Myers: Chapter 1
1. When an addicted person enters counseling, counselors should:
a. Treat the addiction first.
2. Addiction treatment:
a. Involves many tasks beyond counseling.
3. In developing a counseling relationship, the counselor needs to:
a. Be supportive, empathetic, and collaborative.
4. What are the eight TAP 21 practice dimensions?
a. Clinical Evaluation, Treatment Planning, Referral, Service Coordination, Counseling,
Education, Documentation, and Professional and Ethical Responsibilities.
5. Clients who have involuntary, mandated, or stipulated requirements:
a. May be motivated by “therapeutic leverage”.
6. Treatment differs from recovery because:
a. Treatment is a short episode for a chronic problem.
7. “Level of Care” refers to:
a. The quality of care as indicated by American Society of Addiction (ASAM).
8. When it comes to treatment:
a. There is tremendous diversity in types of care.
9. Using ASAM’s Level of Care, which of the following is in Level III?
a. Residential Services.
10. ASAM criteria is designed to:
a. Determine level of care by severity of addiction.
11. Which of the following is a major difference between outpatient and intensive
outpatient?
a. Outpatient is up to 10 hours per week and intensive outpatient is about 10 to 30 hours
per week.
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, 12. Oxford House is an example of:
a. A cooperative living arrangement with recovery alcoholics. Democratically operated,
financially self-supporting houses with no paid staff.
13. Methadone maintenance is effective because:
a. It is administered orally, in controlled doses, can be administered only once a day, and
reduces the rushes, highs, and lows of other opiates.
14. Brand names of buprenorphine include:
a. Subutex and Suboxone.
15. Detoxification is designed to:
a. Stabilize the patient medically and allow for safe withdrawal.
16. Since 1987, inpatient treatment has:
a. Decreased by more than half.
17. An agonist drug is a drug that occupies a receptor cite and blocks and does not mimic
any of the effects of the drug?:
a. FALSE. (This would be an Antagonist Drug)
18. Disulfiram (Antabuse) treats alcoholism by:
a. Causing the drinker to be violently ill if he or she drinks any alcohol.
19. AA was started in 1935 by:
a. William Griffith Wilson and Dr. Robert (Bob) Smith.
20. Since AA has been so successful, counselors should discourage attendance at any other
self-help program or movement:
a. FALSE.
21. When it comes to the efficacy of a particular school of therapy, there is definite
evidence that certain schools of therapy are more effective with addiction than others.
a. FALSE.
22. No personality type fits all SUDS.
a. TRUE.
23. Initial referral and admissions should be determined by insurance and need for detox.
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, a. FALSE. Should be determined by assessment of the severity of the disorder and the
client’s needs and should be to a facility that provides an appropriate level of care.
24. The objectives of counseling ethics are to:
a. Maintain and protect the clients’ welfare as foremost, to do no harm (physical,
emotional, or financial), and to maintain standards of responsibility, integrity, and
accountability.
25. Substance use disorders are treated with an array of professional interventions,
techniques, and organized services designed to initiate, facilitate, and support from
on psychoactive chemical.
a. Dependency
26. Clients with severe and chronic SUDs are often emerging from anesthesia and are
typically more mentally confused and psychosocially and medically deteriorated than
clients who are usually sober.
a. Chemical
27. The treatment of substance use disorders, along with coexisting disorders
dictates special considerations.
a. Psychiatric
28. The use of a(n) treatment plan is not common in counseling for adjustment, self-
esteem, and relationship issues.
a. Formal
29. To achieve stable sobriety and avoid , with professional help, the client must
identify, communicate, accept, and manage emotions and learn nonchemical and
assertive coping strategies, communications and interpersonal skills, sefl-efficacy, and
responsibility.
a. Relapse
30. The of mastering of administrative, or “housekeeping”, tasks (in the
broadest sense, case-management tasks) might seem to shift the focus away from the
counseling relationship and define the SUD counselor as little more than a .
a. Necessity, Multiplicity, Caseworker
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