DAAC 2307.44181 – FALL2013 Mid Term Exam Questions

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  1. This is not included in the summary of items that influenced the need for family
    a. A shift in the family roles of parents.           
    Mass media
    c. Lifespan changes
    d.Scientific and medical advances 

    d. Scientific and medical advances 

  2. 2. According to Wilfred Bion, this is an accurate description of a pairing group.
    a. Group members may become involved in conflict.
    b.Members are more interested in the social context of the group.
    c. Involves a dependent relationship of the members upon the leader.
    d. Groups provide an opportunity for cathartic experiences.

    b.Members are more interested in the social context of the group.
  3. 3. This pioneer worker is acknowledged as having introduced child guidance
    movement in the United
    States in the 1920s.
    a. Alfred Adler      
    b. Murray Bowen
    c. Gregory Bateson
    d. Carl Whitaker
    a. Alfred Adler
  4. 4.  A simpler way of understanding homeostasis is to recognize its similarity with which term?
     a. Equilibrium
    c. Purpose
    d. Movement

    a. Equilibrium
  5. 5. A child who frequently hears his mother complain about father’s drinking and behavior may ask, “Why is father so mean when he drinks?” The authoritative reply of the mother is, “How dare you talk about your father that way! He’s sick. You’d better show some respect for your father or you’ll be punished!” The preceding scenario is an example of which phenomenon?

    a. Multi-generational transmission   b. Double-bind
      c. Triangulation                                    d. External locus of control
    b. Double-bind
  6. 6.  This statement does not describe the characteristics of double-bind communication process?
                    a. Two or more people are involved in an important relationship.
                    b. The relationship is a repeated experience.
                    c. A secondary command often conflicts with the primary        injunction.
                    d. The experience is meant to stabilize the conflict in relationship.
    d. The experience is meant to stabilize the conflict in relationship.
  7. 7. This family therapist began to conceptualize the illness of schizophrenia as having to do with an unresolved symbiosis between mother and child.
                    a. Nathan Ackerman                                        b. Murray Bowen
                    c. Virginia Satir                                          d. Salvador Minuchin
    b. Murray Bowen
  8. 8. Which of the following was not included in the outcome of the Ewing group’s study regarding alcoholics whose wives were in treatment?
                    a. Had significantly improved control of drinking
                    b. Had more effective relapse prevention strategies
                    c. Stayed in treatment longer
                    d. Had major improvement in marital harmony.
    b. Had more effective relapse prevention strategies
  9. 9. Kaufman categorizes the different types of alcoholic families so that the provision of intervention strategies will be more focused. Which of the following items is not part of the category?

     a. Functional Family System                        b. Neurotic Family System
     c. Disintegrated Family System           d. Addicted Family System
    d. Addicted Family System
  10. 10.
    In Kaufman’s types of alcoholic families, drinking family has resulted in a
    complete separation from the family.
     a.functional                                              b.Neurotic
     c.Addicted                                              d.Absent
    d. Absent 
  11. 11. Which therapeutic model of family treatment considers that abusive drinking behavior is maintained by a number of reinforcement contingencies both from within and outside the family?
                    a. Disease Model                                b. Behavioral Model
                    c. Family Systems Model                   d. Cognitive Model
    b. Behavioral Model
  12. 12. Which model of family treatment defines family members as codependent which implies tendency to possess many of the same traits observed in the alcoholic?
                  a. Cognitive Model                              b. Family Systems Model
                    c. Disease Model                                 d. Behavioral Model
    c. Disease Model
  13. 13. This family theory categorizes families on a continuum of being healthy to dysfunctional, and self-actualizing to growth inhibited.

      a. Experiential Therapy                                b. Social Learning Theory
     c. The Process Model                                         d. Structural Family Therapy
    a. Experiential Therapy
  14. 14. This family theory looks at the family as living, open system with functionally interdependent parts dictated by the overall functioning of the whole.
        a. Symbolic Therapy                                           b. Structural Therapy
         c. Family Systems                                               d. Process Model
    b. Structural Therapy
  15. 15. Albert Bandura is often associated with this theory of family therapy which is primary based on behavioral modification.

     a. Family Systems Theory                            b. Social Learning Theory
         c. Process Model                                 d. Structural Family Therapy
    b. Social Learning Theory
  16. 16. According to this approach an injunction is either a direct or implied message given to the child from a parent’s internal child, which originates in his or her own pain, anxiety, anger, frustration, and unhappiness.
        a. Social Learning Theory                 b. Transactional Analysis
         c. Process Model                                 d. Family Systems Theory
    b. Transactional Analysis
  17. 17. This theory proposes that a misbehaving child, in an attempt to gain social acceptance will try to get attention or attempt to prove his power or seek revenge or display his deficiency in order to get special service.
        a. Transactional Analysis   b. Adlerian/Dreikursian Family Therapy
      c. Social Learning Theory                 d. Process Model  
    b. Adlerian/Dreikursian Family Therapy
  18. 18. According to TA (Transactional Analysis), this phenomenon refers to an ongoing series of transaction that ends with a bad feeling for at least one of the players and by their very nature designed to prevent intimacy.
                    a. Scripts                                                               b. Games
                    c. Rackets                                                             d. Transactions
    b. Games
  19. 19. The primary goal of treatment, as suggested by Family Systems Theory, is for family members to achieve a higher level of this experience.

    a. Self -Differentiation                                         b. Detriangulation
    c. Homeostasis                                                    d. Detachment
    a. Self -Differentiation 
  20. 20. This is a phenomenon where a third part is drawn in to relieve anxiety of the twosome.
                  a. emotional cutoff                                               b. Triangulation
                    c. Homeostasis                                          d. Self-differentiation
    b. Triangulation
  21. 21. This refers to the functioning of the collective entity as determined by the way in which interdependent elements interact and interrelate.
    a. System                                                              b. Unity
    c. Community                                                       c. Family
    a. System
  22. 22.  This person is credited to have first compared the family system to a mobile. Each piece is independent to the extent that as the mobile hangs in balance one piece does not touch the other. However, when a breeze comes along, the individual pieces are all shown to be interdependent, because whichever way one piece moves it influences the other pieces to move as well.
                    a. Murray Bowen                                 b. Virginia Satir
                    c. Gregory Bateson                             d. Nathan Ackerman
    b. Virginia Satir
  23. 23. Which term does not share similar meaning with self-differentiation?
            a. Emotional Maturity                                          b. Self-reinvention
             c. Authenticity                                                       d. Individuality
    b. Self-reinvention
  24. 24. The most fundamental characteristic of a person’s emotional system is that it operates as if governed by the interplay of which two counter-balancing forces?

     a. Social Relatedness and Self-Reliance     
    b. Individuality and Togetherness
    c. Community and Objectivity     
    d. Dependency and Distinctiveness
    b. Individuality and Togetherness
  25. 25.  In this phenomenon, any attention or attempt of one of the partners directed away from the other and toward someone outside the relationship is likely to be viewed by the other with extreme jealousy or a feeling of rejection.
                    a. Symbiosis                                         b. Fusion
                    c. Codependency                               d. Triangle
    c. Symbiosis
  26. 26. According to Kerr and Bowen (1988) this is the basic molecule of an emotional system. As tension or anxiety increases a third party is drawn in and becomes involved in the tension.
                    a. Homeostasis                                                    b. Triangle
                    c. Symbiosis                                                         d. Individuality
    b. Triangle 
  27. 27. Within a triangle there are specific roles in relation to experienced anxiety. This role is represented by the individual who is the first to become anxious about the situation and is often held responsible for initiating the upsets.
                    a. Anxiety Amplifier                             b. Anxiety Generator
                    c. Anxiety Starter                                  d. Anxiety Dampener
    b. Anxiety Generator
  28. 28. This usually refers to a phenomenon where family members either physically or/and emotionally disassociate from the family system. However the conflict remains unresolved in spite of separation.
                    a. Disengagement                                               b. Detachment
                    c. Role Separation                                   d. Self-Differentiation 
    a. Disengagement
  29. 29. This refers to the invisible barriers that surround the family system, subsystems, and individual members and regulate how much contact each person has with others and protect the separateness and autonomy of the family and its individual members.
                    a. Boundaries                                                       b. Zones
                    c. Defenses                                                           d. Borders
    a. Boundaries
  30. 30. This refers to the family’s patterns of feelings, motives, fantasies, and understandings that typify the family’s view of reality and how it is organized as a unit.
             a. Family paradigm                                             b. Family themes
                    c. Family Rules                                             d. Family Beliefs
    b. Family themes
  31. 31. They refer to those which link the parts of a family system to accomplish a common purpose. They determine how family members relate to one another and to outsiders.
                    a. Family Paradigms                           b. Family Rules
                    c. Family Themes                              d. Family Objectives
    b. Family Rules
  32. 32. In family organization structure and development, which phase puts primary emphasis on maintaining a stable and predictable family environment.
                    a. Early Phase                                                 b. Middle Phase
                    c. Late Phase                                                d. Extension Phase
    b. Middle Phase
  33. 33. Which of the following activities was not included by Steinglass as among the behavioral areas in family life often impacted by chemical dependency?
                    a. Daily Routines                                 b. Family Rituals
         c. Short-Term Problem Solving        d. Family-Community Alliance
    d. Family-Community Alliance
  34. 34. Which of the four distinct pathways to which alcoholic families are directed is described by the statement: “Although drinking or drug use may not stop, there is movement away from the dependency as a core developmental or family identity issues.

    a. Stable wet dependent family  b. Stable wet nondependent family

    c. Stable dry dependent family       d. Stable dry nondependent family
    b. Stable wet nondependent family
  35. 35. This pathway to which alcoholic families are directed is described as having successfully negotiated or coerced a conversion to nonuse by the dependent, but there is no movement away from the dependent family identity.

    a. Stable wet dependent family  b. Stable wet nondependent family 

    c. Stable dry dependent family     d. Stable dry nondependent family
    c. Stable dry dependent family
  36. 36.  Beasley (1987) considered that alcohol was a factor in how many cases of child abuse?
                    a. 28%                                                                   b. 38%
                    c. 48%                                                                   d. 58%
    b. 38%
  37. 37. According to the text, this refers to an inner sense of being completely diminished or insufficient as a person with an ongoing premise that one is fundamentally bad, inadequate, or defective.
                    a. Inadequacy                                                      b. Shame
                    c. Guilt                                                       d. Inferiority Complex
    b. Shame
  38. 38. A study by Sonkin and others (1985) reports that over 80% of their domestic violence cases involved alcohol and drugs in their latest violent episode reported. Which among the following statements would reflect an accurate description of this outcome?
       a. Violence occurs in all families where chemical dependency exists.
      b. Domestic violence involving adult family members can still have a traumatic impact on the children.

       c. Chemical dependency correlates highly with domestic violence.

    d. Among alcohol and drug-free families there is practically no incidence of domestic violence.
    c. Chemical dependency correlates highly with domestic violence.
  39. 39. Which family survival role is often taken by the person closest to the addicted individual and reacts in such a way as to shield the dependent person from experiencing the full impact of the harmful consequences of the addictive behavior?
                    a. Family hero                                                      b.Codependent
                    c. Scapegoat                                                        d. Mascot
                    e. Lost child
    b. Codependent
  40. 40. Continuing with family survival roles, this refers to the problem child which is usually a visible tip of the iceberg. The direct message from family members is that this role’s behavior is disruptive and is responsible for the family’s chaos.
                    a. Chemically Dependent                  b. Codependent
                    c. Scapegoat                                        d. Lost Child
    c. Scapegoat
  41. 41. Usually the family pet, this role tries to bring some fun and humor into the family to distract and relieve tension.
                    a. Lost Child                                                         b. Mascot
                    c. Family Hero                                           d. Codependent
    b. Mascot
  42. 42. Identify which of the following options is not part of the dynamics of codependency.
                    a. Deriving personal value from caretaking of another.
                    b. Performing self-sacrificial acts
                    c. Confronting personal pain/issue.
                    d. Absence of limit-setting.
    c. Confronting personal pain/issue.
  43. 43.  According to Cermak, there are specific variants of codependency. This variant is not willing to recognize the chemical dependency and its related consequences and undermines the dependent’s attempts at recovery.
                    a. Martyrs                                              b. Persecutors
                    c. Coconspirators                                d. Drinking Partners
    c. Coconspirators
  44. 44. This variant of codependency has given up and simply stopped feeling and caring about much in life.
                    a. Apathetic codependents                                b. Martyrs
                    c. Persecutors                                      d. Coconspirators
    a. Apathetic codependents
  45. 45. This statement does not fit the characteristics of adult children of alcoholics?
                    a. Survival roles have led to lack of self-identity and confusion in relationship.
                    b. Denial of unpleasant realities, like broken promises are basic in the system.
                    c. Good frame of reference for what a healthy, intimate relationship can be.
                    d. Tend to judge themselves harshly and extremely demanding of themselves.
    c. Good frame of reference for what a healthy, intimate relationship can be.
  46. 46. Thinking of specific issues related to chemical dependency, which statement below would not be accurate?
                    a. The family’s progression of maladaptive behavior coincides with the progression of the disease.
                    b. Active use of alcohol and drugs disturbs memory functions, mood, cognition, sleep, and interactional behavior.
                    c. In many instances, family members, usually with good intentions, tend to make matters worse by reacting in ways that amplify rather than diminish problems.
                    d. During the late stage of dependency, very little accommodation has been made by family members.
    d. During the late stage of dependency, very little accommodation has been made by family members.
  47. 47. For the purpose of determining severity of impact to the family, this question should not be considered.
                    a. Have chemical dependency and its related behaviors become the central organizing principle around which the family has structured its life?
                    b. What available resources does the family have to be utilized when they respond to well-organized interventions?
                    c. To what extent has the introduction of chemical dependency into family life altered the homeostasis between growth and regulation?
                    d. What types of changes have occurred in family functioning and regulatory behaviors as the family has gradually accommodated to the demands of addiction?
    b. What available resources does the family have to be utilized when they respond to well-organized interventions?
  48. 48. This critical issue may consist of name calling, derogatory or caustic remarks, criticism, put-downs, ridicule, the silent treatment, or emotional withdrawal which is often intended to demean another person.
                    a. Emotional Abuse                                         b. Abandonment
                    c. Domestic Violence                                        d. Sexual Abuse
    a. Emotional Abuse
  49. 49. This is a graphic depiction of how family members are related to one another within a single generation and from one generation to the next.
                    a. Genogram                                                        b. Family Script
                    c. Multigenerational Process                        d. Family System
    a. Genogram
  50. 50. Pregnancy is depicted by this symbol in the family genogram.   
                    a. £                                                                       b. ™
                    c. -/ /-                                                                      d. s
    d. s
  51. 51. The symbol inside the parenthesis refers to which phenomenon? (……………………)
                    a. Closeness                                         b. Permeable boundary
                    c. Diffuse boundary                                             c. Conflict
    c. Diffuse boundary
  52. 52. According to the text, primary treatment of chemical dependency should begin here.                  
    a. Education on chemical dependency and its progression
                    b. Reconstruction of family
                    c. Restoration of Intimacy
                    d. Regaining family homeostasis
    a. Education on chemical dependency and its progression
  53. 53. This is not a role performed by the counselor in helping families.
                    a. Umpire in case the sessions become volatile
                    b. Coach to assist in developing healthy communication
                    c. Facilitator in helping to make changes
                    d. Ally to a recognized family leader
    d. Ally to a recognized family leader
  54. 54. One of the following items is not considered a pitfall in family counseling. Identify the item.
                    a. Counselor’s reluctance to encounter resistance can result in not addressing issues.
                    b. Counselor eagerness to see quick results may attempt to push change before the parties are ready.
                    c. A counselor may tend to side with one family member against another.
                    d. A counselor may demonstrate too much empathy and respect that hinders inability to confront.
    d. A counselor may demonstrate too much empathy and respect that hinders inability to confront.
  55. 55. Regarding abstinence and recovery which statement is untrue?
                    a. Abstinence alone is not recovery.
                    b. Abstinence only stops the progression of  the disease.
                    c. As a chronic disease, people adapt their lives to the chemical dependency.
    d. Recovery can be pursued without abstinence. 
    d. Recovery can be pursued without abstinence. 
  56. 56. According to Gorski (1986), of those who make it to achieve stable recovery, how many experience at least one relapse?
    a. 20%                                                                   b. 30%
    c. 40%                                                                   d. 50%
    a. 20%
  57. 57. According to Gorski and Miller acceptance is foundation in recovery. Which one of the following items is not a component of acceptance?
                    a. that chemical dependency is the problem
                    b. that total abstinence is necessary for long-term recovery
                    c. that a commitment is made to an ongoing, lifelong recovery
    d. that every member of the dependent’s family must participate in treatment
  58. 58. This is the last stage in the developmental model for recovery for the chemically dependent.
                    a. Stabilization                                         b. Middle Recovery
                    c. Late Recovery                          d. Maintenance/remission 
    d. Maintenance/remission
  59. 59.  A developmental model of recovery for the family begins at this stage.
    a. Stabilization Stage                       b. Pretreatment Stage
        c. Early Recovery stage              d. Contemplation Stage
    b. Pretreatment Stage
  60. 60. The primary task during this stage in the developmental model of recovery is the recognition of the family members that they did not cause the addiction, but they are responsible for their own contribution to the family problems and dysfunction.
                    a. Pretreatment stage                b. Stabilization stage
                    c. Early Recovery stage                  d. Middle recovery stage
    b. Stabilization stage
  61. 61. After the intervention team is organized the process of intervention goes through phases. This is the phase when the intervention specialist assists team members to realize that chemical dependency is the primary problem.
       a. assessment and education     b. strategy planning and rehearsal
      c. actual confrontation of dependent    d. follow-through with treatment facility
    a. assessment and education
  62. 62. According to the text, which of the following items is not included in the criteria for intervention team membership?
                    a. Realization that personal attitude toward the dependent and the disease must change from blame and anger to concern and support.
                    b. Understanding that some feeling of guilt will be experienced over involvement in intervention.
                    c. Knowledge that chemical dependency is a disease.
                    d. Understanding that ultimatums maybe given regardless of circumstances.
    •                    d. Understanding that ultimatums maybe given regardless of circumstances.
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DAAC 2307.44181 – FALL2013 Mid Term Exam Questions
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