Deck 31: The Process of Treatment

Question 1

A person in recovery is especially vulnerable to what categories of "cues" to continued substance use?

A) Internal and external
B) Internalized conflict over past abuse situations
C) Home conflicts or work conflicts
D) Concurrent medical cues

Answer 1

Internal and external

Question 2

The person who enters a substance abuse rehabilitation program tends to

A) be more impaired than those who can abstain without formal treatment.
B) have a great number of family members who have similar substance use problems.
C) want to avoid legal consequences for his or her behavior.
D) do so because of the financial cost of continued substance use.

Answer 2

be more impaired than those who can abstain without formal treatment.

Question 3

Suma is working with a client, Jin, who is questioning whether he wants to work on stopping his SUD. Suma and Jin are weighing the pros and cons of Jin's SUD. Jin is most likely in what stage of change, according to Prochaska's model?

A) Pre-contemplation
B) Maintenance
C) Action
D) Contemplation

Answer 3

Contemplation

Question 4

The process of recovery from a SUD seems to parallel the process of

A) harm reduction.
B) surgically removing a tumor.
C) disease management for chronic medical conditions.
D) recovering from a broken arm.

Question 5

Which of the following approaches has been found to enhance abstinence in the early stages of recovery?

A) Motivational Interviewing
B) Voucher-based reinforcement
C) Cognitive-behavioral approaches
D) Psychodynamic approaches

Question 6

According to Motivational Interviewing, when a client presents with resistance, it is viewed as

A) a form of denial that needs to be broken down.
B) an important element of the change process.
C) a sign that client is not appropriate for treatment.
D) a mismatch between where the client is at and the treatment approach.

Question 7

One of the goals of cognitive-behavioral approaches to substance use disorders is to

A) help the client identify and correct unhealthy thought patterns that support continued use of chemicals.
B) confront areas of conflict long buried by the superego.
C) look at the client's disruptive behaviors, what motivated them and the unconscious conflict that these issues have caused over the years.
D) focus on ego states that cause such emotional stress for the person.

Question 8

Perhaps the best way to view substance abuse rehabilitation work is as a form of

A) crisis management.
B) disease management.
C) disaster intervention.
D) collaborative medicine.

Question 9

Nowinski's model suggests that the first step in recovery is the

A) acceptance phase.
B) declarative phase.
C) decision to work towards natural recovery.
D) surrender phase.

Question 10

Rosalita is currently participating in group therapy to stop using cocaine. She is also doing marital counseling with her husband so he can support her overcoming her addiction. Which stage of treatment is Rosalita most likely in, according to McLellan's tripartite model of treatment?

A) Detox/stabilization
B) Rehabilitation
C) Continuing care
D) Termination

Question 11

According to Heyman, the individuals who enter SUD rehabilitation may be the to recover.

A) least able
B) most able
C) ones with the most motivation
D) ones with the least motivation

Question 12

Jose, a substance abuse counselor, is working with Melynda, who has an SUD. They are currently coming up with a continuing plan to support Melynda's desire to work towards recovery. She is currently attending weekly group therapy, going to three AA meetings per week, as well as meeting with Jose every week. She is proud that she has been sober for two weeks. Melynda is most likely in which stage of change, according to Prochaska's model?

A) Pre-contemplation
B) Maintenance
C) Action
D) Contemplation

Question 13

The person going through the process of recovering from a substance use disorder either in the Prochaska or the Nowinski model is thought to

A) encourage him/herself to learn how to enter environments in which chemical abuse previously occurred.
B) demonstrate maladaptive thoughts into the latter parts of the first phase.
C) demonstrate individual variations in progress.
D) experience less and less resistance as he or she reaches the latter stages of recovery.

Question 14

During the action phase of the Prochaska model, the therapist's goals are to do all of the following EXCEPT

A) plan for concrete steps that are then taken to modify behavior.
B) be alert for signs of problems.
C) assist the client to address issues that contribute to or exacerbate the SUD.
D) assist in individual growth.

Question 15

A major problem that can contribute to relapse of alcohol and other drug use is

A) the illusion of control.
B) not knowing how to use in moderation.
C) not knowing where to go to detox.
D) not knowing when the maintenance stage has turned into termination.

Question 16

Of the following individuals with a SUD, who is the LEAST likely to accept abstinence as a goal?

A) Raul, who is 41
B) Aisha, who is 27
C) Hank, who is 23
D) Yung-Sun, who is 54

Question 17

Research suggests that only of clients reach the maintenance phase of recovery.

A) 30 percent
B) 15 percent
C) 5 percent
D) 20 percent

Question 18

The steps identified in stage models of recovery from SUDs

A) are rigid and sequential; you have to do each step in turn.
B) are based on the "average" pattern of client progress, based upon observations of many clients.
C) create confusion in the profession over which stage model is truly the appropriate model.
D) are age-dependent, with older clients moving more rapidly to more advanced stages than younger persons.

Question 19

The treatment approach in which a client is awarded points for continued abstinence (or loss of points for proven substance use), which they can later trade in for items is the

A) motivational contingency approach.
B) vertical achievement approach.
C) voucher system.
D) anticipatory contingency approach.

Question 20

Which of the following seems to be foundational in the client's ability to recover?

A) The severity of the SUD
B) The client's interpersonal relationships
C) The client's expectations and self­evaluation
D) All of these answers

Question 21

Discuss the factors that may surround the decision to seek treatment for a person with a SUD.

Question 22

What percentage of those opioid-dependent people who only completed "detox" program return to the abuse of chemicals within 6 months?

A) 75 percent
B) 90 percent
C) 10 percent
D) 25 percent

Question 23

Describe the voucher­based reinforcement treatment programs.

Question 24

Of those able to abstain from cocaine for 12 weeks, up to will remain drug­free for the first 6 months following treatment.

A) 60 percent
B) 80 percent
C) 10 percent
D) 15 percent

Question 25

What are the challenges for the substance abuse rehabilitation professional when dealing with a client in the
precontemplation stage of recovery.

Question 26

Discuss the debate regarding whether complete abstinence should be the goal of treatment.

Question 27

What are some of the factors that may become the foundation upon which a client's recovery might be established?

Question 28

Clinical research has demonstrated that

A) one year after assessment, 50 percent of those assessed as having an SUD did not demonstrate even one symptom of the disorder.
B) those admitted to treatment appear to be more likely to achieve abstinence than those who do not seek admission.
C) the best treatment controls every aspect of clients' lives until they are able to deal with the problems they will encounter in that area of their lives.
D) rehabilitation programs play a stronger role in the client's life than social forces.

Question 29

What percent of opioid­dependent persons who simply went through a "detox" program were still chemical­free six months later?

A) 10 percent
B) 90 percent
C) 50 percent
D) 28 percent

Question 30

During the stage, the client is ready to change his or her attitude and behavior within a specific time frame, usually within the next month.

A) preparation
B) precontemplation
C) pre­action
D) ready to go