Perkinson: Chemical Dependency Counseling 5th Edition Instructor Resources
Test Bank
Chapter 1: The First Contact
The following questions are multiple choice. Please circle the correct response
1. As many as _________ of persons with untreated alcoholism die of complications from
their addiction.
2. According to the Substance Abuse and Mental Health Service Administration (SAMHSA),
3. According to the Center for Disease Control, ____ of Americans die as a direct result of
substance abuse.
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.
5. Trust is paramount in establishing a therapeutic alliance. To establish trust, the therapist
must be both ____________ and ______________.
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 the client is aware that:
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.
8. Which of the following is not a risk factor for addiction?
9. The author finds it important to use standardized instruments in diagnosing substance
disorders:
10. Which of the following is untrue?
d. 90% of clients can quite if they complete treatment, go to AA, and attend
aftercare weekly.
11. Which of the following is not recognized as a stage of change?
a. Contemplation
b. Preparation
12. The motivational interview should incorporate all but one of the following elements:
a. provide hope.
13. Incidence of use increases when the addictive substance is:
14. During the action stage, a client often:
15. During the maintenance stage, the client will:
16. During the precontemplative stage, the client will:
a. ask for help.
The following Questions are True or False. Circle the correct response.
1. More High School students have tried tobacco than alcohol, OR illegal drugs.
2. Most Addicts die of their addiction. T F
The following are all short answer questions:
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?
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?
3. Often you may have heard of someone being in denial. Where does this fall in the stages
of change model? Explain.
4. The light goes on! Your client definitively recognizes having a substance addiction.
Where does this fall on the stages of change model? Explain.
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?