Chapter 5: Sustaining Recovery
| 1: One of the paradigms of ROSC is to focus on: |
| strengths and resiliencies. |
| problem oriented care. |
| family and community interventions. |
| level of care assessment. |
|
| 2: Groups have different behaviors, values, and ideas that professionals refer to as: |
| group rules. |
| group status. |
| stages of group. |
| group culture. |
|
| 3: Which of the following is true about relapse? |
| People who complete treatment rarely relapse. |
| People who are involved in 12-step programs rarely relapse. |
| People with a strong network rarely relapse. |
| Relapse is more the rule than the exception. |
|
| 4: Recovery oriented systems of care (ROSC) refers to: |
| the self (mutual)-help recovery movement. |
| the need for long-term recovery case management and peer-to-peer support. |
| treatment programs that use the Stages of Change model of treatment. |
| making sure that the client enters treatment oriented to the continuum of care model. |
|
| 5: Recovery oriented systems of care (ROSC) seek to build on "________": the quantity and quality of both internal and external resources. |
| recovery capital |
| service providers |
| recovery leverage |
| recovery capacities |
|
| 6: The new paradigm sees substance use disorders as: |
| mental health problem. |
| needing only short-term treatment. |
| a chronic, relapsing disease. |
| a result of depression. |
|
| 7: Being emotionally literate offers relief from: |
| getting panicked by the experience of emotions. |
| being nagged by family. |
| being able to read other people's emotions. |
| being able to read the "Big Book" and understand the emotions expressed. |
|
| 8: Research shows that the outcome of treatment often depends on _____, a sense that one can make a difference. |
| helping others |
| self-esteem |
| self-efficacy |
| positive attitudes |
|
| 9: When an alcoholic passes a bar and feels a strong craving to drink because he associates the smells and sounds as a feeling of being high, he is demonstrating: |
| operant conditioning. |
| classical conditioning. |
| the Pleasure Principle. |
| irrational thinking. |
|
| 10: Aaron Beck (et al.) described three (3) general beliefs that perpetuate addictive thinking. They are: |
| could use; should use; will use. |
| denial; minimization; projection. |
| anticipatory; relief-oriented; permissive. |
| distorted; irrational; unreasonable. |
|
| 11: One of the major first steps in helping a client develop a relapse plan is to: |
| provide the client with basic coping skills. |
| teach the client to be assertive and have refusal skills. |
| ensure that the client gets into a self-help program. |
| assess client’s history to identify potential triggers for use. |
|
| 12: The concept that a minor relapse often leads to a major relapse because of feelings of failure, loss, and disappointment with self is known as: |
| Stinking Thinking. |
| Abstinence Violation Effect. |
| Lost Time Scenario. |
| Fear of Failure Syndrome. |
|
| 13: According to the Marlatt and Gordon model of relapse, people relapse because: |
| they lack knowledge of how drugs and alcohol affects them. |
| they lack coping skills for high-risk situations and have decreased self-efficacy. |
| they fail to listen and understand what their counselors tell them. |
| they have other emotional problems. |
|
| 14: Contingency management (CM) is a system of reinforcing client’s behavior by: |
| punishing clients who relapse. |
| rewarding positive behavior with vouchers or tokens. |
| promoting those clients who are successful to more responsible jobs. |
| making discharge contingent on reaching recovery goals. |
|
| 15: When a person is using alcohol or drugs, they develop _______ with the people, places, and things connected to their drug-using experience. |
| unconscious associations |
| negative feelings |
| strong connections |
| positive feelings |
|
| 16: When working with PTSD clients experiencing flashbacks, it is important: |
| to turn on bright lights and remind them where they are. |
| get close to them and repeat that they will be OK. |
| tell them to calm down and say everything will be OK. |
| to respect the client's need for personal space. |
|
| 17: ________ is a the general term given to the process of changing the client’s thought pattern. |
| Cognitive restructuring |
| Thought generalization |
| Cognitive dissonance |
| Patterned response |
|
| 18: Operant behavioral conditioning assumes substance use is developed and maintained through reinforcement. |
| TRUE |
| FALSE |
|
| 19: When a person has used drugs for some time, he or she suffers from emotional illiteracy. |
| TRUE |
| FALSE |
|
| 20: Abstinence Violation Effect (AVE) means the client sees relapse as: |
| not a big deal. |
| a failure. |
| a learning experience. |
| an inability to see consequences of use. |
|
| 21: Faces and Voices of Recovery is a group dedicated to maintaining anonymity for individuals with SUDs. |
| TRUE |
| FALSE |
|
| 22: Diagnosis of PTSD or related disorders must be done by a health professional licensed to perform psychiatric diagnosis. |
| TRUE |
| FALSE |
|
| 23: Mindfulness is about creating a trancelike state of mind. |
| TRUE |
| FALSE |
|