Multiple Choice Identify the
choice that best completes the statement or answers the question.
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1.
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Chapter 1 - Working with Child Abuse and Neglect Issues During the
years 1986-1997, the reported cases of child abuse and neglect more than doubled.
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2.
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A person’s risk of developing a substance abuse disorder increases as a
result of childhood physical, sexual, emotional abuse or neglect.
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3.
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What is the most prevalent type of childhood maltreatment?
A | Physical abuse | C | Sexual abuse | B | Emotional abuse | D | Neglect |
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4.
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Men are less likely than women to disclose childhood sexual abuse due to which
of the following?
A | Societal expectations of self-reliance | C | Both a and b | B | Fear of homosexual
stigmatization | D | Neither a nor
b |
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5.
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PTSD is not a common disorder among people who were abused
physically or sexually as children.
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6.
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The consensus panel recommends sensitivity to the cultural differences among
treatment populations with childhood abuse histories, as these differences may excuse abusive or
neglectful behavior by parents.
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7.
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Sexual abuse has been linked to which of the following disorders?
A | Eating disorders | C | Personality disorders | B | Dissociative
disorders | D | All of the
above |
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8.
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There are four major types of child maltreatment.
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9.
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Chapter 2: Screening and Assessing Adults for Childhood Abuse and
Neglect Physical abuse, among males, is difficult to evaluate because most males - due to
social pressures to be strong and silent - see their abuse as normal punishment for their
behaviors.
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10.
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Many adults receiving treatment for substance abuse who have a history of
childhood abuse and neglect will have a coexisting psychiatric disorder.
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11.
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In those with PTSD, neuroimaging techniques - such as positron emission
tomography (PET) scans or functional magnetic resonance imaging (MRI) - have shown reductions in the
volume of which part of the brain?
A | Amaygdala | C | Brain Stem | B | Hippocampus | D | Medial Cortex |
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12.
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For the child trauma survivor, dissociation serves what purpose?
A | A way out of an intolerable situation | C | It erects barriers to keep traumatic
events and memories out of awareness | B | It numbs pain | D | All of the above |
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13.
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Any counselor or treatment provider screening for childhood trauma
should receive specific training in these issues.
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14.
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Adults who were abused as children are more likely to use drugs and
alcohol.
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15.
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Most child abuse occurs:
A | Outside the family | C | Both a and b | B | Within the family | D | Neither a nor b |
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16.
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In order to reduce the potential barriers to successful screenings and
assessments of childhood trauma, the consensus panel recommends that treatment staff: 1) be sensitive
to cultural concerns 2) recognize potential language differences 3) become aware of gender issues and
4) be nonjudgmental and sensitive.
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17.
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Chapter 3: Comprehensive Treatment for Adults Survivors of Child Abuse and
Neglect Statistically, those clients that received more services were less likely to
stay in recovery.
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18.
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According to some estimates, what percent of those referred to mental health
services have histories of childhood abuse?
A | 20% | C | 80% | B | 50% | D | None of the
above |
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19.
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Many clients may find it easier to “confide” their history to a
computer screen or a piece of paper than to another person.
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20.
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The anxiety and feelings of pain that might surface when a client becomes more
aware of past abuse are often related to:
A | Bipolar Disorder | C | Both a and b | B | Post Traumatic Disorder | D | Neither a nor b |
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21.
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The following treatment approach addresses dual diagnosis (substance abuse and
mental health treatment):
A | Integrated | C | Sequential | B | Concurrent | D | All of the above |
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22.
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Although traditional 12-step approaches emphasize a linear model of recovery in
which abstinence takes priority over all other issues, research data are not yet available to
indicate the superiority of this approach.
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23.
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Chapter 4: Therapeutic Issues for Counselors Which phenomenon is
improperly matched with its definition:
A | Transference: past feelings and issues that clients transfer or project onto a
counselor | C | Secondary Traumatization: symptoms of trauma experienced by the client as a result of
a counselor’s “inappropriate” responses to client abuse
disclosures | B | Countertransference: the range of reactions and responses the counselor has toward
the client | D | All are properly
matched |
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24.
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Which item listed below is not mentioned in Establishing the Treatment
Frame and Special Issues:
A | Building trust | D | Avoiding the ‘rescuer’ role as a
counselor | B | Open discussion when the counselor senses a client is developing romantic
feelings | E | All are
mentioned | C | Using anchoring, mirroring and timeout as methods for dealing with disruptive client
behavior |
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25.
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Which is not a recommendation about how agencies can support counselors:
A | Facilitate ongoing clinical supervision | D | Reward staff work on a regular
basis | B | Provide training that standardizes procedures for handling trauma
cases | E | Hold regular social
events | C | Keep counselor time completely structured while ‘at
work’ |
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26.
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Chapter 5: Breaking the Cycle: The Substance-Dependent Client as
Parent/Caregiver Research shows that people with adverse childhood experiences have a lower
incidence of health disorders, including alcohol problems:
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27.
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Which is not a characteristic of abusing parents identified by
researchers:
A | Poverty, substance dependence, mental illness, lots of children | D | Overly responsible
and overly focused on decision making | B | Feelings of self reproach and
depression | E | Difficulties in
verbal communication and in obtaining pleasure; narcissistic | C | Arrested development
and poor tolerance of being alone |
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28.
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Which is not an assessment/treatment question area set forth as a guideline for
counselors to use with abused clients:
A | Probe birth, infancy and early childhood circumstances | D | Ask if they liked school, teachers
and peers, and if they moved a lot | B | Ask if family members used alcohol or drugs, if
the client felt there was a “problem” with the use and if the family member got
treatment | E | All of the above
areas are mentioned | C | Probe how the client was disciplined and
rewarded, who raised them and how they showed attention, affection and
appreciation |
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29.
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Which limitations imposed by poverty are mentioned because they might be
confused with neglect when in fact they are common in poor and uneducated communities:
A | Preteens babysitting infants | C | Social
deprivation | B | Disorganized house | D | All are mentioned in the context of this discussion |
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30.
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Which is not cited as a general area of basic knowledge and skills needed to be
learned by abusing parents:
A | Basic child-rearing skills | D | Personal and social skills
development | B | Stages of child development and reasonable expectations at specific
stages | E | All are
cited | C | An understanding of the consequences of child abuse |
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31.
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For addicted parents who do not have child custody due to abuse issues, it is
critical that the counselor collaborate with a CPS professional to develop a realistic family
reunification plan.
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32.
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Which of the following is not a named program in the US that has
integrated the ability to treat both substance and child abuse concerns under one roof:
A | PAR (Parental Awareness & Responsibility Village in FL | D | GO (Getting Off) in
San Francisco | B | The Spring in NM | E | FRP ( Family Rehab Program) in NY | C | FIT (Families in Transition) in
FL |
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33.
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What are barriers cited to have historically caused conflict between drug
counselors and CPS workers in their attempts at collaboration:
A | Counselors tend to view abusing parent as having a treatable disease while CPS views
parent as having made irresponsible choices | C | CPS agencies tend to have shorter
and more well-defined time frames for resolution and recovery | B | Focus for CPS is the
child’s safety while focus for counselor is treating the parent | D | All are cited |
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34.
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Chapter 6: Legal Responsibilities and Recourse Which is not
consistent with the manual’s initial overview of laws and conditions surrounding reporting
incidents of known or suspected child abuse or neglect:
A | 18 States require all citizens to report suspected
abuse/neglect | D | In making an initial report to CPS, the mandated reporter should provide only the
basic information required by State law | B | If a professional fails to report in accordance
with the State mandatory reporting statutes and this results in injury to the child, they may face
criminal charges, a civil suit or a revoked license | E | A recent study shows that most clients suspected
of abuse do not stay in treatment after a report | C | A counselor is generally under no obligation to
report abuse/neglect a client suffered as a child many years
ago |
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35.
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Which of the following is not a condition the manual describes as being
reportable in most states:
A | Serious physical injury to a child by a parent or other adult that in not
accidental | D | Sexual touch or exploitation of the child by the adult | B | Refusal of the parent
to seek or consider medical attention for a child who appears injured or ill to the point that a
reasonable person would seek medical attention | E | Child is not registered for/attending school and
no documentation of home schooling is found | C | Leaving an early adolescent child in charge of
babysitting a younger child |
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36.
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Which is true regarding parental substance abuse being viewed by states as child
abuse/neglect:
A | In New York, giving birth to a drug-exposed infant is a criminal offense which may
send a mom to prison | C | In South Carolina, DA’s treat situations in which a pregnant woman is using
drugs as subject to ‘duty-to-report’ provisions | B | As of 1991, no states
had successfully charged women with felonies for substance use during pregnancy | D | The same state reporting standards are applied
to pregnant women who use alcohol or smoke as pregnant women who use
drugs |
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37.
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Which is not a listed potential outcome of a CPS agency investigation:
A | Reaches an agreement with the family regarding changes and services
needed | D | Refers the case to criminal justice officials | B | Brings a neglect or
abuse petition against parent or guardian | E | All are given | C | Removes the child in a life-threatening
situation |
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38.
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In dealing with CPS agencies, Courts and Law Enforcement, which scenario below
is not properly matched with a lawful counselor response:
A | CPS sends a Request for Information Release signed by the client which does NOT
comply with Federal Confidentiality regulations / counselor does NOT release any client
information | D | A police officer or detective visits to ask questions about a client facing criminal
child abuse charges / the counselor discusses this with the client and obtains written consent before
speaking with the officer | B | Lawyer calls to get information on a client who
has not given written consent to the communication / counselor does not release any information until
after obtaining written consent | E | All scenarios / counselor responses are properly matched | C | A subpoena is issued
by the CPS agency’s lawyer and signed by a judge / the counselor automatically obeys the
request, whatever it may be |
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39.
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Chapter 7: Emerging and Continuing Issues Which is counter to the
emerging trends cited in the final chapter:
A | The 1996 Congressional overhaul of welfare resulted in a program called TANF, which
imposes work requirements on aid recipients, limits the time benefits can be received and bars
benefits from certain categories of people | D | Funders are increasingly holding CPS
agencies, health care services and substance abuse treatment programs accountable for demonstrating
specific outcomes | B | State implementation of Federal Law will trend toward less tolerance of children
living with substance abusing parents, less time for abusing parents to comply with CPS mandates, and
quick loss of parental rights for repeat CPS offenders | E | Demographic trends suggest that over the past 20
years the number of people over 35 using illicit substances is on the decline | C | Since managed care
systems are usually paying for persons entering treatment, nonhealth professionals are more often
making treatment decisions, resulting in authorizations for fewer sessions at less
intensity |
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In order to issue
your certificate, the questions below are required but have a zero point value in the final grade
analysis
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40.
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Please choose one of the options below for receiving your certificate of
CEH’s.
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41.
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We will need your mailing address or your Fax # if
you chose either of these options for receiving your certificate of hours.
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42.
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If you have one, indicate your licensing organization, license type and # (ex. BBS, MFT#123456). Returning participants may leave this
blank
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Required Evaluate the course by
choosing one of the responses below for each question. This data will help us to improve our program
and meet certifying organization requirements. Thank you for allowing QUE to be your provider.
A | Excellent | C | Average | B | Above Average | D | Below Average |
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43.
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The extent to which this course met the objectives
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44.
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The adequacy of the author’s mastery of the subject
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45.
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Efficiency of course mechanics
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46.
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The applicability or usability of the information for you
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47.
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Website functionality and ease of use
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48.
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Availability of course instructors (does the website provide adequate direction
on how to access a staff member or instrutor if needed for assistance?)
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Short Answer
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Please provide us with any additional comments or suggestions that would help us
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