Dusoe final

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Dusoe final
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2013-11-26 17:13:01
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  1. Motivational interviewing is an alternative to the Johnson Model of intervention?
    True
  2. Noting changes in academic performance with adolescents is part of the assessment process?
    true
  3. Positive oriented assessment requires I ascertain what “positives” that client derives from the substance they use?
    True
  4. A SUDC and ASUDC licensee can diagnose under their license?
    false
  5. One of the limitations in the typical behaviorally based assessments is clients can lie because of the way they are constructed?
    true
  6. CAGE
    • C: would you like to CUT down use
    • G: do you feel GUILTY when using
  7. Motivational interviewing is intended to enhance client engagement?
    true
  8. Name 2 of the 4 general principles of motivational interviewing
    • Client center
    • Promote self-efficacy
    • Roll with resistance
  9. In motivational interviewing “counselor resistance” can be as large a challenge as “client resistance”?
    true
  10. Utilizing open ended questions is an encouraged techniques in motivational interviewing?
    true
  11. “Eliciting change talk” is one of the skill sets encouraged in motivational interviewing?
    true
  12. Name 2 if the 5 stages in Prochaska and DiClemente’s stages of change model
    • Pre-contemplation
    • Contemplation
    • Action
  13. Two examples of medication assisted treatment
    • Methadone
    • Antabuse
  14. The ASAM criteria is about Detoxification approaches only?
    false
  15. Examples of levels of care in treatment
    • Out patient
    • Inpatient
  16. "first general rule" regarding disclosure of client info is
    don't disclose anything
  17. 42 CFR part 2 takes precedence over state and local laws even with a subpoena
    true
  18. 42 CFR Part 2 releases not only requires names, dates, signatures and purpose for info but also an expiration date?
    true
  19. the first and perhaps "best" exception to to release info is to obtain written consent from the client?
    true
  20. 42 CFR part 2 would require us to sign agreements (qualified service organization agreements) with contractors we might coordinate services with to permit sharing info 
    true
  21. 42 CFR part 2 mandates disclosure while the new HIPPA enactment prohibits it
    false
  22. HIPPA provides mechanisms for disclosure for clients who are incapacitated
    true
  23. under HIPPA, should a client/pt in an emergency be unconsious clincial/ medical personnel must document all efforts to revive the client before disclosure family members, persons, or friends?
    false
  24. under HIPPA, a provider many disclose info to a family member or a friend if the provider decides info is in the best interest of the incapacitated/unconscious client in thier professional judgment?
    true
  25. disclosures under the revised HIPPA act may be made over the phone, in person, or in writing
    true
  26. based in lecture, under the revised HIPPA rules providers can make disclosures of info on an unconsious/incapacitated patient if they are "reasonably sure" that the pt has "involved" the person in their (pt) care?
    true
  27. despite all the changes in HIPPA, with all the substance use related care the best recommendation on governance is to use the 42 CFR Part 2 guidance
    true
  28. Native American indians as a culture view the passage of time much like the majority culture as a "Linear" occurrence
    false
  29. individuals we treat often tend to live out misperceptions or experceptions in their heritages or culture (irish drinkers)
    true
  30. native-american and alaskan american cultures often see their youngsters start using substance at younger ages than the majoirty culture
    true
  31. asian american amongst all minority cultures tend to use more alcohol than other groups
    false
  32. If a father and a mother in japanese family diagree regarding a family treatment decision, the mother's decision typically prevails
    false
  33. given the opportunity to engage in a decision process asian american families typically prefers a
    harmonious decision making
  34. according to our class lecture and text, "acculturation" is            predictor of substance use in a culture
    good
  35. african american groups consider alcohol use a "           food"
    party
  36. tobacco use is lower in african american groups in our culture
    false
  37. availability of alcohol in a community is meaningless when it comes to identifying risk of abuse
    false
  38.          rates of incarceration with African American groups in the US has contributed to the breakdown of family relaionships and family ties
    high
  39. in the moral model of addiction AOD use is consider NOT a choice
    false
  40. addiction is a chronic, progressive and primary disorder in the          model
    disease
  41. addiction is viewed as likely a secondary disorder in the         model
    psychological
  42. the physician who pioneered the Disease model of addicition was
    Jellinek
  43. jail sentences are possible for marijuana use under the federal schedule
    true
  44. one of the problems with the study that produced the disease concept theory is that the design of the study was later proved to be invalid
    true
  45. under the federal schedule 1 drugs are listed that have no accepted medical use
    true
  46. becaue marijuana is now legal in several states the DOT is actively moving to legalized it
    false
  47. one of disadvantages of the disease concept is that has the ability to encourage the ct to self-fulfill the principle of lack of control
    true
  48. simply put addiction that is the most thorough approach is the              
    biopsychosocial model
  49. assessing the ct nutrition is an expectation in the                Model
    biopychosocial
  50. according to our class more murders are committed by alcohol impaired individuals than any other impairing substance
    true
  51. cocaine is a CNS depressant
    false
  52. alcohol is a CNS depressant
    true
  53. one of the best indicators that a drug is psychoactive is that it typically has no exponential effect ( taking 2 gives twice the effect)
    false
  54. increasing doses of a substance to obtain the same effect is
    tolerance
  55.          tolerance refers to a condition that in which smaller quantities of a substance produce the same effect as larger doses
    reverse
  56.       (what type of drug) drugs frequently have little or no exponential value according to the lecture
    psychotropic
  57. generalist training assumes that a large portion of mental health cases are going to have substance use related issues
    true
  58. the combination use of two different drugs that produces an effect greater than the sum in respect to impairment is called ( 1+1=3)
    synthetic
  59. the effect seen in some drugs wherein the nature of the drug may cause a person to not recall they took the dose is called
    preattention
  60. the primary neurotransmitter of influence in the brain reward system is serotonin or dopamine?
    dopamine
  61. know assessment
  62. principles of effective treatment
    • Addiction is a complex but treatable disease that affects brain function and behavior.
    • No single treatment is appropriate for everyone.
    • Treatment needs to be readily available. 
    • Effective treatment attends to multiple needs of the individual, not just his or her drug abuse.

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