Deck 2: 1st Hours

Question 1

One of the elements critical to treatment placement is recovery/living environment. Why is this important to consider. Given an example how living environment can aid recovery? Be a barrier to recovery?

Answer 1

What if a client lives in a living situation where everyone drug use is rampant. Would this increase their likelihood of relapse? Similarly what if some lives with aher person in recovery, and has no access to mood altering substances in their home environment. This can reduce some relapse potential.

Question 2

All the following are elements of an effective intervention except:
a. positive regard.
b. participants writing letters reflecting specific incidents in which they were impacted by the clients use.
c. a treatment facility must already be lined up.
d. the clients should commit to a target date where they will enter treatment.
e. conducted at a neutral location.

Answer 2

the clients should commit to a target date where they will enter treatment.

Question 3

he following are all referenced as important elements of the initial contact with exception of:
a. unconditional positive regard.
b. offer a facility tour to the family if possible.
c. honesty and kindness.
d. affirming the clients choice for treatment.
e. validating the insurance.

Answer 3

validating the insurance.

Question 4

Level of care criterion is the same for both adolescents and adults.
The following are all short answer questions:

Question 5

Lorenzo has been a daily drinker with a history of domestic violence when using. He has recently been diagnosis as positive for hepatitis C. He has been detoxed in the past but never followed up by going to treatment. He currently lives with a group of college friends who are also heavy drinkers. Using the ASAM scales, ill meets the criterion for:
a. detoxification.
b. inpatient treatment.
c. outpatient treatment.
d. private counseling.
e. 12-step meetings.

Question 6

he following are all recognized "levels of care" with the exception of:
a. outpatient treatment.
b. residential inpatient.
c. half-way house.
d. intensive outpatient treatment.
e. clinically managed, high-intensity residential services.

Question 7

Criterion for diagnosis of Substance Use Disorders is guided by criterion from the:
a. Diagnosis Manual.
b. American Medical Association.
c. American Medical Society.
d. American Society of Addiction Medicine.
e. Diagnostic and Statistical Mental Disorders.

Question 8

Consistency is a critical element in establishing trust.

Question 9

A clinician should be knowledgeable in the community demographics and cultures. Why is this referral in treatment, or the selection of referrals sources?

Question 10

John D came into treatment willingly following an intervention facilitated by family and friends. He identifies having a problem and needs to change. What ASAM Dimension would this fit within?
a. Acute Intoxication/withdrawal complications.
b. Biomedical conditions.
c. Emotional, behavioral, or cognitive conditions.
d. Relapse potential.
e. None of the above.

Question 11

Denial must be addressed, at least minimally, in the initial hours of treatment.

Question 12

rust is essential to the therapeutic alliance. Which of the following is NOT an important element in the establishment of trust?
a. Consistency
b. If you say you are going to do something, do it.
c. Self disclose one of your own issues.
d. Never manipulate a client, even to gain a positive outcome.
e. Always use the truth

Question 13

Initially, counselors must only focus on the clients' addiction. Ancillary referrals should only be considered after the client is in the action stage

Question 14

John is self-referred to treatment for Opiate use. He was diagnosed with a Opiate Use Disorder with physiological dependence. He has no complicating medical concerns, works full time, and has no treatment resistance. Presently, he lives in an apartment with a friend who uses opiate pain medicine daily.his means opiate medication is in the household. Which of the ASAM Dimensions would have the most concern?

Question 15

Kim is a 17-year-old female diagnosed with drug dependence. Her parents are supportive and have removed all drugs of abuse from the home. She is presently behind in school. What would be the ideal level of care? Why?

Question 16

ypically, addiction impacts multiple areas of a person's life. What are some typical complicating issues and needs a person may have? What are some community resource systems that may be important to be familiar with?

Question 17

he text identifies several highly sophisticated toxicology technologies capable of rendering diagnosis.

Question 18

After _______ year(s) of sobriety, relapse rated fall to near zero.
a. 1
b. 2
c. 3
d. 5
e. 10

Question 19

Jill was court ordered to treatment following a series of drunken driving mishaps. She has been sober for two weeks and is medically stable. While she admits being anxious, most of this is related to her legal consequences. She lives alone and has a friend in recovery. Using the ASAM scales, ill meets the criterion for:
a. detoxification.
b. inpatient treatment.
c. outpatient treatment.
d. private counseling.
e. 12-step meetings.

Question 20

Substance Use Disorder should have specifiers regarding:
a. whether it is Chemical Dependency of Not.
b. if physiological dependence is, or is not present.
c. if biological dependence is, or is not present.
d. the clients stage of change.
e. none of the above.