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Child Abuse and Neglect Substance Abuse Treatment

Multiple Choice
Identify the choice that best completes the statement or answers the question.
 

 1. 

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.
A
True
B
False
 

 2. 

A person’s risk of developing a substance abuse disorder increases as a result of childhood physical, sexual, emotional abuse or neglect.
A
True
B
False
 

 3. 

What is the most prevalent type of childhood maltreatment?
A
Physical abuse
C
Sexual abuse
B
Emotional abuse
D
Neglect
 

 4. 

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
 

 5. 

PTSD is not a common disorder among people who were abused physically or sexually as children.
A
True
B
False
 

 6. 

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.
A
True
B
False
 

 7. 

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
 

 8. 

There are four major types of child maltreatment.
A
True
B
False
 

 9. 

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.
A
True
B
False
 

 10. 

Many adults receiving treatment for substance abuse who have a history of childhood abuse and neglect will have a coexisting psychiatric disorder.
A
True
B
False
 

 11. 

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
 

 12. 

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
 

 13. 

Any counselor or treatment provider screening for childhood trauma should receive specific training in these issues.
A
True
B
False
 

 14. 

Adults who were abused as children are more likely to use drugs and alcohol.
A
True
B
False
 

 15. 

Most child abuse occurs:
A
Outside the family
C
Both a and b
B
Within the family
D
Neither a nor b
 

 16. 

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.
A
True
B
False
 

 17. 

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.
A
True
B
False
 

 18. 

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
 

 19. 

Many clients may find it easier to “confide” their history to a computer screen or a piece of paper than to another person.
A
True
B
False
 

 20. 

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
 

 21. 

The following treatment approach addresses dual diagnosis (substance abuse and mental health treatment):
A
Integrated
C
Sequential
B
Concurrent
D
All of the above
 

 22. 

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.
A
True
B
False
 

 23. 

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
 

 24. 

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
 

 25. 

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’
 

 26. 

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:
A
True
B
False
 

 27. 

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
 

 28. 

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
 

 29. 

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
 

 30. 

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
 

 31. 

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.
A
True
B
False
 

 32. 

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
 

 33. 

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
 

 34. 

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
 

 35. 

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
 

 36. 

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
 

 37. 

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
 

 38. 

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
 

 39. 

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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 C
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 B
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 44. 

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 45. 

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 46. 

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