- Daley & Douaihy, 2011, indicate that it is usually a combination of factors rather than just one that leads to an addiction or the continuation of it, and for many it is a chronic disease. Which is not one of such factors?
- There are differences in brain chemistry or metabolism of addicted individuals that may distinguish them from non-addicted persons.
- How a person handles problems or stresses in life can determine whether or not substances are relied upon to reduce stress, escape problems, or cover up upsetting or difficult feelings such as anger, anxiety, boredom, depression, emptiness, loneliness or guilt.
- If a particular group reinforces getting high or deviant behaviors related to substance use, the individual may not be more prone to using substance and eventually becoming addicted.
- According to Daley & Douaihy, 2011, recovery is a long-term process of change through which an individual achieves abstinence and improves health, wellness and quality of life.
- Since each addicted person has a different profile of strengths and weaknesses in areas of change in recovery, each person requires a unique recovery program based on specific factors. Which factor is not part of such?
- It is not the emotional state in and of itself that determines if a relapse will occur, but…
|a.||…the clients ability to stay in touch with their local sponsor and support group.|
|b.||…the client’s ability to manage Post-acute withdrawal symptoms.|
|c.||…the clients ability to use active coping skills to manage negative emotional states.|
|d.||…the client’s ability to support their family members in their own recovery process.|
|e.||…the client’s ability to manage substance use appropriately.|
- Clients are more prone to relapse if they have poor problem solving, social, stress management and leisure time management skills.
- If a client believes that she can successfully cope with a difficult challenge, such as a drug craving or pressure from friends to use drugs, relapse is less of a threat to recovery.
- Motivation, learned behaviors, personality factors and psychological disturbances stemming from traumas do not contribute to a relapse.
- To remain sober, the client must learn to do all except:
|a.||Respond to “slips” to prevent a full-blown relapse|
|b.||Handle drug cravings|
|c.||Adjust to drug-free activities and satisfactions|
|d.||Revisit places substances have been used in to fully process the effect it had on one’s life|
|e.||Cope with physical pain or stress without returning to drug use|
- Stopping addictive use of alcohol or other drugs involves three stages; which is not part of such?
|a.||Making a commitment and becoming motivated to change|
|b.||Long-term maintenance of change|
|c.||Making arrangements for change while in residential treatment|
|d.||Implementing the change|
- Medications for addiction may disrupt the reward provided by alcohol or drugs or affect the dysregulation of brain chemistry caused by substances.
- Medications should never be combined with therapy or a psychosocial treatment program. They can be especially harmful for clients with a history of multiple relapses to alcohol, opioids or nicotine.
- Medications that benefit clients with ongoing recovery from alcohol dependence include all but:
- Medications that benefit clients with ongoing recovery from opioid addiction include all but:
- Treatment of psychiatric illness with appropriate medications has important implications for recovery from mental illness and addiction, and in reducing relapse risk with both disorders.
- Monitoring medication use and side effects can help identify adherence problems early before these lead to adverse outcomes. This requires all, except:
|a.||Encouraging patients to share their mediation with others if one runs out, to ensure medication use remains consistent|
|b.||Knowing about your client’s medication intake|
|c.||Probing for specific details when there is some indication that medications are not being taken consistently as prescribed.|
|d.||Asking direct questions about medication use and side effects|
- Cravings, urges or desires to use substances are common when a person stops using alcohol or other drugs. These are triggered by all except:
|a.||Environmental cues associated with prior use|
|b.||Internal factors such as emotions or thoughts|
|c.||The sight or smell of the substance or something associated with using it (e.g., a specific person, location, event, object, song, etc).|
|d.||The treatment programs|
- All triggers and cues are outside of the client’s control.
- Direct and indirect social pressures often lead to increased thoughts and desires to use substances as well as anxiety regarding one’s ability to refuse offers to drink alcohol or use other drugs.
- Pressures to use alcohol or other drugs typically don’t result from relationships with active substance abusers or being part of a high-risk social network in which substance use plays a significant role. Therefore, the client does not need to assess his/her social network and if needed, learn ways to limit or end relationships that represent a high risk for relapse.
- A daily inventory keeps the client vigilant about recovery and focus on recovering one day at a time. Such an inventory can be used at the beginning of the day to identify issues to work on during the day, and to identify recovery strategies to use. It can also be used at the end of the day to reflect on the day. What may not be an effective question for the day end inventory?
|a.||What progress did I make and how satisfied am I with my progress?|
|b.||What steps can I take to manage my problems or relapse warning signs to reduce my risk of an actual relapse?|
|c.||Were there any relapse warning signs present today that represent a potential threat to my ongoing recovery?|
|d.||What problems or goals did I work on today?|
|e.||How much recovery service work did I complete today?|
- Recurrent depression, bipolar illness, schizophrenia, and many of the anxiety and personality disorders are chronic conditions in which some symptoms may never totally remit. One of treatment modules in Dr. Liberman’s program teaches clients four main skills to manage symptoms and reduce the risk of relapse. Identify one skill that does not apply:
|a.||Manage persistent symptoms of illness.|
|b.||Avoid alcohol and drugs since these substances interfere with the efficacy of medications or the client’s motivation to recover.|
|c.||Only consume alcohol and drugs under the supervision of a psychiatrist to ensure appropriate management.|
|d.||Manage early signs of psychotic relapse so the client’s condition does not worsen.|
|e.||Identify early signs of psychotic relapse.|
- The acronym “HALT,” cited by AA and NA members speaks to this important issue of negative emotions. Which emotion matches the letter “H”?
- The acronym “HALT,” cited by AA and NA members speaks to this important issue of negative emotions. Which emotion matches the letter “A”?
- Family members are often adversely affected by a loved one’s addiction. Families have many questions and concerns, and need information to help them better understand addiction and recovery. Involving them in treatment helps them learn what they can and cannot do to help support the family member with the addiction.
- Participation in treatment sessions or support groups such as Al-Anon or Nar-Anon do not help the family learn to deal with their own feelings and reactions to their addicted member, as they only focus on the addicted family member.
- Relapse is more likely to occur as a result of lack of coping skills than the high risk situation itself so the clinician should assess the client’s coping style to determine targets for clinical intervention.
- Which is not a commonly identified relapse warning sign?
|d.||Mood/emotional state changes|
- “Challenging relapse thoughts” helps the client:
|a.||To identify relapse thoughts of someone else.|
|b.||To better connect with one’s emotions.|
|c.||To become aware of common relapse-related thoughts expressed by family members.|
|d.||To evaluate what is faulty about these particular thoughts, or thinking pattern.|
|e.||To practice challenging the thought(s) in order to guarantee sobriety.|
- Group leaders can use a variety of interventions in conducting RP group sessions. Identify one aspect that is not an identified intervention.
Don’t encourage continuing participation in treatment, and attendance at mutual support programs such as AA, NA, other 12-Step or other non 12-step programs, since these groups are not therapy groups
|b.||Emphasizing positive coping strategies used by members to aid recovery and prevent relapse, or intervene early in the process|
|c.||Having members to talk directly to each other when sharing their opinions, discussing experiences or providing feedback related to topics of RP groups or problems discussed within the group|
|d.||Facilitating group discussion and interaction among clients|
|e.||Helping members relate to the RP concepts discussed in a personal way|
- Recovery is a long-term process of abstinence + ________.
- Social pressure to use substances is one of the most common relapse risk factors with substance use disorders.
- Many mutual support programs exist to aid recovery and reduce relapse risk. All of these programs have “tools” to help the person recover.
- Therapy groups allow clients to discuss issues in greater detail than structured recovery groups, which can lead to gaining personal insight and making decisions to change something specific. Only issues related to potential relapse should be addressed in such groups.
- Many of the RP models and other evidenced-based group models use a structured curriculum to cover issues important to recovery and relevant to relapse prevention.
- Handling cravings for alcohol or other drugs helps the person identify signs and causes of cravings, and reviews practical coping strategies.
- Recovery can be aided by helping clients learn about these cognitive distortions, relating them to their individual life situations, and developing appropriate coping strategies for responding to them. Which cannot be identified as a cognitive distortion?
|b.||Making things worse than they really are|
|e.||Black and white or dichotomous thinking|
- Helping clients develop positive habits or substitute indulgences (e.g., jogging, meditation, relaxation, exercise, hobbies or creative tasks, etc.) for substance abuse can help to balance their lifestyle.
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