Chapter 1: Introduction to the Treatment of Substance Use Disorders
| 1: When an addicted person enters counseling, counselors should: |
| deal first with the underlying problems. |
| use psychoanalytic approaches. |
| see the family first. |
| treat the addiction first. |
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| 2: Addiction treatment: |
| only involves counseling. |
| involves many tasks beyond counseling. |
| deals only with people who solely have drug and alcohol problems. |
| involves knowing 10 major schools of counseling. |
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| 3: In developing a counseling relationship counselors need to: |
| be supportive, emphatic, and collaborative. |
| be confrontational, direct, and controlling. |
| take command and make suggestions for recovery |
| be sympathetic but authoritative. |
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| 4: Which of the following is not one of the eight TAP 21 practice dimensions? |
| Treatment planning |
| Service coordination |
| Education |
| Have a list of activities that client must do |
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| 5: Clients who have involuntary, mandated, or stipulated requirements: |
| rarely succeed in addiction recovery. |
| may be motivated by "therapeutic leverage." |
| should be treated in a separate program. |
| are only common in mental health and other types of treatment programs. |
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| 6: Treatment differs from recovery because: |
| recovery does not involve professionals. |
| treatment is long term and expensive. |
| treatment is a short episode for a chronic problem. |
| recovery can not occur without treatment. |
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| 7: "Level of Care" refers to: |
| the ratio of clients to counselors in a program. |
| the intensity of treatment indicated by assessment. |
| the quality of care as indicated by JCAHO. |
| all addicts have dependent personality disorder. |
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| 8: When it comes to treatment: |
| programs are uniform. |
| all clients require a minimum of 30 days of care. |
| there is tremendous diversity in types of care. |
| insurance covers all type of programs. |
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| 9: Using ASAM 's Levels of Care, which of the following is in Level lll? |
| Outpatient |
| Intensive outpatient program |
| Medically managed intensive impatient |
| Residential services |
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| 10: ASAM criteria is designed to: |
| screen out inappropriate clients. |
| provide guidelines for diagnosis of addiction. |
| determine level of care by severity of addiction. |
| provide guideline for treatment programs. |
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| 11: Which of the following is a major difference between outpatient and intensive outpatient? |
| Clients in intensive outpatient have serious mental illnesses. |
| Outpatient can only be once or twice a week. |
| Outpatient is less than 10 hours and inpatient 10 to 30 hours a week. |
| There is no group treatment in outpatient. |
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| 12: Oxford House is an example of: |
| a model treatment program. |
| a 12-step program. |
| a facility for people with co-occurring disorders. |
| a cooperative living arrangement with recovering alcoholics. |
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| 13: Methadone maintenance is effective because: |
| it provides a cheaper high. |
| it costs less than heroine. |
| it cannot be abused. |
| it is administered orally and reduces the rushes, highs, and lows of other opiates. |
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| 14: Brand names for buprenorphine include: |
| Milltown and Methadone. |
| Allay and Normed. |
| Subutex and Suboxone. |
| Sublimaze and Duragesic. |
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| 15: Detoxification is designed to: |
| get the client to agree to inpatient care. |
| start learning about how alcohol and other drugs affect the body and mind. |
| improve the client's attitude and mental thinking. |
| stabilize the patient and allow for safe withdrawal. |
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| 16: Since 1987, inpatient treatment has: |
| increased by 50% |
| decreased by more than half |
| decreased by 10% |
| increased by 20% |
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| 17: An agonist drug is a drug that occupies a receptor cite and blocks and does not mimic any of the effects of the drug. |
| TRUE |
| FALSE |
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| 18: Disulfiram (Anabuse) treats alcoholism by: |
| reducing cravings for the drug. |
| causing the drinker to be violently ill if he or she drinks any alcohol. |
| acting as an anti-depressant. |
| blocking the effects of the neurotransmitter GABA. |
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| 19: AA was started in 1935 by: |
| William Wilson and Dr. Bob Smith. |
| Prochaska and DiClemente. |
| William Miller. |
| Christopher Smithers. |
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| 20: Since AA has been so successful, counselors should discourage attendance at any other self-help program or movement. |
| TRUE |
| FALSE |
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| 21: When it comes to the efficacy of a particular school of therapy, there is definite evidence that certain schools of therapy are more effective with addiction than others. |
| TRUE |
| FALSE |
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| 22: No personality type fits all SUDs. |
| TRUE |
| FALSE |
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| 23: Initial referral and admissions should be determined by insurance and need for detox. |
| TRUE |
| FALSE |
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| 24: The objectives of counseling ethics is to: |
| protect the counselor from malpractice. |
| maintain and protect client's welfare. |
| protect the public from consequences of addiction. |
| maintain the integrity of the agency. |
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