Substance Abuse Counseling Flashcards
6 cards from real LPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Substance Abuse Counseling flashcards as text
The 12-step facilitation approach, based on Alcoholics Anonymous, emphasizes which of the following core concepts?
Answer: Acceptance of powerlessness over the substance, surrender to a higher power, and peer support through steps
12-step programs are based on admitting powerlessness over the substance, surrendering to a higher power, taking a moral inventory, making amends, and ongoing peer support through meetings.
Opioid withdrawal is medically characterized by which of the following symptoms?
Answer: Anxiety, muscle aches, nausea, vomiting, diaphoresis, and insomnia
Opioid withdrawal produces a flu-like syndrome: anxiety, muscle aches, lacrimation, rhinorrhea, nausea, vomiting, diarrhea, diaphoresis, piloerection, and insomnia — uncomfortable but rarely life-threatening.
Which counseling approach is specifically designed for adolescent substance use and incorporates family systems principles along with CBT strategies?
Answer: Multidimensional Family Therapy (MDFT)
MDFT is an evidence-based treatment for adolescent substance use that integrates family therapy, CBT, and systems theory to address individual, family, peer, and community risk factors.
Contingency management (CM) in substance abuse treatment operates on which behavioral principle?
Answer: Operant conditioning — providing tangible reinforcers for substance-negative behaviors (e.g., clean urine screens)
Contingency management uses operant conditioning principles — providing positive reinforcement (vouchers, prizes) for verified abstinence — to increase substance-free behavior.
The ASAM Patient Placement Criteria determine the appropriate level of care for substance use treatment based on which of the following dimensions?
Answer: Multiple dimensions including acute intoxication/withdrawal, medical conditions, emotional/behavioral conditions, readiness to change, relapse potential, and recovery environment
ASAM criteria assess six dimensions to match patients to the appropriate level of care: (1) acute intoxication/withdrawal, (2) biomedical conditions, (3) emotional/behavioral/cognitive conditions, (4) readiness to change, (5) relapse/continued use potential, (6) recovery/living environment.
According to the stages of change model, which intervention strategy is most appropriate for a client in the precontemplation stage?
Answer: Building rapport and raising awareness of the problem without pressuring change
In precontemplation, clients do not yet recognize a problem. The appropriate strategy is to build rapport, provide information, and raise awareness — not push for immediate action.