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?

Accepted Answer

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.

Accepted Answer

An effective intervention does not necessarily require the client to commit to a target date for entering treatment during the intervention itself. The focus is on encouraging the client to seek help, not on setting a specific date.

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.

Accepted Answer

Validating the insurance is not typically considered an important element of the initial personal contact in a therapeutic or counseling context, as it is more of an administrative task.

Question 4

Level of care criterion is the same for both adolescents and adults.

Accepted Answer

The level of care criterion often differs between adolescents and adults due to developmental, psychological, and sometimes physiological differences. Adolescents may require different approaches or considerations in treatment compared to adults.

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.

Accepted Answer

Given Lorenzo's history of daily drinking, domestic violence when using, a recent diagnosis of hepatitis C, and previous unsuccessful detox attempts without follow-up treatment, he meets the criteria for inpatient treatment according to the ASAM (American Society of Addiction Medicine) scales. This level of care is indicated due to the severity of his addiction, the presence of a co-occurring medical condition, and his living situation, which does not support sobriety.

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.

Accepted Answer

Half-way house is not typically classified as a "level of care" in the context of medical or psychological treatment models. Levels of care usually refer to the intensity and type of medical, psychiatric, or substance abuse treatment services provided, such as outpatient treatment, residential inpatient, intensive outpatient treatment, and clinically managed, high-intensity residential services. Half-way houses are more related to transitional living situations for individuals, often used for reintegration into society, and do not constitute a specific level of medical care.

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.

Accepted Answer

The correct criterion for the diagnosis of Substance Use Disorders is provided by the Diagnostic and Statistical Manual of Mental Disorders (DSM), which is referred to in option E. The DSM is a publication by the American Psychiatric Association that offers a common language and standard criteria for the classification of mental disorders.

Question 8

Consistency is a critical element in establishing trust.

Accepted Answer

Consistency in actions, behaviors, and communication helps build reliability and predictability, which are foundational to establishing trust in relationships, whether personal or professional.

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?

Accepted Answer

The answer of A clinician should be knowledgeable in the...

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.

Accepted Answer

John D's situation fits within ASAM Dimension 4, which is "Readiness to Change," not listed among the options provided.

Question 11

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

Accepted Answer

The answer of Denial must be addressed, at least minimally,...

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

Accepted Answer

Self-disclosure of a therapist's own issues is not typically considered an essential element in establishing trust within the therapeutic alliance. Trust is more about creating a safe, reliable, and honest environment for the client.

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

Accepted Answer

Counselors should consider the whole person and any co-occurring disorders or issues from the beginning, as these can significantly impact the client's addiction and recovery process. Ancillary referrals can be crucial at any stage for comprehensive care.

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?

Accepted Answer

The answer of John is self-referred to treatment for Opiate...

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?

Accepted Answer

The answer of Kim is a 17-year-old female diagnosed with...

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?

Accepted Answer

The answer of ypically, addiction impacts multiple areas of a...

Question 17

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

Accepted Answer

The answer of he text identifies several highly sophisticated toxicology...

Question 18

After _______ year(s) of sobriety, relapse rated fall to near zero.
A) 1
B) 2
C) 3
D) 5
E) 10

Accepted Answer

After five years of sobriety, relapse rates significantly decrease, often falling to near zero, indicating a strong establishment of recovery habits and coping mechanisms.

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.

Accepted Answer

Jill is medically stable and has been sober for two weeks, indicating she does not need detoxification or inpatient treatment. Her anxiety is related to legal issues, not severe withdrawal or medical instability. She has a support system (a friend in recovery) and lives alone, making outpatient treatment appropriate to address her substance use and related issues.

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.

Accepted Answer

The answer of Substance Use Disorder should have specifiers regarding:
A)...

Quiz 2: 1st Hours

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?

All the following are elements of an effective intervention except:

he following are all referenced as important elements of the initial contact with exception of:

Level of care criterion is the same for both adolescents and adults.

he following are all recognized "levels of care" with the exception of:

Criterion for diagnosis of Substance Use Disorders is guided by criterion from the:

Consistency is a critical element in establishing trust.

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

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?

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

rust is essential to the therapeutic alliance. Which of the following is NOT an important element in the establishment of trust?

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

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?

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?

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

After _______ year(s) of sobriety, relapse rated fall to near zero.

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.