Volume 3

Question 1

What is the difference between transference and counter-transference?

Answer 1

transference is the patient projecting emotions, thoughts and expectations on to the interviewer. (them looking at you as a mother figure)
counter-transference is the interviewer projecting emotions thoughts and expectations on to the patient.

Question 2

What are 3 behaviors that let the patient know that you are listening to them?

Answer 2

eye contact, attentive posture, and verbal following

Question 3

True or False

A CDE gives clinic personnel the right to contact the commander-directed individual’s family.

Answer 3

False

Question 4

What are the 3 key areas of social history?

Answer 4

social
occupational/academic
home environment

Question 5

Why is it important to explore the patient’s academic background?

Answer 5

to gain a complete grasp of your patient’s capabilities

Question 6

What does the patient’s progression reveal to you? (ADAPT)

Answer 6

Knowing how the patient’s drinking has progressed will give you an idea of increased tolerance and/or a progression to a more powerful substance.

Question 7

What is the primary purpose of conducting a MSE?

Answer 7

to gather objective data which may be helpful in determining etiology (cause), diagnosis, treatment, and prognosis (outcome)

Question 8

What are the primary assessment areas of the MSE?

Answer 8

appearance and behavior
emotions
cognitive functioning

Question 9

What is the difference between mood and affect?

Answer 9

Mood is defined as the internal emotional tone.

Affect is simply the observable external expression fo the patient’s tone.

Question 10

What are the primary types of affect?

Answer 10

appropriate
inappropriate
flat
blunted
labile

Question 11

What is the difference between an illusion and a hallucination?

Answer 11

illusion- a misperception or misinterpretation of real external stimuli
hallucination- false sensory perceptions not associated with real stimuli

Question 12

What is motivational interviewing?

Answer 12

MI is a patient-centered, directive method for enhancing intrinsic inspiration to change by exploring and resolving ambivalence.

Question 13

What are the 4 general principles of motivational interviewing?

Answer 13

express empathy
develop discrepancy
roll with resistance
support self-efficacy

Question 14

What are the 6 dimensions of care defined by ASAM?

Answer 14

1. acute intoxication and/or withdrawal potential
2. biomedical conditions and complications
3. emotional, behavioral, or cognitive conditions or complications
4. readiness to change
5. relapse/continued use/ problem potential
6. recovery environment

Question 15

What purpose do the ASAM 6 dimensions have?

Answer 15

the information obtained in all 6 dimensions form the basis for treatment recommendations.

Question 16

What is the clinical purpose of consent?

Answer 16

to enlist the patient’s faith and confidence in the anticipated outcome of treatment.

Question 17

Who is responsible for approving all requests for release of information?

Answer 17

MTF Commander

Question 18

What are the 3 primary areas of family advocacy?

Answer 18

prevention services
maltreatment program
special needs identification and assignment coordination process

Question 19

What are the criteria for the disease model of addiction?

Answer 19

1. loss of control over the use of the substance

2. continued use despite negative consequences

Question 20

What is addiction?

Answer 20

compulsive need for and use of habit-forming substance characterized by tolerance and by well-defined physiological symptoms upon withdrawal

Question 21

What is disease?

Answer 21

a condition of the living animal or plant body or of its parts that impairs.

Question 22

What is the heart of the disease model?

Answer 22

alcohol and drug dependence are physical illnesses

Question 23

What are the disease model’s 4 identifiers?

Answer 23

primary
progressive
chronic
fatal

Question 24

What are the 4 stages of alcoholism?

Answer 24

symptomatic phase- pre alcoholic stage characterized by drinking that initially has rewarding aspects
Prodromal Phase (Early stage)- significant increase in frequency and amount of alcohol consumed.
Crucial Phase- involuntary loss of control over drinking
Chronic Phase- combines the qualities of the previous 3 as well as the collapse of family, occupational, and social status

Question 25

What are the 3 essential features of the bio-psychosocial model?

Answer 25

biological
psychological
sociocultural

Question 26

What is the most used amphetamine?

Answer 26

meth

Question 27

What is the most widely used drug in the world?

Answer 27

caffeine

Question 28

What type of drug is the most prescribed medication?

Answer 28

opioids

Question 29

Which drug emulates alcohol intoxication?

Answer 29

sedatives, hypnotics or anxiolytics

Question 30

What are the 2 core beliefs alcoholics hold?

Answer 30

I am not an alcoholic

I can control my drinking

Question 31

What are the 2 core beliefs alcoholic family’s hold?

Answer 31

There is no alcoholic in the family

We shouldn’t talk about the drinking

Question 32

Who is the only care provider specially trained in selecting, interpreting, and providing supervision of psychological tests?

Answer 32

clinical psychologist

Question 33

When do elicited behaviors occur?

Answer 33

in response to a specific test question

Question 34

The MCMI-III is used to diagnose what disorder(s)?

Answer 34

personality disorders and clinical syndromes

Question 35

What is the purpose of MMPI-II and what is it commonly used for?

Answer 35

search for psychological abnormalities. used of job interviews.

Question 36

What is the Shipley Institute of Living Scale used for?

Answer 36

Used to provide quick objective estimate of patient’s general intelligence.

Question 37

What is the purpose of SUAT (substance use and disorder assessment tool)?

Answer 37

increase effectiveness, standardization, and efficiency in the ADAPT assessment process for patients initial entry into the ADAPT program.

Question 38

Scores above what should imitate additional inquiry form the interview clarifying the extent of the patient’ substance use?

Answer 38

8