Addictive Treatment Quiz Questions

In current studies of compulsive buying, how many of the subjects are women?

80%

Sensitivity

A measure of the ratio of persons correctly screened "positive" for having a substance use disorder to those who actually have the disorder

Continuing Education

A method to keep counselors abreast of new developments and research that impact their understanding, competency, and treatment provision in addictions counseling.

Relapse

A return to repeated use after a commitment to abstinence

Lapse

A single return to use

HRS

An acronym referring to the situations that individuals identify as high risk for relapse

Behavioral goals of relapse prevention may include all of the following EXCEPT: An observable change in diet and exercise, identification of high risk situations and new coping strategies, a reduction of the severity or frequency of relapse, or a psychoanalysis of the underlying factors of addiction

An observable change in diet and exercise

Managed Care

Any type of intervention aimed at the financing of health care, with the intent focused on the elimination of unnecessary and inappropriate care and reduction of costs.

Expectancy

Beliefs about the outcomes of use

Gambling Addiction

Binge drinking or other drug use is often associated with this

Hope

Confident, yet uncertain, expectation of achieving a future good

ToF: "Indirect methods of screening" refers to the style of questions on an instrument that enables the respondents to determine the purpose of the questions by merely reading the questions.

False

ToF: A lapse is more severe than a relapse.

False

ToF: An instrument created using a criterion keyed approach is appropriate for clients who may attempt to "fake good."

False

ToF: Assessment is a one-time event that should be comprehensive.

False

ToF: Easy access to credit and media messages have no impact on compulsive buyers to purchase goods.

False

ToF: In terms of counselor competency, it is okay to treat adolescents if the counselor's experience has been with adults because everything is essentially the same, just the age of the client is different.

False

ToF: Licensure is the second most rigorous form of professional regulation.

False

ToF: Researchers have not found evidence that pathological gambling is related to changes in neuroadaptation, tolerance, and withdrawal symptoms.

False

ToF: Semi-structured interviews allow the client to more freely share experience, which may help build rapport with the counselor and allow resistance to be addressed.

False

ToF: The most common co-morbid condition is the dual diagnosis of a substance abuse disorder and an organic illness.

False

ToF: Unstructured Interviews provide a framework for addictions counselors to use while still allowing a sophisticated clinician to pursue areas of important client information and disclosure not addressed by a structured assessment tool.

False

Spirituality

Hard to define and has many manifestations to different people; participants with high measurement scores had significantly fewer days of substance use

Eating Disorder

Low tolerance for change and new situations often hallmarks this type of process addiction

Which of the following instruments is not a stand-alone substance abuse screen but has a scale for screening substance abuse? T-ACE, MAST, MMPI-2, or SASSI-3?

MMPI-2

Workaholism

Not easily defined or recognized as an addiction

Sexual Addiction

Often exists with concurrent anxiety, personality disorders, relationship issues, and/or bipolar disorder

Common characteristics of sexual addicts include all of the following except: Isolation, Depression, Perfectionism, and Guilt.

Perfectionism

Which strategy listed below is NOT an effective method of gaining self-efficacy? Rehearsing alternative responses in problematic situations, identifying personal strengths and resources in the environment, placing self in high risk situations during high stress times, or developing a hierarchy of high risk situations.

Placing self in high risk situations during high stress times.

Cost-Efficiency

Refers to direct costs associated with the purchase of an instrument and the costs related to the implications of a screen's results

Accreditation

Refers to the specific counselor education program within colleges and universities that educate the training addictions counselors.

Postsecondary Trauma

Refers to the stress and trauma that substance abuse counselors incur when working with AOD clients.

Which of the following instruments is used almost exclusively to screen risk drinking in pregnant women? SSASSI-II, TWEAK, Atlanta Drinking Tool, or AUDIT?

TWEAK

Absinence Violation Effect

The belief that a lapse is a sign of failure and there is no longer any use of continuing to try

Reliability

The consistency of screen's results. A screen should not vary in its measurement, provided the construct being measured does not vary.

Validity

The degree to which a screen accurately represents the construct or criterion it was designed to measure.

A major difference in principles between AA and other treatment programs centers around the belief that: The individual is powerless, lifestyle change is nessessary, there is a need to abstain from all mind-altering drugs, or a support system is essential?

The individual is powerless

Coping

These strategies help those in recovery deal with internal and external triggers

Intrapersonal Triggers

Thought patterns and related emotions

What are the objectives of an addictions assessor?

To plan appropriate interventions, to evaluate the effectiveness of interpretations implemented, and to involve appropriate family members or significant others, as needed, in the individual's treatment.

Evidence-Based Research

Treatment practices supported by controlled research

Findings indicate that approximately 90% of alcoholics return to drinking within a 4-year period of abstinence.

True

ToF: Diagnosis using the DSM as a guide has a vital place in best practices for clients with addictions.

True

ToF: Evidence-based practices are interventions for which empirical verification exists to suggest that these interventions improve client outcomes.

True

ToF: Identifying High Risk Situations is one of the primary strategies in relapse prevention therapy.

True

ToF: Multiple addictions are termed comorbidities.

True

ToF: One objective of assessment is to plan appropriate interventions with the client.

True

ToF: One of the concerns among professionals in the addictions field is that research does not always inform practice and counselors rely on personal experience, or what has worked before, rather than on recent research findings when working with clients.

True

ToF: One problem in identifying patients with substance abuse is that patients are not being referred by their primary care physician.

True

ToF: One problem in the addictions field is the lack of unified national standards for the credentialing of addiction counselors.

True

ToF: One study found that over 50% of addiction counselors were in recovery themselves.

True

ToF: One unique aspect of the addictions field is that it is multidimensional and multidisciplinary, and those providing treatment for individuals with addictions can be physicians, psychiatrists, psychologists, social workers, clergy, family therapists, as well as addictions counselors.

True

ToF: Screening is often the first step in the evaluation process.

True

ToF: Standardized assessment instruments allow clinicians to compare clients against a normative group and ensure objectivity.

True

ToF: Structured interviews are instruments that optimize reliability and validity with the intent of limiting assessor bias. Items are constructed with specific outcomes in mind.

True

ToF: The definition of relapse is dependent upon the therapeutic treatment being used.

True

ToF: The five characteristics of a good screen are sensitivity, specificity, reliability, validity, and cost-efficiency.

True

ToF: The likelihood of relapse is an important topic of discussion throughout treatment

True

ToF: The process of screening leads to referral for treatment, ruling out addiction, and/or requesting a more comprehensive assessment.

True

ToF: Three reasons given for the rising incidence of sexual addiction are increased affordability, easy access to sexual materials, and anonymity of the internet.

True

ToF: Workaholism can be supported and even rewarded in the workplace.

True

Multimodel Therapies

Using a variety of procedures and approaches to treatment

Readiness for Change

Willingness to engage in the recovery process to alter one's life