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Substance Abuse Treatment and Family Therapy (Revised) - Part 2

Integrated Models for Treating Family Members

1. All of the following are practical advantages of the integrated models for the treatment providers, except for:

A. Reduced resistance

B. Intergenerational impact

C. Flexibility in treatment planning

D. Flexibility in treatment approach


2. To determine a counselor’s level of involvement with a specific family, which factor must be considered?

A. The counselor’s level of experience.

B. The counselor’s level of comfort.

C. Both (A) and (B).

D. None of the above.


3. All of the following models have demonstrated effectiveness in treating substance use disorders, except for:

A. Solution-focused brief therapy

B. Structural / strategic family therapy

C. Multidimensional family therapy

D. Multisystemic therapy


4. All of the following apply to multiple family therapy, except for:

A. All family members, including those who are currently abusing drugs or alcohol are included.

B. Families sit together in a circle, with several therapists interspersed among the group.

C. After the purpose of the meeting is described and the need for open communication is stressed, one family’s situation is discussed for about an hour.

D. Three or four families are the subject for each session, although all the families participate in the discussion.


5. The counselor can use which of the following techniques to facilitate behavioral change within a family to support abstinence from substance use?

A. Contingency contracting

B. Skills training

C. Cognitive restructuring

D. All of the above


6. The goal of family / larger systems therapy is to empower the family in its dealings with larger systems, which begins when the counselor designates:

A. What larger systems affects the family.

B. The family as the major expert on the family.

C. What agencies and agency subsystems regularly interact with family members.

D. How the family is moved from one larger system to another.


7. Bowen family systems therapists believe that all family dysfunctions, including substance abuse, come from ineffective management of the _____ in a family system.

A. Roles

B. Hierarchy

C. Anxiety

D. All of the above


8. It is believed that the Bowen family systems therapy is a good match for clients with substance use disorders who have immigrated to this country because it emphasizes the intergenerational transmission of anxiety and the effects of trauma that are passed down through generations.

A. True

B. False


9. Solution-focused brief therapy focuses on an extensive description of the problem with emphasis on understanding the development of the problem in the past or its maintenance in the present.

A. True

B. False


10. The most important feature of the miracle question is:

A. Its transfer of power to clients.

B. Its ability to help the client imagine what life would be like if their problems were solved.

C. The hope of change it gives to clients.

D. The preview of the benefits of change for clients.


Specific Populations

11. When a child is abusing substances, which of the following is probably the most useful approach?

A. Network and family / larger system therapy

B. Multifamily therapy

C. Single family therapy

D. All of the above


12. Play therapy refers to all of the following, except:

A. The use of toys, games, puppets, and models.

B. Playful interactions in therapy.

C. Role playing.

D. Structured and often non-verbal processes.


13. Substance use in the teen years is associated with:

A. Conduct disorders

B. Oppositional disorders

C. Eating disorders

D. All of the above


14. In general, treatment is less effective and the prognosis less optimistic for people with later-onset substance disorders.

A. True

B. False


15. One of the biggest psychosocial differentials between men and women who abuse substances is stigma.

A. True

B. False


16. A recurring theme in the lives of women with substance use disorders is:

A. A lack of healthy relationships.

B. A history of trauma.

C. The death of a spouse or child.

D. All of the above.


17. A particular treatment issue relevant to women is:

A. Shame

B. Trauma

C. Control over her life

D. All of the above


18. Which of the following is the single most important element in working with African-American families?

A. The personal connection between family members.

B. The personal connection between family and therapist.

C. Offering an educational orientation about treatment, alcohol, and other drugs.

D. All of the above.


19. Some single-parent families have a parental child who helps the mother take care of other children, particularly while the mother is working.  The existence of a parental child indicates dysfunction.

A. True

B. False


20. Which of the following is a component of the core construct among Hispanic and other ethnic-minority cultures known as familialism / familismo?

A. Perceived obligations toward helping family members.

B. Reliance on support from family members.

C. The use of family members as behavioral and attitudinal referents.

D. All of the above.


21. Hispanics / Latinos may perceive therapy interventions as incompetent or misguided if they openly encourage young people to speak their mind or tell parents what they really think.

A. True

B. False


22. Despite the diversity among the Asian subgroups, Asian immigrants and refugees share all of the following traits, except for:

A. Deference to authority

B. Emotional inhibition

C. Disregard for specific roles

D. Hierarchical families


23. Family therapy with Asian Americans is least likely to include younger generations.

A. True

B. False


24. Which of the following factors that cause conflict within Asian families is attributable to acculturation?

A. Women receiving increased status.

B. Children no longer demonstrating the highest regard for their elders.

C. Older family members losing their preeminence as the keepers of tradition.

D. All of the above.


25. It is recommended that therapists delve into the ethic differences between the American Indian family and the therapist in a direct manner.

A. True

B. False


26. Speaking with an American Indian as a human being, rather than as an “Indian,” will help to build trust.

A. True

B. False


27. When working with American Indians, it is suggested that therapists not take notes at the beginning of therapy as it can be taken as a sign that they are not listening.

A. True

B. False


28. The therapist should do each of the following when working with American-Indian clients, except for:

A. The therapist should include only the nuclear family members due to the privacy nature of American-Indian families.

B. The therapist should present suggestions in a slow and calm manner, indicating attention to clients’ time-oriented approach.

C. The therapist should determine whether all family members belong to the same tribe, as intertribal issues could be a source of conflict.

D. The therapist should allow family members to be involved in directing the process of therapy.


29. One of the overriding goals of treatment for people with disabilities is that they:

A. Focus on the choices at their disposal.

B. Gain and maintain self-awareness about their functional limitations and capacities, as well as their substance use disorders.

C. Learn social skills that are missing because of substance use disorders and disability-related problems.

D. Become educated about their legal rights to accessible environments and services as well as employment.


30. The key to successfully delivering therapeutic services in rural communities is:

A. Balancing the need to effect family change on a macro level with the equally important need of maintaining confidentiality.

B. Being willing to do in-home family therapy.

C. Gaining acceptance from the community and client population.

D. Working with faith-based, community, and spiritual groups.


Policy and Program Issues

31. Collecting data about the client’s family serves which of the following purposes?

A. It yields a more thorough, and perhaps more accurate, family history.

B. It presents an opportunity to confirm and clarify information on the client.

C. It can provide insight into the context where substance abuse most often occurs and where it may have started or accelerated.

D. All of the above.


32. Staff should be careful about asking for details in a way that may be experienced by the client as an interrogation.

A. True

B. False


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