DuSoe Final

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  1. How do you spell my last name?
  2. T/F - According to the syllabus you are graded for attendance in this class.
  3. T/F - You must turn your cell phone off in my class (Think careful about this).
  4. T/F - You may not text in my class (think careful about this).
  5. T/F - Developing Counseling Competencies is an objective in this class.
  6. T/F - There is a grade reduction penalty for late assignments including missed quizzes in this class?
  7. T/F - The instructor will only retain your quizzes for two weeks and they are either retrieved in this period or discarded.
  8. Have a reason for everything you do and _______________________.
    don't do and know that reason.
  9. T/F - We are using a 500 point scale for grading.
  10. This class will/will not help non addiction counselors learn counseling skills.
  11. T/F - There is a mid-term, a final exam and a paper assigned in this class.
  12. T/F - Our teacher was born where Lizzie Borden died.
  13. T/F - According to our class more murders are committed by alcohol impaired individuals than any other impairing substance.
  14. T/F - Cocaine is a CNS Depressant.
  15. T/F - Alcohol is a CNS Depressant.
  16. T/F - One of the best indicators that  drug is psychoactive is that it typically has not exponential effect (e.g taking two gives twice the effect)?
  17. Increasing doses of a substance to obtain the same effect is ____________.
  18. __________________ Tolerance refers to a condition in which smaller quantities of a substance produce the same effect as larger doses.
    Reverse (or False tolerance)
  19. ____________________ (What type, not what drug) Drugs frequently have little or no exponential value according to the lecture.
  20. T/F - Generalist training assumes that a large portion of mental health cases are going to have substance use related issues.
  21. T/F - Because marijuana is now legal in several states the DOT (Department of Transportation) is actively moving to legalize it.
  22. The combination use of two different drugs that produces an effect greater than the sum in respect to impairment is called (remember 1+1=3) _____________________.
    synergistic effect
  23. 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 _______________.
  24. The primary neurotransmitter of influence in the brain rewards system is (Serotonin or Dopamine)?
  25. "First general rule" regarding disclosure of client information is _______.
  26. T/F - 42 CFR Part 2 takes precedence over state and local laws even with a subpoena.
  27. T/F - 42 CFR Part 2 releases not only require names, dates, signatures and purpose for information but also an expiration date.
  28. T/F - The first and perhaps "best" exception to release info is to obtain written consent from the client.
  29. T/F - 42 CFR Part 2 would require us to sign agreements (Qualified Service Organization Agreements) with contractors we might coordinate services with to permit sharing information.
  30. T/F - 42 CFR Part 2 mandates disclosure while the new HIPAA enactment prohibits it.
  31. T/F - HIPAA provides mechanisms for disclosure for clients who are incapacitated.
  32. T/F - Under HIPAA, should a client/patient in an emergency be unconscious, clinical/medical personnel must document all efforts to revive the client before disclosure to family members, persons, or friends.
  33. T/F - Under HIPAA, a provider may disclose information to a family member or friend if the provider decides information is in the "best interest" of the incapacitated/unconscious client in the professional judgment.
  34. T/F - Disclosures under the revised HIPAA act may be made over the phone, in person or in writing.
  35. T/F - Based on the lecture, under the revised HIPAA rules, providers can make disclosures of information on an unconscious/incapacitated patient if they are "reasonably sure" that the patient has involved" the person in their (the patient's) care.
  36. T/F - Despite all the changes in HIPAA, with all substance use related care the best recommendation on governance is to use the 42 CFR Part 2 Guidance.
  37. T/F - Motivational Interviewing (MI) is an alternative to the Johnson Model of Intervention.
  38. T/F - Noting changes in academic performance with adolescents is part of the Assessment Process.
  39. T/F - Positive oriented assessment requires I ascertain what "positives" the client derives from the substance they use.
  40. T/F - A SUDC and ASUDC licensee can diagnose under their license.
  41. T/F - One of the limitation in the typical behaviorally based assessments is clients can lie because of the way they are constructed.
  42. Identify two of the variables associated with the CAGE screening instrument, e.g. what does the "C" "A" "G" or "E" mean?
    Have you ever cut down on alcohol consumption?

    Do you feel annoyed when accused or asked about your alcohol use?

    Have you ever felt bad or guilty about your drinking?

    Have you ever had a drink first thing in the morning to steady your nerves and get rid of a hang-over (eye-opener)?
  43. T/F - Motivational Interviewing is intended to enhance client engagement.
  44. Name two of the four General Principles of MI.
    • Express Empathy
    • Develop Discrepancy
    • Roll with Resistance
    • Support Self-Efficacy
  45. T/F - In MI, "Counselor Resistance" can be as large a challenge as "Client Resistance".
  46. T/F - Utilizing Open ended questions is an encouraged technique in MI.
  47. T/F - "Eliciting change talk" is one of the skill sets encouraged in MI.
  48. Name two of the five stages in Prochaska & DiClements's Stages of Change model detailed in the book.
    • Precontemplation
    • Contemplation
    • Dedication or Preparation
    • Action
    • Maintenance
  49. _____________ and _____________ are two examples of Medication Assisted Treatment.
    Naltrexone, Suboxone
  50. T/F - The ASAM Criteria is about Detosification approaches only.
  51. ______________ and _______________ are examples of levels of care in a treatment setting.
    Inpatient/Hospitalization, Partial Outpatient, etc
  52. T/F - In the Moral Model of Addiction, AOD us is considered NOT a choice.
  53. T/F - Addiction is a chronic, progressive and primary disorder in the ____________ Model.
  54. Addiction is viewed as likely a secondary disorder in the ______________ Model.
  55. The physician who pioneered the Disease Model of Addiction was _____________.
  56. T/F - Jail sentences are possible for marijuana use under the federal schedule.
  57. T/F - 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.
  58. T/F - Under the Federal Schedule I Drugs are listed that have no accepted medical use.
  59. T/F - Because marijuana is now legal in several states the DOT is actively moving to legalize it.
  60. T/F - One of the disadvantages of the Disease Concept is that it has the ability to encourage the client to self-fulfill the principle of lack of control.
  61. Simply put, addiction is a "complex illness with "_____________."
    complex pathways
  62. The Model of Addiction that is the most thorough approach is the ______________.
  63. Assessing the client's nutrition is an expectation in the _______________________ Model. (If you think we should never assess it, put none - if it is more than one, put all the models).
  64. T/F - Native American Indians as a culture view the passage of time much like the majority culture as a "linear" occurrence.
  65. T/F - Individuals we treat often tend to live out misperceptions or expectations in their heritage or culture (e.g. Irish Drinkers).
  66. T/F - Native-American Indian populations tend to believe that "learning from their mistakes" is poor way to acquire knowledge and experience.
  67. T/F - Native American and Alaskan American cultures often see their youngsters start using substance at younger ages than the majority culture.
  68. T/F - Asian Americans amongst all minority cultures tend to use more alcohol than other groups.
  69. T/F - If a father and amother in a Japanese Family disagree regarding a family treatment decision,, the mother's decision typically prevails.
  70. T/F - Given the opportunity to engage in a decision process Asian American families typically prefer a...

    A) Spirited Debate involving all

    B) Harmonious Decision Making
    B - Harmonious Decision Making
  71. According to our class lecture and out text "acculturation" is a _____________ predictor of substance use in a cultural group.

    A) Bad

    B) Good
    B - Good
  72. African American groups consider alcohol use a "_____________" food.
  73. T/F - Tobacco is lower in African American groups in our culture.
  74. T/F - Availability of alcohol in a  community is meaningless when it comes to identifying risk of abuse.
  75. ______________ rates of incarceration with African American groups in the US has contributed to the breakdown of family relationship and family ties.
  76. T/F - Individual counseling is typically insight based.
  77. T/F - Peer support is one of the weaknesses in group counseling.
  78. T/F - "Carefrontation" differs from confrontation because it requires that we work through conflicted issues with care and compassion.
  79. T/F - Families always recognize that the addict's condition and behavior are not likely the primary cause of family related conflict.
  80. T/F - "State Dependent Learning" means things are taught differently in Utah tan in California.
  81. Treatment approaches in this day and age are expected to be ____________ and not just typical or popular (I showed you the book).
    Evidence based
  82. The _______ Placement Criteria actually facilitates treatment decision by describing levels of care and service.
  83. ________________ and __________________ are examples of State Dependent Learning according to our lecture.
    • Learning to play darts in a bar
    • Learning to approach men/women while drunk
    • etc
  84. Private Clinical Groups are programs of promotion versus self help (12 Step) groups which are programs of ____________.
  85. T/F - Family treatment should include members of the family and the older children whenever possible.
  86. T/F - Co-occuring disorders are present in as many as 70% of the AOD cases you may see in treatment.
  87. T/F - Co-occurring disorders are often overlooked in traditional AOD treatment programs.
  88. T/F - Confrontation counseling style has been found to be associated with poor long-term results.
  89. T/F - AA had its organizational foundations in a religiously organized Group (Oxford Group).
  90. T/F - AA is not for everyone.
  91. T/F - AA is a self-help group founded on promotion.
  92. T/F - Tokenism (Contingency Management) approach is common in AA.
  93. The most common point of resistance in 12 steps is based on the concept of ______.
  94. The ___________ is read at the end of every AA meeting.
    serenity prayer
  95. ___________________ typically introduces the meeting in AA (2 possible answers will accept either).
    Group Chair
  96. Private clinical groups are programs of promotion versus self-help (12 step) groups which are programs of ______________.
  97. Name three self help approaches in our book which are AA alternatives.
    • Women in Recovery
    • SMART
    • Moderation Mgmt
    • Rational Recovery
  98. T/F - Rational Recovery requires no organized format in approaching recovery.
  99. T/F - Moderation Management stated that alcoholics are "seduced" by the "one day at a time" approach.
  100. T/F - Bill W of AA succumbed eventually to liver disease.
  101. T/F - Rational recovery alleges that alcoholism is a voluntary behavior that cannot be diagnosed.
  102. T/F - Spirituality is pretty much the same as a religion according to our book and lecture.
  103. T/F - According to the ASAM guidelines self help support is a clinical level of care.
  104. T/F - AA meetings are always open to anyone.
  105. Essay - Know the Characteristics of Co-Dependency.
    There are 8 characteristics (pg. 241-42).

    • Short version:
    • 1 - use of denial
    • 2 - all or nothing thinking
    • 3 - exaggerated need for attention
    • 4 - avoidance of anger & other intense feelings
    • 5 - lack of trust
    • 6 - need for control
    • 7 - struggles with an intimate relationship
    • 8 - poor emotional regulation

    Long answer:

    (1) Fear - indicated by preoccupation with others' problems, mistrust of others, persistent anxiety, manipulative attempts to change another's behavior (esp. drinking behavior)

    (2) Shame & guilt - persistence of s&g about another's behavior, self-loathing, isolation, and an appearance of superiority that masks low self-worth

    (3) Prolonged despair - generalized pessimism toward world and hopelessness about changing one's current situation.

    (4) Anger - expressed in a passive-aggressive manner. One may fear that becoming angry = loss of control. Anger is persistent.

    (5) Denial - is rather consistent when involves family pain like drinking behavior. Also seen in consistent minimization of problems and use of justification/rationalization aimed at protecting person from perceived/real consequences

    (6) Rigidity - cognitive, behavioral, and moral, spiritual and emotional inflexibility.

    (7) Identity development - impaired. inability to take care of one's emotional needs and excessive need for other to validate one's self worth

    (8) Confusion - about what is normal and what is real. Indicated by one's gullibility and indecisiveness.
  106. T/F - AA argues that there really is only "one way" to recover.
  107. Essay - Recovery groups of 12 steps
    Non 12 step groups (not AA, NA, or Al-Anon) are:

    Many Roads, One Journey - 16 steps. Purpose = support and encourage each other in our healing from addiction, dependency, or internalized oppression. Must have desire to maintain sobriety.

    Women for Sobriety - 13 statements. Belief that women begin to drink b/c of frustration, loneliness, emotional deprivation, and harassment, while men drink for power. Women take charge of their alcoholism. sobriety depends upon discovery and maintenance of strong feelings of self-value and worth which lead to strong self-esteem.

    SMART Recovery - claims scientific orientation. 4 points: enhance and maintain motivation to abstain; cope with urges; manage thoughts, feelings, behaviors; balance monetary and enduring satisfactions.

    Save Our Selves (SOS) - no spirituality. keep universe available to you. acknowledge alc., choose to remain sober day by day, reach out to those affected by alc., pursue self-acceptance (through change and growth), be responsible for providing meaning in life.

    Moderation Management - for use to modify use of alcohol. for those who wish to quit or cut back before serious consequences occur. advocates 9-step progream that includes attendance at  free meetings and abstinence from alcohol for 30 days.
Card Set
DuSoe Final
Study cards for the Fall 2013 final
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