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1. A health care professional has questions regarding family counseling in SUD treatment. Which of the following informational points of interest should be communicated to the health care professional?
A. Family counseling in SUD treatment is positively associated with increased treatment engagement and retention rates.
B. Family counseling in SUD treatment is positively associated with increased treatment engagement - however, it often reduces retention rates.
C. Family counseling in SUD treatment is positively associated with treatment cost-effectiveness - however, it often reduces outcomes for individual clients and their families.
D. Family counseling in SUD treatment is not associated with treatment cost-effectiveness.
2. Which of the following statements best defines the term "addiction"?
A. The least severe form of SUD, associated with compulsive or uncontrolled use of one or more substances.
B. The least severe form of SUD, associated with compulsive or uncontrolled use of alcohol.
C. The most severe form of SUD, associated with compulsive or uncontrolled use of one or more substances.
D. The most severe form of SUD, associated with compulsive or uncontrolled use of alcohol with related depression.
3. A 42-year-old patient has questions regarding binge drinking. Which of the following educational points should be expressed to the patient?
A. The term binge drinking only applies to individuals under the age of 21.
B. Binge drinking does not typically affect individuals over the age of 40.
C. Binge drinking is a drinking pattern that leads to blood alcohol concentration levels of 0.04 grams per deciliter or greater.
D. Binge drinking is a drinking pattern that leads to blood alcohol concentration levels of 0.08 grams per deciliter or greater.
4. Which of the following statements best defines the term "substance misuse?"
A. The use of prescription medications in a manner, situation, amount, or frequency that can cause harm to users or to those around them.
B. The use of opioids in a manner, situation, amount, or frequency that can cause harm to users or to those around them.
C. The use of alcohol, by individuals, under the age of 18, in a manner, situation, amount, or frequency that can cause harm to users or to those around them.
D. The use of any substance in a manner, situation, amount, or frequency that can cause harm to users or to those around them.
5. A 52-year-old patient has questions regarding SUD. Which of the following educational points should be expressed to the patient?
A. SUD is not considered to be a medical illness.
B. SUD may refer to a medical illness caused by repeated misuse of a substance or substances.
C. SUD does not typically cause clinically significant impairments in health.
D. SUD does not typically cause clinically significant impairments in health or social function.
6. Which of the following best represents a benefit of family counseling in SUD treatment?
A. Family shaming may be utilized to initiate therapy.
B. Family shaming may be utilized to initiate required medications.
C. Social/family support from those who do not use substances helps people avoid returns to substance use.
D. Social/family support from those who do not use substances helps people focus on negative outcomes and relapse.
7. Which of the following best represents a challenge of family counseling in SUD treatment?
A. Family counseling as a modality is less complex than individual or group therapies.
B. Family counseling as a modality is more complex than individual or group therapies.
C. Family counseling can only be applied to individuals under the age of 18.
D. Family counseling cannot include any individual under the age of 21.
8. Which of the following best represents an example of triangulation?
A. A mother calls her daughter to talk about her son’s drinking rather than talking to the son himself about his problem with alcohol.
B. A mother calls her son to discuss his potential problem with alcohol.
C. A father initiates an intervention for his son.
D. A physician discusses SUD with a patient and family members.
9. Which of the following statements is most accurate?
A. Family counseling is a collection of treatment approaches and techniques founded on the understanding that if change occurs with one person, it will not affect everyone else in the family.
B. Family counseling is a collection of treatment approaches and techniques founded on the understanding that if change occurs with one person, it affects everyone else in the family and creates a “change” reaction.
C. Family counseling is a collection of treatment approaches and techniques that rely on medications and psychotherapy.
D. Family counseling is a collection of treatment approaches and techniques that rely on medications and cognitive-behavioral therapy.
10. A health care professional is developing an educational lecture focused on the chronic disease model. Which of the following informational points of interest should be included in the health care professional's lecture?
A. The chronic disease model views SUDs a chronic problem with no chance for recovery.
B. The chronic disease model views SUDs a chronic problem with no chance for recovery lasting more than one year.
C. The chronic disease model does not acknowledge that genetics play a role in SUDs.
D. The chronic disease model views SUDs as similar to other chronic medical conditions and acknowledges the role of genetics in SUDs.
11. A health care professional has questions regarding cognitive-behavioral theory. Which of the following informational points of interest should be communicated to the health care professional?
A. Cognitive-behavioral theory assumes that behaviors, including substance misuse, are reinforced through family interactions.
B. Cognitive-behavioral theory assumes that behaviors, including substance misuse, are not reinforced through family interactions.
C. Cognitive-behavioral theory assumes that most family members cannot support recovery.
D. Cognitive-behavioral theory assumes that most family members cause relapse.
12. Which of the following statements is most accurate?
A. MDFT integrates techniques that emphasize the relationships among cognition and alcohol use.
B. MDFT integrates techniques that emphasize the relationships among cognition and medication use.
C. MDFT integrates techniques that emphasize the relationships among cognition, medication use, and family functioning.
D. MDFT integrates techniques that emphasize the relationships among cognition, affect (emotionality), behavior, and environment.
13. Which of the following best represents an example of sequential treatment?
A. Family-based approaches are used with methadone treatment.
B. Family-based approaches are used with suboxone treatment.
C. Family-based approaches are used after initial SUD treatment.
D. Family-based approaches are used during the initial SUD treatment.
14. Which of the following statements is most accurate?
A. The medical model of SUDs does not accept genetic and physiological factors.
B. The medical model of SUDs emphasizes genetic and physiological factors like long-term changes in brain chemistry after substance misuse.
C. The medical model of SUDs highlights that genetic predispositions to substance misuse do not exist.
D. The medical model of SUDs indicates that genetic predispositions to substance misuses only apply to alcohol consumption.
15. Which of the following best represents a common factor observed in the families of adolescents who misuse alcohol?
A. Parents using alcohol
B. Parents avoid alcohol
C. Highly educated parents
D. Highly educated divorced parents
16. Which of the following best represents a family factor that affects SUD initiation?
A. Social learning
B. Open communication
C. Parents over the age of 60
D. Parents under the age of 40
17. Which of the following best represents a family factor associated with less successful recovery from SUDs?
A. Open communication
B. Parents over the age of 60
C. Parents under the age of 40
D. Divorce or death of a parent
18. Which of the following best represents an effect of alcohol on a family?
A. Problems with communication
B. Greater risk of contracting an infectious disease
C. Increased risk of engaging in sex work
D. Increased risk of stealing from family
19. Which of the following best represents an effect of opioids on a family?
A. Problems with communication
B. Greater risk of contracting an infectious disease
C. Greater risk of relocating to another residence
D. Greater risk of relocating to another state
20. Which of the following best represents an example of homeostasis?
A. A family member behaves in a way to try and keep the family functioning as it always has.
B. A family member behaves in a way that changes family dynamics.
C. A family member behaves in a way that impacts family finances.
D. A family member initiates SUD treatment with medication therapy.
21. Which of the following statements is most accurate?
A. Only children of people with SUDs, under the age of 16, are at risk for negative biopsychosocial outcomes.
B. Only children of people with SUDs, under the age of 18, are at risk for negative biopsychosocial outcomes.
C. Adult children of people with SUDs are at risk for negative biopsychosocial outcomes.
D. Adult children of people with SUDs are not at risk for negative biopsychosocial outcomes.
22. Which of the following statements best describes the family role of an enabler?
A. The enabler protects the individual from experiencing the negative effects of substance misuse.
B. The enabler does not protect the individual from experiencing the negative effects of substance misuse.
C. The enabler helps to initiate SUD.
D. The enabler helps to initiate SUD and spiritual counseling.
23. Which of the following statements best describes the family role of a mascot?
A. The mascot takes on the role of distracting the family from the person’s SUD.
B. The mascot takes on the role of spotlighting a family member suffering from SUD.
C. The mascot draws attention away from the family member with an SUD by getting into trouble.
D. The mascot is likely to engage in substance misuse or spend time with friends who do.
24. Which of the following statements best describes the family role of a scapegoat?
A. The scapegoat helps initiate spiritual counseling.
B. The scapegoat helps to initiate spiritual counseling and SUD treatment.
C. The scapegoat takes on the role of distracting the family from the person’s SUD.
D. The scapegoat draws attention away from the family member with an SUD by getting into trouble.
25. Which of the following best represents the core method/goal of multisystemic family therapy?
A. Assessing the relationship between substance misuse and family life.
B. Shifts primary agent of change from parents to emerging adults and their social networks.
C. Engaging family members in treatment.
D. Utilize multisystem methods to treat adolescent substance misuse.
26. Which of the following best represents the core method/goal of systemic-motivational therapy?
A. Engaging family members in treatment.
B. Utilize multisystem methods to treat adolescent substance misuse.
C. Assessing the relationship between substance misuse and family life, understanding family beliefs about substance misuse, and helping the family work as a team to develop family-based strategies for abstinence.
D. Assessing the relationship between substance misuse and family life, understanding family beliefs about substance misuse, and helping individuals initiate medication therapy.
27. Which of the following best represents the core method/goal of behavioral family therapy?
A. Initiate spiritual counseling.
B. Initiate medication therapy.
C. Contingency management strategies to reward abstinence, reduce reinforcement of substance use, and medication therapy.
D. Contingency management strategies to reward abstinence, reduce reinforcement of substance use, and increase positive behaviors and social interactions incompatible with substance use.
28. A health care professional has questions regarding psychoeducation. Which of the following informational points of interest should be communicated to the health care professional?
A. Psychoeducation is a new therapeutic approach that focuses on married relationships.
B. Psychoeducation is a new therapeutic approach that focuses on the extended family.
C. Psychoeducation introduced the value of engaging family systems in treatment.
D. Psychoeducation introduced the value of utilizing medication therapy in family treatment.
29. Brief strategic family therapy is most suitable for which of the following populations?
A. Unmarried couples.
B. Unmarried couples with children.
C. Adolescents and other relatives dealing with cultural factors around engagement; families in which parental alcohol use is present.
D. Extended families in which parental alcohol use is present.
30. Solution-focused brief therapy is most suitable for which of the following populations?
A. Unmarried couples.
B. Unmarried couples with children.
C. Adolescents and other relatives dealing with cultural factors around engagement; families in which parental alcohol use is present.
D. Adults with SUDs or mental disorders; families with a member who has a mental disorder; parents with SUDs and trauma-related symptoms in the child welfare system.
31. Which of the following best represents the philosophy and key principles of case management?
A. Addresses the needs of the client with an SUD and family issues related to the client’s substance misuse via comprehensive, integrated management of services and service linkages.
B. Family members of people recovering from SUDs benefit from gathering together.
C. Family, social support, and community resources are keys to successful long-term recovery.
D. Recovery is only an option when SUD is treated for life.
32. Which of the following best represents the philosophy and key principles of relapse prevention?
A. Recovery is only an option when SUD is treated for life.
B. Family, social support, and community resources are keys to successful short-term recovery.
C. Just as people with SUDs are at risk for a return to substance misuse after initiating recovery, family members can also experience a “relapse” or return to old behaviors and strategies for trying to manage the stress of living with a family member’s active substance use.
D. Education, emotional support, and resources should be offered to family members of those with a SUD.
33. Which of the following best represents a BCT intervention for substance use?
A. Create a daily recovery contract
B. Create a continuing recovery plan
C. Anticipate high-risk situations
D. Initiate family recovery
34. Which of the following best represents a BCT intervention for relationship concerns?
A. Create a daily recovery contract
B. Create a continuing recovery plan
C. Increase positive activities
D. Increase time apart
35. Which of the following best represents a BCT intervention for relapse prevention?
A. Increase prescription medication use
B. Anticipate high-risk situations
C. Increase positive activities
D. Increase time apart
36. A 24-year-old patient has questions regarding cognitive restructuring. Which of the following educational points should be expressed to the patient?
A. Cognitive restructuring is not typically used to treat individuals under the age of 25.
B. Cognitive restructuring is used to treat individuals under the age of 18.
C. The counselor helps family members voice unrealistic or self-limiting beliefs that contribute to substance misuse or other related family problems.
D. The counselor helps family members voice realistic beliefs that contribute to substance misuse.
37. Which of the following statements best defines the term "family check-up (FCU)"?
A. FCU is a brief assessment and feedback intervention that targets family risk factors linked to substance use.
B. FCU is a brief assessment and feedback intervention that targets family risk factors linked to depression.
C. FCU is a brief assessment and feedback intervention that targets family risk factors linked to anxiety.
D. FCU is a long-term assessment and feedback intervention that targets family risk factors linked to depression and anxiety.
38. Which of the following statements is most accurate?
A. Anger always results in violence when centered around a SUD.
B. Anger always results in violence when centered around a SUD and depression.
C. Violence is not a behavioral expression of anger.
D. Violence is often a behavioral expression of anger, but anger does not always result in violence.
39. A health care professional is engaging with a family in family counseling. The health care professional notes that one of the family members is acting in a domineering manner. How should the health care professional proceed to optimize care?
A. Ignore the domineering family member.
B. The health care professional should reframe the domineering behavior.
C. The health care professional should remove the domineering family member from counseling.
D. The health care professional should ban the domineering family member from counseling.
40. A health care professional has questions regarding cognitive impairment. Which of the following informational points of interest should be communicated to the health care professional?
A. Cognitive impairment only includes short-term memory problems.
B. Cognitive impairment only includes long-term memory problems.
C. Cognitive impairment can include short- and long-term memory problems.
D. Cognitive impairment only impacts individuals over the age of 40 with SUDs.
41. Which of the following best represents a strategy to include relatives who refuse to attend family counseling sessions for SUD?
A. Lock the treatment room door.
B. Sham individuals via social media.
C. Arrange an empty chair in the room to represent that family member and addressing the absent family member metaphorically.
D. Arrange an empty chair in the room with a defaced picture of the family member secured to it.
42. Which of the following statements best defines the term “recovery capital”?
A. Recovery capital refers to the cost of SUD in dollars per day.
B. Recovery capital refers to the cost of SUD in dollars per week.
C. Recovery capital refers to the cost of SUD in dollars per month.
D. Recovery capital refers to the internal and external resources that a person draws on to begin and sustain recovery.
43. A 32-year-old patient has questions regarding a genogram. Which of the following educational points should be expressed to the patient?
A. A genogram is a way of tracking SUD in a given town or city.
B. A genogram is a way of tracking SUD in a given state.
C. A genogram is a way of recording and interpreting your family’s history so you can better understand the genetic, medical, social, and cultural aspects of your family.
D. A genogram is a way of recording and interpreting your family’s history so you can better understand how to avoid specific family members.
44. Which of the following best represents a factor that protects against relapse for people with SUDs?
A. Active engagement in spiritual or religious practices or community events.
B. Relocating to a new residence.
C. Beliefs that decrease resilience.
D. Low motivation to change risk behavior.
45. Which of the following statements best defines the term "specific populations"?
A. Specific populations refers to the features of families based on specific, common groupings that do not influence the process of therapy.
B. Specific populations refers to the features of families based on specific, common groupings that influence the process of therapy.
C. Specific populations refers to the features of a city that increase SUDs among the population of men in any given city.
D. Specific populations refers to the features of a city that increase SUDs among the population of women in any given city.
46. A trauma-informed approach means using which of the following?
A. Treatment/service delivery that fosters feelings of shame.
B. Treatment/service delivery that fosters feelings of safety.
C. An interaction style that fosters cognitive-behavioral therapy.
D. An interaction style that fosters cognitive-behavioral therapy and medication therapy.
47. A health care professional is developing an educational lecture focused on adapting family-based SUD interventions for LGBTQIA families. Which of the following informational points of interest should be included in the health care professional's lecture?
A. Health care professionals should never have a separate session with non accepting family members.
B. Health care professionals should focus on alliance building, including getting to know clients and their perceptions of the problem.
C. Health care professionals should not help clients prepare to invite family into treatment.
D. Health care professionals should not discuss medication therapy at any point.
48. Which of the following administrative processes should be considered when developing policies and procedures to support full integration of family counseling into a SUD treatment program?
A. How to obtain a 24 hour medication supply for patients
B. How to obtain a 48 hour medication supply for patients
C. Case management
D. Ambulance transport for individuals over 40
49. Which of the following statements is most accurate?
A. Participant patient-identifying information must not be disclosed either to other participants or to other service providers without a specific release form that complies with regulations or unless other Part 2 exceptions apply.
B. Participant patient-identifying information may be disclosed either to other participants or to other service providers without a specific release form that complies with regulations.
C. Participant patient-identifying information may be disclosed to patient family members without a specific release form if the patient is being treated for SUD.
D. Participant patient-identifying information may be disclosed to patient family members without a specific release form if the patient is being treated for opioid dependence.
50. A health care professional has questions regarding SCORE-15. Which of the following informational points of interest should be communicated to the health care professional?
A. SCORE-15 is a health care reported outcome measure designed to be sensitive to systemic family changes, related to depression, that can take place in couples and family counseling over a period of six months.
B. SCORE-15 is a health care reported outcome measure designed to be sensitive to systemic family changes, related to depression, that can take place in couples and family counseling over a period of 12 months.
C. SCORE-15 is a brief, validated self-report outcome measure designed to be sensitive to systemic family changes that can take place in couples and family counseling.
D. SCORE-15 is a brief, validated self-report outcome measure designed to be sensitive to systemic family changes that measures the overall presence of family depression, anxiety, and SUD.
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