,TESTBANK for Learning the Language of
Addiction Counseling, 5th Edition by Geri
Miller
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, Chapter 1 Test Bank Questions
Short Answer
1. Give one reason mental health workers may not like to work with alcoholics and
addicts.
ANSWER: Mental health workers, both historically and currently, have not always
liked working with alcoholics and addicts for at least two reasons: (1) the difficulty in
treating them due to factors such as relapses, poor impulse control, emotional
reactivity, and/or lying to protect their addiction; and (2) the lack of knowledge
(techniques) on how best to treat them.
2. Name two ways (routes) someone can enter the field of addictions.
ANSWER: One may enter the field through research, a grassroots network, or a
certification/licensure process.
3. Explain the reason for disagreements in the addictions field based on the numerous
entry routes.
ANSWER: Because one can enter the field through research, grassroots
experiences, or a certification/licensure process, the route of entry can bias one’s
view of addiction in terms of theory and treatment, resulting in disagreements about
addiction among different professions.
4. List two of the five influences in the addiction counseling field.
ANSWER:
a. The traditional addiction counseling approach of the disease model that asks: Is
this approach healing for the addict within the scope of the disease model of
addiction?
b. The addiction research approach that presents counselors with the question:
Which addiction counseling approaches are supported in research findings?
c. A final, and more recent, influence stems from managed care organizations that
confront counselors with the question: What counseling approaches provide the
greatest benefit for the least cost?
5. Name one way in which AA’s definition of alcoholism as an allergic reaction
impacted addiction treatment.
ANSWER:
, a. Allowing the addicted individual to feel less like a bad person and more like a sick
person, which preserved or restored self-esteem and self-respect
b. Providing a simple, straightforward definition of their struggle that most people
can readily grasp
c. Encouraging the use of self-help groups, thereby helping addicts develop a
sense of community
6. State two areas of focus for managed care organizations.
ANSWER: Three common areas of focus in managed care are accessing care,
containing costs, and ensuring quality.
7. Name and describe the three basic models of managed care.
ANSWER:
a. Staff model: Comprehensive medical services are provided by individuals
(employees or contractors) who work out of a central location and receive a
salary.
b. Group model: Group of practitioners who have a contract with an HMO to provide
services (central location or private office).
c. Independent practice model: Practitioner provides specific services (private
office).
8. Choose two of the four theories (moral, psychological, sociocultural, medical,
biopsychosocial) and explain for each the view of the alcoholic/addict, cause of
addiction, and treatment approach.
ANSWER: See Table 1.1 in text.
Multiple Choice
1. Historically, mental health workers have disliked working with alcoholics and addicts
because
a. it is difficult to treat them due to various factors
b. they lack knowledge readily available on how best to treat them
c. they lack techniques readily available on how best to treat them
d. they lack knowledge and techniques readily available on how best to treat them
, ANSWER: d
2. Insurance companies began reimbursing agencies for addiction treatment in the
a. 1960s
b. 1970s
c. 1980s
d. 1990s
ANSWER: b
3. Someone may begin working in the addictions field through
a. research
b. a grassroots network
c. a certification/licensure process
d. all of the above
ANSWER: d
4. Which of the following is not currently a main influence in the addiction counseling
field?
a. moral model
b. disease model
c. managed care organizations
d. addiction research approach
ANSWER: a
5-7. Match the main influence with a description of its focus.
__5. healing for the addict a. disease model
__ 6. supported by research b. managed care organizations
__ 7. greatest benefit for least cost c. addiction research approach
ANSWERS: 5=a; 6=c; 7=b
,8. Layperson therapy in the addictions counseling field began in
a. the early 1900s
b. the 1940s
c. the 1960s
d. the 1980s
ANSWER: a
9. AA’s view of alcoholism as an allergic reaction impacted addiction treatment by
a. making the addicted individual feel less like a sick person and more like a bad
person, which preserved or restored self-esteem and self-respect
b. providing a complicated, multifaceted definition of the addicted person’s struggle
that most people can readily grasp
c. encouraging the use of self-help groups, thereby helping addicts develop a sense
of community
d. discouraging family involvement
ANSWER: c
10. The disease model of alcoholism was developed by
a. Freud
b. Jellinek
c. Marlatt
d. William Miller
ANSWER: b
11. A common area of focus in managed care is
a. accessing care
b. containing costs
c. ensuring quality
d. all of the above
, ANSWER: d
12-14. Match the managed care model with the appropriate description of the model.
12. Comprehensive medical services are provided ___a. Staff model
by individuals who work out of a central location
and receive a salary
13. A group of practitioners contract with an HMO ___b. Group model
to provide model services
14. A practitioner provides specific service ___c. Independent practice
ANSWERS: 12=a; 13=b; 14=c
True/False
1. Mental health workers like to work with addicts and alcoholics because it is easy to treat
them.
ANSWER: False
2. Mental health workers may struggle in working with addicts and alcoholics because they
may lack knowledge and/or techniques on how to best treat them.
ANSWER: True
3. Insurance companies began reimbursing agencies for addiction treatment in the 1990s.
ANSWER: False
4. There are few disagreements among addiction professionals regarding treatment.
ANSWER: False
5. The disease model is a main influence in the addictions counseling field.
ANSWER: True
6. One conflict in the addictions field is the use of the term codependency.
ANSWER: True
7. AA’s view of alcoholism as an allergic reaction helped shift alcoholism from a moral
problem to a physical or medical problem.
ANSWER: True
,8. Marlatt developed the disease model of alcoholism.
ANSWER: False
9. Managed care is not concerned about quality of care.
ANSWER: False
10. There are three basic managed care models.
ANSWER: True
11. Cognitive-behavioral therapies are at the core of evidence-based practices.
ANSWER: True
, Chapter 2 Test Bank Questions
Short Answer
1. Describe and provide examples of how a theoretical framework shapes clinical work.
ANSWER: The framework provides a foundation for managing information received
about a client’s situation. A theoretical framework can be viewed as a tree: The trunk
is the core theory of how people heal in counseling. The branches of the tree are
related theories that naturally connect with and evolve from the core theory. The
smaller branches and twigs are those specific techniques that emerge from the
theoretical framework. The theoretical framework must be both grounding and
flexible, allowing for the unique needs of a client. Flexibility with one’s theoretical
framework is important for the preservation of an ethical counseling process,
matching the theoretical aspect of the framework with what fits the client’s needs in
terms of assessment, treatment, and aftercare. Theoretical perspectives and
techniques may vary as the client changes their inner world or contextual world.
2. Describe how a grassroots history in addictions counseling can limit the development of
a theoretical framework.
ANSWER: Those who come from the grassroots history (e.g. they are recovering
addicts themselves or they are recovering from the impact of a significant other’s
addiction on their lives) may be wedded to their own view of recovery. Such a
perspective may close off the counselor to theoretical frameworks that may better fit
the client.
3. Describe how not having a grassroots history with addictions may limit a counselor
in working with alcoholics/addicts.
ANSWER: A danger for counselors who are not from the grassroots movement of
addiction recovery is that they may not have examined any wounds connected to
their use history or that of the significant others in their lives. Therefore, they run the
risk of haphazardly applying their theoretical framework to the addiction problem due
to issues such as denial of the addiction problem or enabling behavior that
encourages the addiction to continue.
4. Explain at least one possible source for what has sometimes been described as a
closed system attitude of addiction counselors.
ANSWER: First, the addiction counselor may feel threatened or inadequate in
comparison to the educational level of the mental health counselor and be unwilling
to admit to such feelings. Second, the addiction counselor may have observed well-
intentioned mental health counselors err in treating addiction problems, who
, encouraged the addiction through denial or enabling behavior.
5. Name two things a counselor can do to develop an addiction sniffer.
ANSWER:
a. Obtain information and education on the dynamics of addiction.
b. Explore their own use of alcohol/drugs and the impact of significant others’ use of
alcohol/drugs on the counselor’s life.
c. Engage in ongoing dialogue with addiction professionals about client cases.
d. Be mentored into the field by an experienced addiction counseling professional.
6. Elaborate on the factors that need to be considered when conducting an
assessment of one’s own personal use history with alcohol/drugs.
ANSWER:
a. Assessment by a certified/licensed addiction counselor
b. Avoidance of a dual relationship
c. Obtaining an accurate, neutral assessment of one’s use
7. Describe how the addictions counselor can use defense mechanisms to assist a
client in the recovery process.
ANSWER: Helping a client determine a favored type of defense mechanism can
help the counselor and the client develop a clinical focus and a treatment
intervention plan. Both can then discern how the defense mechanism is inhibiting
recovery.
8. Discuss how using a family constellation or discussing early childhood recollections
can assist in addiction counseling.
ANSWER: Such an exercise can challenge the client’s awareness of self and clarify
how this self-perspective, in combination with other perspectives, is controlling the
client’s choice to use alcohol /drugs and act in a self-destructive manner. This
confrontation may lead to a discussion of early recollections for the client that feed
this self-perception and lifestyle. With increased awareness, the counselor can help
the client find goals that are meaningful to self and others.
Multiple Choice
1. Theories
Addiction Counseling, 5th Edition by Geri
Miller
Hello all ,
We have all what you need with best price
Our email :
Our website :
testbanks-store.com
, Chapter 1 Test Bank Questions
Short Answer
1. Give one reason mental health workers may not like to work with alcoholics and
addicts.
ANSWER: Mental health workers, both historically and currently, have not always
liked working with alcoholics and addicts for at least two reasons: (1) the difficulty in
treating them due to factors such as relapses, poor impulse control, emotional
reactivity, and/or lying to protect their addiction; and (2) the lack of knowledge
(techniques) on how best to treat them.
2. Name two ways (routes) someone can enter the field of addictions.
ANSWER: One may enter the field through research, a grassroots network, or a
certification/licensure process.
3. Explain the reason for disagreements in the addictions field based on the numerous
entry routes.
ANSWER: Because one can enter the field through research, grassroots
experiences, or a certification/licensure process, the route of entry can bias one’s
view of addiction in terms of theory and treatment, resulting in disagreements about
addiction among different professions.
4. List two of the five influences in the addiction counseling field.
ANSWER:
a. The traditional addiction counseling approach of the disease model that asks: Is
this approach healing for the addict within the scope of the disease model of
addiction?
b. The addiction research approach that presents counselors with the question:
Which addiction counseling approaches are supported in research findings?
c. A final, and more recent, influence stems from managed care organizations that
confront counselors with the question: What counseling approaches provide the
greatest benefit for the least cost?
5. Name one way in which AA’s definition of alcoholism as an allergic reaction
impacted addiction treatment.
ANSWER:
, a. Allowing the addicted individual to feel less like a bad person and more like a sick
person, which preserved or restored self-esteem and self-respect
b. Providing a simple, straightforward definition of their struggle that most people
can readily grasp
c. Encouraging the use of self-help groups, thereby helping addicts develop a
sense of community
6. State two areas of focus for managed care organizations.
ANSWER: Three common areas of focus in managed care are accessing care,
containing costs, and ensuring quality.
7. Name and describe the three basic models of managed care.
ANSWER:
a. Staff model: Comprehensive medical services are provided by individuals
(employees or contractors) who work out of a central location and receive a
salary.
b. Group model: Group of practitioners who have a contract with an HMO to provide
services (central location or private office).
c. Independent practice model: Practitioner provides specific services (private
office).
8. Choose two of the four theories (moral, psychological, sociocultural, medical,
biopsychosocial) and explain for each the view of the alcoholic/addict, cause of
addiction, and treatment approach.
ANSWER: See Table 1.1 in text.
Multiple Choice
1. Historically, mental health workers have disliked working with alcoholics and addicts
because
a. it is difficult to treat them due to various factors
b. they lack knowledge readily available on how best to treat them
c. they lack techniques readily available on how best to treat them
d. they lack knowledge and techniques readily available on how best to treat them
, ANSWER: d
2. Insurance companies began reimbursing agencies for addiction treatment in the
a. 1960s
b. 1970s
c. 1980s
d. 1990s
ANSWER: b
3. Someone may begin working in the addictions field through
a. research
b. a grassroots network
c. a certification/licensure process
d. all of the above
ANSWER: d
4. Which of the following is not currently a main influence in the addiction counseling
field?
a. moral model
b. disease model
c. managed care organizations
d. addiction research approach
ANSWER: a
5-7. Match the main influence with a description of its focus.
__5. healing for the addict a. disease model
__ 6. supported by research b. managed care organizations
__ 7. greatest benefit for least cost c. addiction research approach
ANSWERS: 5=a; 6=c; 7=b
,8. Layperson therapy in the addictions counseling field began in
a. the early 1900s
b. the 1940s
c. the 1960s
d. the 1980s
ANSWER: a
9. AA’s view of alcoholism as an allergic reaction impacted addiction treatment by
a. making the addicted individual feel less like a sick person and more like a bad
person, which preserved or restored self-esteem and self-respect
b. providing a complicated, multifaceted definition of the addicted person’s struggle
that most people can readily grasp
c. encouraging the use of self-help groups, thereby helping addicts develop a sense
of community
d. discouraging family involvement
ANSWER: c
10. The disease model of alcoholism was developed by
a. Freud
b. Jellinek
c. Marlatt
d. William Miller
ANSWER: b
11. A common area of focus in managed care is
a. accessing care
b. containing costs
c. ensuring quality
d. all of the above
, ANSWER: d
12-14. Match the managed care model with the appropriate description of the model.
12. Comprehensive medical services are provided ___a. Staff model
by individuals who work out of a central location
and receive a salary
13. A group of practitioners contract with an HMO ___b. Group model
to provide model services
14. A practitioner provides specific service ___c. Independent practice
ANSWERS: 12=a; 13=b; 14=c
True/False
1. Mental health workers like to work with addicts and alcoholics because it is easy to treat
them.
ANSWER: False
2. Mental health workers may struggle in working with addicts and alcoholics because they
may lack knowledge and/or techniques on how to best treat them.
ANSWER: True
3. Insurance companies began reimbursing agencies for addiction treatment in the 1990s.
ANSWER: False
4. There are few disagreements among addiction professionals regarding treatment.
ANSWER: False
5. The disease model is a main influence in the addictions counseling field.
ANSWER: True
6. One conflict in the addictions field is the use of the term codependency.
ANSWER: True
7. AA’s view of alcoholism as an allergic reaction helped shift alcoholism from a moral
problem to a physical or medical problem.
ANSWER: True
,8. Marlatt developed the disease model of alcoholism.
ANSWER: False
9. Managed care is not concerned about quality of care.
ANSWER: False
10. There are three basic managed care models.
ANSWER: True
11. Cognitive-behavioral therapies are at the core of evidence-based practices.
ANSWER: True
, Chapter 2 Test Bank Questions
Short Answer
1. Describe and provide examples of how a theoretical framework shapes clinical work.
ANSWER: The framework provides a foundation for managing information received
about a client’s situation. A theoretical framework can be viewed as a tree: The trunk
is the core theory of how people heal in counseling. The branches of the tree are
related theories that naturally connect with and evolve from the core theory. The
smaller branches and twigs are those specific techniques that emerge from the
theoretical framework. The theoretical framework must be both grounding and
flexible, allowing for the unique needs of a client. Flexibility with one’s theoretical
framework is important for the preservation of an ethical counseling process,
matching the theoretical aspect of the framework with what fits the client’s needs in
terms of assessment, treatment, and aftercare. Theoretical perspectives and
techniques may vary as the client changes their inner world or contextual world.
2. Describe how a grassroots history in addictions counseling can limit the development of
a theoretical framework.
ANSWER: Those who come from the grassroots history (e.g. they are recovering
addicts themselves or they are recovering from the impact of a significant other’s
addiction on their lives) may be wedded to their own view of recovery. Such a
perspective may close off the counselor to theoretical frameworks that may better fit
the client.
3. Describe how not having a grassroots history with addictions may limit a counselor
in working with alcoholics/addicts.
ANSWER: A danger for counselors who are not from the grassroots movement of
addiction recovery is that they may not have examined any wounds connected to
their use history or that of the significant others in their lives. Therefore, they run the
risk of haphazardly applying their theoretical framework to the addiction problem due
to issues such as denial of the addiction problem or enabling behavior that
encourages the addiction to continue.
4. Explain at least one possible source for what has sometimes been described as a
closed system attitude of addiction counselors.
ANSWER: First, the addiction counselor may feel threatened or inadequate in
comparison to the educational level of the mental health counselor and be unwilling
to admit to such feelings. Second, the addiction counselor may have observed well-
intentioned mental health counselors err in treating addiction problems, who
, encouraged the addiction through denial or enabling behavior.
5. Name two things a counselor can do to develop an addiction sniffer.
ANSWER:
a. Obtain information and education on the dynamics of addiction.
b. Explore their own use of alcohol/drugs and the impact of significant others’ use of
alcohol/drugs on the counselor’s life.
c. Engage in ongoing dialogue with addiction professionals about client cases.
d. Be mentored into the field by an experienced addiction counseling professional.
6. Elaborate on the factors that need to be considered when conducting an
assessment of one’s own personal use history with alcohol/drugs.
ANSWER:
a. Assessment by a certified/licensed addiction counselor
b. Avoidance of a dual relationship
c. Obtaining an accurate, neutral assessment of one’s use
7. Describe how the addictions counselor can use defense mechanisms to assist a
client in the recovery process.
ANSWER: Helping a client determine a favored type of defense mechanism can
help the counselor and the client develop a clinical focus and a treatment
intervention plan. Both can then discern how the defense mechanism is inhibiting
recovery.
8. Discuss how using a family constellation or discussing early childhood recollections
can assist in addiction counseling.
ANSWER: Such an exercise can challenge the client’s awareness of self and clarify
how this self-perspective, in combination with other perspectives, is controlling the
client’s choice to use alcohol /drugs and act in a self-destructive manner. This
confrontation may lead to a discussion of early recollections for the client that feed
this self-perception and lifestyle. With increased awareness, the counselor can help
the client find goals that are meaningful to self and others.
Multiple Choice
1. Theories
