Counseling and Therapeutic Modalities Flashcards
7 cards from real CARN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Counseling and Therapeutic Modalities flashcards as text
A patient in a therapeutic community (TC) for methamphetamine addiction repeatedly violates community norms. According to TC philosophy, this behavior is BEST addressed by:
Answer: Peer-run encounter groups to confront the behavior
Therapeutic communities use the community itself as the agent of change, with peer encounter groups being a core method for addressing problematic behavior.
Which communication technique in Motivational Interviewing (MI) involves reflecting back a deeper meaning or emotion beneath what the patient explicitly stated?
Answer: Complex reflection
Complex reflections add meaning, emotion, or interpretation beyond the patient's literal words to deepen engagement and promote insight.
A CARN is conducting relapse prevention counseling. Which scenario BEST illustrates the 'Abstinence Violation Effect' (AVE)?
Answer: A patient uses once and concludes they have completely failed, leading to continued use
AVE occurs when a person who lapses catastrophizes the slip as total failure, triggering guilt and a shift in self-perception that leads to full relapse.
Functional analysis in the context of substance use disorder treatment is used to:
Answer: Identify antecedents, behaviors, and consequences of substance use
Functional analysis (ABC analysis) examines the antecedents (triggers), behavior (substance use), and consequences to understand the function the substance serves for the patient.
In Network Therapy for alcohol use disorder, the 'network' refers to:
Answer: Supportive family and friends recruited as co-therapists
Network Therapy enlists the patient's supportive social network (family, friends) to participate in therapy sessions as allies in maintaining sobriety.
A nurse is using the Community Reinforcement Approach (CRA) with a cocaine-dependent patient. The FIRST step is typically to:
Answer: Conduct a functional analysis of drug use patterns
CRA begins with a functional analysis to identify triggers, consequences, and the role drug use plays in the patient's life before building competing reinforcers.
Which therapeutic approach emphasizes that the meaning a person assigns to events — not the events themselves — determines emotional and behavioral responses?
Answer: Rational Emotive Behavior Therapy (REBT)
REBT, developed by Albert Ellis, holds that irrational beliefs about events (not events themselves) cause emotional disturbance and maladaptive behaviors like substance use.