Dusoe Final

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Dusoe Final
2013-12-18 22:01:18
Substance Abuse

Intro to Counseling: Substance Abuse Perspective
Show Answers:

  1. T&F 
    AA had its organizational foundations in a religiously organized group (Oxford Group)?
  2. T&F
    AA is not for everyone?
  3. T&F
    AA is a self-help group founded on promotion
  4. T&F
    Tokenism (Contingency Management) approach is common in AA?
  5. T&F
    The 12-Step approach is often described as 12 steps for living?
  6. T&F
    The most common point of resistance in the 2 Steps is based on the concept of______
    Higher Power
  7. The ________ is read at the end of every AA meeting
    serenity prayer
  8. _____ typically introduces the meeting in AA
    The chair
  9. Private Clinical Groups are Programs of promotion versus Self Help(12 Step) groups which are programs of ______
  10. Name three self help approaches in our group which are AA alternatives
    • al-anon
    • Narcotics Anonymous (NA)
    • SA  sex-aholic anonymous
    • HA heroin anonymous
    • EA emotions anonymous
    • NA narcotics anonymous
  11. T&F
    Rational Recovery requires no organized format in approaching recovery?
  12. T&F
    Moderation Management stated that alcoholics are "seduced" by the "one day at a time approach"?
  13. T&F
    Bill W of AA succumbed eventually to liver disease?
  14. T&F
    Rational Recovery alleges that alcoholism is a voluntary behavior that cannot be diagnosed?
  15. T&F
    Spirituality is pretty much the same as religion according to our book and lecture?
  16. T&F
    According to the ASAM guidelines self help support is a clinical level of care?
  17. T&F
    AA meetings are always open to anyone
  18. T&F
    AA argues that there really is only "one way" to recover?
  19. T&F
    Individual counseling is typically insight based?
  20. T&F
    Peer support is one of the weaknesses in Group Counseling
  21. T&F
    "Carefrontation" differs from confrontation because it requires that we work through conflicted issues with care and compassion?
  22. T&F
    Families always recognize that the addict's condition and behavior are not likely the primary cause of family related conflict?
  23. T&F
    "State Dependent Learning" means things are taught differently in Utah than in California?
  24. Treatment approaches in this day and age are expected to be ______
    Evidenced based
  25. The _____Placement Criteria actually facilitates treatment decisions by describing levels of care and service
  26. _____ and _______ are examples of State Dependent Learning according to our lecture
    "I don't know how to do 'this' without substance abuse"
  27. Private Clinical Groups are programs of promotion versus self help (12 step) groups which are programs of _____
  28. T&F
    Family treatment should include members of the family and the older children whenever possible?
  29. T&F
    Co-occurring disorders are present in as many as 70% of the AOD cases you may see in treatment?
  30. T&F
    Co-occurring disorders are often overlooked in traditional AOD Treatment Programs
  31. T&F
    Confrontational counselling style has been found to be associated with poor long-term results?
  32. T&F
    According to our class more murders are committed by alcohol impaired individuals than any other impairing substance
  33. Cocaine is a CNS depressant?
    False, it is a stimulant
  34. Alcohol is a CNS depressant
  35. One of the best indicators that a drug is Psychoactive is that it typically has NO  exponential effect? (AKA twice the effect)
  36. Increasing doses of a substance to obtain the same effect is?
  37. Reverse Tolerance
    Refers to a condition that in which smaller quantities of a substance produce the same effect as larger doses.
  38. What type of drugs frequently have little or no exponential value?
  39. T&F
    Generalist training assumes that a large portion of mental health cases are going to have substance use related issues?
  40. T&F
    Because marijuana is now legal in several sates, the DOT (Department of Transportation) is actively moving to legalize it?
  41. 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)
  42. The effect seen in some drugs wherein the nature of the drug may cause a person to not recall that they took the does is called...
  43. The primary neurotransmitter of influence in the brain reward system is...

    Chose form serotonin or dopamine
  44. In the Moral Model of addiction, AOD use is consider NOT a choice? 

    True or False
  45. Addiction is a chronic, progressive and primary disorder in what kind of model?
    The Disease Model
  46. Addiction is viewed as likely a secondary disorder in what model?
    The Psychological Model
  47. Who is the physician who pioneered The Disease Model of Addiction?
  48. Jail sentences are possible for marijuana use under the federal schedule?

    True or false?
  49. 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 or False?
  50. Under the Federal Schedule, Schedule 1 drugs are listed that have no accepted medical use? 

    True or False?
  51. Because marijuana is now legal in several states DOT is actively moving to legalize it?

    True or False?
  52. T&F
    One of the Disadvantages of the Disease Concept is that has the ability to encourage the client to self-fulfill the principle of lack of control
  53. Simply put, "Addiction is a complex illness with...
    complex pathways."
  54. What model of addiction is the most thorough approach?
    The bio-psycho-social
  55. Assessing the client's nutrition is an expectation in what model?
    Socio-cultural or bio-psycho-social
  56. Native American Indians as a culture, view the passage of time much like the majority culture as a "linear" occurance?
    False, they view it as cyclical.
  57. Individuals we treat often tend to live out misperceptions or expectaions in their heritage or culture? 

    True of False?
  58. Native-American Indian populations tend to believe that "learning from their mistakes" is a poor way to acquire knowledge and experiences?

    True or False?
    False, they do believe it is the correct way
  59. Native American and Alaskan American cultures often see their youngsters start using substances at younger ages than the majority culture? 

    True or False
  60. Asian Americans amongst all minority cultures tend to use more alcohol than other groups?

    True or False?
    False, they use least
  61. If a father and a mother in a Japanese family disagree regarding family treatment decision, the mother's decision typically prevails?

    True or False?
    False, the father's decision would prevail
  62. Given the opportunity to engage in a decision process, Asian American families typically prefer: a. spirited debate involving all 
    b. harmonious decision making
    b. harmonious decision making
  63. According to our class lecture, "acculturation" is a good or bad predictor of substance use in a cultural group?
  64. African American groups consider alcohol use a....
    "party food"
  65. Tobacco use is lower in African American groups in our culture? 

    True or False?
    False, it is higher
  66. Availability of alcohol in a community is meaningless when it comes to identifying risk of abuse?

    True or False?
  67. _____ rates of incarceration with African American groups n the US has contributed to the breakdown of family relationship and family ties.
  68. "First general rule" regarding disclosure of client information is _______
  69. T&F
    42 CFR Part 2 takes precedence over state and local laws even with a subpoena
  70. T&F
    42 CFR Part 2 releases not only require names, dates, signatures and purpose for information but also an expirations date?
  71. T&F
    The first and perhaps "best" exception to release info is to obtain written consent from the client
  72. 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.
  73. T&F
    42 CFR Part mandates disclosure while the new HIPPA enactment prohibits it?
  74. T&F
    HIPPA provides mechanisms for disclosure for clients who are incapacitated?
  75. T&F
    Under HIPPA, should a client/patient in an emergency be unconscious clinical/medical personnel must document all efforts to revive the client before disclosure family members, persons, or friends?
  76. T&F
    Under HIPPA 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 their professional judgment 
  77. T&F
    Disclosures under the revised HIPPA act may be made over the phone, in person or in writing.
  78. T&F
    Based on the lecture, under the revised HIPPA 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?
  79. T&F
    Despite all the changes in HIPPA, with all substance use related care the best recommendation on governance is to use the 42 CFR Part 2 Guidance
  80. T&F
    MOtivational Interviewing is an alternative to the JOhnson Model of Intervention?
  81. T&F
    Noting Changes in Academic Performance with adolescents is part of the Assessment Process?
  82. T&F
    Positive oriented assessment requires I ascertain what "positives" the client derives from the substance they use?
  83. T&F
    A SUDC and ASUDC Licensee can diagnose under their license?
  84. T&F
    One of the limitations in the typical behaviorally based assessment is clients can lie because of the way they are constructed 
  85. Identify two of the variables associated with the CAGE screening instrument, e.g. what does the  "C" "A" "G" or "E" mean?
    • "Cut down"
    • "Annoyed"
    • "Guilty"
    • "Eye-opener"
  86. T&F
    Motivational interviewing is intended to enhance client engagement?
  87. Name two of the four General Principles of Motivational Interviewing?
    • Express empathy,
    • develop discrepancy,
    • roll with resistance
    • Support self-efficacy
  88. T&F
    In Motivational Interviewing "counselor resistance" can be as large a challenge as a "Client resistance?"
  89. T&F
    Utilizing open ended questions is an encouraged techniques in Motivational Interviewing?
  90. "Eliciting change talk" is one of the skill sets encouraged in MOtivational Interviewing?
  91. Name two of the five stages in Prochaska & DiClemente's Stages of Change model detailed in the book?
    • Precontemplation 
    • Contemplation
    • Preparation
    • Action
    • Maintenance
  92. _____ and ____ are two examples of Medication Assisted Treatment
    • Suboxone 
    • Methadone
  93. T&F
    The ASAM Criteria is about Detoxification approaches only?
  94. ____ and ____ are examples of levels of care in a treatment setting
    • Inpatient
    • Outpatient
  95. How do you spell my last name?
  96. Have a reason for everything you do and ________
    do it, and know the reason
  97. T&F
    Codependency is diagnosis in the new DSM 5?
  98. The caution against consuming alcohol in a pregnancy is because of the risk of causing ____ in the infant
  99. Mothers smoking in pregnancy has the potential to cause harm in pregnancy that shows up in the ___ stage.
  100. T&F
    In fact youngsters of such a parent have been observed with problems with lung problems and infections in childhood?
  101. ____ of all the AOD substances is the most diabolical with the most potent and unpredictable effects on the offspring because of the varied chemical us e in a varied manufacturing process
  102. T&F
    Being born into a family with AOD problems may not change very much in relations to the roles in the family
  103. T&F
    Stigma is a pronounced gender related issue
  104. T&F
    Helping a family find spirituality and meaning is an appropriate approach to treating a family affected by AOD issues
  105. T&F
    Perception and acceptance of Anger is an example of how feelings are confused in families with alcohol and drug related issues
  106. T&F
    ACOA's based on research are more likely to be unhappy
  107. Essay Question
    Know about relapse and Prevention
    • slip> an episode of AOD use following a period of abstinence
    • relapse> return to uncontrolled AOD use following a period of abstinence

    • Cenaps Model was developed by Terence Gorski> integrates the fundamental principles of AA and the Minnesota Model Treatment to meet the needs of relapse-prone patients
    • Primary goals:
    • 1.  The recognition that chemical dependency is a biopsychosocial disease
    • 2.  The recognition of the need for lifelong abstinence from all mind-altering drugs
    • 3.  The development and use of an ongoing recovery program to maintain abstinence
    • 4. the diagnosis and treatment of other problems or conditions that can interfere with recovery.
    • Recovery follows a sequence of six steps:
    • 1.  abstaining from alcohol and other drugs
    • 2  Separating from people, places, and things that promote chemical use and establishing a social network that supports recovery
    • 3.  stopping compulsive self-defeating behaviors that suppress awareness of painful feelings and irrational thoughts
    • 4.  learning how to manage feelings and emotions responsibly without resorting to compulsive behaviors or the use of chemicals
    • 5.  Learning to change addictive-thinking patterns that create painful feelings and self-defeating behaviors
    • 6.  Identifying and changing the mistaken core beliefs about self, others, and the world that promote the use or irrational thinking.

    • Cognitive-Social Model of Relapse Prevention (Marlatt, Anis)
    • Maintaining a behavior and initiating a behavior change may be guided by different principles
    • belief in self-efficacy determines probability of relapse
    • Ability to cope with high-risk situations is critical
    • Apparently irrelevant decisions (AIDs) result from lifestyle imbalances and lead to relapse
    • Abstinence biolation effect (AVE) results in escalation of slips to relapse

    **Assessment of high-risk situations & Coping with high-risk situations**
  108. Essay Question
    12 Step and Alternatives 
  109. Essay Question
    Codependency Characteristics