TCC Substance Abuse & Addiction Counseling 2

Question 1

In substance abuse counseling, 'enabling' behavior is best defined as:

Accepted Answer

Actions by others that unintentionally shield a person from the consequences of their substance use

Answer

Supporting a client's intrinsic motivation to seek treatment

Answer

Teaching coping skills to help a client manage triggers and cravings

Answer

Setting firm, consistent boundaries with a client who is actively using substances

Question 2

Which of the following is the most evidence-based pharmacological treatment for opioid use disorder?

Accepted Answer

Medication-Assisted Treatment (MAT) with buprenorphine or methadone combined with counseling

Answer

Naloxone-only maintenance therapy

Answer

Residential 12-step immersion programs exclusively

Answer

Rapid detoxification under general anesthesia

Question 3

Which of the following best describes the 'harm reduction' approach in addiction counseling?

Accepted Answer

Reducing the negative consequences of substance use without requiring abstinence

Answer

Requiring complete abstinence as a prerequisite before treatment begins

Answer

Prescribing substitute medications to fully replace all illicit drug use

Answer

Focusing exclusively on the legal consequences of substance use behavior

Question 4

Motivational Interviewing (MI) was originally developed by:

Accepted Answer

William Miller and Stephen Rollnick

Answer

Aaron Beck and Albert Ellis

Answer

Carl Rogers and Abraham Maslow

Answer

Albert Bandura and B.F. Skinner

Question 5

What does the acronym OARS stand for in Motivational Interviewing?

Accepted Answer

Open questions, Affirmations, Reflections, Summaries

Answer

Observation, Analysis, Reflection, Support

Answer

Orientation, Assessment, Referral, Support

Answer

Objectives, Actions, Rewards, Strategies

Question 6

Co-occurring disorders (dual diagnosis) in addiction counseling refers to:

Accepted Answer

Having both a substance use disorder and a mental health disorder at the same time

Answer

The simultaneous presence of two different substance use disorders

Answer

Two clients sharing the same substance use diagnosis and treatment plan

Answer

A combination of medical and psychological withdrawal symptoms occurring together

Question 7

Which of the following is a key principle of the ASAM Patient Placement Criteria for substance use treatment?

Accepted Answer

Treatment level should match the severity of the client's clinical needs assessed across six dimensions

Answer

All clients with substance use disorders should begin treatment at the most intensive level available

Answer

Outpatient treatment is always preferred over residential treatment primarily for cost-effectiveness

Answer

Detoxification alone constitutes sufficient treatment for most substance use disorders