Quiz questions Flashcards
Elements in an individuals life that increase vulnerability to negative developmental outcomes are ______ factors
Risk
Internalizing and externalizing factors that assist youth in guarding against substance abuse are ___ factors
Protective
Delinquency, rebelliousness, and sensation-seeking are ___ factors
Individual risk
Opportunities and recognition for prosocial involvement are ____ factors
community protective
A youth was reported as using drugs. She has a poor attitude toward school but is doing well academically, recently received an award for academic achievement, and has not been caught in any other trouble at school. Based on what you know about risk and protective factors in the school domain, what might you conclude?
You need to find out the context of the poor attitude toward school
Ideally, assessments of youths should include information-gathering from the ______.
parent(s)/guardian(s) and from the youth, separately, to provide a broad, clear perspective
You find out during an assessment that a youth who has no close friends considers the drug he uses to be his best friend. Which item would be most beneficial for you to include as part of his treatment?
Grief resolution counseling, since the youth is likely to experience a loss when the drug is no longer being used
A student who was doing well academically last year is doing poorly this year. He has new friends who use drugs. His single father recently started smoking marijuana in front of him occasionally. His mother died of a drug overdose two years ago. What factors put this student at risk for substance abuse?
Academic failure (school), friends’ attitudes toward and use of substances (peer), parental attitude toward and use/abuse of substances (family)
You have a youthful, Mexican-American client with anger issues. She is an alcoholic. Both of her parents support your idea of outpatient treatment. Which option would you say is most appropriate?
A-CRA
An adolescent client of yours has attended several AA meetings. He understands its principles. However, he is having trouble surrendering to a higher power because he was raised in an atheistic, humanist tradition. How do you respond?
You say he does not have to surrender to God but needs to place an emphasis on creating a spiritual defense against his alcohol use.
What defines “family”.
Nuclear, single-parent, communal, kinship, adoptive, and foster families
Two criticisms of family systems theory are its ____ and its ____.
gender bias; non-scientific nature
An alcoholic family is one in which ____
alcoholism has become its organizing theme
A husband of an alcoholic often alters his behavior to accommodate his wife’s drinking. For example, he cooks and eats breakfast alone while his wife sleeps in, whereas before he woke her with a hug and they breakfasted together. When he realizes that changing his behavior supports his wife’s alcoholism, he ________.
realizes he is enabling his wife’s drinking
Paco is an impulsive COA (child of an alcoholic). His mother is an alcoholic. His father drinks socially but not heavily. He heard of a community support group for teens and immediately started attending both sessions offered each week. What measure can be taken to prevent Paco from developing risky behavior for alcohol abuse?
His father can closely monitor his behavior, because his impulsivity is a sign of genetic sensitivity to a risky environment
A family you are working with in family treatment has completed the family detoxification stage in Steinglass’ four-stage model. What do you do next?
Address in the most appropriate way the family’s emotional instability, which follows when alcohol is no longer the organizing factor in the family system.
During treatment, a family realizes that, through their own behavior, they are rewarding the behavior of their alcoholic parent/spouse. They learn to adjust their behavior such that it decreases the alcoholic’s drinking behaviors. This is an example of ________ therapy.
behavioral
____ comprises a painful feeling of regret, and ____ is an acutely painful feeling about one’s self as a person.
Guilt; shame
Secrets (hiding the alcoholism and/or hiding neglect or emotional, physical, or sexual abuse) are part of shame-bound systems in that they ________.
maintain the equilibrium of the system by inhibiting family members from changing their behaviors
A wife of an alcoholic often alters her behavior to accommodate her partner’s drinking. For example, she takes on more household chores when her partner stops doing them to drink in front of the TV instead. When she realizes that changing her behavior supports her partner’s alcoholism, she ________.
feels toxic shame and low self-worth and realizes she is codependent
According to Klatsky and colleagues, the strongest determinants of drinking patterns in a society are ________.
ethnicity and culture
A knowledge of a person’s _______ is imperative to therapists developing relevant prevention, assessment, and treatment strategies for that person.
cultural history and values
Which statement is true?
There is no convincing evidence that American Indians have a
genetic vulnerability to alcohol
A sweat lodge is _____
a purification ritual for spiritual renewal
Across ethnic groups, ________ is(are) the strongest indicator(s) of
substance abuse in youths.
peer-related variables
A friend of yours is a nurse in the emergency room. He tells you about a Navajo woman who has been in three times recently due to what he believes is an abusive, alcoholic husband. The woman admits her
husband drinks heavily but says she does not need any help. As a human services professional, what do you do?
You give to your friend your business card and some
informational pamphlets on how to get culturally relevant help to share with the woman.
During an interview, an African American woman says she works three part-time jobs to take care of her two children while her drug-dependent husband provides no assistance. She says that as much as she has tried, she can no longer endure the pain it is causing and she needs help. How do you respond to this information?
You recall the superwoman myth and congratulate her on her
decision to come in and focus on her own needs in addition to
those of her family.
Why do you think that in 2009 an African American man would be more likely to be incarcerated for a drug-related offense than a white man when the rates of drug disorders among African Americans and whites were about the same?
Because of the disparity in sentencing for crack (more prevalent
among African Americans) versus powdered cocaine (more
prevalent among whites)
After 15 years of marriage, the wife of a Mexican American man left him due, she said, to his heavy drinking. He drank only after a hard day’s work and does not think he has an alcohol problem. But since she left, he is thinking twice. What occurred?
His machismo let him feel that he fulfilled obligations by working hard and he deserved to drink without criticism. Now he feels emasculated and powerless.
A Jewish American man who was not very religious felt ashamed
regarding his heavy drinking. He decided to visit his mother’s rabbi for
advice. If you were the rabbi, what would you suggest?
Invite him to the synagogue’s Twelve Step program and suggest psychotherapy.
The modern description of the term homophobia is ________.
the broad range of negative attitudes about gays and lesbians
The question, “Do you think of yourself as heterosexual, homosexual,
bisexual, or something else?” reflects an interest in a client’s _____.
identity
