Deck 1: Heirst Contact

Question 1

During the action stage, a client often:

A) comes to the assessment.
B) quits using. AQ: Is some text missing here? please check.
C) implements a recovery plan and takes steps to change.
D) makes a commitment to take action and develops a plan.

Answer 1

implements a recovery plan and takes steps to change.

Question 2

A client must trust the clinician to be open, honest, and keep promises. When working in a group practice or facility, it is imperative the client is aware that:

A) you will keep their secrets from co-workers.
B) the clinical staff works as a team.
C) each clinician in the facility is fully autonomous.
D) you are willing to share a personal secret with the client to establish trust.

Answer 2

the clinical staff works as a team.

Question 3

Incidence of use increases when the addictive substance is:

A) readily available, cheap, and rapid acting.
B) tastes good and has no identifiable odor.
C) cannot be readily detected on toxicology screens.
D) non-prescribed.

Answer 3

readily available, cheap, and rapid acting.

Question 4

Which of the following is not a risk factor for addiction?

A) Availability of or access to the substance.
B) Family history of an addictive disorder.
C) A youth being away at college and unsupervised.
D) Presence of a mental health disorder.

Question 5

Not only does treatment for addictions work for individuals, there are benefits to society as well.or every $1 spent on addictions treatment, the economy saves_____ in health care and other societal costs.

A) $1
B) $3.50
C) $5
D) $7
E) None of the above. Although treatment does save lives, there is no real cost benefit.

Question 6

According to SAMHSA its ok form pregnant women to have 1 drink a day.

Question 7

he National Institute of Alcohol Abuse and Alcoholism (NIAAA) and the American Society of Addiction Medicine (ASAM) developed screening questions to identify possible indicators of addiction.he author suggests:

A) you only ask the client these questions. Otherwise you sacrifice rapport.
B) have a colleague ask the client these questions a second time to help expose inconsistency.
C) have the client identify someone else who can verify their story.
D) ask family members, friends, or anyone else who can offer collateral information.

Question 8

As many as _________ of persons with untreated alcoholism die of complications from their addiction.

A) half
B) 42%
C) most
D) 95%

Question 9

he following are all red flags for adolescent substance abuse: engaging in risky behavior, marked fall in academic performance, unexplained weight loss, and rebellion against parental authority.
The following are all short answer questions:

Question 10

Which of the following is untrue?

A) 10% of clients can abstain on their own.
B) 50% of addicted clients can quit if they complete treatment.
C) 70% of clients can quit if they complete treatment and go to AA.
D) 90% of clients can quite if they complete treatment, go to AA, and attend aftercare weekly.

Question 11

During the maintenance stage, the client will:

A) examine their current behavior and potential for change.
B) sustain the new behavior for an extended period of time.
C) identifies their "sobriety date."
D) integrates a new behavior.

Question 12

rust is paramount in establishing a therapeutic alliance.o establish trust, the therapist must be both ____________ and ______________.

A) honest and assertive
B) direct and impartial
C) consistent and honest
D) engaging and direct
E) transparent and professional

Question 13

More High School students have tried tobacco than alcohol, OR illegal drugs.

Question 14

Most Addicts die of their addiction.

Question 15

During the precontemplative stage, the client will:

A) ask for help.
B) begin to consider how they will change.
C) established s target date for sobriety.
D) not yet recognize they have a problem.

Question 16

According to the Center for Disease Control, ____ of Americans die as a direct result of substance abuse.

A) 8%
B) 17.6%
C) 25%
D) 33%

Question 17

he motivational interview should incorporate all but one of the following elements:

A) provide hope.
B) meet the client expectations.
C) assess barriers and strengths.
D) offer sound advice.
E) all of the above.

Question 18

Not everyone you assess will have a substance related problem. How would you proceed with someone who does not present as substance abusing but does have a family history of addiction?

Question 19

he author finds it important to use standardized instruments in diagnosing substance disorders:

A) for the benefit of third-party payers.
B) to best partner with researchers.
C) as an instrument must be incorporated into the medical record.
D) to prove to the client they have a problem.

Question 20

According to the Substance Abuse and Mental Health Service Administration (SAMHSA), about half (51.1%) of the U.S. Populations drinks alcohol. Of those:

A) little less than a third will have a substance abuse disorder sometime in their life.
B) more than half will have a substance abuse disorder sometime in their life.
C) 10% will have a substance abuse disorder sometime in their life.
D) most will have a substance abuse disorder sometime in their life.
E) none of the above.

Question 21

he light goes on! Your client definitively recognizes having a substance addiction. Where does this fall on the stages of change model? Explain.

Question 22

Often you may have heard of someone being in denial. Where does this fall in the stages of change model? Explain.

Question 23

A client may vacillate between different stages of change. It is important to know some motivational strategies to ensure they do not get complacent or stuck. What are some processes that can be applied when a client is precontemplative?