Drug Addiction Counseling
Self-Study Examination
Instructions: After studying the text answer the following true/false or multiple choice questions. Remember, there's only one answer to each question.
a) alcohol b) cocaine c) narcotics d) any mood-altering substance
a) Addiction is more closely akin to an illness over which one has little, if any, control. b) Recovery involves a return to self-respect through honesty with oneself and others. c) Addiction is a genetic trait over which one has little control. d) Recovery requires addicts to recognize the existence of a higher power and to incorporate this belief in their own lives. e) Spiritual aspect to recovery from chemical dependency; a healing of one's life that needs to take place, and abstinence from the drug is merely the first step rather than the terminal goal.
a) Minnesota Model (or Hezelden approach) b) 12-step facilitation model c) psychotherapy model
a) It emphasizes long-term goals, e.g., continued abstinence, change in lifestyle, etc. b) It encourages the patient, for instance, to work through issues stemming from his or her early abusive relationship with a parent. c) It provides the patient with concrete, behavioral options to facilitate recovery, such as avoiding those things that trigger drug use. d) Addiction counseling focuses on the present as well as the past issues that enabled the patient's drug use.
a) once b) twice c) 4 times d) 6 times
a) drug and alcohol use b) psychiatric problems c) legal problems d) employment/support problems e) success/failure of past treatments
a) The counselor should not be harshly judgmental of the patient's addictive behaviors. b) The counselor should be respectful of the patient. c) To gain patient's confidence and foster a therapeutic alliance, the counselor should "self-disclose" frequently. d) The counselor should not project the counselor's own needs or experiences onto those of the patient's situation. e) The counselor should be willing to accept feedback from the patient and possibly change the approach
a) give the patient the benefit of the doubt and wait until next urinalysis; b) use themes of shame or denial to bring the patient around to face his or her relapse; c) confront the patient with the results and do not give ground until the patient has admitted the drug usage; d) accept the patient's denial to help the patient save face.
a) Refuses to believe that he or she is an addict. b) The patient associates drug use with some positive emotional change. c) Thinks that he or she can solve the problem by "cutting down" on cocaine use. d) Believes that he or she is "not like other addicts who need help."
a) Identify and avoid the people, places and things that will trigger or lead to a cocaine urge. b) Help organize the patient's daily routine to encourage abstinence. c) Insist on total abstinence from all drugs, including alcohol or marijuana, and if the patient resists or refuses to abstain from other drugs suspend the treatment until the patient cooperates. d) Identify high-risk situations and develop strategies for avoiding these situations. e) Emphasize the importance of participating in self-help groups, such as 12-step groups.
a) True b) False
a) yes b) no
a) accept feelings of shame and guilt as part of addiction and recovery process make amends, or apologize to people one has wronged in one's addiction b) make amends, or apologize to people one has wronged in one's addiction c) take a personal inventory d) encourage healthy, responsible living
a) recognizing "character defects" that are obstacles to recovery; b) recognizing positive qualities within oneself; c) both of the above
a) spending excessive amount of time on the job ("workaholism") b) attending several self-help group meetings a day (such as AA, NA or CA) c) overexercise d) overeating
a) the addict's spouse or family members feel that their lives are controlled by the addict's addictive behavior b) when another person helps or encourages the addict to continue using drugs
a) patient's thoughts and feelings about ending treatment b) patient's overall experience of the treatment process c) if the patient would like to extend the length of treatment. d) the areas still needing work and how the patients will continue to work on them independently e) patient's personal commitment to contine in his or her own recovery process
a) to extend the length of the treatment to suit the individual's needs; b) for treatment booster sessions following completion of the active treatment phase to reinforce the issues learned; c) both of the above.
a) confront the patient about it in the session b) excuse such behavior as a sign of drug addiction c) extend the session or schedule a makeup session to compensate for lateness or nonattendance d) promptly terminate the treatmen
a) Terminate the treatment and dismiss the patient from the program since the patient is not committed to his or her recovery. b) Overlook the relapse, if it is only a slip, and hope that the patient will not use again. c) Identify where the patient deviated from his or her recovery plan and help the patient to recommit to the recovery program. d) Change the counselor; prescribe different treatment modality, such as group counseling.
a) one treatment session b) three consecutive sessions c) 30 consecutive sessions
a) training and supervision b) determine compensation of counselors c) justify and obtain funding for the program d) community relations e) all of the above
a) long duration, focuses on long-term problems b) uses right format for effectiveness c) short-term, comparatively brief approach d) focuses on the immediate problems faced by the cocaine abuser e) c and d
a) spiritual approach b) emphasis is on learning healthier skills and habits c) employs rewards-and-punishment system d) uses holistic approach addressing physical, emotional, spiritual and interpersonal needs
a) recognize b) confront c) avoid d) cope
a) CBT is designed to deliver treatment to substance users in a group format. b) For positive outcome, CBT is offered over a long term, typically 12 months. c) Treatment is usually delivered on an inpatient basis. d) CBT is generally not appropriate for those who have psychotic or bipolar disorders and are not stabilized on medication. e) For cocaine abusers with no stable living arrangements, CBT has delivered excellent results.
a) problem solving and planning for emergencies b) training in recognizing and coping with craving c) requiring the patient to attend self-help groups d) providing feedback on urinalysis results
a) concept of alcoholism as a spiritual and medical disease b) addiction as a disease that can be controlled but never cured c) the concept of higher power d) substance abuse is a learned behavior that can be modified e) people, places and things
a) reduce substance use by changing the way the patient thinks b) change what the patient does and thinks c) contingency management component that provides vouchers for staying in treatment d) employ motivational strategies to mobilize the client's own change resources
a) In cognitive-behavioral therapy, the counselor assumes a dominant role and defines treatment goals and formulates strategies for the patient to follow. b) The treatment uses three spiritual principles of honesty, open-mindedness and willing- ness as ladders for recovery. c) CBT relies heavily on psychosocial interventions and eschews pharmacotherapy. d) Individuals "learn" to use and abuse substances, and the CBT treatment can help them "unlearn" the substance abuse. e) CBT is essentially a self-help program where the patient is rewarded for abstinence.
a) modeling b) operant conditioning c) classical conditioning
a) first third of session b) second third of session c) third third of session
a) cut down the drug use to a point where the negative consequences are eliminated b) satisfy the court-imposed or probation-related legal conditions c) reduce the cocaine dependency to a level where the patient is able to return to somewhat normal life, avoid criminal behavior, resume family life d) abstinence
a) Experiencing some craving is normal and quite common. b) When the patient craves for cocaine, it means the patient really wants to resume drug use. c) Craving does not mean something is wrong with the patient. d) Craving is time-limited; in other words the feeling of craving would go away if the patient does not give in to it. e) Leaving the situation and going somewhere safe is one of the most effective ways of dealing with craving when it occurs.
a) focusing on craving until it goes away b) giving in to the craving c) recalling the negative consequences of cocaine abuse d) doing nothing
a) Look away from the person, avoiding eye contact. b) Say "Not now." c) Change the subject. d) Respond with a clear and firm "no."
a) keeping alcohol in the house b) not having any free time c) not destroying cocaine or crack paraphernalia d) getting overtired or stressed
a) What is the problem? b) Write down as many solutions as possible. c) Is there a problem? d) Consider both the positive and negative consequences of all solutions.
a) unsafe needle practices b) unsafe sexual practices
a) offer significant others the opportunity to learn about the treatment in which patients are involved; b) explore strategies through which they can help patients become and remain abstinent; c) provide marital or family therapy; d) answer questions from the significant others about the treatment.
a) once a week b) once a month c) once every three months d) whenever therapist requests it
a) CBT is better than no treatment or minimal treatment. b) CBT is more effective than other widely used treatments. c) both of the above d) none of the above
a) standard drug counseling b) CRA alone c) both of the above d) none of the above
a) tolerate tardiness b) be willing to meet patients any time of day c) set up meetings out of the office if necessary d) compromise on total abstinence e) all of the above
a) Explain to the patient that the issue is not part of the treatment plan. b) Provide referrals to other resources. c) Reserve 10-20 minutes at the end of the session to discuss the patient's concerns. d) Solve the problem for the patient.
a) Cash is given to patients who provide five consecutive cocaine-negative urine specimens. b) Patients can use vouchers to buy whatever item they want. c) Vouchers are discontinued whenever cocaine use occurs. d) Vouchers are used to purchase retail items in the community by a staff member.
a) 3 hours b) 24 hours c) 2 days d) 1 week
a) cocaine abuser b) 18 years or older c) residing within a reasonable distance of the clinic d) have supporting family or friends
a) collecting a urine sample from the patient b) scheduling the next session c) determining if the patient abuses alcohol as well d) describing the abstinence contract e) providing the patient movie tickets or passes to some community recreational facility
a) triggers b) behavior c) positive consequences d) negative consequences
a) meet the trigger situation head-on asking the patient to exercise his or her will power b) avoid the trigger (e.g., take a different route home) c) rearrange the environment (e.g., don't keep cocaine in the house) d) develop new coping method (e.g., engage in a different activity)
a) Maybe later. b) I'm on medication. c) No, thank you. d) My counselor will find out. e) I have to get home, my wife is waiting for me.
a) recount to each other what it was like when they first met b) assess how happy couples are currently with various areas of their lives c) remind patients and their partners to be nice to each other d) list areas in which each of them would like to see some changes from the partner
a) Make monitored disulfiram therapy a condition of the treatment. b) Encourage the patient to reduce drinking and restrict it to safe circumstances. c) Terminate the therapy if the patient refuses to cease or reduce alcohol use. d) The issue is irrelevant since alcohol use does not interfere with cocaine abstinence.