Deck 17: Counseling Individuals With Addictive Behaviors

Question 1

Current literature demonstrates a need to address client addictions separately from other presenting issues.

Answer 1

False

Question 2

Developing addictive behaviors and changing addictive behaviors often follow similar stages of change.

Answer 2

True

Question 3

The Motivational Interviewing approach encourages the counselor to confront denial and aggressively challenge client resistance to change.

Answer 3

False

Question 4

To facilitate change talk with clients, the counselor should focus on using closed-ended questions to elicit short, specific answers from clients.

Question 5

Amplified reflection is a technique that counselors can use to help combat client resistance to varying elements of the counseling process.

Question 6

Which of the following techniques is used to help a client shift his/her percep- tion of change to be more adaptive?

A) Amplified Reflection
B) Reframing
C) Double-Sided Reflection
D) Agreeing with a Twist

Question 7

According to the National Survey on Drug Use and Health by SAMHSA in 2015, what percentage of the American population aged 12 and older is cur- rently using illicit drugs?

A) 17.3%
B) 3.8%
C) 6.5%
D) 10.1%

Question 8

Which of the following describe(s) categories of individuals in the precontem- plation stage of change?

A) Rebellious
B) Ready
C) Resigned
D) a. and c.

Question 9

Which of the following is not a guiding principle of Motivational Interviewing?

A) Express empathy
B) Develop discrepancy
C) Rationalize resistance
D) Support self-efficacy

Question 10

What is one clinical purpose of using the ruler technique?

A) To further elicit change talk
B) To measure the severity of a client's addiction
C) To gauge ambivalence
D) To provide guidelines for the counseling process

Question 11

Matching

-Task: Increase concern about current pattern of behavior, develop clientawareness of need to change, and instill hope
About overcoming barriers tochange.

A) Preparation
B) Maintenance
C) Precontemplation
D) Contemplation
E) Action

Question 12

Matching

-Task: Conduct a cost/benefit analysis of the advantages and disadvantages of change.

A) Preparation
B) Maintenance
C) Precontemplation
D) Contemplation
E) Action

Question 13

Matching

-Task: Develop a plan of action for changing one's current status ofcareer development and addictive behaviors.

A) Preparation
B) Maintenance
C) Precontemplation
D) Contemplation
E) Action

Question 14

Matching

-Task: Help client implement a plan of action and sustain commitmentin face of obstacles.

A) Preparation
B) Maintenance
C) Precontemplation
D) Contemplation
E) Action

Question 15

Matching

-Task: Help client focus on the new way of being, where the newbehaviors have replaced the old.

A) Preparation
B) Maintenance
C) Precontemplation
D) Contemplation
E) Action

Question 16

The stages of change include Precontemplation, Consideration, Possibilities, Activity, and Termination.

Question 17

There is an identifiable "goal" to be achieved in each specific stage.

Question 18

The precontemplation stage is characterized by a lack of consideration of change.

Question 19

Reluctant precontemplators are individuals who have full awareness of their problematic addictive behavior.

Question 20

Decreasing concern about the current pattern of behavior is another task for the precontemplation stage.

Question 21

The cost versus benefit analysis is of significant importance in the contemplation stage.

Question 22

Clients in the preparation stage are ready to make a change in the near future.

Question 23

In the preparation stage, clients will no longer have any feelings of ambiguity about change.

Question 24

The action stage of change requires the greatest commitment of time and energy.

Question 25

Urges and temptation to return to the previous behavior will never appear once the client is in maintenance.

Question 26

Relapse is a total collapse of the change process.

Question 27

The primary goal of termination is to focus on reintroducing the old behavior back into one's life in moderation.

Question 28

The guiding principles of motivational interviewing are to express empathy, develop discrepancy, roll with resistance, and support self-efficacy.

Question 29

In order for change to occur, clients must be aware of the discrepancy between their current behavior and their desired self.

Question 30

Perhaps the most important guiding principle in motivational interviewing is supporting self- efficacy.

Question 31

Change-talk is dialogue between counselor and client that results in the client adopting the counselor's point of view.

Question 32

Reframing is the process of helping a client alter the maladaptive frame into a new perceptual frame.

Question 33

Adept career counselors do not develop a treatment plan for career counseling with addictions in mind.

Question 34

"Agreeing with a twist" is a technique to help counselors deal with client resistance.

Question 35

A career counselor may need to help a client negotiate a balance between treat- ment and work requirements.