Stages Of Change

Question 0

What is pre contemplation?

Answer 0

The user is not considering change, is aware of few negative consequences, and is unlikely to take action soon; “ignorance is bliss”, “sobriety is for quitters”

Question 1

What are the stages of change?

Answer 1

Pre contemplation, contemplation, preparation, action, maintenance , relapse

Question 2

What is contemplation?

Answer 2

The user is aware of some pros and cons of substance abuse but feels ambivalent about change. This user is on the fence

Question 3

What is preparation stage?

Answer 3

This stage begins once the user had decided to change and begins to plan steps toward recovery ; proper preparation prevents poor performance

Question 4

What is the action stage?

Answer 4

The user tries new behaviors, but these are not yet stable. This stage involves the first active steps toward change.

Question 5

What is maintenance stage?

Answer 5

The user establishes new behaviors in a long term basis; they are able to maintain the new status quo with increased confidence

Question 6

What is relapse stage?

Answer 6

The client has experienced a recurrence of symptoms and must now cope with consequences and decide what to do next; SLIP

Question 7

What treatment is needed for pre contemplation?

Answer 7

Linking problems and potential problems with substance use; educate on negative consequences of SA

Question 8

What treatment is needed for contemplation stage?

Answer 8

Explore feelings about ambivalence and the conflicts between her SA and personal values; increase awareness of consequences and benefits of decreasing use

Question 9

What treatment is needed for preparation stage?

Answer 9

Work on strengthening commitment ; options of txtment and help plan how to go about seeking txt

Question 10

What treatment is needed for action plan?

Answer 10

Work on skills to maintain sobriety ; acknowledge accompanied feelings and experience as normal part of recovery

Question 11

What treatment is needed for maintenance stage?

Answer 11

Needs help with relapse prevention; reassure, evaluate present actions and redefine long term sobriety maintenance plans

Question 12

What treatment is needed for relapse stage?

Answer 12

Explore what can be learns from the relapse; emphasize effort; support self efficacy

Question 13

What is the recovering model?

Answer 13

Recovery from alcohol and drug problems is a process of change through which an individual achieves abstinence and improved health, wellness, and quality of life

Question 14

What are the 10 guided principles of the recovery model?

Answer 14

Person driven, many pathways, holistic, peer support , relational, culture, addresses trauma, strengths/responsibility, respect, and hope

Question 15

What is substance Use disorders?

Answer 15

A problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by atleast 2 or more of the following occurring within a 12 month period

Question 16

What are the symptoms of substance use disorders?

Answer 16

Loss of control. Lifestyle, craving,
Unable to cut Dow, unable to fulfill roles, interpersonal issues, isolation, endangerment, disregard health impact, tolerance, withdrawal

Question 17

What are the severity specifier for SUD?

Answer 17

2-3 mild disorder
4-5 moderate
6 or more severe

Question 18

What is considered a remission?

Answer 18

Early: 3-11 months
Sustained: 12+ months
In a controlled environment

Question 19

What is substance/medication Induced anxiety disorder?

Answer 19

A. Panic attack in predominant in clinical pic
B. sxs occur during or after intoxication/withdrawal or after med exposure
C. Not explained by anxiety disorder
D. Disturbance does not occur durin delirium
E. causes impairment

Question 20

During substance use assessments what should u consider?

Answer 20

Engage the client
No wrong door
Clinical eye
Agency specific
Exam worthy

Question 21

How does the stages of change model impacts treatment?

Answer 21

Clarify their thinking
Challenge assumptions 
What is the evidenced rove for alternatives 
Implications
Question the question

Question 22

What is MI?

Answer 22

MI is a collaborative, person-centered form of guiding to elicit and strengthen motivation for change

Question 23

Foundations of MI?

Answer 23

MI concepts
MI spirit
Change talk
OARS

Question 24

What is MI spirit collaboration?

Answer 24

Collaboration - refers to working in partnership:, client is the expert

Question 25

What is MI spirit: evoke?

Answer 25

Evoke: client have within them the ability , capacity and potential for change

Question 26

What is autonomy/ elicit?

Answer 26

To facilitate and affirm patient choice

Question 27

What are the MI concepts?

Answer 27

Readiness
Ambivalence
Resistance

Question 28

What is the resist the righting reflex?

Answer 28

Refers to the tendency of practitioners to try to actively fix their client’s problems, thereby reducing the likelihood of client change; fails to consider ambivalence

Question 29

What are the MI principles?

Answer 29

Express empathy
Develop discrepancy
Roll with resistance
Support self efficacy

Question 30

What is sustain talk?

Answer 30

Happy with the status quo

Question 31

What is the relationship between sustain talk and discord?

Answer 31

Sustain talk is about the target behavior while discord is about the relationship

Question 32

What is change talk?

Answer 32

Change talk is client speech that favors movement in the direction of change

Question 33

What is the preparatory stage?

Answer 33

D= desire , want , like , wish
A= ability, can , could 
R= reasons, if...then
N= need , have to, got to

Question 34

What is implementing?

Answer 34

C= committing , I will 
A= activating , I plan to
T= taking steps, I did

Question 35

What does OARS stand for?

Answer 35

Open ended, affirmations, reflective listening, summarizing

Question 36

What does affirmations mean?

Answer 36

Affirmation are a reflection of a Client’s abilities, strengths, efforts and or supportive statement.