(14854,591,'DSM 5',1),(14855,591,'DSM V – TR',NULL),(14856,592,'Cultural Competence',NULL),(14857,592,'Clinical Supervision',NULL),(14858,592,'Being in Recovery',1),(14859,592,'Knowledge of Code of Ethics',NULL),(14860,593,'Prescribing of medications',1),(14861,593,'Case management and referrals.',NULL),(14862,593,'Training in vocational and general life skills',NULL),(14863,593,'Crisis intervention',NULL),(14864,594,'Tolerant',NULL),(14865,594,'Strict',1),(14866,594,'Empathetic',NULL),(14867,594,'Flexible',NULL),(14868,595,'Confrontation and denial management',NULL),(14869,595,'Psychoanalysis and regression therapy',NULL),(14870,595,'Behavior modification and aggression management',NULL),(14871,595,'Client-centered and motivational techniques',1),(14872,596,'Telling the client what he or she needs is more drug-related or negative consequences',NULL),(14873,596,'Wanting to impose negative consequences on non-compliant clients',NULL),(14874,596,'Feeling frustrated and angry when a client does not meet counselors expectations',NULL),(14875,596,'All of the above',1),(14876,597,'Paraphrasing',1),(14877,597,'Preconceived Ideas',NULL),(14878,597,'Reflection',NULL),(14879,597,'Transparency',NULL),(14880,598,'Maintain ethical practice',NULL),(14881,598,'Continue education',NULL),(14882,598,'Avoid countertransference',NULL),(14883,598,'All of the above',1),(14884,599,'Be open to self-evaluation and change',1),(14885,599,'Share their recovery experience with their clients',NULL),(14886,599,'Limit their understanding of values and beliefs',NULL),(14887,599,'Have a 12-step experience',NULL),(14888,600,'The Client',NULL),(14889,600,'The Supervisor',NULL),(14890,600,'The Counselor',1),(14891,600,'The Counselor and the Client',NULL),(14892,601,'The Florida Certification Board',1),(14893,601,'The National Association of Addiction Counselors',NULL),(14894,601,'The National Professional Counseling Association',NULL),(14895,601,'The National Association of Social Workers',NULL),(14896,602,'Counter-transference',NULL),(14897,602,'Burnout',NULL),(14898,602,'Over identification with the client',NULL),(14899,602,'All of the above',1),(14900,603,'Inability to concentrate',NULL),(14901,603,'Fatigue',NULL),(14902,603,'Irritability',NULL),(14903,603,'All of the above',1),(14904,604,'Ulcers',1),(14905,604,'Binge eating',NULL),(14906,604,'Lack of sense of humor',NULL),(14907,604,'All of the above',NULL),(14908,604,'None of the above',NULL),(14909,605,'True',1),(14910,605,'False',NULL),(14913,607,'Learn more about addiction',NULL),(14914,607,'Be more effective and satisfied in their jobs',1),(14915,607,'Be more empathetic with clients',NULL),(14916,607,'Learn more about career counseling',NULL),(14917,608,'40%',NULL),(14918,608,'50%',NULL),(14919,608,'60%',1),(14920,608,'70%',NULL),(14921,609,'True',NULL),(14922,609,'False',1),(14923,610,'Forgetting about clinical practices',NULL),(14924,610,'Blurring boundaries',1),(14925,610,'Only practicing 12-step principles',NULL),(14926,610,'Losing their home group',NULL),(14927,611,'Exhaustion as a result of prolonged exposure to empathy stress',NULL),(14928,611,'Physical exhaustion as a result of prolonged exposure to empathy stress',NULL),(14929,611,'Psychological exhaustion as a result of prolonged exposure to empathy stress',NULL),(14930,611,'All of the above',1),(14931,612,'Counter-transference',1),(14932,612,'Compassion Fatigue',NULL),(14933,612,'Vicarious Trauma',NULL),(14934,612,'Secondary Trauma',NULL),(14935,613,'To oversee the clinical staff',NULL),(14936,613,'To enhance the quality of client care',1),(14937,613,'To enhance the quality of clinical growth',NULL),(14938,613,'To enhance treatment outcomes',NULL),(14939,614,'Counselors are working on the outer limits of personal competency',1),(14940,614,'Counselors are late for work',NULL),(14941,614,'Counselors are in recovery themselves',NULL),(14942,614,'Counselors are in personal turmoil',NULL),(14943,615,'Individual, group and clinical',NULL),(14944,615,'Single, group, administrative',NULL),(14945,615,'Clinical, administrative, evaluative',1),(14946,615,'Evaluative, clinical, individual',NULL),(14947,616,'Set clear expectations and provide feedback',1),(14948,616,'Set clear expectations and provide rewards',NULL),(14949,616,'Provide feedback and encourage counselors to make decisions on their own',NULL),(14950,616,'Provide counselors education and therapy as needed',NULL),(14951,617,'True',1),(14952,617,'False',NULL),(14953,618,'Micro-managing their staff',NULL),(14954,618,'Developing staff skills',NULL),(14955,618,'Assuring delivery of quality treatment and services',NULL),(14956,618,'Demanding better client outcomes',NULL),(14957,618,'b abd c',1),(14958,618,'b, c and d',NULL),(14959,619,'Treatment interventions',NULL),(14960,619,'Good counselor characteristics',NULL),(14961,619,'Ethical principles',1),(14962,619,'Client characteristics',NULL),(14963,620,'The basic level of ethical functioning',NULL),(14964,620,'Compliance with The Florida Certification Boards Code of Ethics',NULL),(14965,620,'The situation on the welfare of clients and the effects of counselor actions',1),(14966,620,'Spiritually-based ethical principles',NULL),(14967,621,'Scholarly literature',NULL),(14968,621,'Consult colleagues',NULL),(14969,621,'Consider nature and intent',NULL),(14970,621,'All of the above',1),(14971,621,'None of the above',NULL),(14972,622,'Collaboration between counselor and client',NULL),(14973,622,'Engaging in reflection of personal values',NULL),(14974,622,'Determining the major stakeholders',NULL),(14975,622,'Generating possible and probable courses of action',NULL),(14976,622,'c and d',NULL),(14977,622,'b, c and d',1),(14978,623,'Ethical guidelines',NULL),(14979,623,'Setting boundaries',1),(14980,623,'Clinical practices',NULL),(14981,623,'Counselor to-do list',NULL),(14982,624,'Unethical boundaries and unprofessional boundaries',NULL),(14983,624,'Firm boundaries and loose boundaries',NULL),(14984,624,'Boundary crossings and boundary violations',1),(14985,624,'Boundary blurring and boundary slip',NULL),(14986,625,'Personal gain',NULL),(14987,625,'Not accepting a small gift from a client',NULL),(14988,625,'Dual relationships',NULL),(14989,625,'Setting limits by denying a client request',NULL),(14990,625,'a, c and d',NULL),(14991,625,'a and c',1),(14992,626,'The lack of professional behavior',1),(14993,626,'The lack of education',NULL),(14994,626,'The lack of supervision',NULL),(14995,626,'The lack of following agency rules',NULL),(14996,627,'Breaking confidentiality',NULL),(14997,627,'Dual relationships',1),(14998,627,'Countertransference',NULL),(14999,627,'Difficult counseling cases',NULL),(15000,628,'Counseling someone you once dated',1),(15001,628,'Counseling someone referred by a family member',NULL),(15002,628,'Counseling someone you previously counseled',NULL),(15003,628,'Counseling someone you are not sure you can help',NULL),(15004,629,'A group of diverse people',NULL),(15005,629,'A set of attitudes, behaviors and skills',1),(15006,629,'A set of morals, legalities and ethics',NULL),(15007,629,'A set of principles and values',NULL),(15008,630,'Being humble with different cultures',NULL),(15009,630,'Being non-judgmental with different cultures',NULL),(15010,630,'Continual self-evaluating and self-critiquing to guard power imbalances in the counselor-client relationship',1),(15011,630,'The counselor knowing how their own culture affects their work with clients',NULL),(15012,631,'Cultural values',NULL),(15013,631,'Ethical responsibilities',NULL),(15014,631,'Counseling methods',NULL),(15015,631,'Trust building',1),(15016,632,'Listen, empathy, acceptance, respect, needs',NULL),(15017,632,'Listen, explain, acceptance, recommend, negotiate',NULL),(15018,632,'Listen, explain, acknowledge, recommend, negotiate',1),(15019,632,'Listen, explain, acknowledge, respect, negotiate',NULL),(15020,633,'A set of thoughts, feelings, and beliefs experienced by a service provider that occurs in response to the client',1),(15021,633,'Rarely occurs with experienced addiction counselors',NULL),(15022,633,'How a counselor feels about a client',NULL),(15023,633,'An important part of the counseling process',NULL),(15024,634,'Treatment goals',NULL),(15025,634,'Treatment interventions',NULL),(15026,634,'Family responsibilities',NULL),(15027,634,'a and b',NULL),(15028,634,'All of the above',1),(15029,634,'None of the above',NULL),(15030,635,'True',NULL),(15031,635,'False',1),(15032,636,'Assessment',NULL),(15033,636,'Call 911',NULL),(15034,636,'Implementation',NULL),(15035,636,'Termination',NULL),(15036,636,'a and c',NULL),(15037,636,'a, c and d',1),(15038,637,'Available support',NULL),(15039,637,'Current substance use',NULL),(15040,637,'Method',NULL),(15041,637,'All of the above',1),(15042,638,'Ture',NULL),(15043,638,'False',1),(15044,639,'Crying',NULL),(15045,639,'Rapid speech',NULL),(15046,639,'Silence',NULL),(15047,639,'High pitched voice',NULL),(15048,639,'a and c',NULL),(15049,639,'b and d',1),(15050,640,'Coaching and reflection',NULL),(15051,640,'Reflection and clarifying',NULL),(15052,640,'Verbal and non-verbal',1),(15053,640,'Assessment and planning',NULL),(15054,641,'Involuntary inpatient psychiatric hospitalization and involuntary substance abuse evaluation',1),(15055,641,'Voluntary inpatient psychiatric hospitalization and voluntary substance abuse admission',NULL),(15056,641,'Involuntary outpatient psychiatric treatment and involuntary substance abuse treatment',NULL),(15057,641,'Involuntary psychiatric hospitalization and incarceration',NULL);

--
-- Table structure for table `question`
--

CREATE TABLE `question` (
  `id` int(11) NOT NULL AUTO_INCREMENT,
  `content` text NOT NULL,
  `course_id` int(11) NOT NULL,
  `correct_answer_id` int(11) DEFAULT NULL,
  `order` int(11) DEFAULT NULL,
  `course_order` int(11) DEFAULT NULL,
  PRIMARY KEY (`id`)
) ENGINE=InnoDB AUTO_INCREMENT=642 DEFAULT CHARSET=utf8;

--
-- Dumping data for table `question`
--

INSERT INTO `question` VALUES (1,'Based on the information in the clinical evaluation case study, select the BEST response: What are the PRIMARY factors that made the client appropriate for this level of care?',27,12293,NULL,NULL),(2,'Based on the information in the clinical evaluation case study, select the BEST response: Which of the following essential tasks was NOT completed during the client\'s intake process?',27,12300,NULL,NULL),(3,'Based on the information in the clinical evaluation case study, select the BEST response:  Which of the following client behaviors contributed the most to the counselor\'s development of the provisional diagnosis of \"alcohol dependency?\"',27,12303,NULL,NULL),(4,'Based on the information in the clinical evaluation case study, select the BEST response: Which of the following essential orientation functions were NOT performed with this client?',27,12305,NULL,NULL),(5,'Please answer the following questions based on Case Study #1 you reviewed previously: When prioritizing the following client\'s problems which of the following would come first:\r\n',28,12310,NULL,NULL),(6,'Please answer the following questions based on Case Study #1 you reviewed previously: What statement can be used as a clarifier for the problem of relationship issues:\r\n\r\n',28,12313,NULL,NULL),(7,'Please answer the following questions based on Case Study #1 you reviewed previously: What statement can be used as a clarifier for the problem of prone to relapse issues:\r\n\r\n\r\n',28,12319,NULL,NULL),(8,'Please answer the following questions based on Case Study #1 you reviewed previously: All of the following would be appropriate problems, for this case study, needing treatment plans, except:\r\n\r\n\r\n',28,12344,NULL,NULL),(9,'Please answer the following questions based on Case Study #1 you reviewed previously: If \"Accept the loss of loved one and increase social contact with others,\" is the goal, what would the appropriate problem for this client:\r\n\r\n\r\n',28,12337,NULL,NULL),(10,'Please answer the following questions based on Case Study #1 you reviewed previously: The best possible a treatment plan objective for this client\'s problem of relapse proneness would be to:\r\n',28,12352,NULL,NULL),(11,'Please answer the following questions based on Case Study #1 you reviewed previously: The best possible a treatment plan intervention to match the objective of \"Verbally admit to powerlessness over mood-altering substances,\" for this client\'s problem of substance dependence would be to:',28,12354,NULL,NULL),(12,'When is it Appropriate to Refer a Client to Another Facility?',29,12361,NULL,NULL),(13,'John enters treatment and laments the fact that he is unable to get a job. He believes that if he had the skills to get a good job, it would help his substance abuse problem. As a counselor you should:',29,12366,NULL,NULL),(14,'Which is not an appropriate criterion, on its own, to be used for evaluating a facility before a referral?',29,12368,NULL,NULL),(15,'Which is true about a referral?',29,12371,NULL,NULL),(16,'Changes to the Treatment Plan Are:',29,12377,NULL,NULL),(17,'Dropping out of treatment:',29,12382,NULL,NULL),(18,'When a counselor is making a diagnosis they must use:',27,12385,NULL,NULL),(19,'The first step in establishing a rapport with a possible admission / client is:',27,12388,NULL,NULL),(20,'Which of the following will help the counselor establish a rapport with the client:',27,12394,NULL,NULL),(21,'During the screening process, a critical task that the counselor has is to:',27,12399,NULL,NULL),(22,'Understanding previous treatment efforts are criteria related to:',27,12401,NULL,NULL),(23,'The primary purpose of the screening process is to:',27,12406,NULL,NULL),(24,'One of the primary tasks of a counselor during the intake process is:',27,12410,NULL,NULL),(25,'Orientation primarily focuses on:',27,12415,NULL,NULL),(26,'If the orientation process is neglected or incomplete a client may:',27,12417,NULL,NULL),(27,'The assessment is:',27,12421,NULL,NULL),(28,'Providing the client with information regarding program rules, and infractions that can lead to discharge, normally occurs during the:',27,12425,NULL,NULL),(29,'During the intake, a counselor can expect to address all of the following issues EXCEPT:',27,12431,NULL,NULL),(30,'Common barriers to the assessment process include:',27,12436,NULL,NULL),(31,'When conducting an assessment, what is the counselor\'s primary focus?',27,12438,NULL,NULL),(32,'Special populations are:',27,12443,NULL,NULL),(33,'How many critical elements of effective treatment exist?',27,12447,NULL,NULL),(34,'One of the five stages of a comprehensive assessment is:',27,12450,NULL,NULL),(35,'Despite vast personality differences, virtually all substance abusers experience:',27,12456,NULL,NULL),(36,' Which of the following are the key elements in recognizing drug use and abuse?',27,12461,NULL,NULL),(37,'A 42-year-old male has just completed intake admission forms and is considered appropriate and eligible for treatment. Which step should occur next?',27,12465,NULL,NULL),(38,'The completion of various forms, including releases of information, financial, and consent for treatment, happens during the client\'s:',27,12466,NULL,NULL),(39,'Which of the following are commonly used chemical testing methods?',27,12470,NULL,NULL),(40,'A self-administered test requires:',27,12476,NULL,NULL),(41,'The description of the client\'s rights typically occurs during the:',27,12480,NULL,NULL),(42,'Before therapy or counseling begins, clients may be given information about the treatment they will receive, as well as possible risks involved. This process is known as:',27,12485,NULL,NULL),(43,'Treatment plan development is:',27,12487,NULL,NULL),(44,'Standardized assessment instruments:',27,12491,NULL,NULL),(45,'The treatment planning process includes an evaluation of an outcome of the referral. Which of the following statements is true?',27,12497,NULL,NULL),(46,'Client interventions may include:',27,12498,NULL,NULL),(47,'What are some of the barriers to assessment?',27,12503,NULL,NULL),(48,'A counselor’s attitude during Screening, Intake and Assessment should demonstrate:',27,12507,NULL,NULL),(49,'What is the difference between crisis and risk?',27,12512,NULL,NULL),(50,'In conducting an assessment, counselors must be skilled in:',27,12515,NULL,NULL),(51,'Define co-occurring disorders:',27,12521,NULL,NULL),(52,'When assessing a client with co-occurring disorders the counselor should:',27,12524,NULL,NULL),(53,'Risk of harm may be rated according to the following criteria:',27,12526,NULL,NULL),(54,'The screening process for COD helps determine:',27,12530,NULL,NULL),(55,'What is the best assessment tool for COD?',27,12537,NULL,NULL),(56,'The ideal integrated treatment plan for client with COD includes:',27,12541,NULL,NULL),(57,'When conducting an assessment with clients that have co-occurring disorders or substance use only disorder the counselor will:',27,12545,NULL,NULL),(58,'What does “No Wrong Door” refer to?',27,12548,NULL,NULL),(59,'A person-centered assessment is:',27,12551,NULL,NULL),(60,'During the assessment, what does being Trauma Sensitive include?',27,12554,NULL,NULL),(61,'What does the Four Quadrant model determine?',27,12561,NULL,NULL),(62,'Integrated treatment plans for COD should focus on:',27,12562,NULL,NULL),(63,'What is the primary use of the ASAM criteria?',27,12567,NULL,NULL),(64,'Dimension 3 of the ASAM focuses on all of the following except:',27,12571,NULL,NULL),(65,'Which 2 levels of care provide psychiatric capability in addition to substance abuse services?',27,12574,NULL,NULL),(66,'The LOCUS provides all except the following:',27,12581,NULL,NULL),(67,'What is the main difference between the ASAM and the LOCUS?',27,12583,NULL,NULL),(68,'Who can complete the LOCUS/CALOCUS?',27,12588,NULL,NULL),(69,'When conducting an assessment with a client who has co-occurring issues, the counselor:',27,12590,NULL,NULL),(70,'The LOCI-2R is designed to:',27,12595,NULL,NULL),(71,'A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should:',28,12601,NULL,NULL),(72,'The measurement of progress toward treatment plan goals is best assessed by:',28,12602,NULL,NULL),(73,'When a client discloses suicidal thoughts, the counselor\'s first step is to:',28,12609,NULL,NULL),(74,'The treatment plan is developed based on information collected during:',28,12612,NULL,NULL),(75,'During a session you notice that the client is getting progressively more agitated. You suspect a potential for violence unless something is done immediately. Your BEST course of action would be to:',28,12617,NULL,NULL),(76,'What is the Purpose of Screening in the treatment setting?',28,12620,NULL,NULL),(77,'How do Family Members Fit into Assessment and Treatment Planning',28,12622,NULL,NULL),(78,'When explaining your assessment findings to your client the counselor should:',28,12627,NULL,NULL),(79,'When evaluating client readiness you must:',28,12630,NULL,NULL),(80,'The Transtheoretical Model of Change:',28,12634,NULL,NULL),(81,'Assessment of resistance and denial is important to:',28,12638,NULL,NULL),(82,'To ask a client what goals she/he wish to work on:',28,12644,NULL,NULL),(83,'Treatment plans should be:',28,12651,NULL,NULL),(84,'Problem statements in treatment plans should be:',28,12655,NULL,NULL),(85,'The treatment plan is developed based on information collected during:',28,12658,NULL,NULL),(86,'In developing a treatment plan which of the following is true?',28,12660,NULL,NULL),(87,'In formulating treatment plans, effective counselors are willing to consider feedback from colleagues, but most importantly:',28,12665,NULL,NULL),(88,'A treatment plan:',28,12673,NULL,NULL),(89,'What is the acronym for writing strength-based, outcome driven objectives?',28,12676,NULL,NULL),(90,'Treatment Plans should be based on the client’s:',28,12679,NULL,NULL),(91,'Some of the qualities of a well written treatment plan are:',28,12682,NULL,NULL),(92,'What is an objective?',28,12689,NULL,NULL),(93,'All of the following should be included when writing a treatment plan goal EXCEPT:',28,12692,NULL,NULL),(94,'A treatment plan problem is defined as:',28,12695,NULL,NULL),(95,'An effective Treatment Plan must be all of the following EXCEPT:',28,12698,NULL,NULL),(96,'The Treatment Plan details all of the following EXCEPT:',28,12705,NULL,NULL),(97,'Treatment Plan problems, goals and objectives should be:',28,12706,NULL,NULL),(98,'What is not part of a comprehensive assessment?',28,12712,NULL,NULL),(99,'A mutually-agreed-upon treatment plan should include:',28,12717,NULL,NULL),(100,'When counselors keep a neutral attitude while working with the client on their treatment plan, the client may feel like:',28,12720,NULL,NULL),(101,'Using the Stages of Change in treatment planning allow for a problem, goal and objective to be created that:',28,12725,NULL,NULL),(102,'All of the following are examples of specific change oriented goals EXCEPT:',28,12726,NULL,NULL),(103,'The acronym M.A.T.R.S. stands for:',28,12733,NULL,NULL),(104,'Treatment Plan interventions should reflect:',28,12737,NULL,NULL),(105,'When establishing treatment plan goals, keep in mind to:',28,12739,NULL,NULL),(106,'Well-formed treatment plan goals are:',28,12747,NULL,NULL),(107,'Which client statement reflects someone in the Pre-Contemplation Stage?',28,12749,NULL,NULL),(108,'Which client statement reflects someone in the Maintenance Stage?',28,12757,NULL,NULL),(109,'Which client statement reflects someone in the Preparation Stage?',28,12760,NULL,NULL),(110,'Which client statement reflects someone in the Contemplation Stage?',28,12763,NULL,NULL),(111,'Which client statement reflects someone in the Action Stage?',28,12771,NULL,NULL),(112,'When met with client resistance it is best practice to:',28,12775,NULL,NULL),(113,'Where does the counselor keep track of the client’s progress or lack of progress with treatment plan goals & objectives?',28,12778,NULL,NULL),(114,'Therapist / counselors should demonstrate what qualities during treatment planning?',28,12785,NULL,NULL),(115,'The treatment plan review aides in decision making in all of the following EXCEPT:',28,12786,NULL,NULL),(116,'Progress notes must include:',28,12795,NULL,NULL),(117,'The initial services authorization by insurance companies is determined by:',28,12796,NULL,NULL),(118,'Treatment Planning begins:',28,12803,NULL,NULL),(119,'The Initial Treatment Plan is used:',28,12807,NULL,NULL),(120,'The Transtheorectical Model (TTM) is different from traditional treatment planning methods in the following way:',28,12808,NULL,NULL),(121,'The abstinence contract, schedule of activities, and recovery activities are all part of:',28,12814,NULL,NULL),(122,'What stage of motivational readiness to change corresponds with the following client statement: “I guess this is making my life difficult, but it’s just too hard to change.”',28,12817,NULL,NULL),(123,'What stage of motivational readiness to change corresponds with the following client statement: “I’ve stopped gambling now for eight months and doing well with urges to gamble.”',28,12824,NULL,NULL),(124,'What stage of motivational readiness to change corresponds with the following client statement: “I don’t have a problem with anger; it’s just because I’m depressed.”',28,12826,NULL,NULL),(125,'It is not the severity or functioning that determines the treatment plan, but the diagnosis, preferably in DSM terms.',28,12832,NULL,NULL),(126,'If a person is ambivalent, it is best to set the treatment plan goals for them.',28,12834,NULL,NULL),(127,'The counselor’s role is to work collaboratively with the client when creating the treatment plan.',28,12835,NULL,NULL),(128,'If a client disagrees with your assessment or treatment plan recommendations, it is best to gently remind him or her that you are the professional and they are the client.',28,12838,NULL,NULL),(129,'Progress Notes too often just document attendance at a session or compliance with treatment expectations, instead of specific information on response to treatment.',28,12839,NULL,NULL),(130,'Goals should be written for the client as we know what is best for their recovery.',28,12842,NULL,NULL),(131,'Clients should be encouraged to express their concerns with the treatment plan.',28,12843,NULL,NULL),(132,'Clients in early stages of change need relapse prevention strategies.',28,12845,NULL,NULL),(133,'When is it Appropriate to Refer a Client to Another Facility?',29,12851,NULL,NULL),(134,'John enters treatment and laments the fact that he is unable to get a job. He believes that if he had the skills to get a good job, it would help his substance abuse problem. As a counselor you should:',29,12856,NULL,NULL),(135,'Which is not an appropriate criterion, on its own, to be used for evaluating a facility before a referral?',29,12858,NULL,NULL),(136,'Which is true about a referral?',29,12861,NULL,NULL),(137,'Changes to the Treatment Plan Are:',29,12867,NULL,NULL),(138,'Dropping out of treatment:',29,12872,NULL,NULL),(139,'Which of the following is a good example of a counselor matching client needs to a referral?',29,12875,NULL,NULL),(140,'A potential client calls your treatment center looking for treatment for a heroin addiction. He is an Injected Drug User and may have been exposed to HIV and Hepatitis. Your best course of action would be to:',29,12877,NULL,NULL),(141,'Which of the following would be the first step in understanding a client’s needs:',29,12884,NULL,NULL),(142,'Service Coordination is:',29,12887,NULL,NULL),(143,'Service Coordination is made successful by:',29,12893,NULL,NULL),(144,'Which of the following are considered unethical behavior on the part of an addiction counselor?',29,12899,NULL,NULL),(145,'An initial evaluation of the centers to which clients are referred is important. How often should you re-evaluate referral facilities?',29,12901,NULL,NULL),(146,'Which of the following would not be considered an appropriate referral?',29,12905,NULL,NULL),(147,'A counselor’s treatment obligations include:',29,12910,NULL,NULL),(148,'A client’s understanding of why a referral is made is:',29,12912,NULL,NULL),(149,'Sarah is now in her third stint in rehab. She enters your treatment center hoping for a different outcome. Which of the following is true?',29,12918,NULL,NULL),(150,'Successful Service Coordination Involves:',29,12922,NULL,NULL),(151,'Models of Case Management include:',29,12928,NULL,NULL),(152,'Primary Functions of Case Management include:',29,12931,NULL,NULL),(153,'In substance abuse treatment, case management provides:',29,12939,NULL,NULL),(154,'Case Management aides in a client’s recovery by:',29,12944,NULL,NULL),(155,'The primary difference between treatment assessments and case management assessments is:',29,12946,NULL,NULL),(156,'The Stages of Change guide both treatment and case management.',29,12949,NULL,NULL),(157,'The concept of “friendly neighbors” involved:',29,12954,NULL,NULL),(158,'Deinstitutionalization of persons who were in long-term psychiatric care resulted in:',29,12956,NULL,NULL),(159,'Case management enhances treatment by:',29,12959,NULL,NULL),(160,'Historically, drug addicts were sent where to “get help?”',29,12964,NULL,NULL),(161,'In 1972 TASC began to:',29,12970,NULL,NULL),(162,'Consultation with other professionals benefits clients by:',29,12976,NULL,NULL),(163,'The referral process involves knowledge of community resources and:',29,12980,NULL,NULL),(164,'Case management with people with co-occurring disorders requires:',29,12983,NULL,NULL),(165,'Integrated Services is:',29,12985,NULL,NULL),(166,'An alternative to traditional case management is:',29,12989,NULL,NULL),(167,'Referral, Service Coordination, and Consultation are all part of:',29,12996,NULL,NULL),(168,'Record keeping is an important part of the counseling process. Which of the following best reflects the type of information which should be kept in a client\'s record?a.	The name of an attending physician, referrals made, diagnostic procedures used',32,12998,NULL,NULL),(169,'Comprehensive client documentation:',32,13003,NULL,NULL),(170,'Of the following statements made by a client in a group, which would MOST warrant documentation in the client\'s progress notes?',32,13009,NULL,NULL),(171,'Concise and accurate reporting is necessary in order to:',32,13013,NULL,NULL),(172,'Client files should be readily accessible to:',32,13020,NULL,NULL),(173,'When entering progress notes in the clinical record, the counselor must include all of the following, EXCEPT:',32,13023,NULL,NULL),(174,'When completing a discharge summary, the counselor\'s task is to document:',32,13029,NULL,NULL),(175,'Documentation creates accountability for:\r\n',32,13036,NULL,NULL),(176,'Sharing client information is legal when:\r\n',32,13039,NULL,NULL),(177,'The client record details all the following conditions except:\r\n',32,13045,NULL,NULL),(178,'Accurate documentation can fulfill which of the following needs?\r\n',32,13051,NULL,NULL),(179,'Access to client information is regulated by:\r\n',32,13053,NULL,NULL),(180,'Simplicity and concreteness is:\r\n',32,13059,NULL,NULL),(181,'When writing group notes the counselor must:\r\n',32,13062,NULL,NULL),(182,'Which of the following is not an acceptable progress note format?\r\n',32,13068,NULL,NULL),(183,'The “A” in SOAP stands for:\r\n',32,13074,NULL,NULL),(184,'Some elements of good clinical documentation include which of the following?\r\n',32,13081,NULL,NULL),(185,'After completing an assessment the counselor documents many things including the mental status exam. The mental status exam includes all of the following EXCEPT:\r\n',32,13083,NULL,NULL),(186,'Progress notes, at a minimum, should contain which three specific elements?\r\n',32,13090,NULL,NULL),(187,'Where does the main information that drives a treatment plan come from?\r\n',32,13093,NULL,NULL),(188,'The Discharge Summary includes all of the following EXCEPT:\r\n',32,13099,NULL,NULL),(189,'What is the bridge between the assessment and the treatment plan?\r\n',32,13103,NULL,NULL),(190,'Which of the following MUST be included in an effective Integrated Summary?\r\n',32,13111,NULL,NULL),(191,'What is NOT included a progress note?\r\n',32,13112,NULL,NULL),(192,'Scope of practice is defined by all of the following EXCEPT:\r\n',32,13120,NULL,NULL),(193,'Experts refer to three stages of effective treatment for alcohol and drug problems. The first stage consists of medical-physical interventions, the second and third stages are:\r\n',31,13123,NULL,NULL),(194,'Which words best characterize the changes that occur in an alcohol or drug abuser’s relationship with family, friends, and society as a result of the substance abuse?\r\n',31,13129,NULL,NULL),(195,'The provision of information concerning alcohol and other drug abuse and the available services and resources, is termed:\r\n',31,13132,NULL,NULL),(196,'In 1985, the issue of AIDS was targeted as a top priority for training and assistance to:\r\n',31,13137,NULL,NULL),(197,'The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents is lack of:\r\n',31,13141,NULL,NULL),(198,'The focus of intervention in the criminal justice system is first to:\r\n',31,13147,NULL,NULL),(199,'Because addiction affects so many facets of the addicted person\'s life, promotes recovery and enables the substance abuse client to fully integrate into society as a healthy, substance-free individual.\r\n',31,13152,NULL,NULL),(200,'In order to fill gaps in services to minority clients, communities should include all of the following EXCEPT:\r\n',31,13155,NULL,NULL),(201,'In order to provide clients with updated information concerning addiction and recovery, the counselor must:\r\n',31,13158,NULL,NULL),(202,'Which of the following statements about dysfunctional families is TRUE?\r\n',31,13163,NULL,NULL),(203,'In a dysfunctional family system, the traditional role which the spouse plays is referred to as:\r\n',31,13165,NULL,NULL),(204,'In a dysfunctional family system, the role which the eldest child generally plays is referred to as:\r\n',31,13169,NULL,NULL),(205,'Client education is usually provided in all of the following ways, EXCEPT:\r\n',31,13176,NULL,NULL),(206,'Which of the following is not an adjustment the family makes to the problem of chemical dependency?\r\n',31,13182,NULL,NULL),(207,'Substance abuse has impact on which of the following areas:\r\n',31,13187,NULL,NULL),(208,'Most people use drugs for the first time as a teenager. According to research, which 2 drugs are the most common for first time users?\r\n',31,13190,NULL,NULL),(209,'Times of transition can increase the risk of drug addiction, especially in adolescence. Which of the following demonstrate life transitional issues?\r\n',31,13194,NULL,NULL),(210,'Which of the following are physical warning signs of addiction?\r\n',31,13198,NULL,NULL),(211,'Some signs of drug dependence are:\r\n',31,13207,NULL,NULL),(212,'What is the DSM 5 used for in addiction counseling?\r\n',31,13210,NULL,NULL),(213,'What is a specifier in the DSM 5?\r\n',31,13216,NULL,NULL),(215,'Which of the following does not pertain to Bio-Psycho-Social (B-P-S)?\r\n',30,13220,NULL,NULL),(216,'The most important criteria for client inclusion in group counseling is:\r\n',30,13223,NULL,NULL),(217,'Which of the following is the best way to communicate concern and caring for the client?\r\n',30,13250,NULL,NULL),(218,'During a session you notice that the client is getting progressively more agitated. You suspect a potential for violence unless something is done immediately. Your best course of action would be to:',30,13233,NULL,NULL),(219,'It is important to consider the attributes that a dependent individual brings from the special population he or she identifies with because:\r\n',30,13237,NULL,NULL),(220,'Chemical dependency effects people with varied personalities, cultures and lifestyles. To be effective in counseling these diverse populations, a counselor must:\r\n',30,13241,NULL,NULL),(222,'For the counselor, \"self-knowledge\" is important because:\r\n',30,13246,NULL,NULL),(223,'In the first stage of group development, the group focuses on:\r\n',30,13255,NULL,NULL),(224,'A counselor best communicates a non-judgmental attitude by:\r\n',30,13258,NULL,NULL),(225,'When developing treatment needs for any individual, a therapist must take into account how a person ________, ______	, and _______ in order to effect change.\r\n',30,13263,NULL,NULL),(226,'Orientation to group counseling should include:\r\n',30,13268,NULL,NULL),(227,'Which of the following is usually the counselor\'s LEAST reliable source of information about a client\'s underlying feelings?\r\n',30,13274,NULL,NULL),(228,'A prerequisite for a counselor to enjoy a successful career in this field is:\r\n',30,13278,NULL,NULL),(229,'Which of the following is a potential pitfall for new counselors?\r\n',30,13284,NULL,NULL),(230,'Which of the following is typically not a good way for the counselor to establish trust?\r\n',30,13288,NULL,NULL),(231,'You have been working with a client in crisis and have successfully stabilized his condition. Your attention should now turn to:\r\n',30,13290,NULL,NULL),(232,'Prohibition caused the following to occur:\r\n',30,13295,NULL,NULL),(233,'A frequent mistake that beginning counselors make with clients is:\r\n',30,13300,NULL,NULL),(234,'A client says, \"I don\'t think I\'m an alcoholic. I mean, I only drink beer and never in the morning. But I\'ve been warned about how it\'s affecting my health.\" In response, an open-ended question would be:\r\n',30,13301,NULL,NULL),(235,'Which of the following is not an adjustment the family makes to the problem of chemical dependency?\r\n',30,13308,NULL,NULL),(236,'Which of the following statements about dysfunctional families is true?\r\n',30,13311,NULL,NULL),(237,'A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should:\r\n',30,13316,NULL,NULL),(238,'A key factor for counselors to consider is that in a counseling relationship, the counselor has differential power. One of the best safeguards is:\r\n',30,13317,NULL,NULL),(239,'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?\r\n',30,13322,NULL,NULL),(240,'Joe is a 27-year old addict who has begun counseling, but has not yet been able to give up using drugs. During one session, he tells his counselor that he is beginning to feel that \"it is useless to try to stop,\" and that \"sometimes life is not worth living.\" The counselor is concerned that Joe could be suicidal. The counselor should:\r\n',30,13326,NULL,NULL),(241,'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?\r\n',30,13329,NULL,NULL),(242,'Effective communication occurs in groups when:\r\n',30,13336,NULL,NULL),(243,'A single mother with three young children enters your clinic and begins to discuss her current drug use. She tells you that she hasn\'t been home for several days and has left the 8 year old in charge. What do you do?\r\n',30,13337,NULL,NULL),(244,'Ralph is a recovering alcoholic. He as been sober for several months, and has managed to find gainful employment and re-establish family relationships. He is in a twelve-step program as well as individual counseling. One day, he arrives to a counseling session quite upset. He reveals that he had a \"slip\" and drank a beer at a party. He did not get drunk, but feels terribly remorseful and has promised himself that he will not do it again. Which of the following is MOST true?\r\n',30,13344,NULL,NULL),(245,'Record keeping is an important part of the counseling process. Which of the following best reflects the type of information which should be kept in a client\'s record?\r\n',30,13346,NULL,NULL),(246,'Which of the following is NOT a commonly used technique for crisis intervention?\r\n',30,13352,NULL,NULL),(247,'Which statement BEST describes how a counselor can avoid professional burnout?\r\n',30,13355,NULL,NULL),(248,'A client says to you, \"I am getting to like you very much and I\'d like us to get a lot closer.\" You should first:\r\n',30,13359,NULL,NULL),(249,'The initial stage of crisis intervention involves:\r\n',30,13363,NULL,NULL),(250,'The tendency of the family to try and maintain balance is called:\r\n',30,13367,NULL,NULL),(251,'Your client, Eric, discloses to the group that he is homosexual. Another member of the group shifts in his seat and changes the subject, talking about a superficial incident that happened earlier in the day. The facilitator\'s MOST appropriate response would be to:\r\n',30,13372,NULL,NULL),(252,'A major method of reinforcing the therapeutic alliance and spirit of collaboration between the client and the counselor is:\r\n',30,13374,NULL,NULL),(253,'When a client discloses suicidal thoughts, the counselor\'s first step is to:\r\n',30,13380,NULL,NULL),(254,'In a crisis interview with a client, you are MOST concerned with:\r\n',30,13384,NULL,NULL),(255,'You are having difficulty with a client early on in the case. The BEST thing for you to do is:\r\n',30,13388,NULL,NULL),(256,'The therapeutic reasoning for self-disclosure in group counseling is to:\r\n',30,13392,NULL,NULL),(257,'Which of the following is MOST helpful for counselors in defining their professional roles for counseling clients?\r\n',30,13394,NULL,NULL),(258,'The BEST way of dealing with individual needs in a group is to:\r\n',30,13397,NULL,NULL),(259,'The quality of counseling is directly related to the counselor\'s ability to:\r\n',30,13401,NULL,NULL),(260,'You begin working with a drinking alcoholic who recently had eight months of sobriety. He asks how he can stay sober. You respond by:\r\n',30,13408,NULL,NULL),(261,'Which term refers to a client\'s projecting past emotional feelings and/or attitudes onto the counselor?\r\n',30,13409,NULL,NULL),(262,'Which of the following responses would be helpful in establishing a therapeutic relationship with a client?\r\n',30,13415,NULL,NULL),(263,'A frequent client reaction during the termination phase of counseling is:\r\n',30,13418,NULL,NULL),(264,'Which of the following is the BEST example of a counselor setting limits with a client?\r\n',30,13423,NULL,NULL),(265,'The process of termination should be discussed:\r\n',30,13427,NULL,NULL),(266,'When counseling clients with co-occurring disorders what are the BEST techniques to incorporate in treatment sessions?\r\n',30,13429,NULL,NULL),(267,'Since substance abuse treatment models are shorter in length, counselors need to adopt brief treatment intervention in their counseling sessions. Which of the following is an evidence-based brief treatment therapeutic intervention?\r\n',30,13436,NULL,NULL),(268,'An important aspect of the Therapeutic Alliance is?\r\n',30,13440,NULL,NULL),(269,'The Stage Theory of Addiction Recovery includes which of the following?\r\n',30,13441,NULL,NULL),(270,'Within individual counseling, the main role of the client is?\r\n',30,13446,NULL,NULL),(271,'Having a framework for individual counseling session provides:\r\n',30,13449,NULL,NULL),(272,'Rolling with Resistance is from which therapeutic intervention?\r\n',30,13453,NULL,NULL),(273,'The therapeutic reasoning for self-disclosure in group counseling is to:\r\n',30,13460,NULL,NULL),(275,'Which therapeutic intervention is recommended for counseling with COD clients?\r\n',30,13466,NULL,NULL),(276,'Which therapeutic intervention utilizes the miracle question?\r\n',30,13472,NULL,NULL),(277,'Casting the counselor in the role of a parent is known as:\r\n',30,13475,NULL,NULL),(278,'Many believe that confrontation in counseling should be done in an aggressive punitive manner. We now know that effective confrontation requires what from the counselor?\r\n',30,13480,NULL,NULL),(279,'In utilizing Reflection of Feeling, the counselor helps the client:\r\n',30,13482,NULL,NULL),(280,'One of the ways for a counselor to achieve an atmosphere of safety and trust is through:\r\n',30,13487,NULL,NULL),(281,'One of the basic principles of counseling is:\r\n',30,13490,NULL,NULL),(282,'To ensure counselors do NOT bring their own issues to their counseling practice, counselors can:\r\n',30,13494,NULL,NULL),(283,'A best practices approach to counseling involves:\r\n',30,13499,NULL,NULL),(284,'Respecting client-counselor boundaries and interactions is showing an understanding of:\r\n',30,13500,NULL,NULL),(285,'If the counselor is in recovery themselves they should:\r\n',30,13507,NULL,NULL),(286,'The counselor’s level awareness operates in what ways?\r\n',30,13508,NULL,NULL),(287,'Multicultural counseling seeks to:\r\n',30,13515,NULL,NULL),(288,'To improve outcomes with a multicultural population the counselor must be sensitive to clients\':\r\n',30,13519,NULL,NULL),(289,'Counselor characteristics found to increase client’s motivation include:\r\n',30,13521,NULL,NULL),(290,'The DSM 5 reflects significant changes in diagnosing substance related issues. Which of the following reflects those diagnostic changes?\r\n',31,13526,NULL,NULL),(291,'What is SBIRT?\r\n',31,13533,NULL,NULL),(292,'What is an Evidence Based Practice?\r\n',31,13534,NULL,NULL),(293,'Which of the following is NOT a type of addiction treatment modality:\r\n',31,13540,NULL,NULL),(294,'Which of the following indicate a higher level of care may be needed for a client?\r\n',31,13547,NULL,NULL),(295,'Successful recovery for a client may include all of the following EXCEPT:\r\n',31,13550,NULL,NULL),(296,'Which of the following BEST describes risk factors for substance abuse?\r\n',31,13554,NULL,NULL),(297,'Which of the following BEST describe protective factors for substance abuse?\r\n',31,13563,NULL,NULL),(298,'Continuum of care refers to which of the following?\r\n',31,13566,NULL,NULL),(299,'Referring clients to 12-step meetings, faith-based programs or case management services is known as?\r\n',31,13572,NULL,NULL),(300,'Using cocaine while pregnant can cause:\r\n',31,13575,NULL,NULL),(301,'Research indicates adolescents who use _________ before the age of 14 are more likely to experience substance dependence in their life?\r\n',31,13579,NULL,NULL),(302,'Prevention models focus on which of the following?\r\n',31,13588,NULL,NULL),(303,'The definition of protective factors include which of the following?\r\n',31,13590,NULL,NULL),(304,'Intervention is defined as what level of care?\r\n',31,13596,NULL,NULL),(305,'Early intervention services are delivered where?\r\n',31,13600,NULL,NULL),(306,'The community process known as SPF stands for:\r\n',31,13603,NULL,NULL),(307,'The early intervention approach SBIRT targets which of the following?\r\n',31,13611,NULL,NULL),(308,'The overall goal of overcoming codependency is:\r\n',31,13614,NULL,NULL),(309,'The dependent family system may exhibit which of the following?\r\n',31,13618,NULL,NULL),(310,'Culturally competent recovery models include which of the following?\r\n',31,13628,NULL,NULL),(311,'One model of culturally competent addiction treatment is LEARN, an acronym that stands for which of the following?\r\n',31,13631,NULL,NULL),(312,'Risky behaviors related to substance abuse are linked to which of the following?\r\n',31,13640,NULL,NULL),(313,'What is Hepatitis?\r\n',31,13643,NULL,NULL),(314,'IV drug users are susceptible to which of the following?\r\n',31,13650,NULL,NULL),(315,'Life skills are most often taught through which method?\r\n',31,13651,NULL,NULL),(316,'Which life skills are the most commonly underdeveloped?\r\n',31,13659,NULL,NULL),(317,'Professional addiction counselors are ethically responsible to be:\r\n',31,13665,NULL,NULL),(318,'Confidentiality Encompasses',33,13670,NULL,NULL),(319,'Adhering to Confidentiality\r\n',33,13671,NULL,NULL),(320,'Family Members\r\n',33,13677,NULL,NULL),(321,'National Privacy Standards Were Set By:\r\n',33,13680,NULL,NULL),(322,'HIPAA Stands For:\r\n',33,13683,NULL,NULL),(323,'Oral discussions are not protected under HIPAA\r\n',33,13689,NULL,NULL),(324,'Protected Information Should:\r\n',33,13694,NULL,NULL),(325,'Computerized health information:\r\n',33,13695,NULL,NULL),(326,'The ramifications of allowing/causing a breach in confidentiality can include:\r\n',33,13703,NULL,NULL),(327,'Children under 13 do not have a right to privacy under HIPAA\r\n',33,13705,NULL,NULL),(332,'Some dual roles are unavoidable. How do you deal with them?\r\n',33,13726,NULL,NULL),(333,'Sexual attachment between counselor and client are mostly off limits\r\n',33,13728,NULL,NULL),(334,'Which of the following is not generally a basis of decision making?\r\n',33,13733,NULL,NULL),(335,'Many professional responsibilities are defined by:\r\n',33,13734,NULL,NULL),(336,'Ethical decisions in treatment are:\r\n',33,13740,NULL,NULL),(337,'Touch:',33,13745,NULL,NULL),(338,'Dual relationships occur when:\r\n',33,13748,NULL,NULL),(339,'Boundaries:\r\n',33,13753,NULL,NULL),(340,'Which of the following are ethical conflicts?\r\n',33,13757,NULL,NULL),(341,'The Marchman Act:\r\n',33,13761,NULL,NULL),(342,'Professional and ethical responsibilities must be written to be valid.\r\n',33,13764,NULL,NULL),(343,'Professional ethics:\r\n',33,13769,NULL,NULL),(344,'Client/Counselor boundaries help by:\r\n',33,13773,NULL,NULL),(345,'Which of the following is a case of failure to comply\r\n',33,13777,NULL,NULL),(346,'The Baker Act is:\r\n',33,13781,NULL,NULL),(347,'Every state requires reporting of harmful incidents to minors\r\n',33,13783,NULL,NULL),(348,'Generally speaking, when can a counselor release confidential information?\r\n',33,13788,NULL,NULL),(349,'Ethical nuances:\r\n',33,13790,NULL,NULL),(350,'Sexual contact is forbidden:\r\n',33,13796,NULL,NULL),(351,'Examples of how counselors enhance their competence may include:\r\n',33,13801,NULL,NULL),(352,'42 CFR applies to:\r\n',33,13803,NULL,NULL),(353,'Continuing education is part of a professional\'s responsibility:\r\n',33,13807,NULL,NULL),(354,'Blurring boundaries:\r\n',33,13810,NULL,NULL),(355,'Release of information in the criminal justice system differs from other applications:\r\n',33,13813,NULL,NULL),(356,'Cultural competence involves:\r\n',33,13816,NULL,NULL),(357,'Informed consent is:\r\n',33,13821,NULL,NULL),(358,'Minors acting alone must have their parents give consent:\r\n',33,13823,NULL,NULL),(359,'Counselor self-disclosure:\r\n',33,13827,NULL,NULL),(360,'The role of Clinical Supervision is:\r\n',33,13834,NULL,NULL),(361,'Part of understanding Professional Responsibilities in counseling is knowing that as a counselor:\r\n',33,13838,NULL,NULL),(362,'Immediacy, self-actualization and potency are all examples of:\r\n',33,13841,NULL,NULL),(363,'Developing discrepancy is a techniques from which clinical therapeutic practice:\r\n',33,13847,NULL,NULL),(364,'Transference is:\r\n',33,13850,NULL,NULL),(365,'Counter-transference is:\r\n',33,13859,NULL,NULL),(366,'When a counselor is not aware of transference & counter-transference issues, the counselor:\r\n',33,13864,NULL,NULL),(367,'To assist with transference and counter-transference issues a counselor should:\r\n',33,13869,NULL,NULL),(368,'What defines a “Boundary Crossing” and a “Boundary Violation”?\r\n',33,13870,NULL,NULL),(369,'Which of the following are examples of dual relationships?\r\n',33,13879,NULL,NULL),(370,'Which of the following are the professional benefits of clinical supervision?\r\n',33,13883,NULL,NULL),(371,'What does the FCB require for recertification of a CAP?\r\n',33,13885,NULL,NULL),(372,'Vicarious trauma happens:\r\n',33,13892,NULL,NULL),(373,'Which of the following drugs is not associated with physical withdrawal?\r\n',34,13898,NULL,NULL),(374,'It is important to consider the attributes that a dependent individual brings from the special population he or she identifies with because:\r\n',34,13903,NULL,NULL),(375,'The term \"freebasing\" refers to:\r\n',34,13909,NULL,NULL),(376,'Substances which can alter the normal course of body functions, including thoughts, moods and emotions are called:\r\n',34,13912,NULL,NULL),(377,'The majority of Americans use drugs to:\r\n',34,13918,NULL,NULL),(378,'As an alcoholic\'s or addict\'s chemical use progresses, he/she:\r\n',34,13920,NULL,NULL),(379,'The use of a drug in some socially prescribed fashion is referred to as:\r\n',34,13925,NULL,NULL),(380,'Which of the following terms refers to a mental condition of relatively short duration?\r\n',34,13930,NULL,NULL),(381,'Misuse would be:\r\n',34,13936,NULL,NULL),(382,'Narcotic drugs:\r\n',34,13943,NULL,NULL),(383,'Which of the following symptoms indicates a strong need for inpatient care?\r\n',34,13948,NULL,NULL),(384,'Approximately 10 to 11 % of Americans will likely experience a serious drug problem with:\r\n',34,13950,NULL,NULL),(385,'Which of the following terms refers to a mental condition of relatively long duration?\r\n',34,13957,NULL,NULL),(386,'A synthetic narcotic drug that is used for heroin treatment, is long lasting, and eliminates the need for a patient to take medication at home is:\r\n',34,13961,NULL,NULL),(387,'It is often said that the family of a chemically dependent individual is often as sick as the dependent person themselves. Which of the following is an example of the physical problems the family may suffer?\r\n',34,13968,NULL,NULL),(388,'Which of the following will most likely influence one\'s tendency to become an alcoholic?\r\n',34,13970,NULL,NULL),(389,'A long-term effect of alcohol consumption that is one of the top ten causes of death in America is:\r\n',34,13976,NULL,NULL),(390,'Which of the following is a sign of potential relapse?\r\n',34,13981,NULL,NULL),(391,'The term “late-onset” as it applies to chemical dependency refers to:\r\n',34,13987,NULL,NULL),(392,'The neurotransmitter associated with arousal and moods is:\r\n',34,13994,NULL,NULL),(393,'According to the DSM V, all of the following are criteria for psychoactive substance disorders EXCEPT:\r\n',34,13996,NULL,NULL),(394,'In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:\r\n',34,14000,NULL,NULL),(395,'Alcohol decreases resistance to HIV infection by:\r\n',34,14003,NULL,NULL),(396,'You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; gooseflesh; lacrimation; muscle jerks; flu syndrome; vomiting; diarrhea; nervousness; yawning; and severe anxiety. You conclude that the client is withdrawing from:\r\n',34,14009,NULL,NULL),(397,'Relapse prevention efforts are aimed at:\r\n',34,14013,NULL,NULL),(398,'Because addiction affects so many facets of the addicted person\'s life, _____ promotes recovery and enables the substance abuse client to fully integrate into society as a healthy, substance-free individual.\r\n',34,14018,NULL,NULL),(399,'Which of the following is the BEST indicator if an individual is physically dependent upon alcohol or another drug?\r\n',34,14021,NULL,NULL),(400,'While taking an alcohol drug history, which of the following is a good clue to alcohol addiction?\r\n',34,14023,NULL,NULL),(401,'All of the following statements about the effects of alcohol abuse on the body are true EXCEPT:\r\n',34,14028,NULL,NULL),(402,'In order to provide clients with updated information concerning addiction and recovery, the counselor must:\r\n',34,14032,NULL,NULL),(403,'The medical definition of addiction includes all of the following EXCEPT?\r\n',34,14038,NULL,NULL),(404,'According to the DSM V the symptoms associated with a substance use disorder fall into all of the major groupings listed below EXCEPT?\r\n',34,14042,NULL,NULL),(405,'Dopamine is a neurotransmitter that produces the effect of?\r\n',34,14048,NULL,NULL),(406,'The disease model of addiction includes which of the following?\r\n',34,14054,NULL,NULL),(407,'When a counselor’s practice works from the belief that all addicts have underlying psychological issues, what theory of addiction do they ascribe?\r\n',34,14056,NULL,NULL),(408,'The developmental model of recovery features which of the following?\r\n',34,14060,NULL,NULL),(409,'Understanding addiction, accepting addiction and recognizing addiction are tasks of which stage of recovery in the Developmental Model of Recovery (DMR)?\r\n',34,14067,NULL,NULL),(410,'Identification of self-defeating patterns is a task from which DMR stage?\r\n',34,14073,NULL,NULL),(411,'Since the 19th century illegal drugs like morphine, cocaine and heroin have been used and abused. During that period in time who was the most common source of getting these drugs?\r\n',34,14079,NULL,NULL),(412,'Which the oldest used drug in America?\r\n',34,14081,NULL,NULL),(413,'What percentage of the population is addicted to drugs or alcohol?\r\n',34,14085,NULL,NULL),(414,'Addiction is due 50% to genetic predisposition and 50% to poor coping skills.\r\n',34,14090,NULL,NULL),(415,'The areas in a brain that involves addiction are?\r\n',34,14093,NULL,NULL),(416,'Drugs like marijuana and heroin can mimic neurotransmitters in the brain except they interfere with which natural process?\r\n',34,14097,NULL,NULL),(417,'Which drugs prevents the normal recycling of brain chemicals?\r\n',34,14104,NULL,NULL),(418,'Some drugs of abuse cause the brain to release 2 to 10 times the amount of dopamine than a natural reward; this causes what?\r\n',34,14108,NULL,NULL),(419,'Abuse potential of drug is related to?\r\n',34,14115,NULL,NULL),(420,'What area of the brain is involved in impulse control and decision making?\r\n',34,14117,NULL,NULL),(421,'When people no longer pursue their addiction solely for pleasure they have entered which aspect of addiction?\r\n',34,14125,NULL,NULL),(422,'The amygdala effects which of the following:\r\n',34,14131,NULL,NULL),(423,'What is “Cue Anticipation”?\r\n',34,14133,NULL,NULL),(424,'Stress is a well-known relapse trigger, what area of the brain regulates/modulates stress?\r\n',34,14141,NULL,NULL),(425,'Which of the following help reverse addiction?\r\n',34,14145,NULL,NULL),(426,'Abuse of all psychoactive drugs cause physical dependence.\r\n',34,14148,NULL,NULL),(427,'Contracted pupils, slurred speech, sleepiness and poor judgment are possible signs of which drug?\r\n',34,14149,NULL,NULL),(428,'The continuum of substance abuse refers to what?\r\n',34,14156,NULL,NULL),(429,'Which of the following are risk factors for addiction?\r\n',34,14163,NULL,NULL),(430,'Why are adolescents at higher risk for abusing drugs and alcohol?\r\n',34,14164,NULL,NULL),(431,'An enlarged and bulbous nose may be a sign of?\r\n',34,14171,NULL,NULL),(432,'Blackouts can happen in dependent and non-dependent alcohol users.\r\n',34,14174,NULL,NULL),(433,'What is the main difference between addiction and physical dependence?\r\n',34,14177,NULL,NULL),(434,'The 2 drugs that cause the most deaths and are the most available to adolescents are?\r\n',34,14183,NULL,NULL),(435,'All of the following are risk factors for adolescent alcohol abuse EXCEPT:\r\n',34,14189,NULL,NULL),(436,'According to the Institute of Medicine, the American Psychiatric Association, and the American Medical Association physical dependence on drugs in not what “really matters”, it is ______________.\r\n',34,14191,NULL,NULL),(437,'Both developing and recovering from addiction require?\r\n',34,14196,NULL,NULL),(438,'In comparison with other brain diseases, addiction is different in that?\r\n',34,14200,NULL,NULL),(439,'Cue induced cravings frequently causes what?\r\n',34,14208,NULL,NULL),(440,'Relapse is a long term vulnerability, on-going research has provided which tools to help understand both vulnerabilities and strengths?\r\n',34,14213,NULL,NULL),(441,'Some signs of being “stuck in recovery” are?\r\n',34,14219,NULL,NULL),(442,'What are the two groups of substance related disorders in the DSM V?\r\n',34,14221,NULL,NULL),(443,'The DSM V ask clinicians to specify the severity of the substance diagnosis. Which of the following are those specifiers?\r\n',34,14226,NULL,NULL),(444,'Alcohol and Other Drug (AOD) use and psychiatric symptoms and disorders can be related in what ways?\r\n',34,14234,NULL,NULL),(445,'Tobacco affects the brain. How is nicotine absorbed?\r\n',34,14237,NULL,NULL),(446,'Cravings for carbohydrates, depression and psychosis are withdrawal symptoms of which drug?\r\n',34,14242,NULL,NULL),(447,'Vomiting, reduced sex drive and constipation are some of the negative effects of which drug?\r\n',34,14245,NULL,NULL),(448,'Self-confidence, euphoria and sociability are the effects of which drug?\r\n',34,14253,NULL,NULL),(449,'Which of the following has been labeled as “the soft drug”?\r\n',34,14257,NULL,NULL),(450,'Tobacco effects which neurotransmitter?\r\n',34,14263,NULL,NULL),(451,'Cultural attitudes about drugs are influenced by which of the following?\r\n',34,14269,NULL,NULL),(452,'Social exclusion is an example of what?\r\n',34,14270,NULL,NULL),(453,'Effective treatment for addiction involves all of the following EXCEPT?\r\n',34,14278,NULL,NULL),(454,'Medications can help addiction treatment in which of the following ways?\r\n',34,14284,NULL,NULL),(455,'Disulfiram is a medication used for what?\r\n',34,14287,NULL,NULL),(456,'What is the single most important factor in determining potential for successful recovery?\r\n',34,14293,NULL,NULL),(457,'The concept of treating the whole individual involves which of the following?\r\n',34,14298,NULL,NULL),(458,'Effective addiction treatment:\r\n',34,14300,NULL,NULL),(459,'Gambling addiction, sex addiction and food addiction are all examples of?\r\n',34,14306,NULL,NULL),(460,'Some of the effects of Depressants are?\r\n',34,14310,NULL,NULL),(461,'Some of the effects of Opiods and Morphine derivatives are?\r\n',34,14319,NULL,NULL),(462,'Paranoia, heart attacks, and irritability are some of the effects of which class of drugs?\r\n',34,14323,NULL,NULL),(463,'How many Americans reported past-month use of prescription medications in 2010?\r\n',34,14327,NULL,NULL),(464,'The best type of treatment for addiction is?\r\n',34,14331,NULL,NULL),(465,'According to recent studies what percentage of clients in substance abuse treatment have a co-occurring disorder?\r\n',34,14335,NULL,NULL),(466,'Mental Disorders can bring about substance abuse.\r\n',34,14340,NULL,NULL),(467,'Possible explanations for the existence of co-occurring substance use disorder and mental health disorders are which of the following?\r\n',34,14346,NULL,NULL),(468,'Recent research has shown that early drug use among adolescents may put them at risk for?\r\n',34,14349,NULL,NULL),(469,'Having a mental health disorder during childhood that has been diagnosed means addiction in the future is unlikely?\r\n',34,14353,NULL,NULL),(470,'After marijuana, prescription and over-the-counter drugs are the most abused drugs in America.\r\n',34,14354,NULL,NULL),(471,'Addiction can NOT happen in people over 75?\r\n',34,14357,NULL,NULL),(472,'Addiction is a developmental disease?\r\n',34,14358,NULL,NULL),(473,'The following Principles of Effective Treatment are all true EXCEPT:',35,14362,NULL,NULL),(474,'Medications used to aide in addiction treatment include: (Choose all that apply)\r\n',35,14368,NULL,NULL),(475,'Behavioral treatments for substance abuse include: (Choose all that apply)',35,14375,NULL,NULL),(476,'The Stages of Addiction Treatment include:\r\n',35,14376,NULL,NULL),(477,'Treatment for chemical addiction:\r\n',35,14381,NULL,NULL),(478,'Cultural proficiency is defined as:\r\n',35,14387,NULL,NULL),(479,'In the acronym RESPECT, the letter “P” stands for:\r\n',35,14390,NULL,NULL),(480,'There are several traditional models of addiction treatment, some are:\r\n',35,14393,NULL,NULL),(481,'Crisis Intervention Therapy:\r\n',35,14398,NULL,NULL),(482,'All of the following are goals of person-centered therapy EXCEPT:\r\n',35,14400,NULL,NULL),(483,'Cognitive Behavioral Therapy addresses:\r\n',35,14404,NULL,NULL),(484,'Addiction counselors have a specialized understanding of addiction and addiction treatment. Addiction counselors will come across clients with other areas of concern in addition to their addiction. Concerning those other areas of concern the addiction counselor must:',35,14410,NULL,NULL),(485,'Addiction treatment knowledge includes several core responsibilities on the part of the counselor and other treatment staff. Those core responsibilities include:\r\n',35,14415,NULL,NULL),(486,'During the assessment process, your alcohol and tranquilizer abusing client reveals a history of maladaptive coping skills when frustrated and an inability to delay impulses. The MOST appropriate assessment battery in this case is:\r\n',35,14416,NULL,NULL),(487,'The Addiction Severity Index covers which of the following:\r\n',35,14421,NULL,NULL),(488,'The DSM IV-TR listed substance related diagnoses in the 2 distinct categories of “abuse or dependence”. The new DSM 5 made changes to those substance related diagnosis. The new diagnosis is called:\r\n',35,14427,NULL,NULL),(489,'The ASAM helps counselors determine:\r\n',35,14429,NULL,NULL),(490,'The term co-occurring disorders refers to:\r\n',35,14434,NULL,NULL),(491,'The “no wrong door” practice refers to:\r\n',35,14439,NULL,NULL),(492,'The Four Quadrant Model is used to:\r\n',35,14440,NULL,NULL),(493,'Integrated Treatment provides:\r\n',35,14447,NULL,NULL),(494,'What is the main difference between Dual Diagnosis capable (DDC) programs and Dual Diagnosis Enhanced (DDE) programs?\r\n',35,14448,NULL,NULL),(495,'Some of the toxic effects of substance abuse can mimic psychiatric symptoms. This is condition is called:\r\n',35,14454,NULL,NULL),(496,'Most substance-Induced symptoms begin to clear up within hours or days after substance use has stopped. The exception to this are psychotic symptoms (caused by heavy and long term amphetamine abuse) and the dementia (problems with memory, concentration, and problem-solving) caused by using substances directly toxic to the brain. These substances include which of the following?',35,14460,NULL,NULL),(497,'The goal of Al-Anon is:\r\n',35,14463,NULL,NULL),(498,'Effective treatment attends to:\r\n',35,14468,NULL,NULL),(499,'The PRIMARY purpose of professional standards of practice is to:\r\n',35,14470,NULL,NULL),(500,'In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:\r\n',35,14475,NULL,NULL),(501,'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?\r\n',35,14479,NULL,NULL),(502,'One of the most effective ways to prevent crises in clients is to:\r\n',35,14482,NULL,NULL),(503,'A crisis in substance abuse treatment can be defined as:\r\n',35,14488,NULL,NULL),(504,'Some of the counselor’s tasks during a client crisis includes:\r\n',35,14490,NULL,NULL),(505,'An ACUTE crisis indicates high risk for self-harm. Which of the following are among the first three warning signs of an ACUTE crisis?\r\n',35,14497,NULL,NULL),(506,'Risk factors are characteristics:\r\n',35,14502,NULL,NULL),(507,'The Marchman Act is related to ___________ and the Baker Act is related to ___________\r\n',35,14506,NULL,NULL),(508,'Recovery Oriented Care is:\r\n',35,14510,NULL,NULL),(509,'Which of the following represent the guiding principles of recovery?\r\n',35,14517,NULL,NULL),(510,'The purpose of Trauma-informed care is:\r\n',35,14518,NULL,NULL),(511,'Individuals follow different recovery paths, however, there are some common stages of recovery that individuals will pass through. They include:\r\n',35,14524,NULL,NULL),(512,'Transition, stabilization and late recovery are all stages of which model of recovery?\r\n',35,14528,NULL,NULL),(513,'Some of the potential benefits of family involvement in a client’s recovery are:\r\n',35,14535,NULL,NULL),(514,'Integrated models of treatment, which includes the involvement of family and significant others, provide which advantages?\r\n',35,14536,NULL,NULL),(516,'Multisystemic therapy is an example of:\r\n',35,14551,NULL,NULL),(517,'Utilization management is:\r\n',35,14553,NULL,NULL),(518,'Utilization Review is:\r\n',35,14558,NULL,NULL),(519,'Meeting “Medical Necessity” guidelines means:\r\n',35,14560,NULL,NULL),(520,'An addiction counselor’s role in helping with utilization review includes:\r\n',35,14566,NULL,NULL),(521,'The “Minimum Necessary Principle” defines:\r\n',35,14569,NULL,NULL),(522,'Evidence-based practices can be defined as:\r\n',35,14575,NULL,NULL),(523,'Fidelity measures and replication are examples of outcomes for:\r\n',35,14577,NULL,NULL),(524,'Joe is a 27-year old addict who has begun counseling, but has not yet been able to give up using drugs. During one session, he tells his counselor that he is beginning to feel that \"it is useless to try to stop,\" and that \"sometimes life is not worth living.\" The counselor is concerned that Joe could be suicidal. The counselor should:',35,14581,NULL,NULL),(525,'The MOST SIGNIFICANT barrier to effective treatment for alcohol and other drug abuse for single parents is lack of:',35,14585,NULL,NULL),(526,'Which of the following is NOT a commonly used technique for crisis intervention?\r\n',35,14591,NULL,NULL),(527,'Comprehensive client documentation:\r\n',35,14593,NULL,NULL),(528,'Significant others should be involved in the treatment process:\r\n',35,14597,NULL,NULL),(529,'Because addiction affects so many facets of the addicted person\'s life, ________ promotes recovery and enables the substance abuse client to fully integrate into society as a healthy, substance-free individual.\r\n',35,14603,NULL,NULL),(530,'In a crisis interview with a client, you are MOST concerned with:\r\n',35,14607,NULL,NULL),(531,'In order to provide clients with updated information concerning addiction and recovery, the counselor must:\r\n',35,14609,NULL,NULL),(532,'Which of the following statements about dysfunctional families is TRUE?\r\n',35,14614,NULL,NULL),(533,'A reward is something given for a special behavior, whereas positive reinforcement is:\r\n',35,14617,NULL,NULL),(534,'One goal of an effective aftercare program is:\r\n',35,14622,NULL,NULL),(535,'According to the American Society of Addiction Medicine (ASAM), which of the following is NOT one of the five categories of primary treatment?\r\n',35,14625,NULL,NULL),(536,'Recovery is:\r\n',35,14630,NULL,NULL),(537,'Which of the following is a function of an after care group?\r\n',35,14633,NULL,NULL),(538,'Which of the following would not be considered a special population?\r\n',35,14641,NULL,NULL),(539,'It is important to consider the attributes that a dependent individual brings from the special population he or she identifies with because:\r\n',35,14645,NULL,NULL),(540,'Experts refer to three stages of effective treatment for alcohol and drug problems. The first stage consists of medical-physical interventions, the second and third stages are:\r\n',35,14649,NULL,NULL),(541,'What are the important criteria to look for in substance abuse treatment programs?\r\n',36,14652,NULL,NULL),(542,'What are the levels of care in substance abuse treatment?\r\n',36,14657,NULL,NULL),(543,'Who establishes the Code of Ethics Certified Addiction Professionals must follow?\r\n',36,14662,NULL,NULL),(544,'What does 65D-30 cover?\r\n',36,14667,NULL,NULL),(545,'What does 42 C.F.R cover?\r\n',36,14668,NULL,NULL),(546,'What did the Mental Health Parity Act do?\r\n',36,14674,NULL,NULL),(547,'Do clients need to sign a release of information for their insurance company in order for a program to get authorization for admission and continued stay authorization?\r\n',36,14676,NULL,NULL),(548,'When signing a release of information for collateral parties (i.e. family, doctor, probation officer) what is client allowing to be disclosed?\r\n',36,14681,NULL,NULL),(549,'If a request for a client record comes from an outside source for a client that was discharged 3 years ago can you release any information about that client?\r\n',36,14683,NULL,NULL),(550,'The new DSM 5 has many changes. One of the changes relates to substance use diagnoses. Select the answer that reflects those changes.\r\n',36,14686,NULL,NULL),(551,'What tools/information help the clinician determine level of care placement?\r\n',36,14689,NULL,NULL),(552,'You are assessing a potential client for admission to your residential program. During the assessment you notice the client is not making eye contact with you at all. What is the client possibly demonstrating?\r\n',36,14695,NULL,NULL),(553,'When forming a clinical opinion, what additional factors must be considered besides clinical information?\r\n',36,14699,NULL,NULL),(554,'Which are included in the Stages of Addiction?\r\n',36,14702,NULL,NULL),(555,'What are the Stages of Recovery?\r\n',36,14704,NULL,NULL),(556,'Which are included in the Stages of Change?\r\n',36,14709,NULL,NULL),(557,'What is the difference between values and norms?\r\n',36,14712,NULL,NULL),(558,'What are the benefits of Solution Focused Therapy?\r\n',36,14718,NULL,NULL),(559,'What is the purpose of screening and assessment?\r\n',36,14723,NULL,NULL),(560,'What are some of the indicators of an addiction crisis?\r\n',36,14730,NULL,NULL),(561,'What are the benefits of obtaining collateral information?\r\n',36,14735,NULL,NULL),(562,'What are the possible complications that medical problems can play in intervention and treatment of addiction?\r\n',36,14736,NULL,NULL),(563,'Which of the following can potentially impact how a counselor assesses and works with a client?\r\n',36,14743,NULL,NULL),(564,'Which substances may require detox prior to beginning treatment if they have been abused?\r\n',36,14747,NULL,NULL),(565,'Active listening, reflecting and clarifying are examples of:\r\n',36,14749,NULL,NULL),(566,'A brief mental status exam includes which of the following:\r\n',36,14754,NULL,NULL),(567,'Medication Assisted Therapy refers to:\r\n',36,14759,NULL,NULL),(568,'Which substances do NOT currently have available pharmacotherapy?\r\n',36,14760,NULL,NULL),(569,'The Quadrants of Care help match clients to treatment by determining what?\r\n',36,14764,NULL,NULL),(570,'What is a Health Disparity?\r\n',36,14769,NULL,NULL),(571,'What is the importance of readily available treatment?\r\n',36,14775,NULL,NULL),(572,'Involuntary substance abuse treatment can be:\r\n',36,14778,NULL,NULL),(573,'Which of the following help build a bond?\r\n',36,14783,NULL,NULL),(574,'A euthymic mood is:\r\n',36,14784,NULL,NULL),(575,'One of the goals of addiction counseling is to:\r\n',36,14789,NULL,NULL),(576,'Which is the handbook most often used to diagnose mental disorders?\r\n',36,14794,NULL,NULL),(577,'Which of the following body language cues do not show you are interested?\r\n',36,14797,NULL,NULL),(578,'Your experience in rehab:\r\n',36,14801,NULL,NULL),(579,'During what process is Informed Consent managed?\r\n',36,14804,NULL,NULL),(580,'What are the three key components of addiction?\r\n',36,14810,NULL,NULL),(581,'The Contemplation stage of change is when:\r\n',36,14814,NULL,NULL),(582,'Aftercare planning starts:\r\n',36,14817,NULL,NULL),(583,'Which of the following is not a function of the counselor during the screening process?\r\n',36,14820,NULL,NULL),(584,'Medical detox:\r\n',36,14826,NULL,NULL),(585,'Tailoring treatment to the client may include:\r\n',36,14831,NULL,NULL),(586,'The DSM 5 moved to:\r\n',36,14833,NULL,NULL),(587,'A new edition to the DSM is:\r\n',36,14839,NULL,NULL),(588,'A bio-psychosocial:\r\n',36,14842,NULL,NULL),(589,'Taking substances in damaging quantities outside the designated purpose is:\r\n',36,14845,NULL,NULL),(590,'Finding out that one has been diagnosed with HIV and entering treatment as a result:\r\n',36,14848,NULL,NULL),(591,'The name of the current diagnostic manual for mental disorders is:\r\n',37,14854,NULL,NULL),(592,'Professional addiction counseling practice requires all of the following EXCEPT:\r\n',37,14858,NULL,NULL),(593,'Some of the areas Addiction Professional need competence in are:\r\n',37,14860,NULL,NULL),(594,'Good counselor characteristics include all of the following EXCEPT:\r\n',37,14865,NULL,NULL),(595,'The professional addiction counselor’s role is to motivate, engage and retain clients in treatment. Using an array of what type of skills?\r\n',37,14871,NULL,NULL),(596,'Which of the following is considered to be a counseling blunder?\r\n',37,14875,NULL,NULL),(597,'Professional counselors try to avoid:\r\n',37,14876,NULL,NULL),(598,'In order to provide clients with up-to-date treatment counselors must:\r\n',37,14883,NULL,NULL),(599,'In order to grow personally and professionally, counselors need to:\r\n',37,14884,NULL,NULL),(600,'Setting boundaries in the client-counseling relationship is the responsibility of:\r\n',37,14890,NULL,NULL),(601,'The Addiction Professional Code of Conduct is set forth by:\r\n',37,14892,NULL,NULL),(602,'A counselor with unresolved issues may experience:\r\n',37,14899,NULL,NULL),(603,'High levels of stress can result in counselors experiencing what?\r\n',37,14903,NULL,NULL),(604,'Symptoms of stress in addiction counselors are:\r\n',37,14904,NULL,NULL),(605,'Stress can lead to burn out.\r\n',37,14909,NULL,NULL),(607,'Practicing career sustaining behaviors help addiction counselors:\r\n',37,14914,NULL,NULL),(608,'In 2006 CSAT found how many addiction professionals were in recovery?\r\n',37,14919,NULL,NULL),(609,'Being in recovery alone is enough to qualify as an addiction counselor.\r\n',37,14922,NULL,NULL),(610,'When an addiction counselor who is in recovery mistakes their counseling practice for their “service work” they risk:\r\n',37,14924,NULL,NULL),(611,'Compassion Fatigue is:\r\n',37,14930,NULL,NULL),(612,'If an addiction counselor has an overly emotional response to a particular client they might be experiencing:\r\n',37,14931,NULL,NULL),(613,'The ultimate goal of clinical supervision is:\r\n',37,14936,NULL,NULL),(614,'There is a heightened need for clinical supervision when:\r\n',37,14939,NULL,NULL),(615,'The 3 types of supervision are:\r\n',37,14945,NULL,NULL),(616,'Effective Supervisors practice which of the following?\r\n',37,14947,NULL,NULL),(617,'Utilizing supervision in decision making is an ethical responsibility of addiction counselors.\r\n',37,14951,NULL,NULL),(618,'Goals of an effective supervisor include:\r\n',37,14957,NULL,NULL),(619,'Non-maleficence, fidelity and autonomy are all examples of what?\r\n',37,14961,NULL,NULL),(620,'Aspirational Ethics reflect:\r\n',37,14965,NULL,NULL),(621,'Ethical decision making sometimes requires the use of supplemental sources. Which of the following are acceptable supplemental sources?\r\n',37,14970,NULL,NULL),(622,'A formal decision making model includes which of the following?\r\n',37,14977,NULL,NULL),(623,'Starting sessions on time, establishing guidelines for counseling sessions and inappropriate touching are all examples of what?\r\n',37,14979,NULL,NULL),(624,'There 2 types of boundary breaking are:\r\n',37,14984,NULL,NULL),(625,'Examples of boundary breaking include which of the following?\r\n',37,14991,NULL,NULL),(626,'The most common cause for disciplinary action among practicing professionals is:\r\n',37,14992,NULL,NULL),(627,'The addiction professional not engaging in professional relationships with former colleagues, family members or friends is an example of avoiding what?\r\n',37,14997,NULL,NULL),(628,'An example of a dual relationship is:\r\n',37,15000,NULL,NULL),(629,'Cultural competence is:\r\n',37,15005,NULL,NULL),(630,'Cultural Humility is:\r\n',37,15010,NULL,NULL),(631,'Authenticity, cultural knowledge and providing incentives are all examples of:\r\n',37,15015,NULL,NULL),(632,'LEARN is an acronym for a culturally sensitive recovery model. What does LEARN stand for?\r\n',37,15018,NULL,NULL),(633,'Counter-transference is:\r\n',37,15020,NULL,NULL),(634,'The lack of cultural competency can have a negative impact on treatment and recovery in which of the following ways?\r\n',37,15028,NULL,NULL),(635,'All client crises have suicidal intent.\r\n',37,15031,NULL,NULL),(636,'The stages of a crisis include which of the following?\r\n',37,15037,NULL,NULL),(637,'Some of the areas to question in a crisis include which of the following?\r\n',37,15041,NULL,NULL),(638,'Deciding how to proceed with a client in crisis can be done by the counselor alone.\r\n',37,15043,NULL,NULL),(639,'Some signs of an escalating client may include which of the following?\r\n',37,15049,NULL,NULL),(640,'The two categories of de-escalation techniques are:\r\n',37,15052,NULL,NULL),(641,'There are times when a person may be in an acute crisis. In such cases, there are legally applied interventions that may be appropriate, one is the Baker Act and the other is the Marchman Act. The Baker Act refers to __________ and the Marchman Act refers to ____________.\r\n',37,15054,NULL,NULL);

--
-- Table structure for table `response`
--

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--
-- Dumping data for table `response`
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