Chapter 9: Co-Occurring Disorders
| 1: There is a very low percentage of substance use disorder clients who have a co-occurring mental illness. |
| TRUE |
| FALSE |
|
| 2: According to surveys done by the national Mental Health Association , ____ of people diagnosed with alcohol or substance abuse also had a mental disorder. |
| 0.13 |
| 0.33 |
| 0.52 |
| 0.85 |
|
| 3: The four-quadrant model: |
| states that the severity of the illness should match the dosage of medication. |
| states that the severity of the substance abuse should match the intensity of treatment. |
| determines service needs of co-occurring clients based on severity of mental health and substance abuse. |
| determines treatment for co-occurring clients based on four evidenced-based treatment models. |
|
| 4: Contingency management (CM) provides: |
| a system of positive and negative consequences to target specific behaviors. |
| the use of the ABCDE cognitive behavioral mode to change clients thinking. |
| provides medication based on the clients symptoms. |
| provides counselor supervision based on the severity of the client’s mental illness or addiction. |
|
| 5: A person who is high on cocaine can be confused with: |
| major depression. |
| borderline personality disorder. |
| obsessive compulsive disorder. |
| paranoid schizophrenic. |
|
| 6: The wellness recovery action plan was developed by Mary Ellen Copeland as a: |
| tool for psychiatrist to determine need for medication. |
| tool for mental health consumers to create their own plan of recovery. |
| tool to help counselors develop a treatment plan. |
| tool for family members to assist their loved ones through recovery. |
|
| 7: Persons with co-occurring disorders receive more services than other client populations. |
| TRUE |
| FALSE |
|
| 8: Clients who are taking psychiatric medication for serious mental illness should be told to stop taking these medications because they are addictive. |
| TRUE |
| FALSE |
|
| 9: When co-occurring disorders are treated, the substance abuse should be considered: |
| primary. |
| secondary to the mental illness. |
| a symptom of mental illness. |
| both disorders should be considered primary. |
|
| 10: Alcohol and other drug abuse (AODA) can interact with psychiatric symptoms (PS) causing all of the following, except: |
| AODA may prompt the emergence or pre-emergence of PS. |
| AODA may worsen pre-existing PS. |
| AODA may mimic PS. |
| AODA may increase the effectiveness of medications for PS. |
|
| 11: An example of an ideas of reference delusion is: |
| seeing small bugs on one’s skin. |
| believing you are God. |
| believing others are talking about you. |
| having no emotion about an emotional issue. |
|
| 12: Treating schizophrenia involves primarily: |
| long-term psychoanalysis. |
| medication management, client and family education, and social support. |
| long-term inpatient institutional care. |
| medication, intensive counseling, and reality therapy. |
|
| 13: Over-generalizing and self–referential guilt are examples of: |
| bipolar behavior. |
| effective ways to alter drug use with co-occurring clients. |
| personality disorders. |
| depressive thinking patterns. |
|
| 14: Borderline personality disorder (BPD) is characterized by: |
| rapid changes in relationships, moods, and attitudes. |
| looking like schizophrenic behavior without delusions. |
| mild depression and mania. |
| emotionally detached, hyper-vigilant, and easily startled. |
|
| 15: Medications often abate the positive symptoms of schizophrenia: |
| but only for a short time. |
| but not the negative symptoms. |
| as well as the negative symptoms. |
| without side effects. |
|
| 16: Confrontation and "tough-love" forms of intervention: |
| are recommended for people with COD. |
| are suggested when there is high resistance to treatment. |
| only take place in group setting with other COD clients. |
| are not recommended for persons with COD. |
|
| 17: All of the following are symptoms of the manic phase of bipolar mood disorder, except: |
| deflated self-esteem. |
| euphoria. |
| high levels of verbal output. |
| pressured speech. |
|
| 18: A trademark feature of antisocial personality disorder is: |
| fear of relationships with others. |
| rapid and extreme changes in mood and attitudes about others. |
| lack of remorse for hurting others. |
| history of criminal activity. |
|
| 19: Alcohol and other drugs may ameliorate, dampen, hide, mask, or disguise psychiatric symptoms. |
| TRUE |
| FALSE |
|
| 20: According to Mueser, the same clinician should not provide both mental health and substance abuse services. |
| TRUE |
| FALSE |
|
| 21: Assertive community treatment means |
| services are delivered where the client lives. |
| teach client to be assertive. |
| teach client anger management. |
| reduce cost for mental health services. |
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