Chapter 1: First Contact

Test Bank

Multiple Choice

1. As many as ______ of persons with untreated alcoholism die of complications from their addiction.

A. half

B. 42%

C. 10%

D. 95%

Learning Objective: 1-1: Define addiction.

Cognitive Domain: Comprehension

Answer Location: First Contact

Difficulty Level: Medium

2. According to the Substance Abuse and Mental Health Service Administration (SAMHSA), about half (51.1%) of the U.S. Population drinks alcohol. Of those ______.

A. little less than a third will have a substance abuse disorder sometime in their life

B. more than half will have a substance abuse disorder sometime in their life

C. 10% will have a substance abuse disorder sometime in their life

D. most will have a substance abuse disorder sometime in their life

Learning Objective: 1-1: Define addiction.

Cognitive Domain: Knowledge

Answer Location: First Contact

Difficulty Level: Easy

3. According to the Center for Disease Control, ______ of Americans die as a direct result of substance abuse.

A. 8%

B. 17.6%

C. 25%

D. 33%

Learning Objective: 1-1: Define addiction.

Cognitive Domain: Knowledge

Answer Location: First Contact

Difficulty Level: Easy

4. Not only does treatment for addictions work for individuals, there are benefits to society as well. For every $1 spent on addictions treatment, the economy saves ______ in health care and other societal costs.

A. $1

B. $3.50

C. $5

D. $7

Learning Objective: 1-2: Discuss how treatment works.

Cognitive Domain: Knowledge

Answer Location: Treatment Works

Difficulty Level: Easy

5. Trust is paramount in establishing a therapeutic alliance. To establish trust, the therapist must be both ______ and ______.

A. honest; assertive

B. direct; impartial

C. consistent; honest

D. engaging; direct

Learning Objective: 1-3: Describe the motivational interview, including how to develop a therapeutic alliance.

Cognitive Domain: Comprehension

Answer Location: How to Develop the Therapeutic Alliance

Difficulty Level: Medium

6. A client must trust the clinician to be open, honest, and keep promises. When working in a group practice or facility, it is imperative that the client is aware that ______.

A. you will keep their secrets from coworkers

B. the clinical staff works as a team

C. each clinician in the facility is fully autonomous

D. you are willing to share a personal secret with the client to establish trust

Learning Objective: 1-3: Describe the motivational interview, including how to develop a therapeutic alliance.

Cognitive Domain: Comprehension

Answer Location: How to Develop the Therapeutic Alliance

Difficulty Level: Medium

7. The National Institute of Alcohol Abuse and Alcoholism (NIAAA) and the American Society of Addiction Medicine (ASAM) developed screening questions to identify possible indicators of addiction. The author suggests ______.

A. you only ask the client these questions, otherwise you sacrifice rapport

B. have a colleague ask the client these questions a second time to help expose inconsistency

C. have the client identify someone else who can verify their story

D. ask family members, friends, or anyone else who can offer collateral information

Learning Objective: 1-3: Describe the motivational interview, including how to develop a therapeutic alliance.

Cognitive Domain: Comprehension

Answer Location: How to Do a Motivational Interview

Difficulty Level: Medium

8. Which of the following is a risk factor for addiction?

A. Slow acting, yet readily available and inexpensive access to the substance.

B. Family history of an addictive disorder.

C. A youth being away at college and unsupervised.

D. Must have a presence of a mental health disorder.

Learning Objective: 1-4: Explain what to do if there are red flags and how that leads to a diagnosis.

Cognitive Domain: Knowledge

Answer Location: Natural History of Addiction

Difficulty Level: Easy

9. The author finds it important to use standardized instruments in diagnosing substance disorders ______.

A. for the benefit of third-party payers

B. to best partner with researchers

C. as an instrument must be incorporated into the medical record

D. to prove to the client they have a problem

Learning Objective: 1-4: Explain what to do if there are red flags and how that leads to a diagnosis.

Cognitive Domain: Comprehension

Answer Location: How to Diagnose an Addiction Problem

Difficulty Level: Medium

10. Which of the following is true?

A. 10% of clients can abstain on their own.

B. 50% of addicted clients can quit if they complete treatment.

C. 90% of clients can quit if they complete treatment and go to AA.

D. 70% of clients can quit if they complete treatment, go to AA, and attend aftercare weekly.

Learning Objective: 1-4: Explain what to do if there are red flags and how that leads to a diagnosis.

Cognitive Domain: Comprehension

Answer Location: How to Intervene

Difficulty Level: Medium

11. Which of the following is not recognized as a stage of change?

A. contemplation

B. preparation

C. precontemplation

D. relapse

Learning Objective: 1-5: Recognize appropriate motivating strategies, including the stages of motivation.

Cognitive Domain: Knowledge

Answer Location: The Stages of Motivation

Difficulty Level: Easy

12. The motivational interview should incorporate all which of the following elements?

A. provide hope

B. interpret the client’s experiences

C. offer subjective feedback

D. offer sound advice

Learning Objective: 1-3: Describe the motivational interview, including how to develop a therapeutic alliance.

Cognitive Domain: Knowledge

Answer Location: How to Do a Motivational Interview

Difficulty Level: Easy

13. Incidence of use increases when the addictive substance is ______.

A. readily available, cheap, and rapid acting

B. tastes good and has no identifiable odor

C. cannot be readily detected on toxicology screens

D. nonprescribed

Learning Objective: 1-4: Explain what to do if there are red flags and how that leads to a diagnosis.

Cognitive Domain: Comprehension

Answer Location: Natural History of Addiction

Difficulty Level: Medium

14. During the action stage, a client often ______.

A. comes to the assessment

B. quits using

C. implements a recovery plan and takes steps to change

D. makes a commitment to take action and develops a plan

Learning Objective: 1-5: Recognize appropriate motivating strategies, including the stages of motivation.

Cognitive Domain: Knowledge

Answer Location: The Stages of Motivation

Difficulty Level: Easy

15. During the maintenance stage, the client will _____.

A. examine their current behavior and potential for change

B. sustain the new behavior for an extended period of time

C. identifies their “sobriety date”

D. integrates a new behavior

Learning Objective: 1-5: Recognize appropriate motivating strategies, including the stages of motivation.

Cognitive Domain: Knowledge

Answer Location: The Stages of Motivation

Difficulty Level: Easy

16. During the precontemplation stage, the client will ______.

A. ask for help

B. begin to consider how they will change

C. established s target date for sobriety

D. not yet recognize they have a problem

Learning Objective: 1-5: Recognize appropriate motivating strategies, including the stages of motivation.

Cognitive Domain: Knowledge

Answer Location: The Stages of Motivation

Difficulty Level: Easy

True/False

1. More High School students have tried tobacco than alcohol or illegal drugs.

Learning Objective: 1-1: Define addiction.

Cognitive Domain: Knowledge

Answer Location: First Contact

Difficulty Level: Easy

2. Most addicts die of their addiction.

Learning Objective: 1-1: Define addiction.

Cognitive Domain: Knowledge

Answer Location: First Contact

Difficulty Level: Easy

3. According to SAMHSA, it is ok for pregnant women to have one drink a day.

Learning Objective: 1-3: Describe the motivational interview, including how to develop a therapeutic alliance.

Cognitive Domain: Comprehension

Answer Location: Questions to Ask the Adult Client

Difficulty Level: Medium

4. Depression, and/or suicide attempts may be an indicator of addiction.

Learning Objective: 1-1: Define addiction.

Cognitive Domain: Comprehension

Answer Location: First Contact

Difficulty Level: Medium

5. The following are all red flags for adolescent substance abuse: engaging in risky behavior, marked fall in academic performance, unexplained weight loss, and rebellion against parental authority.

Learning Objective: 1-3: Describe the motivational interview, including how to develop a therapeutic alliance.

Cognitive Domain: Comprehension

Answer Location: Example of a Motivational Interview

Difficulty Level: Medium

Short Answer

1. You have just encountered a client who has presented two red flags for substance abuse/addiction in their first session. What are some actions, next steps you should take? Why?

Learning Objective: 1-4: Explain what to do if there are red flags and how that leads to a diagnosis.

Cognitive Domain: Comprehension

Answer Location: What to Do If There Are One or More Red Flags

Difficulty Level: Medium

2. Not everyone you assess will have a substance related problem. How would you proceed with someone who does not present as substance abusing but does have a family history of addiction?

Learning Objective: 1-4: Explain what to do if there are red flags and how that leads to a diagnosis.

Cognitive Domain: Analysis

Answer Location: How to Intervene

Difficulty Level: Medium

3. Often you may have heard of someone being in denial. Where does this fall in the stages of change model? Explain.

Learning Objective: 1-5: Recognize appropriate motivating strategies, including the stages of motivation.

Cognitive Domain: Comprehension

Answer Location: The Stages of Motivation

Difficulty Level: Medium

4. The light goes on! Your client definitively recognizes having a substance addiction. Where does this fall on the stages of change model? Explain.

Learning Objective: 1-5: Recognize appropriate motivating strategies, including the stages of motivation.

Cognitive Domain: Application

Answer Location: The Stages of Motivation

Difficulty Level: Hard

5. A client may vacillate between different stages of change. It is important to know some motivational strategies to ensure they do not get complacent or stuck. What are some processes that can be applied when a client is precontemplative?

Learning Objective: 1-3: Describe the motivational interview, including how to develop a therapeutic alliance.

Cognitive Domain: Comprehension

Answer Location: How to Do a Motivational Interview

Difficulty Level: Medium