Deck 13: Addictions Counseling

Question 1

It can be said that the co-occurrence of problematic substance use and mental illness is the rule rather than the exception.

Answer 1

True

Question 2

According to research data from the Substance Abuse and Mental Health Services Administration (SAMHSA), the average length of time between first use of primary substance of abuse and treatment entry among adult first-time treatment admissions is:

A) 5 years
B) Less than 2 years
C) 10 years
D) More than 15 years

Answer 2

D

Question 3

For a client who is not at imminent risk for intoxication/withdrawal potential, biomedical complications, emotional or cognitive difficulties, or relapse/continued use, but could benefit from participating in structured treatment services offered 3 hours/day, 3-4 days/week, what ASAM level of care would be most appropriate?

A) Level 1: Out-patient services.
B) Level 2: Intensive out-patient/partial hospitalization services.
C) Level 3: Medically monitored inpatient treatment.
D) Level 4: Medically managed inpatient treatment.

Answer 3

B

Question 4

Which of the following racial/ethnic groups in the United States has the highest rates of substance abuse or substance dependence?

A) African Americans
B) Asian Americans
C) Hispanic/Latino Americans
D) Native Americans

Question 5

One difference between contingency management (CM) and the community reinforcement approach (CRA) is that CM makes use of X sources of reinforcement and CRA makes use of Y sources of reinforcement.

A) X = naturalistic; Y = contrived.
B) X = positive; Y = negative.
C) X = contrived; Y = naturalistic.
D) X = negative; Y = positive.

Question 6

Mark has been sober from his problematic alcohol use for 2 weeks now and is seeking counseling from you to help him maintain his sobriety. His wife, Ann, has never had a substance use problem, and wants to do all that she can to support him in his efforts to stay clean. Of the following treatment approaches, which one would be the most effective, based on research findings?

A) Have Ann videotape Mark while he is intoxicated and then have Mark watch himself on tape sober in order to scare him into changing his drinking.
B) Invite both Mark and Ann to participate in behavioral couples therapy with a motivational emphasis.
C) Require that Mark participate in individual confrontational counseling.
D) Send Mark to a psychoeducational group that uses primarily lecture and training videotapes.

Question 7

The lack of health care coverage and an inability to afford the cost of treatment is the most common reason given for not receiving treatment for problematic alcohol or drug use, even when persons recognize their need for treatment.

Question 8

The most effective method for preventing problematic substance use among elementary and middle school students is Drug Abuse Resistance Education (or DARE) and the use of scare tactics.

Question 9

Encouraging attendance and involvement in Alcoholics Anonymous is not recommended in any evidence-based practice.

Question 10

The purpose of screening for problematic substance use is to determine a diagnosis.

Question 11

Match the term with its definition.
-Biopsychosocial

A)Cognitive-behavioral treatment for concerned family members.
B)Criteria for physiological dependence.
C)Comprehensive assessment.
D)Primary skill used in motivational interviewing.
E)Brief screening tools.

Question 12

Match the term with its definition.
-CAGE and TWEAK

A)Cognitive-behavioral treatment for concerned family members.
B)Criteria for physiological dependence.
C)Comprehensive assessment.
D)Primary skill used in motivational interviewing.
E)Brief screening tools.

Question 13

Match the term with its definition.
-Tolerance and Withdrawal

A)Cognitive-behavioral treatment for concerned family members.
B)Criteria for physiological dependence.
C)Comprehensive assessment.
D)Primary skill used in motivational interviewing.
E)Brief screening tools.

Question 14

Match the term with its definition.
-CRAFT

A)Cognitive-behavioral treatment for concerned family members.
B)Criteria for physiological dependence.
C)Comprehensive assessment.
D)Primary skill used in motivational interviewing.
E)Brief screening tools.

Question 15

Match the term with its definition.
-Empathic Reflections

A)Cognitive-behavioral treatment for concerned family members.
B)Criteria for physiological dependence.
C)Comprehensive assessment.
D)Primary skill used in motivational interviewing.
E)Brief screening tools.