Volume 4

Question 1

What type of patients may genuinely not be able to readily identify any positive aspect of his or her life?

Answer 1

substance-abusing, substance-dependent, depressed or demoralized patient

Question 2

A patient who has poor insight might not see their destructive behavior as a weakness but rather _____.

Answer 2

rather he or she is a victim of environmental circumstances

Question 3

As a minimum how many strengths and weaknesses should you have?

Answer 3

3 for each

Question 4

What are the 5 basic levels of Maslow’s hierarchy of needs?

Answer 4

physiological needs
security needs
affiliation
self-esteem and love
self-actalization

Question 5

What does security for most adults mean?

Answer 5

mainly focus on establishing stability and consistency in a chaotic world.

Question 6

What need is the most difficult for patients suffering from substance abuse/dependence diagnoses or sever mental disorders?

Answer 6

affiliation, as they are often either isolated or involved with parasitic social groups.

Question 7

What do short and long term goals provide?

Answer 7

Short term goals provide acute relief or feelings of accomplishment.
Long term goals suggest the patient is invested over a period of time.

Question 8

What is the mnemonic to help remember environmental determinants of relapse?

Answer 8

HALT (Hungry, Angry, Lonely, or Tired)

Question 9

What are the determinate of relapse?

Answer 9

environmental
behavioral
cognitive
relational

Question 10

What is the leading cause of relapse?

Answer 10

boredom

Question 11

The degree of difficulty it will require for a patient to create a plan is often based on what factors?

Answer 11

1. The severity and length of the patient’s substance use.
2. The patient’s perception of the problem
3. The patient’ motivation to remedy or change
4. The patient’ current support system
5. The extent the substance has affected each aspect of the patient’s life.

Question 12

What are treatment plans?

Answer 12

The treatment plan is the overall management strategy for treating people. Treatment plans are considered the written contract between the patient and counselor providing a road map for progress.

Question 13

What are the 5 dimensions of health according to the World Health Organization (WHO)

Answer 13

physical
social
mental
spiritual
intellectual

Question 14

What is the difference between rehabilitation and habilitation?

Answer 14

Rehabilitation emphasizes the return to a way of life previously known and forgotten or rejected.
Habilitation is the patient’s initial socialization into a productive and responsible way of life.

Question 15

What is the purpose of assessment during the treatment process?

Answer 15

1. to determine how effective the treatment has been up to the assessment point
2. what kind of progress the patient is making
3. the appropriateness of the present treatment
4. what the next level of treatment should be

Question 16

What are the 4 specific areas that should be addressed in the therapeutic relationship?

Answer 16

1. behavior
2. personal barriers (poor self image, self-defeating attitudes)
3. ability to cope with adversity, both personal and environmental
4. clear and informed decision-making knowledge and skill.

Question 17

What is the purpose of defining behavior?

Answer 17

The purpose of defining behavior clarifies which behavior is determinate aberrant, counterproductive and inconsequential.

Question 18

What are the stages in counseling?

Answer 18

initial disclosure
in-depth exploration
commitment to action

Question 19

What are the 3 basic approaches you will use in psychotherapy?

Answer 19

cognitive
behavioral
dynamic or psychodynamic

Question 20

What is cognitive therapy?

Answer 20

focuses on psychological disturbances that frequently originate from habitual errors of thinking

Question 21

What are the 3 core irrational beliefs of RET/REBT?

Answer 21

1. I must be liked/loved by everyone I consider significant in my life.
2. I must not make mistakes
3. Life must be fair

Question 22

What makes reality therapy different than most other therapies?

Answer 22

This therapy forces the therapist to take a stand and often disclose his or her feelings regarding morality, responsibility, and accountability.

Question 23

What is the basic assumption in Gestalt therapy?

Answer 23

the patient has the capacity to “self-regulate” in his or her current environment, and adjust his or her behavior and reaction to what is happening around him or her.

Question 24

One facilitator can effectively manage a group of how many?

Answer 24

8-10

Question 25

What kind of groups would fall under the education category?

Answer 25

substance abuse, eating disorder, and medical subspecialty groups

Question 26

What happens during the working and cohesion stage of a group?

Answer 26

the "birthing process of merging personalities has subsided and the group will be working together and supporting one another.

Question 27

Explain the role each of the following problem patients play in a group setting. monopolist the silent patient the schizoid, obsessional or overly ration patient the help-rejecting complainer

Answer 27

monopolist- will chatter endlessly about anything and everything. He or she has "been there and done that" silent patient- fearful of making a fool of themselves, fears of other perception of them, or they are better than the group the schizoid- appear aloof, matter of fact, isolated or distant from the group. can easily become the target of an aggressive narcissist complainer- the "yes but" patient, consistently posses insurmountable problems for the group.

Question 28

What is the difference between a consultation and a referral?

Answer 28

consultation- relating with in house staff or outside professionals to assure comprehensive quality care for the client referral- identifying the needs of the client that cannot be met by the counselor or agency and assisting the client to use the support systems and community resources available.

Question 29

How often does the Integrated Delivery System meet?

Answer 29

monthly

Question 30

How many days after the treatment team meeting does the ADAPTPM have to make a treatment decision?

Answer 30

15 duty days

Question 31

How many hours of continuing education do you need to maintain your CADAC certification?

Answer 31

60 hours

Question 32

What are the 12 core functions a counselor must be competent in to be considered a quality counselor?

Answer 32

1. screening 2. intake 3. orientation 4. assessment 5. treatment planning 6. counseling 7. case management 8. crisis intervention 9. client education 10. referral 11. reports and record keeping 12. consultation

Question 33

Population health concepts address 3 of the Air Force medical service (AFMS) greatest challenges, what are those challenges?

Answer 33

1. providing a healthy, fit, and ready force 2. improving the health status of our enrolled population 3. managing an effective and efficient health care delivery system

Question 34

Nearly ____ of all formal mental health care and ___ percent of all psychotropic drugs are provided by primary care managers.

Answer 34

half & 75%

Question 35

What is the purpose of BHOP?

Answer 35

BHOP model strives to increase access to behavioral health by integrating behavior health consultants into the primary care clinic.