CWP Treatment Approaches and Interventions 3 — Questions and Answers
Question 1: A client recovering from substance use disorder is learning to identify high-risk situations. Which intervention framework is MOST directly applicable?
- Marlatt's Relapse Prevention Model (Correct answer)
- Social Learning Theory
- Health Belief Model
- Biopsychosocial Model
Correct answer: Marlatt's Relapse Prevention Model
Marlatt's Relapse Prevention Model specifically addresses identifying high-risk situations, developing coping strategies, and managing lapses to prevent full relapse.
Question 2: Which nutritional counseling approach aligns BEST with a non-diet, body-positive wellness philosophy?
- Caloric restriction protocols
- Intuitive eating framework (Correct answer)
- Glycemic index dieting
- Macronutrient tracking apps
Correct answer: Intuitive eating framework
Intuitive eating rejects diet culture and encourages clients to honor hunger and fullness cues, aligning with body-positive and non-restrictive wellness values.
Question 3: When prescribing physical activity for a sedentary client with mild hypertension, which FITT principle component should be adjusted FIRST to minimize cardiovascular risk?
- Frequency
- Intensity (Correct answer)
- Time
- Type
Correct answer: Intensity
Starting with low-to-moderate intensity reduces cardiovascular strain and makes the initial exercise prescription safe for clients with hypertension.
Question 4: A practitioner uses solution-focused brief therapy (SFBT) with a stressed client. Which question type is the HALLMARK of this approach?
- Socratic questioning
- Miracle question (Correct answer)
- Functional analysis questions
- Motivational enhancement questions
Correct answer: Miracle question
The miracle question ('If a miracle happened overnight and your problem was solved, what would be different?') is the defining technique of SFBT, focusing on desired futures.
Question 5: Which sleep hygiene intervention is supported by evidence for improving sleep onset latency in adults with insomnia?
- Increasing time in bed to compensate for lost sleep
- Stimulus control therapy restricting bed to sleep only (Correct answer)
- Napping daily to reduce fatigue debt
- Blue light exposure in the morning
Correct answer: Stimulus control therapy restricting bed to sleep only
Stimulus control therapy strengthens the bed-sleep association by restricting bed use to sleep and sex, and is a first-line CBT-I intervention for insomnia.
Question 6: A group wellness program uses social comparison theory to motivate participants. What is the POTENTIAL downside of this approach?
- Reduced goal clarity
- Decreased program enrollment
- Negative self-evaluation among lower-performing members (Correct answer)
- Overemphasis on intrinsic rewards
Correct answer: Negative self-evaluation among lower-performing members
Upward social comparison (comparing oneself to better performers) can lower self-efficacy and motivation in clients who perceive themselves as falling behind.
Question 7: A wellness practitioner introduces biofeedback to a client with chronic tension headaches. What does biofeedback training teach the client to control?
- Unconscious immune system responses
- Voluntary and involuntary physiological processes via real-time feedback (Correct answer)
- Medication dosing based on symptom severity
- Dietary triggers through food journaling
Correct answer: Voluntary and involuntary physiological processes via real-time feedback
Biofeedback uses real-time physiological data (e.g., muscle tension, heart rate) to train clients to consciously regulate both voluntary and autonomic body functions.
CWP Treatment Approaches and Interventions 3
A client recovering from substance use disorder is learning to identify high-risk situations.
Which intervention framework is MOST directly applicable?