Section 3

Question 1

What are the 6 stages of counseling? (244)

Answer 1

1. information gathering
2. evaluation
3. feedback
4. counseling agreement
5. change behavior
6. termination

Question 2

What are the stages of group development? (308)

Answer 2

1. initial stage: acceptance, identify power, intimacy
2. transition stage: dominance, control, power
3. working stage: honesty, acceptance, self-disclosure,
4. Final stage

Question 3

What are the functions of a group leader? (315)

Answer 3

emotional stimulation (challenge, support, praise)
meaning attribution (concepts, explanation)
execution function (limit setting, interceding)

Question 4

Explain these problematic client types:
silent client
boring client
monopolizing client
self-righteous client
hostile client

Answer 4

silent client - silence is a behavior, scared
boring client - frequently a frightened, inhibited individual who realty takes risk and feels badly about themselves
monopolizing client - does not notice other members negative reatcions or belittle’s other, “talker”
self-righteous client - to be right at any costs
hostile client - anger to cover up fear

Question 5

What are the 3 types of client defense mechanisms? (322)

Answer 5

Type 1: the client doesn’t believe he/she can relate to the other members
Type 2: the quick thinker is valued in society but if he/she refuses to move from thoughts to feelings, he/she will not grow
Type 3: the client enjoys irritating others.
Type 4: the client brings confusion to the group
Type 5: at times a client will arrive at an alcoholic and drug group intoxicated

Question 6

What are the different roles in an alcoholic family? (328)

Answer 6

the enabler, the hero (oldest), the scapegoat (2nd), the lost child (youngest), the mascot (3rd or middle)

Question 7

According to Freud’s psycho dynamic theory what are the 3 parts of the mind? (376)

Answer 7

Id - the collection of instincts and basic urges
Ego - the rational, reasoning part of the mind
Super Ego - the conscience, ideals, rules (learned from parents and other adults)

Question 8

What is reaction formation? (377)

Answer 8

exchanging an unacceptable urge or feeling for a more acceptable one - often expressed in excess

Question 9

What is the goal of client-centered therapy? (379)

Answer 9

self healing through self-discovery and self acceptance

Question 10

What is the goal of gestalt therapy? (381)

Answer 10

integration of experiences into a whole personality

Question 11

What is the goal of rational-emotive therapy? (383)

Answer 11

teaching a client to analyze his/her belief system and correct the irrational distortions.

Question 12

What is the goal of reality therapy? (384)

Answer 12

helping the individual get back in touch with objectives and moral reality by making responsible choices.

Question 13

What are the 4 types of operant conditioning? (388)

Answer 13

positive reinforcement
negative reinforcement
punishment
extinction

Question 14

What are some common issues affecting the counselor-client relationship? (420)

Answer 14

boundaries and authority issues
respect and dignity
attitudes towards help from counselors

Question 15

In reference to the Level of Care Quadrants, what kind of patient is in quadrant 1? (449)

Answer 15

low severity substance abuse and low severity mental disorders.

Question 16

In reference to the Level of Care Quadrants, what kind of patient is in quadrant 2? (449)

Answer 16

high severity mental disorders and low severity substance use disorders

Question 17

In reference to the Level of Care Quadrants, what kind of patient is in quadrant 3? (449)

Answer 17

severe substance use disorders and low or moderate severity mental disorders

Question 18

In reference to the Level of Care Quadrants, what kind of patient is in quadrant 4? (449)

Answer 18

is divided into 2 subgroups

1. serious or persistent mental illness and also have sever and unstable substance use disorders
2. severe and unstable substance use disorders and severe and unstable behavioral health problems.

Question 19

What disorders are the most common seen by the addiction counselor? (450)

Answer 19

personality disorders

Question 20

What does MICA stand for?

Answer 20

mentally ill chemical abuser

Question 21

What are the ASAM 10 levels of care? (456)

Answer 21

0.5 Early Intervention
1 Outpatient services
2.1 Intensive outpatient services
2.5 Partial hospitalization
3.1-3.5 Clinically managed 
3.7 Medically monitored 
4 Medically managed Intensive Inpatient Services

Question 22

What are the 3 different perspectives that make up ethical considerations? (541)

Answer 22

1. moral/professional judgements
2. legal or regulatory consideration
3. ethical implications

Question 23

What is the difference between confidentiality and privilege? (546)

Answer 23

Confidentiality - no information divulged by patients in the course of treatment may be revealed to an outside source without the written consent of the patient when he/she is rational and drug free.
Privilege - a legal term that refers to an individual’s right not to have confidential information revealed in court or other legal proceedings.

Question 24

What are some meeting types of AA? (585)

Answer 24

discussion meetings
speaker and speaker/discussion meetings
step meetings
book meetings
chip or birthday meetings

Question 25

What are some other community resources besides AA? (593)

Answer 25

Rational Recovery - a guide for self-recovery using Addictive Voice Recognition Technique. Women for Sobriety Secular Organization for Sobriety (SOS or Save ourselves) Moderation Management SMART Recovery

Question 26

What is SMART Recovery's 4 point program? (597)

Answer 26

1. enhancing and maintaining motivation to abstain 2. coping with cravings 3. solving old problems by rationally managing thoughts, feelings, and behaviors 4. developing and maintaining lifestyle balance

Question 27

What are the assumptions that motivational interviewing is based on? (599)

Answer 27

Ambivalence about substance use (and change) is normal Ambivalence can be resolved by working with your client's intrinsic motivations and values. The alliance between you and your client is collaborative partnership. An empathic, supportive, yet directive, counseling style provides condition under which change can occur.

Question 28

What are the 5 stages of change? (601)

Answer 28

``` per-contemplation contemplation preparation action maintenance ```

Question 29

What are the 5 general principles of motivational interviewing? (601)

Answer 29

1. express empathy through reflective listening 2. develop discrepancy between client's goals or values and their current behavior 3. avoid argument and direct confrontation 4. adjust to client resistance rather than opposing it direct 5. support self efficacy and optimism.

Question 30

What are the 5 strategies for early sessions of motivational interviewing? (614)

Answer 30

1. ask open ended questions 2. listen reflectively 3. summarize 4. affirm 5. elicit self-motivational statements

Question 31

What are some ways to evoke self-motivational statements from clients? (620)

Answer 31

problem recognition concern intention to change optimism

Question 32

During the per-contemplation stage a counselors main focus is to ... ? (625)

Answer 32

1. establish rapport 2. raise doubts or concerns in the client about substance using patterns 3. express concern and keep the door open

Question 33

Involving family members and/or significant others can damage the substance-using persons in their recovery. T/F (626)

Answer 33

False

Question 34

During the contemplation stage a counselors main focus is to ... ? (628)

Answer 34

1. normalize ambivalence 2. help the client "tip the decision balance scales" towards change 3. elicit self-motivational statements of intent and commitment 4. elicit ideas regarding the client's perceived self-efficacy and expectations regarding treatment 5. summarize self- motivational statements

Question 35

During the preparation stage a counselors main focus is to ... ? (629)

Answer 35

1. clarify the client's own goals and strategies for change 2. Negotiate a change or treatment plan an behavior contract 3. consider and lower barriers to change

Question 36

During the action stage a counselors main focus is to ... ? (631)

Answer 36

1. engage clients in treatment and reinforce the importance of remaining in recovery 2. support a realistic view of change through small steps 3. help the client identify high-risk situations 4. assist the client in finding new reinforces of positive change

Question 37

During the maintenance stage a counselors main focus is to ... ? (638)

Answer 37

1. help client identify and sample drug free sources of pleasure 2. affirm the client's resolve and self-efficacy 3. help client practice and use new coping strategies 4. develop a "fire escape" plan

Question 38

During the recurrence stage a counselors main focus is to ... ? (629)

Answer 38

1. help client reenter the change cycle and commend any willingness to reconsider positive change 2. maintain supportive contact

Question 39

Define Axis 1 - V (645)

Answer 39

Axis 1 - clinical disorders Axis II - personality disorders Axis III- general medical conditions Axis IV - psycho-social and environmental stressors Axis V - Global Assessment of Functioning

Question 40

How many criteria need to be meet for a substance use disorder mild? (653)

Answer 40

2-3

Question 41

How many criteria need to be meet for a substance use disorder moderate? (653)

Answer 41

4-5

Question 42

How many criteria need to be meet for a substance use disorder severe? (653)

Answer 42

6+

Question 43

What are the 3 classifications of a use disorder? (652)

Answer 43

use intoxication withdrawal

Question 44

Which group has the highest prevalence of alcohol related disorders? (664)

Answer 44

Native Americans | Alaska Natives

Question 45

Signs and symptoms of alcohol intoxication are (668)

Answer 45

slurred speech, lack of coordination, memory impairment, impaired functioning

Question 46

Signs and symptoms of amphetamine intoxication are (668)

Answer 46

rapid heartbeat, dilated pupils, weight loss, high energy and paranoid psychotic behavior

Question 47

Signs and symptoms of cannabis intoxication are (668)

Answer 47

red eyes, dilated pupils, increase appetite, dry mouth, sluggish and slow to react

Question 48

Signs and symptoms of opioid intoxication are (668)

Answer 48

slurred speech, drowsiness, impair memory and constricted pupils