Drug and Alcohol Disorder Questions Flashcards
(190 cards)
1
Q
What are the DSM II Symptoms for an SUD disorder?
A
11 symptoms. Tolerance, Withdrawal, Increase of amount, Inability to control, devoting time and effort, giving up activities to use, continued use despite illness, cravings, using to gain original feeling, recurrent use despite harm, social issues
2
Q
What does experienced effect of a drug depend on?
A
Amount taken and past drug experiences, modality of administrations, poly drug use setting and circumstance
3
Q
How is drug tolerance best described?
A
decreased sensitivity to a drug over time
4
Q
What are drug cues?
A
prior drug use setting, drug use paraphernalia, seeing others use
5
Q
What happens as tolerance for barbiturates develop?
A
Margin between intoxication and lethality stays the same. Still dangerous but it stays the same.
6
Q
What is Wenickes Encephalopathy and what is the most common symptom?
A
its B1 deficiency caused by alcoholism and causes confusion
7
Q
Which conditions does alcohol induce?
A
Steatosis (liver disease), hepatitis, Cirrhosis
8
Q
What is formication?
A
sensation of bus crawling under the skin
9
Q
What organ is most damaged by cocaine?
A
The heart
10
Q
What are basic chemical class for amphetamines?
A
Amphetamine sulphate, dextroamphetamine, and meth
11
Q
What is the hardest drug to quit in terms of dependence?
A
nicotine
12
Q
What is the convergence theory in regards to substance abuse?
A
Rates of substance abuse among women are converging with those of men
13
Q
Among psychiatric disorders in the elderly, where does alcohol abuse rank? And what are the percentages?
A
Alcoholism ranks 3rd for elderly. 4.6% are alcoholics and 15% of elderly alcoholics have drug issues.
14
Q
What are the subcategories of alcohol use disorder onset and which is not found in the elderly?
A
early onset alcoholism is not found in the elderly as early onset means it started in adolescence. Late onset exacerbation drinking means it became chronic later on. Late-onset means there was no prior history.
15
Q
At an initial meeting with a new client what is the first requirement?
A
Establish rapport BEFORE discussing confidentiality and rules and expectations.
16
Q
What does motivational interviewing primarily involve?
A
Supportive Persuasion
17
Q
What percentage of individuals struggle with dual diagnosis? And what percentage received treatment on for their mental illness?
A
50% and 32.9% only received treatment for mental illness.
18
Q
What factors can affect screening instrument validity?
A
Screening setting and privacy, levels of rapport and trust, and how instructions are given and clarified.
19
Q
What can a certified alcohol and drug counselor NOT perform?
A
Diagnose mental disorders. We can screen assess, and formulate a treatment plan only.
20
Q
What do we NOT need to be sensitive to?
A
Political Orientation
21
Q
What are serious mental health symptoms that resolve with 30 days of abstinence due to?
A
Substance abuse induced disorders that require continued abstinence.
22
Q
What is the most important introductory statement with suicide evaluation?
A
I need to ask a few questions about suicide.
23
Q
What is the purpose of screening?
A
To determine the need for placement or referral
24
Q
What is the purpose of SUD assessment?
A
to determine the severity of the substance problem
25
Who should create the treatment plan?
Collaborative team with client
26
How must assessment information be handled to be the MOST effective?
Converted into goals and objectives
27
What does NOT bolster a clients desire to complete program?
Frequent disciplinary consultations
28
Teh stage model of change addresses how many client stages? And what are they?
6 stages. Precontemplation, Contemplation, preparation, action, maintenance, and relapse.
29
When is a client fully prepared to enter treatment?
A client accepts the need for treatment.
30
In cases involving the criminal justice system what is the minimum recommendation for frequency of updating treatment plan?
At all transition points
31
Which organization formally adopted the addiction severity index?
The National institute on drug abuse (NIDA)
32
All of the following are true of depression and substance abuse except that?
False: Drugs of abuse can successfully treat depression.
True: Depression can cause self medication with drugs, it can induce symptoms of depression, and worsen existing symptoms of depression.
33
How does motivation for participating in treatment differ from motivation to actually change behaviors?
Motivation for change is internal and treatment may be pushed on a client.
34
How does the center for substance abuse treatment recommend that substance abuse be considered and treated?
A chronic treatable condition
35
How does CSAT indicate that treatment or interventions following discharge be referred to ?
Continuing care
36
What is the best distinction between SUD program and 12-step meetings and support groups?
Programs offer treatment and groups offer support
37
According to ASAM what is the min. treatment time intensive outpatient must provide?
9 hours of treatment per week
38
What is not a core feature or service that the CSAT consensus panel agree upon?
Recreational therapy
39
What can naltrexone (vivitrol) be used to treat and what does it do?
Both alcohol and opioid dependence. IT reduces cravings for both.
40
What MAT service causes illness if alcohol is used?
Antabuse (D something)
41
What is not a core treatment or recovery sill?
Exercise and health training
42
What is the influence of family on treatment outcomes?
It can be improved with family support or be worse with their involvement.
43
What is the usual recommended minimum duration of days for intensive outpatient treament?
90 days
44
How is the most effective relapse prevention training provided?
Group therapy and individual therapy are equally effective.
45
What is NOT an intensive outpatient treatment group?
Transitional care groups
46
What is the most common duration of counseling in intensive outpatient treatment?
30-50 minutes once a week.
47
How are pharmacotherapy and medication management in SUD treatment described?
of considerable value in treament
48
Topics addressed in groups are typically...
sequenced by concept for maximal effectiveness
49
Which substances lack effective treatment medications?
Cocaine and marijuana
50
Adjunctive therapies cover everything except...
Vocational training
51
Dealing with smoking cessation during SUD treatment is
something to be seriously considered if the client desires it.
52
What is the sandwich technique?
intake interviewing technique
53
What is the physiological dependence on a drug determined by?
Tolerance or symptoms of withdrawal
54
A client that previously met criteria for stimulant use disorder but hasn't used for 10 months would be termed to be...
Early remission
55
What does a dual relationship refer to?
a working relationship with a client outside the professional domain
56
What is an appropriate response to a substantial gift from a client?
I cant accept that but thank you so much.
57
If you catch a client drinking at a nightclub, what should you do?
You cant engage with clients outside in public so you need to avoid contact and leave the club immediately.
58
What are counselors encouraged to do in sessions with different clients?
use multiple counseling approaches to meet clients needs.
59
What does 12 step facilitation approach refer to?
Encourage clients to enter a community 12 step program
60
What is NOT a strength of a 12 step program?
IT offers easy monitoring of assigned step tasks
61
Where do clients fare best when it comes to CBT therapy, motivational interviewing therapy, or 12 step groups/
Research has shown 12 step facilitation has the best results
62
What does the term therapeutic community refer to?
a drug free residential treatment environment
63
Why do therapeutic communities focus on habilitation instead of rehabilitation and what does it mean?
Habilitation means to learn new skills which is why treatment communities focus on it.
64
In what setting is the therapeutic community treatment model most effective?
A formal full-time residential setting or an intensive day treatment setting.
65
What is the matrix model designed to treat?
originally created for stimulant abuse
66
Which of the following is NOT a drawback to community reinforcement and contingency management approaches?
CR requires others support and CM requires ongoing rewards
67
What is the most typical co-occurring disorder client?
An alcohol abusing woman
68
When behaviorally assessing for a co-occurring disorder what is the MOST important variable to consider?
Alcohol or drug toxicity or withdrawal symptoms
69
How are SUD treatment programs for adolescents described?
Very different from adult treatment programs.
70
What is the MOST effective treatment approach for adolescents in terms of less drug use at treatment completion?
Family therapy
71
How is the concept of culture BEST described?
A share set of beliefs, norms, and values among ANY given group.
72
Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients?
The provider
73
What does the term culture bound syndrome refer to?
Illness bound to the culture and illness interpreted distinctively due to culture influence
74
Beyond the culture of the client what is another key cultural issue?
Culture of the counselor
75
What are two key mental health treatment paradigms of western medicine?
pharma therapy and psychotherapy
76
When older adults enter treatment how do their rates of attendance and relapse compare to younger ones?
Much higher attendance and lower relapse rates
77
Relapse and remitting model addresses cycles of relapse and recovery and can be usefully applied to 3 other areas
Medication management ,unemployment, anger and violence, etc.
78
Authentically connected referral network is used with case management and is best defined as
A set of defined relationships able to adapt and flexibly meet client needs
79
In providing case management services, what is the primary aim?
produce the least restrictive level of care possible in meeting clients needs.
80
What does the ask-tell-ask technique refer to?
Ask permission of the client to talk with them, tell them any concerns, and ask for their thoughts.
81
What are the 3 most important aspects when referrals are made?
Who, what, and how
82
When should planning for aftercare be engaging when it comes to co-occurring disorders?
At the point of the initial counselor-client contact
83
What should treatment mostly be focused on when it comes to substance abuse?
SUD issues and recovery, health issues, and co-occurring disorders
84
What does the term bookend refer to?
discussing a trigger with someone trusted BEFORE and AFTER it occurs
85
What do the guidelines of CFR title 42 part 2 deal with?
Confidentiality in areas of alcohol and substance abuse
86
What does HIPAA statutes address?
Health, privacy, and confidentiality standards
87
When are confidentiality breaches permitted?
Where an individual is at risk of harming himself or others and when child abuse and elder abuse is suspected
88
Where would a first generation American hospital woman be best assigned?
a group based on immediate needs.
89
What is the baseline duration for improved outcomes when it comes to treatment times?
Three months for enhanced outcomes
90
There are 5 primary group models used in SUD treatment? which is the model that views dependency as a learned behavior that can be modified?
Cognitive behavioral group
91
What are the 5 primary group models used in SUD treatment?
Psychoeducational, CBT, life skills, support, and interpersonal process
92
What is Bruce Tuckmans 5 phases of group development?
Forming, storming, norming, Performing, and adjourning
93
Substance abuse affects the user and family. What are intergenerational affects commonly caused by?
Compensation issues needed to cope with addictive dysfunction
94
What percentage of HIV cases are found among females in this country
25 percent
95
Which two communities are more likely to use drugs and alcohol?
LGTBQ+ community and individuals with disabilities
96
How are older adults likely to act when ti comes to substance abuse?
less likely to continue using compared to younger people.
97
What is the most likely period in life for an SUD problem to begin?
Adolescence (teen years)
98
What is NOT fundamental assessment information at intake?
documentation regarding referrals and referral outcomes as it is only an assessment.
99
How of ten are treatment plans typically updated?
Every 30-90 days or if changes/progress indicate a need for an update.
100
What is the key difference between a current treatment plan and a current progress note?
The treatment plan provides an action blueprint while the note captures what did/did not occur.
101
How often does the state require updates for a clients treatment program?
Weekly at minimum.
102
Is a subpoena enough to provide information to confidentiality?
No, a qualified hearing must be first held in court.
103
If a client becomes verbally agitated angry and elevated with counselor what is the BEST response?
validate their affect but not expression especially if threatening.
104
What is the best grounding technique for impulsive clients?
anchoring exercises
105
When it comes to a client in an unsafe relationship what is the best thing to do?
Coach them to explore the situation, issues or risk and self endangerment.
106
What should a counselor do if they are feeling triggered by a clients past?
Refer the client to a counselor who would e more comfortable.
107
In providing services an agency needs to maintain a visitation of purpose and important objectives. what is the MOST significant mission?
break the cycle of abuse and neglect and its negative impact on others
108
What withdrawal symptoms are characterized by severe flu like symptoms?
Opioid Withdrawal
109
genetic factors make up for how much of the addictive population?
50% or one-half
110
What is the adolescent tendency to impulsivity and risk taking due to ?
neurological immaturity
111
What are depressant drugs and what are they used to cope with?
alcohol, opiates, barbiturates, and benzos. They are used for stress.
112
When is benzo treatment for anxiety no longer effective?
after 4 months
113
at low doses what does alcohol do phyiscally?
acts as a stimulant
114
what is the MOST harmful drug a mother can abuse during pregnancy?
alcohol
115
Stimulate abuse compensates for what brain deficiencies?
Norepinephrine, serotonin, and dopamine.
116
What is euphoria causes by when it comes to drugs?
A buildup of neurotransmitters
117
What kind of drug does the term nootropic refer to?
memory enhancing
118
What is NOT a stage in the development of alcoholism?
Morning drinking is not an official stage.
It goes from social drinking, heavy drinking, to dependent drinking.
119
In heroin addiction, what is the stage known as disjunction?
crime, arrests, imprisonment, and serial treatment.
120
What is not a typical stage of development in cocaine addiction?
isolated use
121
Deviance results from two things:
Weak societal ties and weak familial ties
122
Withdrawal symptoms from anabolic steroids resemble which drug?
cocaine
123
What is true about individuals voluntarily entering treatment for SUD?
they are at varying stages of change
124
what is the primary goal of screening a client with an SUD disorder?
determine a best initial treatment course
125
what is the suicide risk for individuals for alcohol use disorder?
ten times as high as among the general population
126
What does treatment sequencing refer to?
prioritizing client needs in the treatment process
127
How is Maslows hierarchy of needs best described?
fundamental ranking of essential needs
128
What are the 5 levels of Abraham Maslows hierarchy of needs?
1. Physiological needs
2. Safety needs
3. love and belonging needs
4. esteem needs
5. self actualization needs
129
What does the biophsycsocial model suggest that problems have?
numerous casual factors that are interconnected
130
True or false? Clients must always hit rock bottom before treatment
false
131
how is client motivation for treatment best maintained?
reminders of what brought them to treatment
132
What does client resistance to treatment indicate?
client is being pressured to change too quickly.
133
What is the factor that contributes most meaningfully to client treatment retention?
Therapeutic alliance
134
What kind of treatment episode is associated with better outcomes?
completion of any length episode is most important.
135
what is the purpose of client specific groups?
meet unique client needs and facilitate the counseling process
136
What kind of clients should NEVER be assigned to the same groups?
Victims and perpetrators. Neighbors and relatives. Schizophrenia and antisocial disordered clients.
137
What is the optimal group size for group treatment?
8-15 members
138
What medication is NOT commonly used for alcohol abuse?
buprenorphine
139
What medication is NOT used for opioid use disorder?
Luminal (barbiturate)
140
Difference between lapse and relapse?
a lapse means its a single use episode vs. prolonged use again
141
What is the influence of a famous client in group most likely to be be?
negative, disrupting group dynamics
142
What happens if you personally know someone in treatment?
speak with the privately and offer assurances of confidentiality
143
What does CBT NOT do?
It does not address the role of a higher power in achieving and maintaining abstinence
144
True or false? Is CBT therapy superior to contingency management approaches?
true
145
In motivational interviewing what is the role of the counselor?
A coach or consultant asking key questions for learning. We are not experts in guidance and directions.
146
how it motivational enhancement therapy different from MI?
MET incorporates structured assessments and follow up sessions.
147
how many treatment weeks are involved in the current matrix model program?
16 weeks
148
which is NOT a group in the matrix model of treatment?
stress management groups
149
What have efficacy studies of the matrix model of treatment found?
the model is significantly positive in measures of efficacy
150
What are 2 significant drawbacks to the matrix model?
cognitively impaired clients may have difficult with some materials while others may be adverse to highly structured content and scheduling.
151
What theory is community reinforcement and contingency management based upon?
operant conditioning theory
152
Osher and Kofoed developed how many stages?
4
153
What are double trouble groups?
groups with dual diagnosis like psychiatric and substance abuse issues
154
What mental health issues is influenced by culture?
depression
155
When is influence of culture most likely to be apparent for the counselor?
in symptom presentation
156
What cultural group is least susceptible to suicide?
african american women
157
When experiencing mental health issues, who are racial minorities least likely to seek out?
Counselors
158
what is the greatest cultural barrier to receiving mental health treatment?
the stigma of mental illness
159
What does cultural brokering mean?
liasion work between cultures to meet needs
160
How do rates of heavy alcohol use among youth 12-17 compare to city people?
double the rates than in metropolitan areas
161
what percentage of homeless individuals with substance abuse issues receive full treatment?
25 percent
162
What are the 3 most common substances used by homeless population?
alcohol, opioids, and crack cocaine.
163
What is the case management approach that focuses on helping clients assert direct and personal control in search of resources? And what is the model that integrates therapeutic and resource acquisition activities known as?
1. Strengths-based perspective
2. Clinical or rehabilitation model
164
How are the clinical, evaluative and administrative activities that link clients with treatment community services and resources referred to?
service coordination
165
what is the key feature that differentiates an SUD counselor who practices in the field from one who succeeds in changing a clients life?
The ability to be empathetic
166
how much communication does nonverbal body language account for?
50 percent
167
What is the most significant reason for clients to sign an informed consent form?
to acquaint clients with program rules, regulations and boundaries
168
What is the best indicator of a clients readiness to change for treatment?
The client and family levels of emotional and physical pain
169
How will emotional and other normal developmental stages most likely be affected when it comes to significant substance abuse?
they will be largely skipped
170
How is community reinforcement training used?
to motivate a substance user to enter a treatment program
171
What is the main goal of involving family in treatment?
to educate the family about substance abuse as a chronic disorder requiring lifelong changes
172
who are the family members most likely to participate in treatment?
adult women
173
how does the Bowen family systems theory view the family?
as an interdependent emotional unit
174
What is the theapuetic intervention that draws upon extended support linkages to produce motivation?
network therapy
175
What therapeutic approach uses the miracle question technique?
solution focused family therapy
176
It is estimated that genetic factors account for
40-60% of addiction vulnerability
177
how is the concept of resilience from mental health best described?
internal strengths necessary to cope with challenging events
178
how do Hispanic population tend to respond to alcohol problems in the family?
by attempting to ignore and avoid discussing the drinking problem
179
what is the percentage of the population that identifies as black?
13 percent
180
what percentage of native americans report alcohol use?
20 percent
181
what is the fastest growing minority group in the nation?
asians and pacific islanders
182
What is the key difference between discharge summary and continuing care plan?
Discharge plan provides an overview of treatment and outcomes while the continuing care plan addresses aftercare options based on clients response to treatment.
183
What does the term transference mean between counselor and client?
feelings from a past relationship that are projected onto the counselor
184
What does the term countertransference refer to?
feelings from the counselor projected onto the client
185
what does secondary trauma mean?
symptoms in the counselor emerging from high exposure to client traumas
186
The term for compassion fatigue
counselor burnout
187
what does a treatment frame assist both the counselor and clients to establish and maintain
healthy boundaries in treatment
188
What is NOT a key counselor contribution to the development of trust?
greater latitude in boundary setting
189
What is a particularly problematic potential from a counselor client relationship becoming intimate and intense
client romantic feelings for the counselor
190
if a counselor becomes sexually involved with a client what are the consequences?
termination of employment, loss of license, and potential prosecution
