Chapter 4: Initiating Recovery
| 1: For clients to consider treatment, they must "hit bottom." |
| TRUE |
| FALSE |
|
| 2: Stigma affects individuals with substance use disorders in which of the following two ways? |
| Creates anger and depression |
| Causes relapse and makes recovery more difficult |
| Externally and internally |
| Loss of employment and housing |
|
| 3: It is natural and normal for persons to be deeply ambivalent about substance use. |
|
|
| 4: There are at least three dimensions involved in the initiating of recovery: natural processes, desperation, and: |
| curiosity. |
| finances. |
| health problems. |
| compulsion. |
|
| 5: The Stages of Change are: |
| denial, resistance, acceptance, involvement, commitment. |
| pre-contemplation, contemplation, preparation, action, maintenance. |
| thinking about changing, planning, taking steps, maintaining change. |
| consciousness raising, self-liberation, social liberation, stimulus control environment change. |
|
| 6: The Stages of Change Model was developed by: |
| William Miller. |
| Carl Rogers. |
| Prochaska and Diclemente. |
| Martlatt and Donovan. |
|
| 7: Contemplation is characterized by: |
| wanting to desperately change. |
| only seeing positive results from changing. |
| being ambivalent about change. |
| negative thinking about change. |
|
| 8: The Stages of Change: |
| are rigid and inflexible. |
| are progressive and always moving upward. |
| are flexible with potential for relapse throughout the cycle. |
| cover the same time frame for most clients. |
|
| 9: Motivational interviewing was created by: |
| Prochaska and DiClemente. |
| Miller and Rollnick. |
| Deci and Ryan. |
| Martlatt and Donovan. |
|
| 10: Motivational interviewing is: |
| a nondirective style. |
| a confrontation approach. |
| a behavioral approach. |
| a client- centered directive style. |
|
| 11: All the following are general principles of motivation interviewing, except: |
| adjusting to client resistance rather than opposing it directly. |
| developing discrepancy between client goals or values and their current behavior. |
| support self-efficacy and optimism. |
| be firm and educate clients on how they need to change. |
|
| 12: The "R" in OARS refer to: |
| responses. |
| reflections. |
| remembering. |
| recovery skills. |
|
| 13: MI principles center on which of the following four (4) basic principles? |
| Open-ended question, provocative questions, probing statements, interpretations |
| Elicit problems, search past experiences, develop solutions, implement solutions |
| Express empathy, develop discrepancies, roll with resistance, support self-efficacy |
| Examine event, examine thoughts, explore alternative explanations, evaluate new feelings |
|
| 14: The process that examines the pros and cons of quitting and not quitting is called: |
| Stages of Change. |
| Rational Emotive Therapy. |
| Decisional Balance. |
| Cognitive Dissonance. |
|
| 15: When using a "ruler" to assess importance, confidence, or readiness, what is most important? |
| That the clients mark the highest on the ruler |
| That the clients have the ruler explained to them |
| That there are 10 distinct numbers from low to high |
| Follow-up questions |
|
| 16: Contemplation is about: |
| over-thinking about your drug problem. |
| rationalizing your problems. |
| being aware of some concern of a problem. |
| taking action to resolve a problem. |
|
| 17: One outcome of a decisional balance exercise is that it can solicit: |
| change statements. |
| personal history. |
| peer support. |
| solutions to problems. |
|
| 18: Individuals with substance abuse disorders must learn strategies to manage stress and resist peer pressure to avoid relapse. |
| TRUE |
| FALSE |
|
| 19: In engaging a client in the precontemplative stage, it is important to: |
| explain that the client needs to follow through to be in compliance. |
| be empathetic with the client's reason, whether coming willingly or not. |
| make sure the client signs all the critical forms. |
| terminate treatment if the client is not cooperative. |
|
| 20: In the preparation stage, it is necessary for the client to: |
| not address any potential barriers. |
| quickly move to the action stage. |
| point out how devastating a relapse would be. |
| establish a realistic plan to implement. |
|
| 21: Prochaska noted that clients can only recover with professional help. |
| TRUE |
| FALSE |
|
| 22: If a client appears to have 9 or 10 on a importance or readiness scale, you should: |
| provide a plan for action. |
| give the client a confidence scale to answer. |
| use only outpatient treatment. |
| look for co-occurring disorder. |
|
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