Substance Abuse Counseling Final Exam, Exams of Nursing

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Substance Abuse Counseling Final Exam questions and answers 2024 Substance Abuse Counseling Final Exam questions and answers 2024 Impatient level of care is indicated by - CORRECT ANSWER - Need for detox due to withdrawal - History of withdrawal - Client has become a danger to self or others - Unstable serious mental disorder - Other medical complications Inpatient level of care provides - CORRECT ANSWER 24-hour medical supervision The main purpose of inpatient level of care is to: - CORRECT ANSWER stabilize the client, and then bump them down to a lower level of care Residential level of care is indicated by - CORRECT ANSWER - lack of supportive home environment - lack of motivation to get/stay clean - client is a risk to self or others - client has impairments in self-care - client has another medical complication Residential level of care provides - CORRECT ANSWER 24-hour structured time Partial Hospitalization (Day Treatment) is indicated by - CORRECT ANSWER - high risk if relapse - client is at risk to become a risk to self or others Partial Hospitalization (Day Treatment) provides - CORRECT ANSWER 20 hours/week of daily structured time that allows for the client to maintain community functioning, receive periodic monitoring Rolling with Resistance - Talk About it Counselor Response Example - CORRECT ANSWER "So, you think I am going to pressure you like the last counselor you had. Would you like to hear my side of it?" Functional Analysis - CORRECT ANSWER Evaluating the antecedents and consequences of a behavior to help modify problematic behavior Outcome Expectancies - CORRECT ANSWER A person's assumptions about the likely consequences of a future behavior Self-Efficacy - CORRECT ANSWER The belief that one is capable of accomplishing something Collaborative Goal Setting - CORRECT ANSWER Priorities of the patient and family: long term goals & short term goals Contingency Management - CORRECT ANSWER Systematic use of reinforcement in which a person is rewarded for adherence to treatment (ex. voucher systems, token economies, & prize incentives) Precontemplation Techniques - CORRECT ANSWER - motivational interviewing - contingency management (token economies, voucher systems) - change expectancies and increase self efficacy by pointing out past success experiences Contemplation Techniques - CORRECT ANSWER - functional analysis of substance abuse (interview for ABC's, self monitoring log, expectancy ratings) - decisional balance (pro's and con's of not using) Preparation Techniques - CORRECT ANSWER - creating a problem list - creating goals & plans - prepare their environment for change Action Techniques - CORRECT ANSWER - changing ABC's to drug related behavior and thinking - drug avoidance skills - developing skills for an alternative lifestyle (relationship enhancement, vocational counseling, healthy pleasures) Medication is a first line treatment for which two kinds of drugs? - CORRECT ANSWER Opioids & Nicotine Curative Factors - CORRECT ANSWER Interpersonal Input, Catharsis, Cohesiveness, Insight, Warmth, Empathy, Support Catharsis - CORRECT ANSWER release of genuine emotions Interpersonal Input - CORRECT ANSWER feedback expressed between group members and counselor client-interactions How are professionally run groups different from self-help AA groups? - CORRECT ANSWER - AA groups rely on a rotating "chair" instead of an established, permanent leader - Professional groups are generally closed and clients are screened by a mental health professional before being placed into a group. AA groups are open, and welcome new members at any time. - Professional groups may or may not be run by an individual who has a substance abuse history, where as AA groups definitely will be run by an individual with a substance abuse history Key Family Systems Concepts - CORRECT ANSWER - homeostasis - feedback loops - boundaries - roles - rules - subsystems - complementarity - triangulation Triangulation - CORRECT ANSWER a third party is drawn into the relationship with two members whose relationship is unstable Complementarity - CORRECT ANSWER The system can affect the individual and the individual can affect the system Pre contemplation Techniques for Partners & Families - CORRECT ANSWER - conducting an intervention - al-anon - community reinforcement and family training (CRAFT) Al-Anon - CORRECT ANSWER support group that helps family members of alcoholics learn to cope with and tolerate the substance abuser's problem Intervention - CORRECT ANSWER A gathering in which family and friends attempt to get the substance abuser to agree to seek help Community Reinforcement and Family Training (CRAFT) - CORRECT ANSWER methods of interaction that the family and/or partner uses to reinforce the substance abuser's positive behaviors and decrease drug use Couple Techniques for Contemplation - CORRECT ANSWER - build a positive atmosphere - talk about what attracted the couple to each other - talk about what the couple likes about each other now - psychosocial treatment (CBT, Functional Analysis of smoking situations) - medications (bupropion, varenicline) Bupropion - CORRECT ANSWER Wellbutrin - antidepressant that can also aid in the cessation of nicotine use Varenicline - CORRECT ANSWER Chantix - smoking cessation aid Broad Band Assessment - CORRECT ANSWER Screenings such as AUDIT, CRAFFT, Level One Cross Cut Narrow Band Assessment - CORRECT ANSWER Examination of environmental factors like stage of change, high risk situations, desire to quit, coping skills Code of Federal Regulation 42, Part 2 - CORRECT ANSWER Code that protects the confidentiality of people with substance abuse problems, so that treatment can be sought out without fear of losing one's job, being discriminated against, or legal ramifications What kind of specializations can individuals obtain for substance abuse specialization - CORRECT ANSWER - Master's of Addiction Counseling (MAC) Certification via NBCC - National Certified Addiction Counselor (NCAC) Level 1 & Level 2 via NAADAC Dual Diagnosis - CORRECT ANSWER Diagnosis of both a psychiatric and a substance use disorder Licensed Addiction Counselor Credentials - CORRECT ANSWER Master's Degree in Human Service Field, 270 hours of substance abuse treatment training, 2 years of supervised experience. Can independently treat, but cannot diagnose. Certified Addiction Counselor - CORRECT ANSWER Bachelor's Degree in Human Service Field, 270 hours of substance abuse treatment training, 2 years of supervised experience. Cannot independently treat or diagnose. African American SUDS Considerations - CORRECT ANSWER - spirituality can be very important - weed, crack, cocaine & heroin are most common - alcohol problems usually start later - racism/historical trauma - disproportionate experience of poverty - generally do not believe in mental health treatment Hispanic American SUDS Considerations - CORRECT ANSWER - gender roles (machismo & marianismo) - family oriented - alcohol, & weed are most common - language barriers can prevent help seeking Asian American SUDS Considerations - CORRECT ANSWER - fear of shaming their family is big - have the lowest substance abuse overall - nicotine & opium are most common - may have a missing enzyme to break down alcohol - language barriers can prevent help seeking American Indian SUDS Considerations - CORRECT ANSWER - spirituality/connection to nature - historical trauma/racism - high alcohol use - highest rate of adolescent substance use - fetal alcohol syndrome is really high (3x national rate) - 12 step won't make sense to more traditional people who still live on the reservation - may need to use indigenous healers Special Considerations for SUDS & Women - CORRECT ANSWER - women are more sensitive to nicotine cues in the environment, meaning there will be more illicit cravings - women do not do well with nicotine replacement by itself, so we may want to use medication too & psychosocial therapy