Chapter 7 Flashcards
- The process of motivating a person to actively involve him/herself in treatment is called:
a. intervention
b. motivational interviewing
c. client engagement
d. client participation
c
Which of the following is not one of the general principles of motivational interviewing?
a. confront resistance
b. develop discrepancy
c. support self-efficacy
d. express empathy
a
In motivational interviewing, what is the purpose of eliciting change talk?
a. to enhance client self-esteem
b. to make explicit the problems, concerns, and intentions of clients
c. to facilitate the development of the core conditions for therapeutic growth
d. to help clients resolve their ambivalence
d
In the motivational interviewing conceptualization, what commonly occurs in the counselor-client relationship that interferes with resolving ambivalence?
a. transference
b. the confrontational trap
c. resistance
d. counter transference
b
In motivational interviewing, client resistance is:
a. a symptom of denial
b. a counselor skill problem
c. part of the dynamics of chemical dependency
d. best reduced through active listening
b
You are a school counselor working with an adolescent who has completed treatment for polydrug problems. The student does not want to go to aftercare meetings at the treatment program and says that he wants to use again, although he is afraid of the consequences. You say, “ You are not happy with your aftercare meetings and you think about using. Let’s talk about the things that keep you from using”. This is an example of:
a. shifting the focus
b. poor attending skills
c. agreeing with a twist
d. empathy
a
You are a clinical social worker working with a probationer who is recovering from a methamphetamine addiction. After a confrontation with his boss, he is suspended for 3 days without pay. Your client expresses a strong desire to use meth but a fear of coming out dirty if he has a random urinalysis by his probation officer. You tell your client that you believe he has the power to decide whether to use meth or not. In motivational interviewing, this is an example of:
a. reducing resistance by emphasizing personal choice and control
b. unethical counselor behavior
c. a dangerous technique that should be used with caution
d. a way of eliciting self-change talk
a
I need to do something about my cocaine use” is indicative of which stage of change?
a. action
b. contemplation
c. goal identification
d. determination
d
” You think I have a drinking problem? I had never considered that. I’ll think about it” is indicative of which stage of change?
a. reframing
b. precontemplation
c. contemplation
d. reconsideration
b
Brief interventions are intended to help:
a. individuals with moderate or risky levels of AOD use
b. clients who cannot afford to stay in treatment for long periods of time
c. young adults
d. clients who do not want to attend support groups like AA
a
Which of the following would not be considered a brief intervention:
a. education on guidelines for low risk alcohol use
b. visiting a detox center
c. discussion with a physician about the health consequences of AOD use
d. giving reading material to pregnant women on the dangers of AOD use
b
Dry Drunk
A dry drunk is defined as a person who demonstrates the negative
thoughts, feelings, and actions of an active alcoholic but is not drinking
Therapeutic Communities
- The therapeutic community (TC) is a residential environment usually associated with treatment for drugs other than alcohol.
- This type of treatment setting is often a treatment of last resort. In other words, most TC residents have failed in one or more other types of treatment setting.
Treatment plans should contain
problem statements, long term goals, short term objectives, treatment strategies, review date, target date
