Deck 6: Understanding and Treating Substance Use Disorders With Clients in Crisis

Question 1

All of the following are viewed as possible causes of addiction from the psychodynamic model EXCEPT

A)negative experiences associated with one's support systems are at the root of one developing addiction.
B)history of psychopathology is a precursor for addiction.
C)dysfunctional attachment with parents or other providers during childhood.
D)substance problems develop due to poor affect regulation.

Answer 1

A

Question 2

What is the main purpose of conducting an assessment?

A)Identify the specific condition(s)and a basis for treatment interventions.
B)Gather clinical data to get an accurate picture of the client's issues.
C)To assess whether further information is necessary.
D)To determine whether treatment planning has been beneficial.

Answer 2

B

Question 3

Integrating behavioral approaches is most likely to occur during the __________ stage of Prochaska and DiClemente's stages of change model.

A)precontemplation
B)contemplation
C)action
D)preparation

Answer 3

C

Question 4

__________ is the psychoactive drug with the highest dependence potential.

A)Caffeine
B)LSD
C)PCP (smoked)
D)Heroin (IV)

Question 5

Which of the following statements BEST describes the NIAAA's recommended level of daily drinking for men and women?

A)Women and men should consume no more than four drinks a day.
B)Women should consume no more than one drink a day and men no more than two drinks a day.
C)Women should consume no more than two drinks a day and men no more three drinks a day.
D)No alcohol should be consumed.

Question 6

__________ is the BEST contributing factor to initial substance use for adolescents?

A)Lowered self-esteem
B)Intimacy issues
C)Axis II disorders
D)Availability of the substance

Question 7

In 2012,__________ was the most commonly used illicit substance in the United States.

A)alcohol
B)crack cocaine
C)marijuana
D)heroin

Question 8

The best tool for use in conducting a clinical assessment is the

A)DSM-5 or ICD-10.
B)SASSI-3.
C)clinical interview.
D)mental status exam.

Question 9

Counselors must remember that when conducting an assessment

A)information will continually need to be updated.
B)self-report data may create some inherent bias.
C)counselors must assess level of motivation.
D)All of the above.

Question 10

All of the following are examples of hallucinogens EXCEPT

A)ketamine.
B)mescaline.
C)phencyclidine.
D)codeine.

Question 11

The proper treatment sequence when addressing substance use disorders is

A)screening,testing,diagnosis,assessment,treatment placement.
B)assessment,testing,screening,treatment placement,diagnosis.
C)screening,assessment,testing,diagnosis,treatment planning.
D)treatment planning,screening,assessment,testing,diagnosis.

Question 12

One outcome of the Comprehensive Drug Abuse Prevention and Control Act of 1970 was to

A)develop a classification system for all drugs.
B)establish treatment parameters for various treatment placements.
C)identify safe manufacturing practices for drug companies.
D)provide legal guidelines for interstate commerce.

Question 13

What is the fastest way for a drug to reach one's brain?

A)Injecting into the vein
B)Ingesting
C)Mucous membrane
D)Inhaling

Question 14

The __________ model of addiction holds that clients who develop chronic alcohol dependence and continue drinking or ever return to heavy drinking will likely die.

A)biological/genetic
B)disease
C)neurotransmitter
D)multicausal

Question 15

One of the main concerns with nonmedical prescription opiate use is

A)withdrawal is more dangerous than with traditional opiates due to purity levels.
B)the ease of which the substances are available from family and friends.
C)overdose can happen much quicker than with heroin due to concentration and potency.
D)relapse prevention is more difficult than with other substances due to addiction potential.

Question 16

Which of the following statements best reflects client's reporting of AOD use?

A)Clients tend to over report alcohol consumption.
B)Clients tend to underreport drug use.
C)Clients tend to over report criminal activity.
D)None of the above.

Question 17

All of the following are true for client's dealing with relapse EXCEPT that

A)both intrapersonal and interpersonal factors must be examined.
B)counselors should start addressing relapse issues early in the treatment process.
C)relapse often means the client has lost much of the progress made prior to the relapse.
D)relapse most commonly occurs in the first 30 days following treatment.

Question 18

The easiest way to screen for potential substance use problems is to

A)use the SASSI-3,MAST,or AUDIT screening tools.
B)use the DSM-5.
C)use the frequency and amount questions.
D)conduct a clinical interview.

Question 19

The primary clinical difference between substance abuse and dependence is

A)increasing psychosocial problems and legal problems.
B)evidence of tolerance and symptoms of withdrawal.
C)significantly altering one's state of unconsciousness.
D)requirement for increasing level of treatment care.

Question 20

The __________ stage of Prochaska and DiClemente's stages of change model proposes that the counselor focus exclusively on using motivation techniques.

A)precontemplation
B)contemplation
C)maintenance
D)preparation

Question 21

Gilliland identified a six step model of crisis intervention.What is the proper sequence of activities for the action steps?

A)Obtaining commitment,defining the problem,making plans
B)Examining alternatives,making plans,obtaining commitments
C)Obtaining commitment,examining alternatives,providing support
D)Ensuring client safety,providing support,making plans

Question 22

The number of adults currently struggling with co-occurring disorders ranges from

A)1-3 million.
B)4-6 million.
C)7-10 million.
D)11-15 million.

Question 23

An advantage of using an integrated substance abuse and mental health approach when treating clients with co-occurring disorders is

A)it significantly lowers rate of relapse.
B)individualized planning and personalization of services.
C)it increases the availability of treatment funding.
D)clients can address concerns quickly.

Question 24

Which of the following would NOT be considered a form of harm reduction?

A)A detoxification program as part of a treatment program
B)A needle exchange program at a homeless shelter
C)Availability of free condoms at a halfway house
D)Free taxi service on New Year's eve sponsored by MADD

Question 25

Counselors should be knowledgeable of multicultural competencies.Which of the following is NOT considered one of these competencies?

A)Counselor awareness of own cultural values and biases
B)Awareness of client's worldview
C)Intervention strategies that are culturally appropriate
D)Understanding that all counseling is multicultural counseling