Test 3

Behavioral symptoms included in the Chronic Phase of substance abuse include all of the following EXCEPT:

The onset of blackouts

In Substance Use Disorder, a blackout is defined as:

Where the user remains awake and active but later does not remember what was said or done while s/he was using

According to the DSM-5, the essential feature of a substance use disorder is:

A cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues using the substance despite significant substance-related problems

What is a treatment plan?

A written document that details how problems are defined

The purpose of assigning a diagnosis is:

((1) and (2)) To assist clients in making a determination of what steps they might decide to take to address a substance use problem if one is detected (2) To aid in treatment planning (1)

Beginning therapists need to be aware of problems that can interfere with diagnosis such as:

(1 and 3) Development of biases about substance abusing clients (1) A client's attitude and sense of shame may create a barrier (3)

To determine if substance abuse is a result of heredity or environment, researchers have relied mainly on:

(1 and 3) Twin studies and adoption studies

The social and psychological factors) that interact with biological reactions and may induce an individual to repeat the drug use despite a negative effect include:

(All of These) Society's general attitude about the drug The desire to assume an adult role and the need to copy parental models Peer pressure

Success of the Minnesota Model Counseling Approach process is characterized by

(All of these) Acceptance by self and the group Increased sense of self-worth and the existential restoration of meaning to life Relief and peace

The stigma associated with substance use often leads to __________.

(All of these) Denial or avoidance by the user Denial or avoidance by the user's family Denial or avoidance by many health professionals

Regarding professional conduct, substance abuse counselors need to be aware of requirements delineated in:

(All of these) Federal and state laws Local laws and regulations Codes of ethics

Counselors may be ethically or legally obligated to break confidentiality, without client consent, in the following limited situations:

(All of these) If the client intends to harm him/herself or an identifiable third party If the client is a victim of child or elder abuse/neglect If a client intents to transmit a communicable, life-threatening disease to an identifiable third party

Confidentiality is considered the core value of mental health professionals is intended to:

(All of these) Reduce stigma and foster trust Protect privacy Allow clients to discuss their issues without fear of future repercussions

According to Sociocultural Theories, social factors that appear to protect youngsters from initiating substance use and progressing toward abuse include _______________.

(All of these) Selecting and emulating individuals who model temperance or shun substance use Bonding, goal-direction, and monitoring from family, peers, religion, and other societal processes Participating in rewarding activities and prosocial behaviors and increased self-confidence and coping skills

An essential prerequisite for accurate diagnosis is and understanding of:

(All of these) The dynamics of denial, The diverse medical consequences associated with different drugs The dynamics of tolerance and loss of control

Drug experimentation might be viewed by behaviorists as a function of:

(All of these) Undesirable behaviors caused by weak or absent social controls Lack of supervision Deviant friends

Lipari V. Sears, Roebuck & Co. was a federal case that further extended the duty of counselors to _______________.

(All of these) Warn victims Protect unknown victims Protect identifiable victims

The commonalities between the ethical codes embrace the following common principles:

(all of these) Consultation and counselor supervision with other counseling professionals and competence to administer, use or interpret assessment instruments Protecting the client welfare; avoiding harm and the imposition of personal values; and knowledge and adherence to the laws and ethical codes Professional qualifications and competence and knowledge of standards

The DSM-III dropped the term alcoholism in favor of two distinct categories labeled:

Alcohol Abuse and Alcohol Dependance

Adherents of the disease concept of alcoholism widely recommend which form of treatment?

Alcoholics Anonymous

Alcoholics Anonymous, formulated in 1935, is characterized by all but one of the following:

Alcoholics tend not to believe other alcoholics

In regard to dual diagnosis, there is often a relationship between:

Alcoholism and depression

Treatment plans must be updated to reflect any changes occurring during substance abuse treatment such as:

All of These

Which law requires the sharing of patient information through encrypted systems, with significant penalties for failing to sufficiently protect client information?

All of These

In residential programs, an individual is allowed to

All of the above receive comprehensive treatment services work during the day live in a residential setting

When concerned about substance, questions family members might ask include:

All of these Do you worry about how much they use drugs or drink? Does their substance use keep them away from home a good deal? Have you ever been hurt or embarrassed by their behavior when they are drinking or using?

According to the disease concept and research by Jellinek in the 1950's:

An alcoholic is never cured, only considered "in remission" or "in recovery"

The act of determining the nature and causes of a client's problem is known as _______________.

Assessment

BPSS considers SUD's as stemming from varying combinations of __________ factors.

Biological/genetic, psychological, spiritual, and sociological

In the Minnesota model, counselors assume the role of _______________

Both 1 and 2 Educator and Coach

Which law does not allow for a breach of confidentiality to warn a third party in imminent danger?

CFR 42 Part 2

Which of the following regulations restricts parental access of their children's confidential information without the minor's consent?

CFR 42, Part 2

In Counseling, the promise of keeping information private is called:

Confidentiality

It is during this phase that family and significant others usually become more aware of the user's growing reliance on substances.

Crucial

The most powerful factor in complicating the clinician's ability to make an accurate diagnosis of a substance abuse problem with a client is:

Denial

Which of the following is one of the questions asked of a client as part of the administration of the CAGE Questionnaire?

Do you ever take a morning eye-opener

Rehabilitation programs are usually:

Freestanding Facilities

Which of the following is not one of the moral principles on which ethical codes of mental health

Genuineness

All of the following are examples of how to break a substance abuse habit, except:

Have a positive experience every time you smoke marijuana

HIPPA does not apply to _______________.

Health information contained in employer records or in educational records

__________ refers to an immediate serious threat.

Imminent Danger

The first symptom noted in the prodromal phase is __________.

Increase of tolerance

Defining alcoholism as a disease is associated with:

Jellinek and the use of abstinence as treatment

Although SUD's are represented in all socioeconomic statuses, __________ have an over-represented number of individuals that abuse drugs.

Low income and poverty level

The _______________ model uses medical staff, including doctors and nurses, to administer medication to safely assist people through withdrawal.

Medical

The most researched diagnostic instrument for alcoholism is the self-administered __________.

Michigan Alcoholism Screening Test (MAST)

A _______________ category would be used in the case of a weekly voluntary outpatient substance abuse treatment program, where clients generally reside in their homes and attend scheduled meetings with professionals at designated agencies, offices, churches, and/or treatment facilities.

Moderate

Dual-diagnosis inpatient settings provide all of the following except:

More intensive and long term therapy

Within Behavioral Theory, aspects associated with the use of drugs include all of the following except:

Motivation

The factor on the NEO Personality Inventory of _______________ measures anxiety, hostility, depression, self-consciousness, impulsiveness and vulnerability, all of which could be risk factors for ATOD use.

Neuroticism

Which of the following does not allow for the reporting of child abuse?

None of these

Which of the following groups do not have specific licensure/certification for substance abuse counseling?

None of these

The purpose of __________ is to provide affordable health care to uninsured Americans, to better detect mental health issues, and to provide better integration of healthcare.

Patient Protection and Affordable Care Act

Yin states that studies identify three modes of behavioral control which are important for understanding alcohol addiction:

Pavlovian approach, goal-direction action, and habit

Which of the following does not contribute to the complexity of ethical and legal issues in substance abuse counseling?

Personal Recovery

The consumption or use of a drug after a prolonged period of abstinence is known as _______________.

Relapse

To date, adoption studies within the genetic theory consistently indicate a __________ between biological parent substance use and the adopted child.

Relationship

Treatment planning was created to provide an analytical and critical way of thinking for all except which of the following:

Researchers

Genetic studies on alcoholism:

Reveal that while there are indeed genetic influences on SUDs, the exact nature of these influences is unclear.

The _______________ model rejects the use of medication and relies on a supportive, non-hospital setting to help the client through withdrawals.

Social

The sociocultural theory addresses substance abuse within the framework of:

Social and cultural factors

Family factors such as cultural attitudes and customs of the family involving alcohol and other substances, tolerance toward public intoxication and drug use, and childhood exposure to alcohol and drug use models are all factors found in which of the following theories?

Sociocultural

Examples of standard progress note formats include all of the following except:

TWEAK

The right of privilege of confidentiality belongs to:

The client, even deceased clients

The foundation of any treatment plan is:

The data or information gathered in a thorough assessment

Personal counseling notes are considered a school record ______________.

The moment anyone other than the counselor knows of their existence

When faced with conflicting laws or ethical codes the substance abuse counselor should always defer to:

The most restrictive regulation or code

One important commonality that exists in all five of the highlighted ethical codes within the text is:

The organization and titling of the ethical codes

The process of conducting an assessment and diagnosing substance use problems is perhaps most complicated by:

The phenomenon of denial

The best evidence of the populous-held beliefs that moralizes addiction is _______________.

The stigma attached to it

As the user continues to become more heavily involved in abuse or dependence on a drug, the primary relationship in life eventually becomes the relationship with _______________.

The substance

In the area of substance abuse, the term "tolerance" means:

There is a need over time to use more of the substance or to use more frequently to attain the desired effect

According to CFR 42, Part 2, confidential information may be disclosed with client consent:

To medical professionals in an emergency situation

The primary goal of the Minnesota Model is for the person with a substance use disorder:

To remain abstinent from mood-altering chemicals for life

According to HIPAA, client consent is not required for disclosure of confidential information for all the following except:

To the client's employer

In a recovery/halfway house located near a rehabilitation or residential facility, clients can rely on supportive group social structure in a:

Transitional living arrangement with less monitoring

The legal and ethical requirement to inform clients of the potential risks and benefits of counseling is:

informed consent

Clients with more extensive substance abuse dependency problems usually need a more ____________ environment to match the severity of the diagnosis.

restrictive

The most important part of the assessment procedure for identifying substance abuse is:

the diagnostic interview

It is estimated that alcohol is implicated in _______ of all cases of family violence.

two thirds