Wk4 Flashcards
Which of the following is a key principle of Motivational Interviewing (MI)?
C) Rolling with resistance
Example sentence: “The counselor practiced the principle of rolling with resistance during the session.”
In Motivational Interviewing, what does ‘expressing empathy’ primarily involve?
B) Understanding and validating the client’s feelings
Additional information: Expressing empathy is crucial in building rapport with the client.
According to SAMHSA TIP 35, ambivalence about change is considered:
B) A normal part of the change process
Ambivalence is expected and not viewed as a negative aspect in the change process.
Which of the following is an example of “change talk” in Motivational Interviewing?
B) “I really need to quit drinking.”
Example sentence: “The client’s change talk indicated a readiness to address their drinking behavior.”
Which stage of change involves taking active steps to modify behavior?
D) Action
The action stage is characterized by concrete actions towards behavior change.
What is the focus of the “Develop Discrepancy” principle in Motivational Interviewing?
B) Highlighting the difference between the client’s current behavior and their goals or values
How should a counselor respond when a client exhibits resistance?
C) Roll with the resistance
What is the primary role of a counselor in Motivational Interviewing?
C) To elicit and strengthen the client’s own motivation for change
In the Transtheoretical Model of Change, what is the stage where individuals have no intention to change behavior?
B) Precontemplation
What does the “A” in the OARS acronym stand for?
C) Affirmations
Which of the following best describes a key element of ‘Support Self-Efficacy’ in MI?
B) Assisting the client in recognizing their own abilities to succeed
In TIP 35, what does the term “sustain talk” refer to?
A) The client’s arguments for maintaining the status quo
According to SAMHSA TIP 35, which of the following is an example of a strategy to increase readiness to change?
C) Providing information that highlights the costs of substance use
Which of the following is NOT a phase in the Stages of Change model?
C) Identification
What is the main purpose of Motivational Enhancement Therapy (MET), as described in TIP 35?
B) To elicit change by reinforcing the client’s own motivations for recovery
Motivational Interviewing is considered a confrontational therapy style.
False
TIP 35 suggests that relapse should be treated as a learning opportunity, not as a failure.
True
TIP 35 recommends that counselors use an authoritarian approach when dealing with resistant clients.
False
In the Precontemplation stage, individuals are generally unaware of the consequences of their behavior.
True
TIP 35 suggests that all clients move through the stages of change in a linear fashion.
False
35 suggests that relapse should be treated as a learning opportunity, not as a failure.
True
Example: Viewing relapse as a learning opportunity can help clients identify triggers and develop better coping strategies.
TIP 35 recommends that counselors use an authoritarian approach when dealing with resistant clients.
False
Example: Adopting an authoritarian approach may further alienate resistant clients and hinder the therapeutic process.
In the Precontemplation stage, individuals are generally unaware of the consequences of their behavior.
True
Example: Clients in the Precontemplation stage may not see the need for change and may minimize the impact of their actions.
TIP 35 suggests that all clients move through the stages of change in a linear fashion.
False
Example: Clients may move back and forth between stages, experiencing lapses and progress at different points in their journey.
Which ASAM Dimension focuses on the individual’s biomedical conditions and complications?
B) Dimension 2
ASAM Dimension 2 considers the client’s physical health status and any related complications or conditions.
In ASAM Dimension 3, what does ‘Emotional, Behavioral, or Cognitive Conditions and Complications’ refer to?
A) The individual’s mental health status
This dimension addresses the client’s emotional, behavioral, and cognitive well-being.
Which level of care is designed for outpatient treatment with structured programming for 9-19 hours per week?
B) Level 2.1
Level 2.1 provides outpatient treatment with a structured program for a specified number of hours per week.
ASAM Criteria primarily serve to:
C) Determine the appropriate level of care for substance use disorder treatment
The ASAM Criteria help in identifying the most suitable treatment setting based on the client’s needs.
Which ASAM Dimension deals with relapse, continued use, or continued problem potential?
C) Dimension 5
Dimension 5 focuses on the potential for relapse, continued substance use, or ongoing problems.
What is the focus of Dimension 6 in the ASAM Criteria?
D) Living environment and recovery support
Dimension 6 considers the client’s living arrangements and the support available for their recovery.
The ASAM Criteria identify how many levels of care?
B) 5
The ASAM Criteria outline five levels of care to address varying treatment needs.
What is the purpose of conducting an ASAM assessment?
D) To identify the most appropriate treatment setting for an individual
ASAM assessments help in determining the optimal treatment environment for each client.
Level 3.7 in the ASAM Criteria refers to:
B) Medically monitored intensive inpatient treatment
Level 3.7 involves intensive inpatient treatment with close medical supervision.
The ASAM Criteria emphasize which kind of care?
A) Person-centered care
The ASAM Criteria prioritize individualized, person-centered care to address unique needs and preferences.
How does Dimension 4 (Readiness to Change) impact treatment planning?
B) It helps assess the client’s motivation and willingness to engage in treatment
Dimension 4 focuses on evaluating the client’s readiness to change and their willingness to participate in treatment.
Group-based care
A) Person-centered care
Example sentence: Group-based care focuses on individual needs within a supportive environment.
How does Dimension 4 (Readiness to Change) impact treatment planning?
B) It helps assess the client’s motivation and willingness to engage in treatment
This dimension is crucial for tailoring treatment plans to the client’s readiness.
Which of the following is an ASAM Criteria level of care for early intervention?
A) Level 0.5
Level 0.5 provides early intervention services for individuals at risk of developing substance use disorders.
When a client shows active withdrawal symptoms and requires monitoring, which ASAM Dimension is involved?
C) Dimension 1
Dimension 1 focuses on the acute intoxication and withdrawal potential of the individual.
What type of care does ASAM Level 3.1 represent?
B) Clinically managed low-intensity residential services
Level 3.1 offers structured residential care with lower intensity than inpatient detoxification.
Which ASAM Dimension would consider an individual’s support network?
C) Dimension 6
Dimension 6 evaluates the network of family, friends, and other social supports available to the individual.
Which of the following describes Level 2.5 care under the ASAM Criteria?
B) Intensive outpatient treatment with structured programming of 20 or more hours per week
Level 2.5 offers intensive outpatient treatment for individuals requiring more structured care.
What is one primary difference between Level 3.5 and Level 3.1 care in the ASAM Criteria?
C) Level 3.5 is more intensive, requiring 24-hour supervision, while Level 3.1 is less structured
Level 3.5 provides more intensive care with round-the-clock supervision compared to Level 3.1.
How is ASAM Level 1 categorized?
B) Outpatient services
Level 1 offers outpatient services for individuals with mild substance use disorders.
Which of the following ASAM levels is suitable for clients who need more intensive support but not around-the-clock care?
B) Level 2.1
Level 2.1 provides structured support for individuals needing more intensive care than outpatient services.
What is the purpose of ASAM Dimension 5 (Relapse, Continued Use, or Continued Problem Potential)?
B) To determine the individual’s risk for relapse or ongoing substance use
Dimension 5 assesses the likelihood of relapse and ongoing substance use in the individual.
How many criteria are there for diagnosing a Substance Use Disorder (SUD) in the DSM-5?
C) 11
The DSM-5 outlines 11 criteria for diagnosing Substance Use Disorders.
How is “mild” Substance Use Disorder defined in terms of criteria met?
B) 2-3 criteria
Mild Substance Use Disorder is defined by meeting 2-3 of the diagnostic criteria.
What is the primary criterion for Substance Intoxication?
B) Maladaptive behavioral or psychological changes
Substance Intoxication is characterized by maladaptive changes in behavior or psychological functioning.
In the DSM-5, the Substance Use Disorder spectrum includes:
A) Substance Abuse and Substance Dependence
The DSM-5 combines Substance Abuse and Substance Dependence under the umbrella of Substance Use Disorder.
What is the primary criterion for Substance Intoxication?
Maladaptive behavioral or psychological changes
B) Maladaptive behavioral or psychological changes
In the DSM-5, the Substance Use Disorder spectrum includes:
Mild, Moderate, and Severe classifications
D) Mild, Moderate, and Severe classifications
Which of the following is a diagnostic criterion for Gambling Disorder?
Increasing amounts of money to gamble for excitement
B) Increasing amounts of money to gamble for excitement
According to DSM-5, withdrawal is characterized by:
Psychological distress following the cessation of substance use
A) Psychological distress following the cessation of substance use
Which of the following substances has its own category in the DSM-5 for a use disorder diagnosis?
All of the above
D) All of the above
How is Gambling Disorder classified in the DSM-5?
A non-substance-related addictive disorder
C) A non-substance-related addictive disorder
Which of the following substances is associated with a withdrawal syndrome in the DSM-5?
Cannabis
A) Cannabis
Which of the following disorders is classified under Substance-Related and Addictive Disorders in DSM-5?
Gambling Disorder
B) Gambling Disorder
What term does the DSM-5 use to refer to the need for increased amounts of a substance to achieve intoxication?
Tolerance
A) Tolerance
Which disorder is considered an addictive disorder but does not involve a substance?
Gambling Disorder
C) Gambling Disorder
What is a key characteristic of Substance-Induced Disorders in DSM-5?
The disorder is caused by direct exposure to a substance
A) The disorder is caused by direct exposure to a substance
Which of the following is NOT included as a diagnostic criterion for Substance Use Disorder in DSM-5?
Compulsive spending habits
C) Compulsive spending habits
What is considered the lowest level of impairment in Substance Use Disorders according to the DSM-5?
Mild
A) Mild
Which of the following is considered a behavioral addiction in DSM-5?
Gambling Disorder
B) Gambling Disorder
Which of the following is NOT a substance-related disorder in DSM-5?
Internet Gaming Disorder
C) Internet Gaming Disorder
Which DSM-5 diagnosis refers to a syndrome of distress following the reduction or cessation of substance use?
Substance Withdrawal
B) Substance Withdrawal
Which of the following is NOT a substance-related disorder in DSM-5?
C) Internet Gaming Disorder
Answer: C) Internet Gaming Disorder
Which DSM-5 diagnosis refers to a syndrome of distress following the reduction or cessation of substance use?
B) Substance Withdrawal
Answer: B) Substance Withdrawal
What type of disorder is characterized by repeated problematic substance use leading to clinically significant impairment?
B) Substance Use Disorder
Answer: B) Substance Use Disorder
What is a distinguishing feature of Substance Use Disorders in the DSM-5?
A) Problems controlling use of the substance
Answer: A) Problems controlling use of the substance
