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Motivational interviewing is an alternative to the Johnson Model of intervention?
True
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Noting changes in academic performance with adolescents is part of the assessment process?
true
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Positive oriented assessment requires I ascertain what “positives” that client derives from the substance they use?
True
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A SUDC and ASUDC licensee can diagnose under their license?
false
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One of the limitations in the typical behaviorally based assessments is clients can lie because of the way they are constructed?
true
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CAGE
- C: would you like to CUT down use
- G: do you feel GUILTY when using
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Motivational interviewing is intended to enhance client engagement?
true
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Name 2 of the 4 general principles of motivational interviewing
- Client center
- Promote self-efficacy
- Roll with resistance
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In motivational interviewing “counselor resistance” can be as large a challenge as “client resistance”?
true
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Utilizing open ended questions is an encouraged techniques in motivational interviewing?
true
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“Eliciting change talk” is one of the skill sets encouraged in motivational interviewing?
true
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Name 2 if the 5 stages in Prochaska and DiClemente’s stages of change model
- Pre-contemplation
- Contemplation
- Action
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Two examples of medication assisted treatment
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The ASAM criteria is about Detoxification approaches only?
false
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Examples of levels of care in treatment
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"first general rule" regarding disclosure of client info is
don't disclose anything
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42 CFR part 2 takes precedence over state and local laws even with a subpoena
true
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42 CFR Part 2 releases not only requires names, dates, signatures and purpose for info but also an expiration date?
true
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the first and perhaps "best" exception to to release info is to obtain written consent from the client?
true
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42 CFR part 2 would require us to sign agreements (qualified service organization agreements) with contractors we might coordinate services with to permit sharing info
true
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42 CFR part 2 mandates disclosure while the new HIPPA enactment prohibits it
false
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HIPPA provides mechanisms for disclosure for clients who are incapacitated
true
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under HIPPA, should a client/pt in an emergency be unconsious clincial/ medical personnel must document all efforts to revive the client before disclosure family members, persons, or friends?
false
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under HIPPA, a provider many disclose info to a family member or a friend if the provider decides info is in the best interest of the incapacitated/unconscious client in thier professional judgment?
true
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disclosures under the revised HIPPA act may be made over the phone, in person, or in writing
true
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based in lecture, under the revised HIPPA rules providers can make disclosures of info on an unconsious/incapacitated patient if they are "reasonably sure" that the pt has "involved" the person in their (pt) care?
true
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despite all the changes in HIPPA, with all the substance use related care the best recommendation on governance is to use the 42 CFR Part 2 guidance
true
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Native American indians as a culture view the passage of time much like the majority culture as a "Linear" occurrence
false
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individuals we treat often tend to live out misperceptions or experceptions in their heritages or culture (irish drinkers)
true
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native-american and alaskan american cultures often see their youngsters start using substance at younger ages than the majoirty culture
true
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asian american amongst all minority cultures tend to use more alcohol than other groups
false
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If a father and a mother in japanese family diagree regarding a family treatment decision, the mother's decision typically prevails
false
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given the opportunity to engage in a decision process asian american families typically prefers a
harmonious decision making
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according to our class lecture and text, "acculturation" is predictor of substance use in a culture
good
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african american groups consider alcohol use a " food"
party
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tobacco use is lower in african american groups in our culture
false
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availability of alcohol in a community is meaningless when it comes to identifying risk of abuse
false
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rates of incarceration with African American groups in the US has contributed to the breakdown of family relaionships and family ties
high
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in the moral model of addiction AOD use is consider NOT a choice
false
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addiction is a chronic, progressive and primary disorder in the model
disease
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addiction is viewed as likely a secondary disorder in the model
psychological
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the physician who pioneered the Disease model of addicition was
Jellinek
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jail sentences are possible for marijuana use under the federal schedule
true
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one of the problems with the study that produced the disease concept theory is that the design of the study was later proved to be invalid
true
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under the federal schedule 1 drugs are listed that have no accepted medical use
true
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becaue marijuana is now legal in several states the DOT is actively moving to legalized it
false
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one of disadvantages of the disease concept is that has the ability to encourage the ct to self-fulfill the principle of lack of control
true
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simply put addiction that is the most thorough approach is the
biopsychosocial model
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assessing the ct nutrition is an expectation in the Model
biopychosocial
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according to our class more murders are committed by alcohol impaired individuals than any other impairing substance
true
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cocaine is a CNS depressant
false
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alcohol is a CNS depressant
true
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one of the best indicators that a drug is psychoactive is that it typically has no exponential effect ( taking 2 gives twice the effect)
false
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increasing doses of a substance to obtain the same effect is
tolerance
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tolerance refers to a condition that in which smaller quantities of a substance produce the same effect as larger doses
reverse
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(what type of drug) drugs frequently have little or no exponential value according to the lecture
psychotropic
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generalist training assumes that a large portion of mental health cases are going to have substance use related issues
true
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the combination use of two different drugs that produces an effect greater than the sum in respect to impairment is called ( 1+1=3)
synthetic
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the effect seen in some drugs wherein the nature of the drug may cause a person to not recall they took the dose is called
preattention
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the primary neurotransmitter of influence in the brain reward system is serotonin or dopamine?
dopamine
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principles of effective treatment
- Addiction is a complex but treatable disease that affects brain function and behavior.
- No single treatment is appropriate for everyone.
- Treatment needs to be readily available.
- Effective treatment attends to multiple needs of the individual, not just his or her drug abuse.
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