Wk4 Flashcards

1
Q

Which of the following is a key principle of Motivational Interviewing (MI)?

A

C) Rolling with resistance

Example sentence: “The counselor practiced the principle of rolling with resistance during the session.”

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2
Q

In Motivational Interviewing, what does ‘expressing empathy’ primarily involve?

A

B) Understanding and validating the client’s feelings

Additional information: Expressing empathy is crucial in building rapport with the client.

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3
Q

According to SAMHSA TIP 35, ambivalence about change is considered:

A

B) A normal part of the change process

Ambivalence is expected and not viewed as a negative aspect in the change process.

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4
Q

Which of the following is an example of “change talk” in Motivational Interviewing?

A

B) “I really need to quit drinking.”

Example sentence: “The client’s change talk indicated a readiness to address their drinking behavior.”

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5
Q

Which stage of change involves taking active steps to modify behavior?

A

D) Action

The action stage is characterized by concrete actions towards behavior change.

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6
Q

What is the focus of the “Develop Discrepancy” principle in Motivational Interviewing?

A

B) Highlighting the difference between the client’s current behavior and their goals or values

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7
Q

How should a counselor respond when a client exhibits resistance?

A

C) Roll with the resistance

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8
Q

What is the primary role of a counselor in Motivational Interviewing?

A

C) To elicit and strengthen the client’s own motivation for change

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9
Q

In the Transtheoretical Model of Change, what is the stage where individuals have no intention to change behavior?

A

B) Precontemplation

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10
Q

What does the “A” in the OARS acronym stand for?

A

C) Affirmations

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11
Q

Which of the following best describes a key element of ‘Support Self-Efficacy’ in MI?

A

B) Assisting the client in recognizing their own abilities to succeed

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12
Q

In TIP 35, what does the term “sustain talk” refer to?

A

A) The client’s arguments for maintaining the status quo

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13
Q

According to SAMHSA TIP 35, which of the following is an example of a strategy to increase readiness to change?

A

C) Providing information that highlights the costs of substance use

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14
Q

Which of the following is NOT a phase in the Stages of Change model?

A

C) Identification

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15
Q

What is the main purpose of Motivational Enhancement Therapy (MET), as described in TIP 35?

A

B) To elicit change by reinforcing the client’s own motivations for recovery

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16
Q

Motivational Interviewing is considered a confrontational therapy style.

A

False

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17
Q

TIP 35 suggests that relapse should be treated as a learning opportunity, not as a failure.

A

True

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18
Q

TIP 35 recommends that counselors use an authoritarian approach when dealing with resistant clients.

A

False

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19
Q

In the Precontemplation stage, individuals are generally unaware of the consequences of their behavior.

A

True

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20
Q

TIP 35 suggests that all clients move through the stages of change in a linear fashion.

A

False

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21
Q

35 suggests that relapse should be treated as a learning opportunity, not as a failure.

A

True

Example: Viewing relapse as a learning opportunity can help clients identify triggers and develop better coping strategies.

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22
Q

TIP 35 recommends that counselors use an authoritarian approach when dealing with resistant clients.

A

False

Example: Adopting an authoritarian approach may further alienate resistant clients and hinder the therapeutic process.

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23
Q

In the Precontemplation stage, individuals are generally unaware of the consequences of their behavior.

A

True

Example: Clients in the Precontemplation stage may not see the need for change and may minimize the impact of their actions.

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24
Q

TIP 35 suggests that all clients move through the stages of change in a linear fashion.

A

False

Example: Clients may move back and forth between stages, experiencing lapses and progress at different points in their journey.

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25
Q

Which ASAM Dimension focuses on the individual’s biomedical conditions and complications?

A

B) Dimension 2

ASAM Dimension 2 considers the client’s physical health status and any related complications or conditions.

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26
Q

In ASAM Dimension 3, what does ‘Emotional, Behavioral, or Cognitive Conditions and Complications’ refer to?

A

A) The individual’s mental health status

This dimension addresses the client’s emotional, behavioral, and cognitive well-being.

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27
Q

Which level of care is designed for outpatient treatment with structured programming for 9-19 hours per week?

A

B) Level 2.1

Level 2.1 provides outpatient treatment with a structured program for a specified number of hours per week.

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28
Q

ASAM Criteria primarily serve to:

A

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.

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29
Q

Which ASAM Dimension deals with relapse, continued use, or continued problem potential?

A

C) Dimension 5

Dimension 5 focuses on the potential for relapse, continued substance use, or ongoing problems.

30
Q

What is the focus of Dimension 6 in the ASAM Criteria?

A

D) Living environment and recovery support

Dimension 6 considers the client’s living arrangements and the support available for their recovery.

31
Q

The ASAM Criteria identify how many levels of care?

A

B) 5

The ASAM Criteria outline five levels of care to address varying treatment needs.

32
Q

What is the purpose of conducting an ASAM assessment?

A

D) To identify the most appropriate treatment setting for an individual

ASAM assessments help in determining the optimal treatment environment for each client.

33
Q

Level 3.7 in the ASAM Criteria refers to:

A

B) Medically monitored intensive inpatient treatment

Level 3.7 involves intensive inpatient treatment with close medical supervision.

34
Q

The ASAM Criteria emphasize which kind of care?

A

A) Person-centered care

The ASAM Criteria prioritize individualized, person-centered care to address unique needs and preferences.

35
Q

How does Dimension 4 (Readiness to Change) impact treatment planning?

A

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.

36
Q

Group-based care

A

A) Person-centered care

Example sentence: Group-based care focuses on individual needs within a supportive environment.

37
Q

How does Dimension 4 (Readiness to Change) impact treatment planning?

A

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.

38
Q

Which of the following is an ASAM Criteria level of care for early intervention?

A

A) Level 0.5

Level 0.5 provides early intervention services for individuals at risk of developing substance use disorders.

39
Q

When a client shows active withdrawal symptoms and requires monitoring, which ASAM Dimension is involved?

A

C) Dimension 1

Dimension 1 focuses on the acute intoxication and withdrawal potential of the individual.

40
Q

What type of care does ASAM Level 3.1 represent?

A

B) Clinically managed low-intensity residential services

Level 3.1 offers structured residential care with lower intensity than inpatient detoxification.

41
Q

Which ASAM Dimension would consider an individual’s support network?

A

C) Dimension 6

Dimension 6 evaluates the network of family, friends, and other social supports available to the individual.

42
Q

Which of the following describes Level 2.5 care under the ASAM Criteria?

A

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.

43
Q

What is one primary difference between Level 3.5 and Level 3.1 care in the ASAM Criteria?

A

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.

44
Q

How is ASAM Level 1 categorized?

A

B) Outpatient services

Level 1 offers outpatient services for individuals with mild substance use disorders.

45
Q

Which of the following ASAM levels is suitable for clients who need more intensive support but not around-the-clock care?

A

B) Level 2.1

Level 2.1 provides structured support for individuals needing more intensive care than outpatient services.

46
Q

What is the purpose of ASAM Dimension 5 (Relapse, Continued Use, or Continued Problem Potential)?

A

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.

47
Q

How many criteria are there for diagnosing a Substance Use Disorder (SUD) in the DSM-5?

A

C) 11

The DSM-5 outlines 11 criteria for diagnosing Substance Use Disorders.

48
Q

How is “mild” Substance Use Disorder defined in terms of criteria met?

A

B) 2-3 criteria

Mild Substance Use Disorder is defined by meeting 2-3 of the diagnostic criteria.

49
Q

What is the primary criterion for Substance Intoxication?

A

B) Maladaptive behavioral or psychological changes

Substance Intoxication is characterized by maladaptive changes in behavior or psychological functioning.

50
Q

In the DSM-5, the Substance Use Disorder spectrum includes:

A

A) Substance Abuse and Substance Dependence

The DSM-5 combines Substance Abuse and Substance Dependence under the umbrella of Substance Use Disorder.

51
Q

What is the primary criterion for Substance Intoxication?

A

Maladaptive behavioral or psychological changes

B) Maladaptive behavioral or psychological changes

52
Q

In the DSM-5, the Substance Use Disorder spectrum includes:

A

Mild, Moderate, and Severe classifications

D) Mild, Moderate, and Severe classifications

53
Q

Which of the following is a diagnostic criterion for Gambling Disorder?

A

Increasing amounts of money to gamble for excitement

B) Increasing amounts of money to gamble for excitement

54
Q

According to DSM-5, withdrawal is characterized by:

A

Psychological distress following the cessation of substance use

A) Psychological distress following the cessation of substance use

55
Q

Which of the following substances has its own category in the DSM-5 for a use disorder diagnosis?

A

All of the above

D) All of the above

56
Q

How is Gambling Disorder classified in the DSM-5?

A

A non-substance-related addictive disorder

C) A non-substance-related addictive disorder

57
Q

Which of the following substances is associated with a withdrawal syndrome in the DSM-5?

A

Cannabis

A) Cannabis

58
Q

Which of the following disorders is classified under Substance-Related and Addictive Disorders in DSM-5?

A

Gambling Disorder

B) Gambling Disorder

59
Q

What term does the DSM-5 use to refer to the need for increased amounts of a substance to achieve intoxication?

A

Tolerance

A) Tolerance

60
Q

Which disorder is considered an addictive disorder but does not involve a substance?

A

Gambling Disorder

C) Gambling Disorder

61
Q

What is a key characteristic of Substance-Induced Disorders in DSM-5?

A

The disorder is caused by direct exposure to a substance

A) The disorder is caused by direct exposure to a substance

62
Q

Which of the following is NOT included as a diagnostic criterion for Substance Use Disorder in DSM-5?

A

Compulsive spending habits

C) Compulsive spending habits

63
Q

What is considered the lowest level of impairment in Substance Use Disorders according to the DSM-5?

A

Mild

A) Mild

64
Q

Which of the following is considered a behavioral addiction in DSM-5?

A

Gambling Disorder

B) Gambling Disorder

65
Q

Which of the following is NOT a substance-related disorder in DSM-5?

A

Internet Gaming Disorder

C) Internet Gaming Disorder

66
Q

Which DSM-5 diagnosis refers to a syndrome of distress following the reduction or cessation of substance use?

A

Substance Withdrawal

B) Substance Withdrawal

67
Q

Which of the following is NOT a substance-related disorder in DSM-5?

A

C) Internet Gaming Disorder

Answer: C) Internet Gaming Disorder

68
Q

Which DSM-5 diagnosis refers to a syndrome of distress following the reduction or cessation of substance use?

A

B) Substance Withdrawal

Answer: B) Substance Withdrawal

69
Q

What type of disorder is characterized by repeated problematic substance use leading to clinically significant impairment?

A

B) Substance Use Disorder

Answer: B) Substance Use Disorder

70
Q

What is a distinguishing feature of Substance Use Disorders in the DSM-5?

A

A) Problems controlling use of the substance

Answer: A) Problems controlling use of the substance