Chapter 13: The Family Program

Test Bank

Multiple Choice

1. The purpose of the family programming in addiction treatment is to ______.

A. perform an intervention

B. make living arrangements after treatment

C. heal wounds caused by addiction

D. engage the client to stay in treatment

Learning Objective: 13-1: Define the family program.

Cognitive Domain: Knowledge

Answer Location: The Family Program

Difficulty Level: Easy

2. Client’s family should be contacted at which point in the treatment process?

A. before admission

B. within the first few hours of admission

C. once they have completed the first step

D. upon completion of the drug history

Learning Objective: 13-2: Explain the first family contact.

Cognitive Domain: Knowledge

Answer Location: The First Family Contact

Difficulty Level: Easy

3. AMA risk ______.

A. is American Medical Association guidance

B. means a chance of overdose

C. is clients may attempt to leave treatment before staff believes they are ready

D. invokes the “duty to warn”

Learning Objective: 13-3: Identify the risk that the client may want to leave early against medical advice.

Cognitive Domain: Knowledge

Answer Location: How to Handle the Early “Against Medical Advice” Risk

Difficulty Level: Easy

4. According to the text, the counselor’s most important job with the family is to ______.

A. resolve familial conflicts

B. make sure all parties are heard

C. make referrals for family member when indicated

D. instill a spark of hope

Learning Objective: 13-2: Explain the first family contact.

Cognitive Domain: Comprehension

Answer Location: The First Family Contact

Difficulty Level: Medium

5. Which of the following is covered as a common family problem?

A. violence

B. independence

C. trust

D. poor communication

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Comprehension

Answer Location: Common Family Problems

Difficulty Level: Medium

6. Family members feel incredible guilt because ______.

A. they are embarrassed

B. much of the problems are their fault

C. they think they are at fault

D. of their own issues from childhood

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Knowledge

Answer Location: Guilt

Difficulty Level: Easy

7. Shame is when family members ______.

A. feel guilty

B. believe something is wrong with them

C. hit bottom

D. blame the chemically dependent

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Comprehension

Answer Location: Shame

Difficulty Level: Medium

8. ______ can tell you how their addicted family member is feeling but cannot articulate how they are feeling.

A. Enablers

B. Siblings

C. Spouses

D. Caretakers

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Knowledge

Answer Location: Caretaking

Difficulty Level: Easy

9. Examples of family supportive 12-step programs include which of the following?

A. Alcoholics Anonymous

B. Gam-Anon

C. Alkathon

D. Narcotics Anonymous

Learning Objective: 13-6: Understand the importance of the family program schedule.

Cognitive Domain: Comprehension

Answer Location: The Family Program Schedule

Difficulty Level: Medium

10. Family groups are to ______.

A. solve family problems

B. resolve deep-seeded family issues

C. gain support from other people outside the family

D. eliminate dysfunctional communication skills

Learning Objective: 13-7: Describe how to work with the family in a group setting.

Cognitive Domain: Comprehension

Answer Location: How to Work With the Family in Group

Difficulty Level: Medium

11. Sessions that include the client and family members are called ______.

A. multifamily groups

B. co-joint sessions

C. conjoint sessions

D. multisystemic therapy

Learning Objective: 13-8: Explain what happens during a conjoint session.

Cognitive Domain: Knowledge

Answer Location: The Conjoint Session

Difficulty Level: Easy

12. If a family member has a substance abuse or mental health issue, the counselor should ______.

A. treat them

B. limit any contact with the client

C. refer them to the appropriate professional

D. perform an intervention

Learning Objective: 13-5: Discuss how to treat family members.

Cognitive Domain: Comprehension

Answer Location: How to Treat Family Members

Difficulty Level: Medium

13. If the family is not supportive, you should intervene with ______.

A. education and counseling

B. behavioral therapy

C. a family points system

D. a multifamily group

Learning Objective: 13-1: Define the family program.

Cognitive Domain: Comprehension

Answer Location: The Family Program

Difficulty Level: Medium

14. Codependents become obsessed with ______.

A. compulsions

B. their own illness

C. their own pain

D. helping and controlling others

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Comprehension

Answer Location: Codependency

Difficulty Level: Medium

15. Making excuses for the addicted person is an example of ______.

A. dependency

B. enabling

C. lying

D. narcissistic

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Knowledge

Answer Location: Enabling

Difficulty Level: Easy

True/False

1. Al-Anon is a treatment group very different in concept from 12-step programs.

Learning Objective: 13-2: Explain the first family contact.

Cognitive Domain: Comprehension

Answer Location: The First Family Contact

Difficulty Level: Medium

2. Family members must understand they are powerless over the disease and their lives are unmanageable.

Learning Objective: 13-5: Discuss how to treat family members.

Cognitive Domain: Comprehension

Answer Location: How to Treat Family Members

Difficulty Level: Medium

3. Some family members blame the client for everything.

Learning Objective: 13-5: Discuss how to treat family members.

Cognitive Domain: Comprehension

Answer Location: How to Treat Family Members

Difficulty Level: Medium

4. Clients can only get better if supported by family.

Learning Objective: 13-1: Define the family program.

Cognitive Domain: Comprehension

Answer Location: The Family Program

Difficulty Level: Medium

5. Some people can grow up in alcoholic homes and not be changed by it.

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Knowledge

Answer Location: Common Family Problems

Difficulty Level: Easy

Short Answer

1. A continuing care plan should include a 5-year follow-up plan conducted by the continuing care manager. What are some interventions and goals that can be included in the plan? Sometimes, clients want to leave treatment early against medical advice to stay. What are some strategies outlined in the book to keep clients engaged?

Learning Objective: 13-3: Identify the risk that the client may want to leave early against medical advice.

Cognitive Domain: Comprehension

Answer Location: How to Handle the Early “Against Medical Advice” Risk

Difficulty Level: Medium

2. Codependency is discussed quite a bit in this section. What is codependency? Describe some characteristics of codependency.

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Comprehension

Answer Location: Codependency

Difficulty Level: Medium

3. When should the counselor first contact the family? Why is the family involvement so critical?

Learning Objective: 13-2: Explain the first family contact.

Cognitive Domain: Application

Answer Location: The First Family Contact

Difficulty Level: Hard

4. Shame and guilt are both identified as common problems within the family. What are the key differences in these concepts?

Learning Objective: 13-4: Summarize common family problems.

Cognitive Domain: Comprehension

Answer Location: Common Family Problems

Difficulty Level: Medium

5. What is the conjoint session? At what point in treatment should these occur?

Learning Objective: 13-8: Explain what happens during a conjoint session.

Cognitive Domain: Comprehension

Answer Location: The Conjoint Session

Difficulty Level: Medium