Screening and Brief Interventions for Substance Use Issues.

1. A provider tells their client that they are doing a great job caring for themselves. They also tell the client that it was courageous of them to come in to therapy. Later in the same session the provider points out the client’s strengths. What skill is the provider using in this example?

Expressing empathy

Affirmations

Reflective listening

Change talk

2. Which of the following would be an appropriate intervention to use for a client in the contemplation stage of change?

A discussion about the pros and cons of substance use

To develop a treatment plan in which the client makes SMART goals

A discussion about how to prevent setbacks in the future

To make a behavioral contract in which the client abstains from substance use

3. What type of scale asks the question: On a scale from 1 to 10, with 1 meaning that you are not ready to make this change, and 10 meaning that you can make this change right now, how ready are you to make this change?

Confidence scale

Readiness scale

Insight scale

Motivation scale

4. Which Motivational Interviewing core value involves the provider and client agreeing to a common goal, which in turn facilitates change talk?

Focusing

Engaging

Evoking

Planning

5. The primary focus of SBIRT is on which of the following client populations?

Clients with mild SUDs

Clients with alcohol or drug dependence

Clients who engage in risky drinking and/or drug use

Clients who are involved in specialized substance use treatment

6. Which of the following is a core component of Brief Intervention in the SBIRT method?

Brief CBT

Systematic desensitization

Collaborative problem-solving

Motivational Interviewing

7. What is the purpose of summarizing or paraphrasing within the OARS framework?

To help the client bring closure, confirm mutual understanding, and to set up the next steps in treatment

To help the client process their thoughts, feelings, and actions.

To help the client recognize their strengths and desire to change.

To help the client uncover their personal priorities and values

8. For men over the age of 65, how many alcohol drinks per day is considered RISKY?

1

2

3

4

9. True or False: According to the SBIRT model all clients ages 12 and up are routinely screened for substance use

True

False

10. Mike recognizes that he needs to lose weight and exercise more often. He can see that the pros to living a healthier lifestyle outweigh the cons. Over the last week he has been gathering information from books and from listening to Podcasts. He has also committed to a one-month trial at his local gym that begins next month. Which Stage of Change is the client in?

Pre-contemplation

Contemplation

Action

Preparation

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