Counseling Considerations of alternative solutions Flashcards by Leslie Pfannes

Funding for gambling treatment is available for all of the following except:
A. Family
B. Substance Use Disorders Only
C. Significant Other
D. Loved one

B. Substance Use Disorders Only

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What type of rules do dysfunctional families put in place?
A. Shut up (don’t talk)
B. Ask for help (if you must)
C. Shut Down (don’t feel)
D. Shut out (don’t trust
E. All but B

E. All but B

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Family needs are a crucial part of the treatment plan for the one in recovery from gambling, of the following which is NOT suggested:
A. The treatment plan should address the needs of the family
B. The family should be included in a multidisciplinary approach
C. Identify one specific solution
D. inclusion of the family in developing goals

C. Identify one solution

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Which of the following should not be included in a family screening?
A. Does the family have significant financial problems
B. How much cash has the family kept from the gambler
C. Have you been concerned about the extent of the gambling family member
D. Screen all family members for gambling

B. How much cash has the family kept from the gambler

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which of the following coping strategies are not referred to as the “family dance.”
A. Maintaining family rituals
B. Ineffective problem solving
C. Talk to each other to solve problems
D. Self-Blame

C. Talk to each other to solve problems

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Common denial behaviors gambling clients’ partners may exhibit include:
A. Making excuses for them
B. Be reassured by lies
C. Hold them accountable when bills go unpaid
D. Worry occasionally
E. A, B, and D

E. A, B, and D

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Typical relationship issues in families with gambling disorders include all of the following except:
A. Power struggles
B. Less Intimacy
C. More time together
D. Poor Communication

C. More time together

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Often loved ones adapt by:
A. Controlling
B. Listening more
C. Rescuing
D. Cooperating
E. All of the above except B

E: ALl of the above except B

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Gambler family roles include all of the same roles as substance use disorder families with exception of:
A. The scapegoat
B. The hero
C. The one with gambling disorder
D. The lost child

C. The one with Gambling Disorder

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Some family pressure that exist in families with gambling disorders include:
A. worrying about gambling
B. legal issues
C. safety of self and others
D: all of the above

D. all of the above

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The denial phase of the family includes all but the following:
A. Occasionally worries
B. Arguments
C. Considers gambling temporary
D. Easily reassured

B. Arguments

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During the stress phase, all of the following occur except
A. Accepts increased gambling
B. Spouse spends less time with family
C. Isolation
D. attempts to Control gambling

A. Accepts increased gambling

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What behaviors can clinicians help families identify as not effective (mark all that apply):
A. Interrogating, lecturing, scolding or
blaming
B. Verbally or physically attacking
C. Assuming the other’s responsibilities
D. Believing false promises
E. providing a supportive environment
F. Making empty threats
G. Justifying the gambling by offering
excuses
H. Covering up the consequences of the
gambling
I. None of these, this is not the job of the therapist

A, B, C, D, F, G, H

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For family members of a person with a gambling disorder, which of the following is often most upsetting?
A. credit card bills
B. Having to take over finances
C. Not knowing when/if their loved one is lying
D. Legal problems

C. not knowing when or if their loved one is lying

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Someone affected by the gambling of another can seek for themselves, even if the one gambling does not seek treatment.
A. True
B. False

A. True

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Someone affected by the gambling of another, can experience many of the same issues that a person with
a Gambling Disorder may face, such as:
A. Loss of Financial Security
B. Depression and thoughts of suicide
C. Loss of close relationships
D. Cognitive distortion
E. All of the above

E. All of the above

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client attribution of therapist that improve outcomes include:
A. Empathy
B. Blaming
C. Understanding
D. ignoring
E. A and C

E. A and C

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Interventions that should be implemented with individuals in treatment include all of the following except:
A. Assertiveness
B. Stress management
C. Relaxation training
D. Anger management
E. Communication skills
F. Filing for bankruptcy

F. Filing for bankruptcy

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Methods used in treatment planning with gamblers include which of the following (mark all that apply):
A. Playing games to help the client get used to activities that might trigger them
B. Behavioral rehearsal
C. Instruction
D. Coaching
E. Evaluative Feedback
F. Modeling

B. Behavioral rehearsal
C. Instruction
D. Coaching
E. Evaluative Feedback
F. Modeling

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ASAM Placement for someone with a level 1, 2.1, or 2.5 includes all but which of the following
A. “at risk for gambling
B. “Problem” gambling (not meeting criteria for a disorder)
C. Depends on ASAM results
D. Gambling disorder (meeting 4-9 criteria)

A. “at risk” for gambling

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What is the golden thread?
A. The golden thread connects the treatment plan to the assessment
B. The golden thread connects the treatment plan to the level of care
C. The golden thread is how you connect the treatment plan to the discharge
D. None of the above

A. The golden thread connects the treatment plan to the assessment

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What are Smart Goals?:
A. Specific, Measurable, Attainable, Realistic, Time-Based
B. Specific, Measurable, actionable, reliable, And time-based
C. Specific, Measurable, Achievable, Realistic, and Time-Bound
D. Specific, Measurable, Achievable, Realistic and Time-Based

A. Specific, Measurable, Attainable, Realistic, Time-Based

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In what order should treatment plans be addressed?
A. Daily Function, Legal Issues, Safety Issues
B. Legal Issues, Safety Issues, Safety Issues
C. Safety Issues, Legal Issues, Daily Function
D. None of the above

C. Safety Issues, Legal Issues, Daily Funtion

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Treatment modalities and supports that are used in Gambling treatment ( check all that apply):
A. Controlled use
B. CBT
C. Motivational Brioef interventions
D. Financial counseling

All of the answers

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What would be the best intervention for the contemplation stage of change? A. Pros and Cons list, or Cost-Benefit analysis B. Identify resources and “what I want my life to look like.” C. Addressing risky gambling behaviors, money barriers, support and accountability, financial management, and “putting life back together.” D. Identifying long-term lifestyle behaviors, continuing debt payment plan, helping others

A. Pros and cons list, or Cost-Benefit analysis

What would be the best intervention for the Pre-contemplation stage of change? A.Identify resources and “what I want my life to look like” B. Explore any negative impacts of gambling C. Addressing risky gambling behaviors, money barriers, support and accountability, financial management, “putting life back together” D. Identifying long-term lifestyle behaviors, continuing debt payment plan, helping others

B. Explore any Negative impacts of gambling

What would be the best intervention for the action stage of change? A.Identify resources and “what I want my life to look like” B. Explore any negative impacts of gambling C. Addressing risky gambling behaviors, money barriers, support and accountability, financial management, and “putting life back together.” D. Identifying long-term lifestyle behaviors, continuing debt payment plan, helping others

C. Addressing risky gambling behaviors, money barriers, support and accountability, financial management, and “putting life back together.”

What would be the best intervention for the maintenance stage of change? A. Identify resources and “what I want my life to look like.” B. Addressing risky gambling behaviors, money barriers, support and accountability, financial management, and “putting life back together.” C. Identifying long-term lifestyle behaviors, continuing debt payment plans, helping others D. Suicide and DV screen, relapse analysis, seeking support, triaging any immediate crisis, learning from experience, and implementing a new plan

C. Identifying long-term lifestyle behaviors, continuing debt payment plans, helping others

What is the purpose of identifying the meaning of gambling for the gambler? (check all that apply) A. To identify shame triggers B. Define Triggers C. Understand risk factors and psychological vulnerability D. Direct treatment planning and behavior change

B. Define Triggers C. Understand risk factors and psychological vulnerability D. Direct treatment planning and behavior change

The use of frames in Brief intervention stands for: A. Feedback, Reasonable assumptions, Ask, Moralize, Empathy, Self-efficacy B. Feedback, Responsibility, Ask, Menu of options, EMpathy, Self-Efficacy C. Feedback, Responsibility, Advice, Menu of options., Empathy, Self-efficacy D. None of the above

C. Feedback, Responsibility, Advice, Menu of options., Empathy, Self-efficacy

Family loved one treatment issues include the following (check all that apply) A Dealing with anger B. Loved ones offer little support C. Anger vs, involvement D. No local self-help resources

ALl of the above

Therapist mindfulness skills include all of the following accept: A. Acceptance B. Judgment C. Attentive-being present D. Reflective listening

B. Judgment

What would be an appropriate treatment goal for a person with a gambling disorder in the precontemplation stage of motivation? A. Have them develop a money protection plan B. Have them begin to think about any problems gambling may be causing C. Self-exclude from casinos D. Have them immediately stop all gambling activities

B. Have them begin to think about any problems gambling may be causing

A harm reduction treatment approach for those with gambling problems: A. Does not include abstinence based approaches B. Is exactly the same as harm reduction approach for those with substance use disorders C. May increase the likelihood of those with gambling problems entering treatment sooner D. Can only work if the person with a gambling disorder him/herself remains in treatment

C. May increase the likelihood of those with gambling problems entering treatment sooner

Which of the following approaches would best reflect a client centered strategy for a client who does not want to attend GA? A. Tell the client GA is a mandatory part of treatment B. Act as client’s sponsor to complete the 12 steps as part of treatment C. Explore other options for the client to receive social support for their recovery D. Tell the client that the chance of recovery will significantly decrease if they don’t attend GA

C. Explore other options for the client to receive social support for their recovery

Heath issues associated with the problem and disordered gambling include: A. cardiac problems, liver disease, and increased use of medical services B. Chronic stress leading to hypertension, cardiovascular disease, peptic ulcers disease, and exacerbation of baseline medical problems C, Fatigue, Insomnia, Minor respiratory ailments, intestinal distress, migraine headaches, high blood pressure, and cardiovascular disease D. Changes in dopamine, seratonin, and norepinephrine systems E. all of the above

What percentage of individuals with gambling disorder clients present to healthcare settings? A. 10.6% B. 20.5% C. 25% D none reported

A 10.6%

individuals with problem gambling experience all of the following but: A. Not taking medications regularly B. Gaining weight because of poor eating habits C. increased exercise D. Poor hydration

C. increase exercise

Problem gamblers experience sleep problems more often than control subjects how often: A. 2 times B. 3 times C 4.5 times D. 3.5 times

D 3.5 times

Sleep problems cause all but: A. Impair self-control and decision making B. Increased impulsivity C. Attenuated responses to losses and increase expectations of gains D. none reported

D. none reported

According to research studies which of the following medications is most likely to reduce cravings and gambling behavior for those with Gambling Disorder: A. Bupropion B. Fluoxetine C. Buspirone D. Naltrexone E. None of the above

D. Naltrexone

Which of the following medications may contribute to gambling problems: A. Naltrexone B. Prozac C. Mirapex D. N-Acetyl Cystine E. None of the above

C. Mirapex

PG comorbidity includes: A.~75% have a history of an alcohol use d/o B.~40% have a history of a substance use d/o C.~60% have a history of nicotine dependence D.~50% have a history of a mood disorder E. ~40% have a history of an anxiety disorder F.~60% have a history of a personality disorder

All

Smoking impact gambling by all of the following by: A. Relaxes the gambler B. SPends more money C. More severe PG symptoms D. more psychiatric symptoms

A. Relaxes the gambler

What are the two As and the R of addressing tobacco and gambling? A. Ask, assess, and refer B. Assess, act, remind C. Ask, Advise, Refer D, None of the above

C Ask, Advise, Refer

Why does gambling impact youth so quickly? A. Because they don't care about what they are doing B. Because their friends are doing it C. Because of their brain development D. None of the above

C. Because of brain development

Part of the brain most effected by gambling are all of the following except: A. Neural Reward area B. striatum C. Executive functioning D Frontal Lobes

B the Striatum

Which neurotransmitters are impacted by gambling? A. Acetacholine B. GABBA C. Serotonin D. Dopamine E. C and D

E. C and D

People with an increased risk of gambling disorder include all except: A. Having a difficult family life B. Increased rates of impulsivity C. More preference for games of chance D. Increase of substance use disorder compared to the general population

A. Having a difficult family life

Neuroimaging studies of those with problem gambling have demonstrated deficits in which of the following areas: A. Medulla B. Corpus callosum C. Frontal cortex

C. frontal cortex

For those who experience problem gambling but do not meet the diagnostic threshold for Gambling Disorder, ASAM suggests placing them at which level of care? A. An outpatient level of care (levels 1.0, 2.1, or 2.5) B. None, since they do not have a gambling disorder C. Early intervention (level 0.5) D. Inpatient treatment for co-occurring disorders

A. An outpatient level of care (levels 1.0, 2.1, or 2.5)

Which of the following is not a validated gambling screening tool: A. GA 20 questions B. Canadian problem gambling severity index C. Brief Biosocial screen D. South Oaks Gambling Screen

A. GA 20 questions

When doing crisis management in gambling treatment, what is the first to be addressed? A, Safety Issues B Late fees C. Largest Debts D. Threats of divorce

A. Safety Issues

When working with those in treatment primarily for Substance Use or Mental Health Disorders: A. Avoid the topic of problem gambling, as clients may get overwhelmed with too much to consider B. It is important to integrate into their treatment services C. Problem gambling education would be irrelevant, since no one in treatment for SUD or MH struggles with it

B. It is important to integrate into their treatment services

Cognitive therapy is used initially to dispute __________________ related to gambling. A. Irrational beliefs B. Money Management C. Developmental fixation D. Image and esteem issues

A. Irrational beliefs

When helping a client take a harm-reduction approach to gambling: A. Inform than that harm reduction approaches are usually unsuccessful, and abstinence will be their eventual goal B. It is important to stay client-centered in helping them create their own goals and limits, and steps to be successful C. Keep them in treatment longer than those who take an abstinence-based approach. D Re-visit considering abstinence from gambling at every opportunity

B. It is important to stay client-centered in helping them create their own goals and limits, and steps to be successful

When counseling those with Gambling Disorder, it is important for a counselor to examine their own attitudes and feelings toward: A. Money B. Gambling C. Spirituality D. Cultural Beliefs and attitudes E. All of these

E. All of these

One key difference in treatment for Gambling Disorders verse Substance Use Disorders is: A. There is no UA for gambling B. There are no withdrawal; symptoms from gambling C. There are no medications to help treatment gambling disorder D. Gambling is not as addiction

A. There is no UA for gambling

What is a common distortion for those with Gambling Disorder? A. Believing that gambling will solve problems it has previously caused B. Superstitions about luck and strategy C. Feeling in control of chance events D. All of these

D. All of these

A client meets 4+ criteria for Gambling Disorder that only occur during periods of manic episodes; this means: A. A gambling disorder diagnosis is inappropriate, as a manic episode better explains the gambling disorder. B. They have a gambling disorder C. They have a co-occurring disorder D. They need residential treatment

A. A gambling disorder diagnosis is inappropriate, as a manic episode better explains the gambling disorder.

A Gambling Disorder is considered in Early Remission when: A. Previously met criteria have not subsided for at least three months but for less than 12 months B. Previously met criteria have not subsided for at least 12 months C. The client has stopped gambling for at least 3 months D. Previously met criteria have now subsided for at least six months, but for less than 12 months

A. Previously met criteria have now subsided for at least three months, but for less than 12 months

An Episodic Gambling Disorder is identified by: A. Meeting diagnostic criteria at more than one point in time, with symptoms subsiding for at least several months B.Experiencing continuous symptoms for multiple years C. Gambling behaviors only occur 1-2 times per year D. Gambling occurrences result in occasional wins

A. Meeting diagnostic criteria at more than one point in time, with symptoms subsiding for at least several months

In DSM-5, Pathological Gambling has been renamed: A. Gambling Disorder B. Addictive Gambling C. Impulsive Gambling D. Complusive gambling

A. Gambling DIsorder

About what percentage of those with Gambling Disorder have a co-occurring Alcohol Use Disorder? A. 75% B. 50% C. 25% D. 10%

A. 75%

What specific aspects of gambling should be included in a limited gambling plan? A. Money Barriers B. Limiting amount of money spent on gambling C. Limiting time spent on gambling D. All of the above

D. All of the above

What is the lifetime prevalence rate of Gambling Disorder in the general population, as listed in the DSM-5? A. 0.4% B. 0.1%-0.2% C. 1%-2% D. 2%-4%

A .4%

What is the percentage of co-occurring Gambling Disorder among those in SUD treatment? A. About 10%-20% B. About 2-4% C. About 50% D. About 60-70%

A. About 10-20%

What is "natural" recovery? A. Using outdoor activities as part of therapeutic interventions B. Using only vitamins and supplements as medication C. A healthy diet of organic fruits and vegetables and all things gluten-free and non-processed D. Recovering without professional counseling or community services

D. Recovering without professional counseling or community services

What are two medical illnesses associated with the onset of problem gambling? A. Restless Leg Syndrome B. Parkinson's Disease C. High Blood Pressure D. Both A and C E. Both B and C

D. Both A and C

Which GA steps refer to taking an "inventory"? A. Step 4 B. Step 10 C. Step 11 D. Both 4 and 10 E. Noth 4 and 11

D. Both 4 and 10

Which of the following are typically considered to be skill-based gambling games? A. Slot Machines B. Poker C. Bingo D. Sport Wagering

B Poker D. Sports Wagering

What would be an appropriate intervention for a person with a Gambling Disorder in the contemplation stage of motivation? A. Have them complete a written fourth step B. Have them cut up all of their credit cards C. Have them do a cost-benefit analysis D. Have them make a plan to pay back all their creditors

C. Have them do a cost-benefit analysis

Problem gambling in teens is associated with: A. High intelligence B. Delinquency C. Introversion D. Having a Job

B. Delinquency

When asking screening questions about gambling problems, it is first essential to: A. Ask questions about substance use B. Define specifically what is meant by gambling C. Define problem gambling D, Screen for mental health problems

B. Define specifically what is meant by gambling

Which of the following problem gambling screens can best be used for adolescents? A. SOGS-RA B NODS-CLIP C. BBGS D. BODS-PERC

A. SOGS_RA

Which group in the U.S. is identified in DSM-5 as having highest prevalence of Gambling Disorder? A. Hispanics B. Asian Americans C. Caucasians D. African Americans

D. African Americans

GA was founded in: A. 1957 B. 1935 C. 1974 D, 1962

A. 1957

Which of the following is recommended by Gamblers Anonymous to address debt? A. Legal help for bankruptcy B. Pressure relief meeting C. Consumer credit counseling D. Immediate repayment

B. Pressure relief meeting

Which of the following medications may contribute to gambling problems: A. Naltrexone B. Prozac C. Mirapex D. Acetyl Cistine

C Mmirapex

Women who develop gambling problems tend to: A. Start younger in life than men B. Start later in life than men and have a gradual progression C. Start later in life and have a more rapid progression D. Start younger in life and have a more rapid progression

C. Start later in life and have a more rapid progression

Women who develop gambling problems are likely to gamble at: A. Table Games B. Internet gambling C. Electronic Gambling Machines D. Sports

C. Electronic gambling machines

What percentage of individuals with a gambling disorder have made a suicide attempt? A. 5-10% B. 20-25% C. 35-40% D. 50-55%

B. 20-25%

How does ASAM suggest addressing withdrawal symptoms for Gambling Disorder? A. Not applicable, there are no withdrawal symptoms for gambling B. Service through primary care physician, possible overnight accommodations or medically managed care when in the presence of co-occurring disorders requiring it C. Detox D. Only Applicable when substance withdrawal is present

B. Service through primary care physician, possible overnight accommodations or medically managed care when in the presence of co-occurring disorders requiring it

Which of the following is an effective way to manage counter-transference reactions: A. Ignore them B. Ask for consultation or supervision C. Discharge the client D. Act them out in therapy sessions

B. Ask for consultation or supervision

Which of the following is not likely to be a sign of teen gambling? A. Change in friends B. Mood Stability C. Missing money, clothing, stereo, etc D. Poor Academic performance

B. Mood stability

Adolescent problem gamblers are at higher risk for all of the following except: A. Tobacco Use B. Alcohol Use C. Drug Use D. Schizophrenia

D. Schizophrenia

Which of the following is the most powerful relapse trigger for most individuals with a Gambling Disorder: A. Lottery or casino billboards B. Too much or too little money C. Sports section of the newspaper D. Depression E. Drinking alcohol

B. Too much or too little money

Which of the following is not a part of a problem gambling relapse prevention plan? A. Avoiding all gambling triggers B. A money protection plan C. Carrying a support system phone list D Urge surfing

A. Avoiding all gambling triggers

A helpful technique to enhance a person’s motivation to change their gambling behavior is: A. Confront their denial B. Interpret their underlying conflicts C. Point out discrepancies between goals and behavior D. Have strict treatment discharge criteria

C. Point out discrepancies between goals and behavior

A harm reduction treatment approach for those with gambling problems: A. Does not include abstinence-based approaches B. May increase the likelihood of those with gambling problems entering treatment sooner C. Is exactly the same as the harm reduction approach for those with substance use disorders D. Can only work if the person with gambling disorder him/herself remains in treatment

B. May increase the likelihood of those with gambling problems entering treatment sooner

Which of the following is not an effective technique for working with gambling cravings: A. Urge surfing B. Challenging the craving C. Redirecting attention D. Going to the track or to the casino to watch people lose money

D. Going to the track or to the casino to watch people lose money

What would be an appropriate treatment goal for a person with a Gambling Disorder in the pre-contemplation stage of motivation? A. Have them develop a money protection plan. B. Have them begin to think about any problems gambling may be causing C. Self-exclude from casinos D. Have them immediately stop all gambling activities

B. Have them begin to think about any problems gambling may be causing

Which of the following is not a cognitive/behavioral treatment that has been used in the treatment of Gambling Disorder? A. Implosion therapy B. Systematic desensitization C. Aversion Training D. Imaginal Desensitization

A. Implosion therapy

Adolescent rates of problem gambling are: A. Lower than adults B. The same as adults C. Higher than adults

C. Higher than adults

When treating a person with a Gambling Disorder who is from a cultural background different from the counselor, it is best for the gambling counselor to: A, Seek the services of a good translator B. Refer to a counselor of the shame culture C. Treat within the context of their culture D. Refer the client to a class on English before the beginning of treatment

C. Treat within the context of their culture

Internationally, problem gambling rates for marginalized and disenfranchised groups compared to majority populations are: A. Significantly lower B. Significantly higher C. The same

B. Significantly Higher

Self-exclusion enforcement may result in which of the following: A. Fines B. Loss of winnings C. Arrest D. All of the above E None of these

D. All of these

When working with older adults with gambling problems, the most important things to remember are: A. To speak up and use large print materials B. To be sure you have a copy of the client's advanced directive C. To be supportive, respectful, and a "safe" source of confidential help D. To be concrete, specific, and use time-limited interventions

C. To be supportive, respectful, and a "safe" source of confidential help

Dopamine deficits that have been found in individuals with Gambling Disorder are most likely to effect: A The gamblers ability to feel a sense of sustained satisfaction B learning and memory C Emotional Stability D. Both A and B E. All of the above

E, All of the above

Neuroimaging studies of those with Gambling Disorder have demonstrated deficits in which of the following areas: A Medulla oblongata B. Corpus Callosum C. Pre-frontal cortex D. Humorous gland

C pre-frontal cortex

According to research studies, which of the following medications are most likely to reduce cravings and gambling behavior in those with problem gambling? A. Welbutrin B. Prozac C. Buspar D. Naltrexone E. None of the above

Naltrexone

Which of the following is the most common industry-based intervention for problem gambling? A. Using player cards to set limits on time and money spent gambling B. Setting strict limits C. Self-exclusion D. Using floor staff to identify and refer problem gamblers

C. Self- exclusion

Per the DSM-5, a Mild Gambling Disorder is defined by meeting: A. 1or 2 diagnostic criteria B. 2 or 3 diagnostic criteria C. 3 or 4 diagnostic criteria D. 4 or 5 diagnostic criteria

D. 4 or 5 diagnostic criteria

Per DSM-5 an important differential diagnosis is between someone with a Gambling Disorder and A. Delusional Disorder B. ADHD C. Nondisordered gambling (professional and social gambling D. Manic episode E. Both C and D

E. Both C and D

From a motivational interviewing perspective, resistance is: A. A characteristic of a the client B. An aspect of the therapeutic interaction C. To be confronted D. Indicates a lack of motivation

B. An aspect of the therapeutic interaction

Counseling Considerations of alternative solutions Flashcards

(106 cards)