What are the client's rights they should be made aware of? - ANSWER--individual dignity
-confidentiality
-non-discriminatory
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-communication
-personal effects
-minors to be educated
-counsel
-habeas corpus
When are the clients rights explained to them client? - ANSWER-orientation
When should a counselor and client start to work on the tx plan? - ANSWER--once a diagnosis is confirmed
-placement recommendation has been made
-admitted to appropriate LOC
What basic functions does the intake process perform? - ANSWER--establish eligibility
-complete basic data collection
-identify barriers and assets
-est. a tx or service plan
What is the case conceptualization? - ANSWER-organizing the information and observations made during assessment phase and interpret or make clinical judgement about what client is experiencing.
True or False
Alcohol can cause delirium tremors, which are fatal? - ANSWER-true
What is the definition of recovery? - ANSWER-Change whereby individuals improve their health and wellness, live a self-directed life and strive to reach their full potential
What is a stimulant used for? and what are some common ones? - ANSWER--treat narcolepsy, ADHD, obesity
-dexedrine, ritalin, adderall
What stance does recovery management take on recovery? - ANSWER-"relapse is a not inevitable if the ongoing process is actively managed"
What neurotransmitter is strongly related to the experiences of pleasure? - ANSWER-dopamine
What should a clinician do if they feel someone they are screening or assessing is at risk? - ANSWER-discontinue services and they the client to a medical, psychiatric care of take another safe intervention
What is the rate of suicide among alcoholics who are depressed? - ANSWER-over 75%
What re the (3) domains for assessment of a suicide risk? - ANSWER--current SI
-history
-risk management
CURRENT SI
SI, Method, Firearms, Hopelessness, substance use, MI
HISTORY
attempts, family history, psychosocial crises, trauma
What measures should be taken if clients has several suicide factors present? - ANSWER-Immediate referral, including transport if necessary, for a more thorough evaluation
what are the different types of drug tests? - ANSWER--breath analysis
-urine( 1 week- 1 month)
-saliva (past day)
-sweat (over time)
-blood (most accurate, most invasive)
-hair (2-4 months)
What does GC/Ms stand for? - ANSWER-Gas Chromatography/ Mass Spectrometry
What everyday item could cause someone to test positive for opiates? - ANSWER-poppy seeds
What is one important role and addiction counselor plays in recovery? - ANSWER-help the client to identify and utilize their recovery capital
What are two major types of personality disorders? - ANSWER--boarderline
-antisocial
What are two common mood disorders? - ANSWER--depression
-bipolar
True or False-- OCD is not an anxiety disorder - ANSWER-false
What are common symptoms of a panic disorder? - ANSWER--hyperventilation
-palpitations
-trembling
-sweating
-dizzy
-hot flashea
-chills
True or False-- PTSD is an anxiety disorder - ANSWER-true
What doe a counselor do after the screening and assessment? - ANSWER-interpert all available info and formulate a diagnostic impression and determine appropriate cause of action
What are the 6-dimensions of ASAM criteria? - ANSWER-1. Acute Intoxication/ withdrawal potential
2. biomedical
3. emotional/ behavioral/ cognitive
4. readiness to change
5. relapse potential
6. recovery/ living environment
how many level of care are there and what are they? - ANSWER-5
.5-- early intervention
1--outpatient
2--IOP/PHP
3-- Residential/Inpatient
4--medically-managed intensive inpatient
What percentage of users become addicted to weed? - ANSWER-9%
True or False
Assessment should be ongoing? - ANSWER-True
What is empathy? - ANSWER-shared feelings and hope that something can be done to help the situation
What is the difference between standardized and structured interviews? - ANSWER-standardized limits the interviewers to prescribed style and list of questions
(preferred in legal cases)
When it comes to acceptance, what is important for the counselor to convey? - ANSWER-the client is accepted and valued as a human being
True or False
An over-the-counter decongestant can't create a false-postive for amphetamines - ANSWER-false
What are the (3) phases in recovery management process? - ANSWER-1. pre-recovery identification and
2. initiation and stabilization
3. maintenance
Why should the counselor use questions? - ANSWER--clarification
-motivate to a specific topic
-clarify client thoughts
What is an example of a co-occuring disorder? - ANSWER-major depressions with cocaine addiction
How does the recovery management view substance abuse? - ANSWER-long term condition requiring long-term care
What is recovery management? - ANSWER-time sustained collaboration between consumers and traditional and non traditional service providers toward goal of stabilizing and managing substance use and other disorders until full remissions and recovery achieved and can be self-managed
What is CNS depressant use for? And what are the most common? - ANSWER--treat anxiety and sleep disorder
- Barbiturates (Wembutal)
-Benzodiazepines (Valium and Xanax)
What is the goal of recovery? - ANSWER-abstinence
Reinforces within the cycle of addiction are... - ANSWER-Psychological
* enhance sec, social situations, boost self-worth, alleviate stress and tension, relieve painful feelings
Social Aspect
*becomes part of them, lower inhibitions, helps with social discomfort and tension
Biological
*Effect reward/pleasure, alter pathways, release and make less overtime
What are the (10) principles of recovery? - ANSWER-hope, person centered, many pathways, holistic, support, relationships, cultural based, trauma work, involvement and support system and respect
What are the theories of causation? - ANSWER-moral--no willpower
disease-- E.M. Jelling 1960
genetic-- genetic predisposition
cultual-- American Indians vs. Saudi Arabians
blended-- all elements
What are the (3) components of ROSC? - ANSWER--collaborative decision-making
-continuity of services and support
-service quality and responsiveness
What is the goal of recovery management? - ANSWER-enhancement of quality of life for individuals and families
What are (3) ways prescriptions pills can be abused? - ANSWER--taking someone else's medication
-higher quantity than prescribed
-taking for another purpose other than prescribed
What are the (8) stages of alcohol? - ANSWER-1. sub-clinical
2. euphoria
3. excitement
4/5. excitement
6. excitement/confusion
7. confusion/stupor
8. coma/death
What are some factors that can affect climate and relationships in a therapeutic sense? - ANSWER--stigma
-expectations
-likeableness
-first impressions
-environment
ALOCHOL - ANSWER--most widely used and abused substance
-CNS depressant
-pleasure/relaxation during
What are some effects of opioids on the body? - ANSWER-drowsiness, constipations, depressed breathe (w/ large amounts)
What is the "rule of thumb" for withdrawal? - ANSWER--opposite of the drugs direct effect
-symptoms appear within hours to days
What is the nucleus Accumbens? - ANSWER-pleasure center
What does the counselor do during active listening? - ANSWER-Reflecting-- restating content
Clarifying-- rephrasing to improve understanding
Focusing-- direct towards 1 topic
Summarizing-- key ideas and feeling in brief statement
What is important for a counselor to observe? - ANSWER--gait
-posture
-gestures
-facial expressions
-affect
What is Motivational Interviewing? - ANSWER-A client-centered approach that seeks to enhance an individual's motivation to change by exploring and resolving ambivalence
What is screening? - ANSWER-review current situation and symptoms to determine most appropriate initial course of action given client's needs, characteristics and available resources
In the screening process, when should a person be referred for a comprehensive assessment? - ANSWER-when it is indicated that substance misuse, abuse or dependency is probable
What are some effects on the body from CNS depressant? - ANSWER--slow brain activity, sleepiness and loss of coordination
What are positive things to for in community capital? - ANSWER--reduced stigma
-continuum of care
-accessible resources
What is the goal of screening? - ANSWER-identify everyone who might have a SUD and /or COD and related services needed
What happens when there is an insensitivity in the brain's pleasure center? - ANSWER-sobriety becomes associated w/ dysphoria and discomfort and drug induces is perceived as normal and/or balanced
In general population, What does a screening look for? - ANSWER-presence or absence of the disorder
What does screening look for in a person who has already identified they are as risk? - ANSWER-severity of the problem and determining need for comprehensive assessment
The CAGE test questions as what.... - ANSWER-cutting down, feeling annoyed and guilty, and hangover
What are some effects dextrometmophan have on the body? - ANSWER-impaired motor function, numbness, nausea/ vomiting and increased heart and blood pleasure
What can happen if you mix alcohol and benzos? - ANSWER-seizures
What are things a counselor should focus on to build a strong helping relationship? - ANSWER--rapport
-support
-reassurance
-empathy
-acceptance
What factors influence addiction? - ANSWER--genetic
-peer and school
-early use
-method of administration
-changes in brain
What is an opiate used for? and what are the most common? - ANSWER-pain
oxycotin, darvon, vicodin, dilaudid, demerol and fentanyl
What are the (3) drug classes? - ANSWER-painkillers (opiates)
stimulants
CNS depressants
What groups of people are more likely to abuse prescription drugs? - ANSWER-teens, young adults, older adults and women
What is peripheral neuritis? - ANSWER-A condition characterized by inflammation of peripheral nerves.
Peripheral nervous system: 43 pairs of mother and sensory nerves that connect the brain and spinal cord to the entire human body. These nerves control the functions of sensation, movement and motor coordination
What is a schedule 1 drug? - ANSWER-it is a drug with no medical use and has a high risk for abuse
Where is THC stored un the body? - ANSWER-fat cells
True or False
Women have a higher risk of developing problems
if true, why? - ANSWER-true, their bodies contain less water
-women develop damage at lower levels of consumption over a short period of time
What is harm reduction? - ANSWER-consequences of drug use are lowered
What are the (4) dimensions of recovery-oriented systems of care (ROSC)? - ANSWER-health--recovery
home--permanent housing
purpose--employment/education
community-- peer/family, social networks
What do cannabinoid receptors influence? - ANSWER-pleasure, memory, thinking, concentration, sensory/time perceptions and movement
How many symptoms are needed to meet each level of severity? - ANSWER-2-3--mild
4-5-- moderate
6+-- severe
What are the co-occuring disorder screening instruments? - ANSWER--modified mini-screen (MMS)
-mental status exam (MSE)
-Brief Symptoms Inventory (BSI)
-Brief Psychiatric Rating Scale (BPRS)
-Mini-Mental status Exam (MMSE [Show Less]