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Alcohol Problems In Intimate Relationships

1. DSM-IV recognizes which alcohol use disorder below:

A. alcohol dependence

B. alcohol abuse

C. both of these

D. neither of these


2. Among professionals, there is an increasing trend to distinguish between “problem drinking” and “alcoholism”.

A. True

B. False


3. According to the authors, risky drinking can be determined by identifying which of the following patterns:

A. high-volume drinking

B. high-quantity consumption

C. any consumption within certain contexts

D. all of these

E. none of these


4. According to the authors, a low proportion of individuals, couples and families who present for therapy may be experiencing or may be at risk for alcohol problems.

A. True

B. False


5. Alcohol Problems: The Couple and Family Context  Data cited in the guide suggests that one in every ____ children in the U.S. is exposed to alcohol abuse or dependence in their family.

A. 3

B. 4

C. 5

D. 6


6. Which of the following is not a family problem stated to co-occur with alcohol problems:

A. violence

B. economic insecurity

C. marital harmony

D. infidelity


7.   Which of the following is not a screening instrument recommended for use:

A. The 25-item MAST

B. The 4-item CAGE

C. The Science Foundations Tool (SFT)

D. The 10-item Alcohol Use Disorders Identification Test (AUDIT)


8. Any alcohol assessment should cover all but one of the following domains:

A. level and pattern of alcohol use

B. preferences for hard liquor versus beer and wine

C. dependence symptoms/problem severity

D. consequences of alcohol use


9. The authors state that “self-reports” of frequency and quantity of alcohol use remain the most reliable indicators of consumption patterns available.

A. True

B. False


10. The Drinker Inventory of Consequences is a 50 item check list of adverse drinking consequences providing scores in all areas below but:

A. transitional

B. social

C. intrapersonal

D. interpersonal

E. impulsive


11. Brief Interventions: Initial Decision Making  As a therapist, why might you decide to ignore or not initially address identified drinking problems in a family?

A. Another severe problems such as child abuse requires immediate attention

B. Time or number of sessions of family availability may be limited

C. You fear discussion will result in termination of treatment

D. All of the above


12. Treating alcohol problems within the family or through referral requires consideration of:

A. The centrality of drinking to presenting family problems

B. Your own expertise and comfort level in managing drinking related problems

C. both of these

D. neither of these


13. One reason the authors give in favor of involving children in the therapy process is that even young children are aware that alcohol is a unique, special beverage and they can link parental drinking to behavioral changes.

A. True

B. False


14. Which of the following is not cited by the authors as one of the major therapeutic principles to use when addressing drinking as an issue in family treatment?

A. choice

B. negative reinforcement

C. empathy

D. motivation through attention to client goals


15. Which of the following is not listed as a common pitfall unique to the family therapy context?

A. Drinker becomes defensive

B. Other family members have negative reactions to your empathetic responses to the drinker

C. Family members develop an alliance against you to avoid the alcohol issue

D. All are listed


16. Elements of Brief Interventions: When the Drinker is Present Which is not one of the major elements of the brief intervention cited by the authors?

A. Feedback

B. Responsibility

C. Follow-up

D. Choices

E. Involvement of Clergy


17. One component of the sample feedback sheet is a comparison of the drinking client to everyone who drinks in the United States.

A. True

B. False


18. After feedback sessions, client and family reactions tend to be quite predictable with little variation.

A. True

B. False


19. According to the blood alcohol charts, a 160 lb. man would have to consume how many drinks to begin to significantly affect his driving skills?

A. 1

B. 2

C. 3

D. 4


20. According to the blood alcohol charts, a woman would have to weigh how much before 2 drinks did not significantly affect her driving skills?

A. 140 lbs.

B. 180 lbs.

D. 240 lbs

E. the chart doesn’t go that high


21. A comment from the therapist such as “It is your decision to do what you want to do” pertains to which major element of the brief intervention?

A. Personal Responsibility

B. Family Involvement

C. Follow-up

D. None of these


22. Elements of Brief Interventions: When the Drinker is Not Present If the drinker is unwilling to get involved in therapy, therapeutic strategies become chiefly geared at helping the family respond constructively to a family member’s alcohol problem and to motivate the drinker to change or seek treatment.

A. True

B. False


23. When the drinker is not present in therapy, key elements to brief interventions include:

A. Assessment of family coping strategies

B. Assessing/insuring family safely

C. Both of these

D. Neither of these


24. As a suggestion for improving family coping, the authors recommend giving specific homework assignments that involve practicing new behaviors and responses

A. True

B. False


25. The authors recommend which self-help/support organization for family members affected by another’s drinking?

A. Al-Anon

B. Alateen

C. Both of these

D. Neither of these


26. Longer Term Approaches To Alcohol Problems The two major approaches to family-based treatment for alcohol problems that have been developed and tested in controlled research include:

A. Alcohol-focused behavioral couples therapy

B. Family systems approaches

C. Both of these

D. Neither of these


27. Which is not a major component of ABCT:

A. Cognitive-behavioral strategies to help the drinker stop drinking and acquire coping skills

B. Strategies to teach family to support the drinker’s change efforts and reduce ‘protecting’ the drinker

C. Strategies to improve the couple’s relationship by increasing positive exchanges and communication

D. Behavioral contracts between intimate partners to AVOID the use of medications


28. In referring clients to community-based services, the first approach is stepped care, in which treatment is initiated at the most restrictive level possible for the client.

A. True

B. False


29. The second approach, patient-treatment matching, is articulated by the American Society of Addiction Medicine through their patient placement criteria, which specifies which of the following dimensions to consider when selecting an initial level of care?

A. Medical conditions

B. Severity of dependence and withdrawal possibilities

C. Motivation to change

D. Potential for relapse

E. All of these


30. Which of the following professions provide specific certifications indicating competence or expertise in substance abuse treatment?

A. Psychologists

B. Physicians

C. Mental health providers

D. Psychiatrists

E. All of these


31. What three treatment models have been studied extensively and shown fairly consistent support for being effective?

A. Cognitive-behavioral therapy

B. MET (Motivational enhancement therapy)

C. Twelve-step facilitation

D. All of these

E. None of these


32. The self help group cited as being widely available, free and as having ‘a desire to stop drinking’ as its only membership requirement is:

A. SMART recovery

B. Women for Sobriety

C. AA

D. Moderation Management


33. Page A-9 of the Clinical Toolbox provides a copy of what tool?

A. Steady pattern chart

B. Episodic occasions chart

C. The SCID questionnaire

D. The DrInC scoring sheet


34. 12 oz. of beer is listed as the equivalent to 1.5 oz. of brandy on the standard drinks chart

A. True

B. False


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