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1. The process of recovery from a SUD seems to parallel the process of
a. harm reduction.
b. surgically removing a tumor.
c. disease management for chronic medical conditions.
d. recovering from a broken arm.
2. According to Motivational Interviewing, when a client presents with resistance, it is viewed as
a. a form of denial that needs to be broken down.
b. an important element of the change process.
c. a sign that client is not appropriate for treatment.
d. a mismatch between where the client is at and the treatment approach.
3. Which of the following approaches has been found to enhance abstinence in the early stages of recovery?
a. Motivational Interviewing
b. Voucher-based reinforcement
c. Cognitive-behavioral approaches
d. Psychodynamic approaches
4. Rosalita is currently participating in group therapy to stop using cocaine. She is also doing marital counseling with her
husband so he can support her overcoming her addiction. Which stage of treatment is Rosalita most likely in,
accordingtoMcLellan’stripartitemodeloftreatment?
a. Detox/stabilization
b. Rehabilitation
c. Continuing care
d. Termination
5. Suma is working with a client, Jin, who is questioning whether he wants to work on stopping his SUD. Suma and Jin
areweighingtheprosandconsofJin’sSUD.Jinismostlikelyinwhatstageofchange,accordingtoProchaska’s
model?
a. Pre-contemplation
b. Maintenance
c. Action
d. Contemplation
6. Jose, a substance abuse counselor, is working with Melynda, who has an SUD. They are currently coming up with a
continuingplantosupportMelynda’sdesiretoworktowardsrecovery.Sheiscurrentlyattendingweeklygroup
therapy, going to three AA meetings per week, as well as meeting with Jose every week. She is proud that she has
beensoberfortwoweeks.Melyndaismostlikelyinwhichstageofchange,accordingtoProchaska’smodel?
a. Pre-contemplation
b. Maintenance
c. Action
d. Contemplation
7. According to Heyman, the individuals who enter SUD rehabilitation may be the ________ to recover.
a. least able
b. most able
c. ones with the most motivation
d. ones with the least motivation
8. Whichofthefollowingseemstobefoundationalintheclient’sabilitytorecover?
a. The severity of the SUD
b. Theclient’sinterpersonalrelationships
c. Theclient’sexpectationsandselfevaluation
d. All of these answers
9. Of the following individuals with a SUD, who is the LEAST likely to accept abstinence as a goal?
a. Raul, who is 41
b. Aisha, who is 27
c. Hank, who is 23
d. Yung-Sun, who is 54
10. A major problem that can contribute to relapse of alcohol and other drug use is
a. the illusion of control.
b. not knowing how to use in moderation.
c. not knowing where to go to detox.
d. not knowing when the maintenance stage has turned into termination.
11. Perhaps the best way to view substance abuse rehabilitation work is as a form of
a. crisis management.
b. disease management.
c. disaster intervention.
d. collaborative medicine.
12. The person who enters a substance abuse rehabilitation program tends to
a. be more impaired than those who can abstain without formal treatment.
b. have a great number of family members who have similar substance use problems.
c. want to avoid legal consequences for his or her behavior.
d. do so because of the financial cost of continued substance use.
13. One of the goals of cognitive-behavioral approaches to substance use disorders is to
a. help the client identify and correct unhealthy thought patterns that support continued use of chemicals.
b. confront areas of conflict long buried by the superego.
c. lookattheclient’sdisruptivebehaviors,whatmotivatedthemandtheunconsciousconflictthattheseissues
have caused over the years.
d. focus on ego states that cause such emotional stress for the person.
14. The treatment approach in which a client is awarded points for continued abstinence (or loss of points for proven
substance use), which they can later trade in for items is the
a. motivational contingency approach.
b. vertical achievement approach.
c. voucher system.
d. anticipatory contingency approach.
15. DuringtheactionphaseoftheProchaskamodel,thetherapist’sgoalsaretodoallofthefollowingEXCEPT
a. plan for concrete steps that are then taken to modify behavior.
b. be alert for signs of problems.
c. assist the client to address issues that contribute to or exacerbate the SUD.
d. assist in individual growth.
16. Research suggests that only _____ of clients reach the maintenance phase of recovery.
a. 30 percent
b. 15 percent
c. 5 percent
d. 20 percent
17. Apersoninrecoveryisespeciallyvulnerabletowhatcategoriesof“cues”tocontinuedsubstanceuse?
a. Internal and external
b. Internalized conflict over past abuse situations
c. Home conflicts or work conflicts
d. Concurrent medical cues
18. Nowinski’smodelsuggeststhatthefirststepinrecoveryisthe
a. acceptance phase.
b. declarative phase.
c. decision to work towards natural recovery.
d. surrender phase.
19. The person going through the process of recovering from a substance use disorder either in the Prochaska or the
Nowinski model is thought to
a. encourage him/herself to learn how to enter environments in which chemical abuse previously occurred.
b. demonstrate maladaptive thoughts into the latter parts of the first phase.
c. demonstrate individual variations in progress.
d. experience less and less resistance as he or she reaches the latter stages of recovery.
20. The steps identified in stage models of recovery from SUDs
a. are rigid and sequential; you have to do each step in turn.
b. arebasedonthe“average”patternofclientprogress,baseduponobservationsofmanyclients.
c. create confusion in the profession over which stage model is truly the appropriate model.
d. are age-dependent, with older clients moving more rapidly to more advanced stages than younger persons.
21. Clinical research has demonstrated that
a. one year after assessment, 50 percent of those assessed as having an SUD did not demonstrate even one
symptom of the disorder.
b. those admitted to treatment appear to be more likely to achieve abstinence than those who do not seek
admission.
c. the best treatment controls every aspect of clients' lives until they are able to deal with the problems they will
encounter in that area of their lives.
d. rehabilitationprogramsplayastrongerroleintheclient’slifethansocialforces.
22. Whatpercentofopioiddependentpersonswhosimplywentthrougha“detox”programwerestillchemicalfreesix
months later?
a. 10 percent
b. 90 percent
c. 50 percent
d. 28 percent
23. Duringthe___stage,theclientisreadytochangehisorherattitudeandbehaviorwithinaspecifictimeframe,
usually within the next month.
a. preparation
b. precontemplation
c. preaction
d. readytogo
24. What percentage of those opioid-dependent people who only completed "detox" program return to the abuse of
chemicals within 6 months?
a. 75percent
b. 90percent
c. 10percent
d. 25percent
25. Ofthoseabletoabstainfromcocainefor12weeks,upto____willremaindrugfreeforthefirst6months
following treatment.
a. 60percent
b. 80percent
c. 10percent
d. 15percent
26. DiscussthefactorsthatmaysurroundthedecisiontoseektreatmentforapersonwithaSUD.
27. Describethevoucherbasedreinforcementtreatmentprograms.
28. Whatarethechallengesforthesubstanceabuserehabilitationprofessionalwhendealingwithaclientinthe
precontemplation stage of recovery.
29. Whataresomeofthefactorsthatmaybecomethefoundationuponwhichaclient'srecoverymightbeestablished?
30. Discussthedebateregardingwhethercompleteabstinenceshouldbethegoaloftreatment.
