SW 675 FINAL UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
Stages of Change
Answer:
precontemplation, contemplation, preparation, action, maintenance
Question:
Which of the following drugs presents a serious risk of death when a person
stops using it and is in active withdrawals?
Answer:
Alcohol and Xanax (Benzodiazepine)
Question:
Recovery is a PROCESS of change through which people improve their health
and wellness , live a self-directed life, and strive to reach their full potential
Answer:
SAMSHA's definition of Recovery
Question:
precontemplation stage 40% of chemical users are in this stage.
Answer:
Person does not think about changing his or her behavior in the next 6
months. 40% of chemical users are in this stage.
Indicators for this stage- argue, interrupt, avoid issue, make excuses,
everything is "ok"
Reasons for being in this stage: Reluctant (unaware) Rebellious (unwilling)
Resigned (unable) Rationalization
Question:
action stage
Answer:
Stage of change in which people are actively changing a negative behavior or
adopting a new, healthy behavior The person has stopped using and is now
putting new behaviors into action. Indicators: receptive, willing, accepting of
process,
working out a plan, behavior changes Characterized: successful, compliant
Realistic view of change-small steps Change is visible to others. Change is
occurring, though still not stable
Question:
maintenance stage
Answer:
sustained change over time; begins 6 months after action has started and
continues indefinitely
Only 20% of clients who begin process of recovery reach this stage
Life is stable-made a change and sustained it for a significant amount of time
,Efforts made to sustain the gains achieved during the action stage. Requires
strong commitment to recovery and persistence. Indicators: focusing less on
refraining and more on a "recovery" lifestyle
Working to avoid setbacks (relapse) Fostering other gains Behaviors
established are on a long-term basis
Question:
contemplation stage 40% of chemical users are in this stage
Answer:
stage of change in which people are considering changing behavior in the next
6 months.
Make half hearted attempts, but have an indefinite plan of action Indicators:
saying one thing doing another; rationalizing/minimizing; willingness to
explore
pros/cons; meet you half way with ideas Characterized by ambivalence,
uncertainty, feeling "stuck", and conflicted emotions
Question:
preparation stage
Answer:
stage of change in which people are getting ready to make a change within the
coming month 20% of chemical users are in the last 3 stages combined
(preparation, action, maintenance)
They know there is a problem and want to do something to change (thinking to
planning).
Indicators-asks questions, asks for your opinion, considers options, openness
to change
May still be ambivalent but still commits to make some changes (ambivalence
may not be fully re-solved yet)
Begins to experiment with small changes and gathers information about
change/recovery
Question:
Intervention for contemplation stage
Answer:
1. Normalize and explore ambivalence
2. Discuss and weigh pros/cons of chemical use and sobriety
3. Explore future with/without chemical use
4. Help client understand how chemical use has affected their life.
5. Explore ambivalence and decrease and eliminate barriers to sobriety
(Scaling).
6. Explore discrepancy between substance use and personal values/goals.
7. Give encouragement in their ability to change
(realistic view?)
8. Engage client in self-motivating statements *Encourage trial periods
Question:
Intervention for precontemplation stage
Answer:
1.Establish Rapport.
2. Raise awareness of the problem.
, 3. Introduce ambivalence about recovery.
4. Teach about the effects and dangers associated with drug use (risks).
5. Explore pros and cons of substance use.
6. Contrast use with current goals in life.
7. Identify any barriers that might impede change.
8. Express concern and keep the door open
Question:
intervention for preparation stage
Answer:
1. Be a source of encouragement and support for this decision and
acknowledge the significance of decision to stop
2. Improve skills to be able to succeed.
3. Offer a menu of options to help achieve the change and negotiate.
4.Offer encouragement, support, feedback, gentle confrontation, validation for
their struggles/successes.
5.Help them enlist social support-publically announce decisions.
6. Identify and lower barriers to change.
7. Write down goals, make list of motivating statements.
8. Identify what could go wrong. Start relapse prevention work.
Question:
intervention for action stage
Answer:
Praise any positive actions. Get firm commitment to change and reinforce it.
2. Optimize opportunities for growth
3. Be alert to signs that the client is unable to handle the perceived level of
stress (eliminate barriers)
4. Encourage them to begin process of building support system that is drug
free
6. Help them be realistic about the progress
7. Reinforce goals and plans of action
8. Relapse prevention plans
9. Improve skills
Question:
intervention for maintenance stage
Answer:
1. Continue with relapse prevention work
2. Identify long term sobriety maintenance plans/goals- further one's progress
3. Increase skills for coping with life sober
4. Identify issues that may threaten long term sobriety
5. Reinforce importance of not testing willpower
6. Discover and develop new drug free sources of pleasure.
7. Check ups
Question:
questions to ask during precontemplation stage
Answer:
Use self motivational statements with questions such as: "How does this
concern you?" "What do you think will happen to you if you do not make any
CORRECT ANSWERS
Question:
Stages of Change
Answer:
precontemplation, contemplation, preparation, action, maintenance
Question:
Which of the following drugs presents a serious risk of death when a person
stops using it and is in active withdrawals?
Answer:
Alcohol and Xanax (Benzodiazepine)
Question:
Recovery is a PROCESS of change through which people improve their health
and wellness , live a self-directed life, and strive to reach their full potential
Answer:
SAMSHA's definition of Recovery
Question:
precontemplation stage 40% of chemical users are in this stage.
Answer:
Person does not think about changing his or her behavior in the next 6
months. 40% of chemical users are in this stage.
Indicators for this stage- argue, interrupt, avoid issue, make excuses,
everything is "ok"
Reasons for being in this stage: Reluctant (unaware) Rebellious (unwilling)
Resigned (unable) Rationalization
Question:
action stage
Answer:
Stage of change in which people are actively changing a negative behavior or
adopting a new, healthy behavior The person has stopped using and is now
putting new behaviors into action. Indicators: receptive, willing, accepting of
process,
working out a plan, behavior changes Characterized: successful, compliant
Realistic view of change-small steps Change is visible to others. Change is
occurring, though still not stable
Question:
maintenance stage
Answer:
sustained change over time; begins 6 months after action has started and
continues indefinitely
Only 20% of clients who begin process of recovery reach this stage
Life is stable-made a change and sustained it for a significant amount of time
,Efforts made to sustain the gains achieved during the action stage. Requires
strong commitment to recovery and persistence. Indicators: focusing less on
refraining and more on a "recovery" lifestyle
Working to avoid setbacks (relapse) Fostering other gains Behaviors
established are on a long-term basis
Question:
contemplation stage 40% of chemical users are in this stage
Answer:
stage of change in which people are considering changing behavior in the next
6 months.
Make half hearted attempts, but have an indefinite plan of action Indicators:
saying one thing doing another; rationalizing/minimizing; willingness to
explore
pros/cons; meet you half way with ideas Characterized by ambivalence,
uncertainty, feeling "stuck", and conflicted emotions
Question:
preparation stage
Answer:
stage of change in which people are getting ready to make a change within the
coming month 20% of chemical users are in the last 3 stages combined
(preparation, action, maintenance)
They know there is a problem and want to do something to change (thinking to
planning).
Indicators-asks questions, asks for your opinion, considers options, openness
to change
May still be ambivalent but still commits to make some changes (ambivalence
may not be fully re-solved yet)
Begins to experiment with small changes and gathers information about
change/recovery
Question:
Intervention for contemplation stage
Answer:
1. Normalize and explore ambivalence
2. Discuss and weigh pros/cons of chemical use and sobriety
3. Explore future with/without chemical use
4. Help client understand how chemical use has affected their life.
5. Explore ambivalence and decrease and eliminate barriers to sobriety
(Scaling).
6. Explore discrepancy between substance use and personal values/goals.
7. Give encouragement in their ability to change
(realistic view?)
8. Engage client in self-motivating statements *Encourage trial periods
Question:
Intervention for precontemplation stage
Answer:
1.Establish Rapport.
2. Raise awareness of the problem.
, 3. Introduce ambivalence about recovery.
4. Teach about the effects and dangers associated with drug use (risks).
5. Explore pros and cons of substance use.
6. Contrast use with current goals in life.
7. Identify any barriers that might impede change.
8. Express concern and keep the door open
Question:
intervention for preparation stage
Answer:
1. Be a source of encouragement and support for this decision and
acknowledge the significance of decision to stop
2. Improve skills to be able to succeed.
3. Offer a menu of options to help achieve the change and negotiate.
4.Offer encouragement, support, feedback, gentle confrontation, validation for
their struggles/successes.
5.Help them enlist social support-publically announce decisions.
6. Identify and lower barriers to change.
7. Write down goals, make list of motivating statements.
8. Identify what could go wrong. Start relapse prevention work.
Question:
intervention for action stage
Answer:
Praise any positive actions. Get firm commitment to change and reinforce it.
2. Optimize opportunities for growth
3. Be alert to signs that the client is unable to handle the perceived level of
stress (eliminate barriers)
4. Encourage them to begin process of building support system that is drug
free
6. Help them be realistic about the progress
7. Reinforce goals and plans of action
8. Relapse prevention plans
9. Improve skills
Question:
intervention for maintenance stage
Answer:
1. Continue with relapse prevention work
2. Identify long term sobriety maintenance plans/goals- further one's progress
3. Increase skills for coping with life sober
4. Identify issues that may threaten long term sobriety
5. Reinforce importance of not testing willpower
6. Discover and develop new drug free sources of pleasure.
7. Check ups
Question:
questions to ask during precontemplation stage
Answer:
Use self motivational statements with questions such as: "How does this
concern you?" "What do you think will happen to you if you do not make any
