Chapter 6
Gambling disorder is an established diagnosable medical condition.
True/False?
True.
When a client determines that his behaviour is causing enough problems to warrant a change, that client is in the Preparation stage.
True/False?
True
Behaviour contracting itself can be implemented with minimal or no cost to the counsellor or agency.
True/False?
True.
There are high financial and social costs associated with co-occurring disorders. Such costs include increased health care and hospitalization costs, less satisfying family relationships, and poorer treatment outcomes.
True/False?
True
There exists no scientific evidence that one can “treat a drug with a drug.”
True/False?
False.
What instrument is specially designed to screen alcohol misuse in pregnant women?
TWEAK
Which is NOT one of the six stages of change?
Relapse, Motivation, Action, Maintenance
Motivation.
What is the acronym used when describing the guidelines for brief interventions?
FRAMES
The APA (2018) has recognized the need for additional patient assessment measures to assist in treatment planning. Therefore, they have developed:
Three Level 1 Cross-Cutting Symptom Measures.
The term endogenous means:
Produced by the body.
___________________ is a measure of the ratio of persons correctly screened “positive” for having a substance use disorder to those who actually have the disorder.
Sensitivity
Simple, Amplified, Double-sided are what kind of responses?
Reflection responses.
The client is advised to thoroughly clean their living space, one area or one room at a time, to reinforce their sense of control over their own personal or local environment. This is what kind of intervention?
Environmental intervention.
The Big Book is used with what treatment approach?
Alcoholics Anonymous
DA stands for the endogenous chemical _____________.
Dopamine
_________________ refers to the proportion of people that a screen accurately identifies as not having a substance use disorder.
Specificity
Which of the following is NOT a form of resistance?
Ignoring, Interrupting, Shifting focus, Negating.
Shifting focus.
According to the W. R. Miller, Wilbourne, and Hettema (2003), which of the following is NOT one of 18 modalities determined to be efficacious:
Family therapy, Community reinforcement, Drug abstinence management (dam), Motivation enhancement
Drug abstinence management (dam)
According to Von Steen., Vacc, and Strickland, approximately what percentage of alcoholics experience depression and anxiety?
25-30
The time for the plasma level of a drug to fall by 50% is referred to s drug's ________________.
Half-life.
Which of the following instruments has a version designed especially for adolescent substance abuse screening?
SASSI-2A
Which of the following is NOT one of the four pillars that guide MI?
Expressing Empathy, Develop Alliance, Rolling with Resistance, Support Self-Efficacy.
Develop Alliance.
What is the full meaning behind Functional analysis?
Understanding the limitations in the functioning of the individual due to prolonged substance use.
Understanding the function or purpose of substance use behaviours for a specific individual.
Level 1 Cross-Cutting Symptom Measures is a form of:
Assessment.
A decrease in the number of receptors, making the cells less sensitive to a drug.
Down-regulation.
How are assessments constructed? (Which method[s]?)
Logical, criterion or combined.
What are the four pillars that guide Motivational Interviewing?
Expressing empathy, developing discrepancy, rolling with resistance, Support self-efficacy.
An approach that uses external incentives or tangible reinforcers for clients meeting goals.
Why do we use multidisciplinary treatment teams?
Because each member can provide a unique view for diagnosis and treatment based on their specialty.
What is the difference between Pharmacokinetics and Pharmacotheraphy?
Pharmacokinetics is the body's effect on the drug, Pharmacotherapy it is the drug's effect on the body.