A wife refers her husband for substance abuse counseling. His drug of choice is
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cocaine which he has been using episodically with friends at a poker game (biweekly
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to weekly) for some years. She is disturbed at the illicit nature of the drug and the
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long standing use. He stated that though he recreationally uses, he doesn't crave
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cocaine, doesn't seek it out but rather uses with friends at the game who bring it. He
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feels that other than his wife being upset, he has no other social or occupational
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issues. Given the information provided, how is his use of cocaine BEST described? -
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answer-IT IS NOT described as: Substance abuse, cocaine intoxication, or cocaine
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use disorder.
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What is Neuroplasticity? - answer-the ability of the brain to form and reorganize
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synaptic connections following an injury or longterm drug use.
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What does the experienced effect of a drug depend upon? - answer-1.amount taken
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m& past experiences
m m
2.mode of administration m m
3.poly drug use m m
How is drug tolerance BEST described? - answer-A (Decreased) sensitivity to a drug
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overtime
m
List some drug cues or triggers: - answer-1.Prior drug use setting
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2.Drug Paraphernalia m
3.Seeing others use m m
What does (SASSI) stand for & what is it? - answer-(Substance Abuse Subtle
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mScreening Inventory) m m
a brief self-report questionnaire that identifies substance use disorder. For adults &
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madolescents. now there's 3rd edition (SASSI-3) for adults. (67 true & false items & a
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m26 item self report questions)
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What happens as tolerance for barbiturates develops? - answer-The margin between
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intoxication & lethality stays the same.
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What is the MOST common symptom of Wernicke's encephalopathy? - answer-
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Confusion
What does (formication) refer to? - answer-The sensation of bugs crawling on skin.
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Or (Magnon's syndrome)
m m
,What is the organ most damaged by cocaine abuse? - answer-The Heart
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List (3) basic chemical classes of amphetamines: - answer-1.Methamphetamine
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m(meth)
2.Amphetamine Sulphate (speed) m m
3.Dextroamphetamine (Dexy's) m
In terms of difficulty quitting (dependence), which of the following drugs ranks the
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mhighest? - answer-Nicotine m m
THC content in marijuana varies widely.
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True or false? - answer-True
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Regarding substance abuse, what does the Convergence Theory propose? - answer-
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Rates of substance abuse among women are converging with men.
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Which subcategory of alcohol use disorder onset is NOT found in the elderly? -
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answer-(Early onset) alcoholism
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At an initial meeting with a new client, what is the FIRST requirement? - answer-
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Establish Rapport m
What does motivational interviewing primarily involve? - answer-Supportive
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Persuasion
m
What percentage of individuals with a dual diagnosis (co-occurring disorders)
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received treatment for only their mental illness? - answer-32.9% percent
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What factors can affect screening instrument validity? - answer-1.setting/privacy
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2.rapport/trust
3.clear instructionsm
Which function is NOT what a Certified Alcohol & Drug Abuse Counselor can
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perform? - answer-Diagnose Mental Disorders
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What does the acronym (GATE) stand for& what is it? - answer-1.Gather Info
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2.Access Supervision m
3.Take action m
4.Extend action m
(addresses suicidality) m
Assessments processes and instruments need to be sensitive to: - answer-1.Race &
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methnicity
2.Age & gender m m
3.Disabilities
,What are serious mental health symptoms that resolve with abstinence in (thirty days
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or less) most likely to? - answer-Substance abuse-induced disorders that require
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continued abstinence.
m m
Which one of the following alcohol abuse screening tests is designed specifically for
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use with (adolescents), and briefly describe it? - answer-(CRAFFT)
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A brief 6 question screening tool that identifies high risk alcohol & substance use
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disorders. Derives name from key words:
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C: Ever driven in a CAR with someone using alcohol/drugs?
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R: Ever use to RELAX?
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A: Ever use ALONE?
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F: Ever FORGET things while using?
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F: Ever been told by family/FRIENDS to stop?
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T: Ever gotten in TROUBLE using?
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Which of the following is the MOST important introductory statement or question to
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ask in a suicidality evaluation? - answer-I need to ask you a few questions about
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suicide.
m
What is the purpose of screening? - answer-To determine the need for placement &
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referral.
m
What is the primary purpose of substance abuse assessment? - answer-To determine
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the severity of the problem.
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Who should create a treatment plan? - answer-A Collaborative team w/the client.
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How must 'assessment information' be handled to be the Most effective? - answer-
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Info should be converted into goals & objectives.
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What does NOT bolster a client's desire to complete the program? - answer-
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(Frequent) interdisciplinary consultations. m m
When is a client fully prepared to enter treatment? - answer-When they accept the
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need for treatment.
m m m
The Guiding principles when writing goals in (treatment planning) are identified by
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which acronym? - answer-(MATRS)
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M:Measurable
A:Attainable
T: Time limited
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R:Realistic
S:Specific
, In cases involving the criminal justice system, what is the minimum recommendation
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mfor frequency of updating treatment plans? - answer-At all transition points.
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The Addiction Severity Index (ASI) has been formally adopted by which organization?
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- answer-The National Institute on Drug Abuse (NIDA)
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What does it mean if an assessment instrument is valid? - answer-The instrument
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assesses what it's supposed to assess.
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Are the following statements True or False?
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1.Depression can lead to self medication with drugs m m m m m m m m
2.Drugs can induce symptoms of depression.
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3.Drugs can worsen symptoms of depression. - answer-They are all (True)
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How does motivation for participating in treatment differ from motivation to change
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behaviors - answer-Motivation for change is internal;
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Yet treatment may be pushed on a client.
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How does the Center for Substance Abuse Treatment (CSAT) recommend that
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substance abuse be considered and treated? - answer-As a chronic, yet treatable
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condition.
m
How does the Center for Substance Abuse Treatment (CSAT) indicate that treatment
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or interventions provided following discharge from a formal inpatient or outpatient
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program be referred to? - answer-For Continuing Care
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What is the best distinction between substance abuse treatment programs and
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mmutual-help groups, such as 12 step support groups? - answer-Programs offer
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m(treatment)
and groups offer (support)
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What are the intensive outpatient treatment (IOT) CORE features that the Center for
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mSubstance Abuse Treatment (CSAT) consensus panel agreed upon? - answer-
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1.intake & orientation m m
2.full biopsychosocial
m
3.individualized treatment plan m m
4.individual, family & group counseling m m m m
5.psychoeducational programming m
6.case-management
7.linkages with help m m
8.community based support groups m m m
9. (24) hour crisis support
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10. medical treatment/medication mngmt
m m m
11.drug screening m
12.educational/vocational services m
13.psychiatric evaluation & psychotherapy m m m
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