Deck 10: Treatment Techniques and Approaches

Question 1

Which of the following questions would not be useful to ask when meeting a client?

A) How did you get that big bruise on your arm?
B) What does your wife say about your drinking?
C) When do you drink?
D) Why do you continue to drink when drinking has caused so many problems in your life?

Answer 1

Why do you continue to drink when drinking has caused so many problems in your life?

Question 2

Initially, most clients want treatment to:

A) help them to quit drinking
B) enable them to drink problem-free
C) give them a chance to talk about themselves
D) validate that people and experiences other than drinking are causing the problems in their lives

Answer 2

enable them to drink problem-free

Question 3

Client education about alcohol addiction:

A) Helps them handle feelings of low self-esteem
B) Can reinforce old attitudes about alcoholism
C) May further confuse their understanding of their behavior
D) none of these

Answer 3

Helps them handle feelings of low self-esteem

Question 4

An alcohol dependent person's manipulative persona comes from:

A) their desire to deceive others
B) the need to keep overwhelming feelings at bay
C) innate con-artist way of thinking
D) none of these

Question 5

The client-therapist relationship:

A) mirrors that of friendship
B) relies on the therapist making the client feel better about negative emotions
C) is maintained when the therapist strives for objectivity
D) all of these

Question 6

The most common type of group alcohol treatment program is:

A) psychoeducational
B) support
C) problem solving
D) activity

Question 7

Group therapy is recommended because:

A) it is the traditional therapy
B) it is cost effective in the managed-care environment
C) clients learn about themselves from other group members
D) ultimately clients, not clinicians, must do the work of recovery

Question 8

Unlike alcohol-related group therapy, AA is:

A) family treatment
B) a self-help group
C) led by a clinician
D) a psychoeducational group

Question 9

The intervention technique displaced the premise that:

A) tough love is a necessity
B) hitting bottom is a necessity
C) group therapy provides positive peer pressure
D) the alcohol-dependent person is responsible for her own recovery

Question 10

The family effort that produces the highest rates of entry into treatment is:

A) Al-Anon
B) Community Reinforcement and Family Training
C) Johnson intervention technique
D) problem-solving groups

Question 11

The child of an alcohol-dependent parent gives the message that "everything is fine." This may be:

A) true
B) the result of enabling behavior in the family
C) because children do not have the cognitive capacity to understand their situation
D) the result of over-active defenses that are keeping the child from confronting the situation
E) all of the above

Question 12

Recovering families:

A) are usually immediately able to return to healthy functioning families
B) rarely go through a notable transition once the drinking stops
C) must relearn how to interact with each other
D) none of these

Question 13

The goal of AA's 12 steps is:

A) to be dry
B) to be sober
C) to be a self-help program
D) to be able to drink problem-free

Question 14

AA is based on the premise that:

A) rely on a greater Power
B) maintain anonymity for its members
C) the only person on can change or control is oneself
D) teach alcoholics to take a personal inventory and admit responsibility when there has been a wrongdoing

Question 15

Spiritually, recovery from alcoholism involves a:

A) miracle
B) conversion
C) religious affiliation
D) renunciation of sin

Question 16

Common ingredients of a treatment plan for alcohol dependency include all EXCEPT:

A) activities therapy
B) Jungian therapy
C) meditation
D) spiritual counseling

Question 17

Which of the following behavioral approaches helps people who are recovering from alcohol dependency to relieve their anxiety?

A) cognitive-behavioral therapy
B) contingency management
C) relapse prevention
D) systematic desensitization

Question 18

The recovering alcoholic who is swamped with self-doubt after making any mistake at work may need_________ to develop skills to handle negative emotional states.

A) contingency management
B) relapse prevention
C) to create a supportive social network
D) to develop a healthy and balanced lifestyle

Question 19

Pharmacotherapy includes:

A) drugs that alter alcohol metabolism
B) agents that act on neurotransmitters in the brain
C) possible avoidance of all medications that contain alcohol
D) all of these

Question 20

Treatment matching efforts presume:

A) It is important for client and clinicians to like one another
B) Managed care organizations know which programs are effective
C) Clients should be placed into programs in their home communities
D) Some clinical approaches work better with some clients than others

Question 21

Feedback helps the client to see what is really going on despite their warped perception of reality.

Question 22

Individual counseling is the main component of effective treatment.

Question 23

To retain the focus on the client, the clinician must never reveal anything personal about herself to the client.

Question 24

Early self-disclosure can be countertherapeutic.

Question 25

Being knowledgeable about alcohol and its effects and imparting this knowledge to a client is one of the key roles of the clinician.

Question 26

Activity groups are the most common type of group in alcohol-treatment programs.

Question 27

AA is not group therapy.

Question 28

The major goal of family treatment is facilitation of the alcohol-dependent individual's abstinence.

Question 29

The more aggressive a family intervention is, the more likely it is that the intervention will achieve its desired effect.

Question 30

In family treatment, the clinician focuses more on interactions and behaviors than on specific, hurtful incidents from the past.

Question 31

Al-Anon gives family members suggestions for methods to reduce or stop the alcoholic individual's drinking.

Question 32

Alcoholics Anonymous was formed by the American Medical Association.

Question 33

"We admitted we were powerless over alcohol-that our lives had become unmanageable" is AA's twelfth step.

Question 34

AA members report that in the past 25 years, treatment programs have become significantly more important in members' recovery from alcohol dependency.

Question 35

Thirty percent of the members of Moderation Management eventually go on to AA or another abstinence-based group.

Question 36

Activities therapy keeps people busy so they can have a break from thinking about their alcohol-related problems.

Question 37

Relapse prevention has always been a mainstay of alcohol-dependency treatment.

Question 38

Disulfiram, which causes an adverse physical reaction to alcohol, is marketed as "ReVia."