Studyguide Flashcards

(180 cards)

1
Q

A client’s treatment plan contains the following statement:

“This individual has a history of chronic relapse during periods of high stress.”

This is an example of which of the following:

a. toxicology report
b. problem statement
c. Objective
d. short term goal

A

B. Problem Statement

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2
Q

Which term describes the process whereby clients project past feelings or attitudes they had toward significant people in their lives onto their counselor?

a. transference
b. projection
c. countertransference
d. displacement

A

A. Transferance

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3
Q

In the process of assessment, all of the following substance use screening questionnaires may be used EXCEPT:

a. CAGE (Cut down, Annoyed, Guilty, Eye-opener)
b. TWEAK (Tolerance, Worried, Eye-Opener, Amnesia, K/Cut Down)
c. DALI (Dartmouth Assessment of Lifestyle Instrument
d. AUDIT (Alcohol Use Disorders Identification Test)

A

C. DALI

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4
Q

Client education on the expected outcomes and possible risks of the counseling process is an important part of:

a. treatment process
b. placement criteria
c. informed consent
d. referral management

A

C. Informed Consent

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5
Q

The activities that bring the client, treatment services, and other resources together to focus on identified issues and needs is known as:

a. clinical evaluation
b. treatment planning
c. referral planning
d. service coordination

A

D. Service Coordination

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6
Q

As part of informed consent, counselors should advise clients of the exact circumstances under which they are legally required to do which of the following?

a. break confidentiality
b. call the police
c. cancel an appointment
d. terminate treatment

A

A. Break Confidentiality

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7
Q

Administrative supervision provides an opportunity to address

a. countertransference issues
b. developing a therapeutic alliance
c. mutuality, respect and connection for clients
d. program policies and standards

A

D. Program Policies and Standards

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8
Q

Which of the following client attributes is an important predictor of treatment outcomes?
a. practicing self-care
b. self-esteem
c. self-efficacy
d. ability to self-soothe

A

c. self-efficacy

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9
Q

What potential factors of each change strategy are considered when developing a solid plan for change?

a. potential outcomes
b. financial cost
c. time restrictions
d. environmental impact

A

a. potential outcomes

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10
Q

The process by which a client is determined appropriate and eligible for admission to a particular program.

A

Screening

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11
Q

Administrative and Initial assessment procedures for admission to a program

A

Intake

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12
Q

Describing to the client the general nature and goals of the program; the rules governing client conduct and infractions that can lead to disciplinary action or discharge from the program, the hours during which services are available; the treatment costs that are to be borne by the client, if any; and the client’s rights.

A

orientation

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13
Q

Those procedures by which a counselor/program identifies and evaluates an individual’s strengths, weaknesses, problems, and needs for the development of the treatment plan.

A

Assessment

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14
Q

The process in which the counselor and the client identify and rank problems needing resolution, establish agreed upon immediate and long-term goals, and decide on the treatment methods and resources to be used.

A

Treatment planning

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15
Q

Clients with low levels of motivation to abstain from substance use should be placed in which type of group?
A) Skill Building
B) Psychoeducational
C) Process
D) Support

A

B Psychoeducational

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16
Q

Which of the following best describes one of the causes of decreased ability to experience pleasure after long time substance use?
A) Lower amounts of dopamine are produced causing feelings of depression.
B) Dopamine receptors become damaged from continued substance use
C) Changes in the chemical makeup of dopamine after its effects from pleasure to depression
D) Higher amounts of dopamine are produced causing euphoria to which the user becomes accustomed.

A

A) Lower amounts of dopamine are produced causing feelings of depression.

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17
Q

The DSM-5 is a tool used to:
A) Make a diagnostic impression based on presenting symptoms
B) Identify risk and protective factors relevant to the client
C) Determine the appropriate level of care
D) Develop symptom specific treatments

A

A) Make a diagnostic impression based on presenting symptoms

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18
Q

Using Motivational Interviewing, which of the following statements would be best to begin discussing the findings of an assessment with a client?
A) We went over a lot of information today. Is there anything you would like to discuss further?
B) Those are all the questions I have to ask today. Before we move on, what caught your attention or what were you thinking as we went over the information?
C) Thank you for all the information you gave me. Let me look this information over and we can discuss it during the next session. Is that ok for you?
D) Do you have anything else you would like to share that would help me get to know you and why you are here?

A

B) Those are all the questions I have to ask today. Before we move on, what caught your attention or what were you thinking as we went over the information?

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19
Q

Assisting a client in using community resources to meet the needs that a counselor is unable to provide is known as
A) Service Cordination
B) treatment planning
C) Referral
D) clinical evaluation

A

C Referral

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20
Q

A Client is a 21 year old Latino living with his mother. his mother regularly uses heroin and has engaged in prostitution for income. He has his high school diploma but has not had steady employment since he was 19. His substance use began when he was 16 with marijuana and alcohol. At age 18 he also began periodically using heroin and now reports using heroin daily. He is mandated to treatment after being arrested for robbery to support his substance use. Based on this summary, which level of care is most appropriate to ASAM’s Patient Placement Criteria?
A) Outpatient
B) Intensive Outpatient/partial hospitalization
C) Residential/Inpatient
D) Medically Managed Intensive Inpatient

A

C Inpatient

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21
Q

When making amendments to a client record, counselors should:
A) ensure to property note the amendments according to agency policies
B) never amend a clinical record because information might be skewed in the process
C) get the amendment approved by their clinical supervisor before making any changes
D) make sure that a very detailed description of the amendment and its purpose is added to the record

A

A) ensure to property note the amendments according to agency policies

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22
Q

A client often disagree with their partner and feels guilty about their behavior when they have an argument. A treatment intervention for this client would be to:
A) Practice the use of “I” Statements
B) Encourage the client to apologize to their partner
C) Ask the client to journal about their substances use prior to the argument.
D) Use deep breathing techniques to process through their guilt

A

A) Practice the use of “I” Statements

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23
Q

To abstain from drug use and maintain abstinence, individualized counseling emphasizes short-term behavioral goals and helps the client develop
A) Coping and strategies and tools
B) support systems
C) community partners
D) defense mechanisms

A

A) Coping and strategies and tools

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24
Q

Which term describes the process whereby clients project past feelings or attitudes they had toward significant people in their lives onto their counselor?
A) Transference
B) Projection
C) Countertransference
D) Displacement

A

A) Transference

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25
The purpose of an assessment is to: A) Gauge the validity of the instrument B) Gather detailed information for the treatment plan C) Quantify any symptomatology D) Provide a diagnosis
B) Gather detailed information for the treatment plan
26
How does the assessment process promote rapport with a client? A) It engages the client in their treatment process B) It provides the clients with an orientation to the treatment C) It demonstrates a counselor’s thoroughness and capabilities. D) It establishes a standard of communication for the future therapy sessions.
A) It engages the client in their treatment process
27
Q An 18 year old female recently enrolled as a full-time student visits a campus counselor and indicates she is feeling symptoms of anxiety and depression. She has a full course load and works a campus job 10 hours a week. She indicates she has made many friends but is concerned that most of their social activities involve drinking. What would be the best treatment goal for this client to help her with her concerns about drinking? A) Help select college sponsored activities to attend with her friends B) Refer to a campus self-help group to assist with her treatment. C) develop a time management schedule to reduce stress D) Encourage increased exercise to boost endorphins
A) Help select college sponsored activities to attend with her friends
28
A client who recently moved to the United States expresses feelings of loneliness and isolation in the community. This is... A) Acculturation Stress B) Cultural acceptance C) Assimilation D) Value conflicts
A) Acculturation Stress
29
Before a client in need of continued treatment is discharged, a counselor must… A) Provide the client with a list of resources for further treatment B) Make appropriate alternative arrangements C) Have the client consent to the termination of treatment D) Inform all concerned others involved in the treatment process
B) Make appropriate alternative arrangements
30
A client's treatment plan contains the following statement, "This individual has a history of chronic relapse during periods of high stress." This is an example of which of the following? A) Long term goal B) Problem statement C) Objective statement D) Short term goal
B. Problem Statement
31
Q A client discloses that her husband is abusing her three year old daughter. Jurisdictional law mandates the abuse must be reported, however, previous experiences with child protective services have been ineffective. The counselor fears if the abuse is reported it will escalate as child protective services will investigate the matter but take no further action. The counselor’s best course of action is to: A) Consult with their immediate supervisor and follow the supervisor’s directives on whether or not to report the abuse B) Adhere to reporting protocols and determine if and when the client should be informed of the report C) Develop a plan with the client to remove her and her daughter from the abusive situation and then report the abuse to appropriate authorities. D) Document as much detail as possible regarding the abuse and continue to monitor the situation until the counselor can make a clear decision about what is in the client’s best interest.
B) Adhere to reporting protocols and determine if and when the client should be informed of the report
32
A client has been working a 12 step program for the last 2 months but does not feel like they benefit from the process. The counselor’s best approach would be to: A) Encourage them to continue working their 12 step program, because it’s normal to feel this at first. B) Discuss alternatives ideologies that could support their recovery and suggest they try one. C) Recommend they stop working their 12 step program D) Inform them that working the 12 steps is their best chance for recovery
B) Discuss alternatives ideologies that could support their recovery and suggest they try one.
33
What is an ongoing process through which the counselor collaborates with the client and others to gather and interpret information necessary for planning treatment and evaluating client progress? A) Screening B) Assessment C) Intake D) Orientation
B Assessment
34
The ORT, SASSI and DAST are all examples of A) assessment tools B) screening tools C) documentation tools D) counseling tools
B Screening Tools
35
A client seeing a counselor for the first time indicates they were not able to complete high school after they were raped as a young teen. They are unable to keep steady employment and experience regular flashbacks of their rape. They have numerous health conditions including high cholesterol for which they are currently taking Lipitor. What information is most important when screening for a substance use disorder? A) Low level of education B) Regular flashbacks C) Inconsistent employment D) Prescription medications
B Regular Flashbacks
36
During which stage of change is the specific task to raise doubts and increase concern and awareness around the target behavior? A) Action B) Contemplation C) Precontemplation D) Maintenance
C Precontemplation
37
In treatment planning, effort should lead forward: A) goal directed recovery B) compliance with program procedures C) abstinence and symptom alleviation D) attendance to self-help groups
A Goal directed recovery
38
Q In a session, a client discloses repeated instances of eating large amounts of food at once to the point of nausea. They indicate that they are not hungry when they eat and feel bad about their food consumption when finished. According to the DSM-5, this client meets the diagnostic criteria for which of the following? A) Binge-Eating Disorder B) Bulimia Nervosa C) Anorexia Nervosa D) Rumination Disorder
A) BED
39
this term include counselors' observations, clinical interviews, laboratory tests, and instruments such as tests and self- report inventories.
Tools of assessment
40
What are withdrawal symptoms characterized by severe flu like symptoms most characteristic of withdrawal from what type of drug?
Opiod withdrawal
41
Genetic Factors make up roughly what proportion of the risk for addiction?
one half
42
What is the adolescent tendency to impulsivity and risk taking due to primarily?
Neurological immaturity
43
What are depressant drugs typically used to cope with?
Stress
44
Past which point is benzodiazepine treatment of anxiety NOT effective?
four months
45
At Low doses what does alcohol act as psychiologically?
Stimulant
46
Among the following which is the MOST harmful drug a month can abuse during pregnency? a heroin b LSD C alcohol D meth
C alcohol
47
Theorists posit that stimulant abuse often occurs to compensate for defeinciencies in all of the following neurotransmitters EXCEPT: a norepinephrine b acetylcholine c seritonin d dopamine
a norepinephrine
48
What is the euphoria experience when under the influence of cocaine caused by? A) a cascade effect of endorphins B) a sudden release of adrenaline C) Increased basal metabolic rate D) a build up of neurotransmitters
D) a build up of neurotransmitters
49
What kind of drug does the term nootropic refer to? a) memory enhancing b) mood stabilizing C) hallucinagentic D) psychedelic
A Memory Enhancing
50
1. What would not be a good treatment goal to use for a young adult man enrolled at a large state university? A. Join the local AA B. Attend the next semester of college C. Attend his next high school reunion D. Apply for housing with his fraternity
D apply for housing in his frat
51
the central nervous system is composed of
brain and spinal cord
52
peripheral nervous system is composed of
nerves that branch from the CNS to the rest of the body
53
Somatic system
connects the nerves of the CNS to the skin and skeletal muscles
54
Autonomic nervous system
connects the nerves of the CNS to the organs
55
sympathetic nervous system
fight or flight response
56
parasympathetic nervous system
returns the body process to normal after fight or flight
57
Acetylcholine
muscle movement
58
Norepinephrine
arousal, moods, and formation of memories
59
Dopamine
body movement, pleasure and reward
60
serotonin
emotion, mood, sleep, temperature regulation
61
GABA (Gamma aminobutyric acid)
motor behavior (deficit may result in convulsions)
62
Glycine
spinal reflexes, motor behavior
63
Enkephalins and endorphins
pain reduction and pleasure
64
contains primary visual cortex, this lobe combines visual information with other senses
Occipital Lobe
65
The somatosensory cortex of this lobe collects sensory information and information on the location of objects in relation to the body
Parietal lobe
66
effects behavior, plaining, impulse control, and judgement. Damage to this lobe can cause personality changes
Frontol Lobe
67
Lobe involved in hearing and interpreting sounds
Temporal Lobe
68
substance abuse phase in which use is occasional. Use may be in social setting or stressful situations
Experimentation
69
Substance abuse phase in which a regular pattern of usage emerges
regular use
70
substance abuse phase in which problems begin to arise as a result of use
Problem use
71
substance abuse phase in which person continues use despite problems and risks
dependence
72
substance abuse stage in which person becomes psychically addicted and may feel a physical urge to use. Exhibits drug seeking behaviors
Addiction
73
BAC of 0.01 or 0.05 usually shows no impairment
subclinical
74
BAC 0.03 to 0.12 person begins showing signs of drinking and may have trouble walking
Euphoria
75
Blood alcohol of 0.09 to 0.25 person shows obvious signs of intoxication with impaired memory and judgment difficulty maintaining balance impaired vision sleepiness
Excitement
76
Blood alcohol of 0.18 to 0.30 the person is markedly confused and unstable and may have periods of blackout
Confusion
77
Blood alcohol of 0.35 to 0.4 this person needs emergent care and is unable to respond adequately or walk away and may vomit and have incontinence this person is at risk for aspiration
Stupor
78
Blood alcohol of 0.35 through 0.45 this person may be hypothermic with impaired circulation and respirations this person is at risk for death
Coma
79
Blood alcohol of 0.45 or greater this person may experience respiratory failure
Death
80
This usually happens within 8 hours of not drinking alcohol. This person can experience tremors and and abdominal cramping anorexia general weakness nausea vomiting excess sweating irritability mood swings and depression symptoms are similar to those of a severe hangover
Beginning withdrawal from alcohol
81
Usually 24 hours within of drinking cessation in addition to beginning symptoms the person may have increased anxiety and mood swings. The person may have increased blood pressure and the respiratory rate may exhibit urinary and fecal incontinence muscle rigidity and clenching of teeth
Withdrawal
82
Up to a third of those in withdrawal may experience this stage three to four or even up to 14 days after stopping drinking although it can occur within 12 hours of cessation. The person may become extremely confused with hallucinations severe agitation and seizures this stage may include life threatening delirium with circulatory collapse and death
Severe alcohol withdrawal
83
The need for continually increasing amounts of alcohol to achieve the desired state
tolerance
84
The inability for a drinker to predict when intake will stop at any one time
Loss of control
85
This drug of choice depresses the central nervous system slows the heart rate and alters emotions and cognition
Alcohol
86
True or false alcohol impairs the nervous system well before legal intoxication is reached
true
87
The effects of this drug are anxiolytic and the physical effects include relaxation increase in reaction time and loss of coordination
Barbiturates
88
Withdrawal symptoms from this drug can be very unpleasant and life threatening including anxiety tremors insomnia nausea compulsion and nightmares due to the severity of these withdrawal symptoms direction of a physician is required
Barbiturates
89
Benzodiazepines are also known as
Minor tranquilizer
90
What medications are an example of a benzodiazepine
Zanax Ativan and Valium otherwise known as diazepam lorazepam and alprazolam
91
Chances of addiction with this drug of choice are very high with continued use and withdrawal symptoms can be severe even fatal care must be taken not to confine these drugs with alcohol
Benzodiazepines otherwise known as minor tranquilizers
92
Narcotics are sometimes referred to as this
Opiates
93
One of three classifications of narcotics opium morphine and codeine
that come from natural sources
94
One of the three classifications of narcotics heroin and hydromorphone
Known as semi synthetic
95
One of the three classifications of narcotics methadone the parody and Propoxyphene
Synthesize completely in the lab
96
This drug is clinically used to relieve pain affects sleep treat diarrhea and relieve coughs
Narcotics
97
This drug is highly addictive and improper use may lead to tolerance as well as physiological and physical dependence it depresses the central nervous system and causes euphoria and drowsiness it does not cause the loss of motor coordination as other drugs do
Narcotics AKA Opiates
98
This drug is an alkaloid found in crude opium and is usually derived from morphine although less potent than morphine it is also an analgesic this drug is also an effective cough medicine used properly addiction to this medication is rare
Codeine
99
This drug is a semi synthetic narcotic that is chemically related to morphine it is available in both pill and injectable form it acts faster than morphine and is a more potent sedative and is extremely addictive
Hydromorphone
100
This drug is derived from codeine but is stronger
Oxycodone
101
This drug is derived from morphine and is one of the most addictive drugs existing it is not currently used clinically in the United states
Heroin
102
Withdrawal from this drug appears within 8 to 12 hours after last dose it causes psychological and physical dependence
herion
103
this drug is less potent than morphine but has similar effects
meperidine
104
This drug is comparable to morphine in potency but is longer acting. Because it blocks the effects of other types of narcotics it is useful in treating addiction to them physical and psychological dependence develops slowly
Methadone
105
This drug is less potent than codeine and is used to treat moderate pain there is a much lower chance of developing a dependency to it than other narcotics although it does have a synergistic effect when taken with alcohol
propoxyphine
106
This drug can block the action of other narcotics it is a drug of abuse due to the euphoria it produces
pentazocine
107
This drug contains oxycodone and is used to treat moderate to severe pain for up to 12 hours it produces euphoria and is highly abused
Oxy cotton
108
Severe withdrawal symptoms from this kind of drug includes abdominal cramps increased heart rate blood pressure nausea muscle spasms and aches in the bones withdrawal is not usually faital
Narcotics
109
This kind of drug also known as a designer drug was created in an attempt to create legal drugs which mimic the effects of narcotics straight Mexican brown and new heroin
Narcotic analog
110
This is an analog of fentanyl and was the first designer drug there is little difference between the dose that causes euphoria and the dose that causes death this is a highly dangerous drug. It is a fast acting drug with short lived side effects
AMF
111
One of three categories of inhalants includes compounds that are found in cleaning products nail Polish remover plastic cement and gasoline
Solvents
112
One of three categories of inhalants that contains solvents and propellants such as hydrocarbons hydrocarbons such as freon are found in household sprays such as Hairspray and deodorant spray
Aerosol sprays
113
One of three categories of inhalants typically abused are chloroform either halothane and nitrous oxide
Anesthetics
114
The physical effects of this drug increases excitability and delirium. This drug has increased risk of cardiac or respiratory arrest
inhalants
115
This drug is classified as both a psychedelic and a depressant and has properties of both it is the second most used drug of abuse in the United states behind alcohol
Marijuana
116
What are some ways marijuana can affect physical health
Smoking it damages the respiratory tract and is a cancer risk. It burns hotter than a cigarette and has 50% more cancer causing agents in tar than regular cigarettes it can also have an adverse effect on male and female reproductive systems
117
When taken orally the effects of this drug develop over a period of two to three hours
Marijuana
118
When smoked the effects of this drug are almost immediate and have a shorter duration
Marijuana
119
This drug is linked with the phenomenon known as burnout with symptoms including dullness apathy loss of motivation loss of ambition drop in performance at school or work and an inability to plan ahead this tends to persist after drug use is stopped
Marijuana
120
Drugs in this class can both depress the central nervous system and excite it they work by changing the level of neurotransmitters in the brain
Hallucinogens also known as psychedelics
121
This type of drug can cause users to experience something called flashbacks a recurrence of the original experience or trip this happens completely out of the blue
Hallucinogens also known as psychedelics
122
The two main psychoactive chemicals contained in this drug are psilocybin and psilocin
hallucinogenic mushrooms
123
Lysergic acid deithhokymide is known as what
LSD
124
This drug is extremely powerful is measured in micrograms and just taking their money forms. The street name is acid
LSD
125
effects of low doses of this drug include increased awareness, restlessness, and closeness with others. effects persist for four to six hours
LSD
126
intensification of feelings in general, self confidence, and alertness, paranoia and restlessness are properties of what kind of drug?
Cocoaine
127
Acute physical symptoms of this drug include increased blood pressure and heart rate, dilation of pupils and increase in body temp
Cocaine
128
psychological symptoms of PROLONGED use of this drug include paranoid psychosis, insomnia, anxiety, excitability, loss of interest in sex, and social withdrawal
crack
129
Physical symptoms of PROLONGED use of this drug include convulsions, weightloss, high BP, damage to the heart and sexual disfunction
crack
130
emergency procedure for alcohol OD
manage airway, CPR if needed, maintain body temp with blankets, decrease stimulai, position on side to prevent choking
131
emergency procedure for cocaine OD
manage airway, avoid overheating, calm the individual, avoid restraints
132
emergency procedure for opioid OD
Manage airway, CPR, and narcan
133
emergency withdrawal for alcohol
provide quiet space, provide fluids and food, observe for seizures
134
emergency cocaine withdrawal
observe for SI, provide calm space, monitor HR
135
emergency opoid withdrawal
provide safe calm space with fluids, OTC drugs may ease symptoms, need to be laid on side to prevent choking
136
information to be included in assessment
physical and psychological health, legal problems, occupational functioning, and social relationships
137
collateral sources should include
family members, friends, teachers, and employers
138
define delusions
beliefs that are not founded in reality
139
define hallucinations
a trick of the senses
140
3 criteria to be diagnosed with a brief psychotic disorder
A) delusions, hallucinations, catatonia, or disorganized speech, B) symptoms last more than a day but less than a month C) cannot be attributed to another psychotic or depressive disorder
141
symptoms of this category of disorder include disrupting cognitive processes, emotional behavior, relationships, and self control
personality disorder
142
five traits of this type of disorder include neuroticism, extroversion/introversion, openness to experience, agreeableness/antagonism, and conscientiousness
personality disorder
143
Cluster A of personality disorders are called the eccentric type and consist of what 3 types
paranoid, schizoid, an schizotypal
144
Cluster B of personality disorders are called the dramatic type and consist of what 4 types
antisocial, borderline, histrionic, and narcissistic
145
Cluster C of personality disorders are called the Fearful type and consist of what 3 types
avoidant, dependent, and obsessive-compulsive.
146
DSM defined criteria for major depressive disorder
when a person has one or more major depressive episodes with no history of mania or mixed episodes
147
what percentage of women will fit the diagnostic criteria for major depressive disorder after pregnancy
15 percent with up to 75 percent experiencing some symptoms
148
5 features commonly associated with schizophrenia
somatic complaints, inappropriate affect, loss of pleasure, dysphoric mood, abnormalities in motor behavior
149
positive symptoms of schizophrenia
delusions and hallucinations
150
a side effect of antipsychotics that causes involuntary muscle movement
tardive dyskinesia
151
this type of anxiety disorder includes recurrent brief but intense fear in the form of panic attacks with physical or psychological symptoms
panic disorder
152
this type of anxiety disorder includes fear of specific situations or objects
phobia
153
this type of anxiety disorder includes chronic physiological and cognitive symptoms of destress, excessive worry lasting at least 6 months
generalized anxiety disorder
154
this type of anxiety disorder includes excessive anxiety related to begin separated from someone the client is attached to
separation anxiety
155
this type of anxiety disorder includes inability to speak in social settings though normally able to speak
selective mutism
156
this type of anxiety disorder includes anxiety about social situations
social anxiety
157
this type of anxiety disorder includes anxiety of being outside the home or in open places
agoraphobia
158
define a manic episode
an episode of significantly elevated demonstrative, or irritable mood
159
what are the diagnostic criteria for bipolar 1
the client must experience a manic episode that is preceded or followed by an episode of major depression or hypomani
160
what are the diagnostic criteria for Bipolar 2?
the client has had one or more major depressive episodes and one or more hypomanic episodes
161
define hypomania
an episode of significantly elevated, demonstrative, or irritable mood
162
MICA stand for?
mentally ill chemical abuser
163
MISA stands for
mentally ill substance abuser
164
screening for co-ocurring disorders is with the goal of
determining if a client warrants further assessment
165
define clinical examination
when a client is asked about their history of drug use and abstinence
166
the 5 principles of motivational interviewing
show empathy, expose inconsistances, no confrontation, be flexible, rewardprogress
167
name the five strategies that are useful in early treatment
open ended questions, reflective listening, summarizing, affirming, and eliciting self motivational statements
168
the four types of self motivational statements
acknowledgment of the issue, emotional expression of concern for the problem, intention to change behavior, optimism about change
169
what is it called when a client sees the need to enter a program but denies a serious problem
ambivilance
170
What is the term for restating what the counselor thinks the client meant rather than using a question
reflective listening
171
this method of handling resistance involves repeating the clients statement in a nonjudgemental way
simple reflection
172
this method of handling resistance involves repeating client's statement in an exaggerated way
amplified reflection
173
this method of handling resistance involves acknowledging the client's statement and referring to a statement the client made in the past that contridicts it
double sided reflection
174
this method of handling resistance involves turning the clients focus away from the problem
shifting focus
175
this method of handling resistance involves making a statement that agrees with the client while also making a statement that changes the direction of the conversation
agreement with a twist
176
this method of handling resistance involves restating the clients negative statement in a positive way
reframing
177
this method of handling resistance involves agreeing with the negative statement made by the client inducing a change in direction
siding with the negative
178
CAGE is an assessment used to determine if people are drinking excessively what does it stand for?
cutting down, annoyed at criticism, guilty feeling, eye opener
179
SBI, a method of identifying substance users and utilizing brief interventions to reduce use, stand for what?
screening to brief intervention
180
what does SBIRT stand for?
screening brief intervention and referral to treatment