General Practice Flashcards

Which of the following best describes the 'transtheoretical model' stage where a client acknowledges a problem but is not yet committed to change?

Answer: Contemplation

In the contemplation stage, individuals recognize a problem exists but are ambivalent about making a change.

A counselor discovers their client is a former romantic partner. The most appropriate first action is to:

Answer: Consult a supervisor and arrange for client referral

Pre-existing personal relationships constitute a dual relationship; the counselor should consult and refer to avoid exploitation.

Which neurotransmitter is most directly implicated in the rewarding effects of alcohol and opioids?

Answer: Dopamine

Dopamine release in the nucleus accumbens is the primary mechanism underlying the rewarding effects of alcohol and opioids.

Motivational Interviewing is best described as:

Answer: A client-centered method for eliciting intrinsic motivation to change

MI is a collaborative, client-centered style that draws out the client's own motivation and reasons for change.

Under HIPAA, a chemical dependency counselor may release a client's records without consent in which of the following situations?

Answer: A court issues a valid subpoena or court order

A valid court order or subpoena is a legally recognized basis for disclosing records without patient consent under HIPAA.

Which of the following is a hallmark symptom of opioid withdrawal?

Answer: Lacrimation, rhinorrhea, and muscle aches

Opioid withdrawal classically presents with tearing, runny nose, muscle aches, anxiety, and gastrointestinal distress.

A client in early recovery says, 'I can have just one drink at a wedding—I'm cured now.' Which counseling concept should the counselor address?

Answer: Controlled use belief

The belief that one can control use after a period of abstinence is a common cognitive distortion known as a controlled use belief or relapse rationalization.