Deck 5: Helping Clients Change

Question 1

Assertion is best understood when compared with three other behavioral responses; they are .

A) dependence, independence/dependence, and independence
B) intuition, logic/intuition, and logic
C) aggression, passivity/aggression, and passivity
D) conformity, individuality/conformity, and individuality

Answer 1

C

Question 2

Which of the following is used to indicate the not infrequent reality of a substance use disorder and other psychological concerns occurring together?

A) High-risk situations
B) Dual diagnosis
C) Lead-ins
D) Iatrogenic effects

Answer 2

B

Question 3

Which of the following is a valid treatment medication for individuals addicted to tobacco?

A) Varenicline and bupropion
B) Methadone, buprenorphine, and naltrexone
C) Disulfiram, acamprosate, and naltrexone
D) Naltrexone

Answer 3

A

Question 4

Behavioral therapies-including individual, family, or group counseling-have rarely been used in drug abuse treatment.

Question 5

Identify the true statement from the following principles:

A) Treatment has to be voluntary to be effective.
B) Medically assisted detoxification is very often sufficient to help addicted individuals achieve long-term abstinence.
C) Drugs of abuse alter the brain's structure and function, resulting in changes that reverse soon after drug use is stopped.
D) Treatment programs should test for presence infectious diseases (e.g., HIV/AIDS) and provide targeted risk reduction counseling.

Question 6

Addiction to prescription stimulants, which affect the same brain systems as illicit stimulants like cocaine, can be treated with behavioral therapies as there are no medications yet for treating addiction to these types of drugs.

Question 7

The strength of what from the following depends on the facilitative qualities and strategies a counselor uses to create a positive environment for exploration and change?

A) Relaxation training
B) Cultural sensitivity
C) The counseling relationship
D) Modeling

Question 8

Culturally sensitive counselors realize that the act of receiving help from a professional is alien to many cultural traditions and for many clients the idea of therapy is anxiety-provoking and upsetting.

Question 9

Potential patients can be lost if treatment is not immediately available or readily accessible.

Question 10

Which of the following techniques is used in combination with relaxation training to deal with specific environmental factors that typically provoke anxiety or resultant substance abuse?

A) Contingency management
B) Modeling
C) Contingency contracting
D) Systematic desensitization

Question 11

Write a short note on behavioral self-control training and medications.

Question 12

Self-disclosure, a powerful tool used in a counter-therapeutic fashion, is the sharing of the counselor's personal experiences, feelings, and attitudes with a client-but only for the sake of the client.

Question 13

Which of the following strategies to create an environment for change facilitates the counselor to clarify the client's needs, beliefs, short-circuit maladaptive defense mechanisms, and moves the therapeutic process along deeper levels?

A) Questioning
B) Reflection
C) Reinstatement
D) Lead-ins

Question 14

Which of the following facts corroborates the principle of criticality of remaining in treatment for adequate period?

A) Recovery from drug addiction is a long-term process and frequently requires multiple episodes of treatment.
B) As with chronic illnesses, relapses to drug abuse hardly occur and do not signal reinstatement of treatment.
C) A single line of treatment is mostly appropriate for everyone.
D) Every drug abuse individual should be treated with medication and counseling.

Question 15

Discuss in brief the principles of effective treatment.

Question 16

Which of the following statements gives the correct information about drug treatment?

A) Because drug addiction is typically a chronic disorder characterized by occasional relapses, a short-term, one- time treatment is usually sufficient.
B) Group therapy is highly recommended for adolescents as it provides social reinforcement that promotes abstinence and a non-drug-using lifestyle.
C) Treatment can occur in a variety of settings, take many different forms, and last for different lengths of time with regular monitoring.
D) Contingency management and cognitive-behavioral therapy are not suitable for group settings.

Question 17

Kevin shares his feelings of pain and helplessness of losing his mother when he was a teenager. The counselor, while being understanding, nonjudgmental, and comforting, tries to vicariously experience Kevin's feelings. Name the facilitative relationship that the counselor is building.

A) Reflection
B) Empathy
C) Silence
D) Respect