Cognitive Behavioral Cocaine Treatment Post Test

Text: A Cognitive-Behavioral Approach: Treating Cocaine Addiction

 By: Kathleen M. Carroll, Ph.D.

Exam Copyright (C) 2006 by:

Institute of Addiction Awareness

26895 Aliso Creek Rd., #B-587

Aliso Viejo, CA 92656

www.CEUInstitute.com

949-643-3802

 

Course Description: Describes a short-term, focused approach to assist cocaine-dependent individuals become abstinent from cocaine and other substances. Cognitive-Behavioral methods help patients recognize, avoid and cope with cocaine addiction.

 

Course Objectives: Upon completion of this course, the participant will be able to:

1. recognize the basic principles of Cognitive Behavioral Therapy (CBT).

2. explain the structure and function of CBT sessions.

3. discuss integration of CBT and medication.

4. perform sessions for significant others.

5. prepare for termination.

6. recall results of CBT research.

 

A.  Overview

 

01. When cocaine is used during CBT treatment:

a.   the patient is discharged.

b.   the patient is returned to the basic session.

c.   the therapist and client complete a functional analysis.

d.   none of the above

 

02. Helping patients recognize high risk situations in which they are most likely to use substances is which CBT critical task?

a.   Fostering the motivation for abstinence.

b.   Teaching coping skills.

c.   Changing reinforcement contingencies.

d.   Fostering management of painful affects.

 

03. Skill training focusing on techniques to recognize and cope with urges to use cocaine is which CBT critical task?

a.   Fostering the motivation for abstinence.

b.   Teaching coping skills.

c.   Changing reinforcement contingencies.

d.   Fostering management of painful affects.

 

04. A decisional analysis which clarifies what the individual stands to lose or gain by continued cocaine use is which CBT critical task?

a.   Fostering the motivation for abstinence.

b.   Teaching coping skills.

c.   Changing reinforcement contingencies.

d.   Improving interpersonal functioning and enhancing social supports.

 

05. Identifying and reducing habits associated with a drug-using lifestyle is which CBT critical task?

a.   Fostering the motivation for abstinence.

b.   Teaching coping skills.

c.   Changing reinforcement contingencies.

d.   Improving interpersonal functioning and enhancing social supports.

 

06. CBT was adapted from:

a.   Beck’s Cognitive Therapy.

b.   the Community Reinforcement Approach.

c.   Marlatt’s Relapse Prevention.

d.   none of the above

 

B.  Basic Principles of CBT

 

07. CBT is based on:

a.   Classic Conditioning.

b.   Modeling.

c.   Behaviorism.

d.   Social Learning Theory.

 

08. ____________________ is used to help the patient learn new behaviors by having the patient participate in role-plays with the therapist during treatment.

a.   Classic Conditioning

b.   Modeling

c.   Behaviorism

d.   Social Learning Theory

 

09. CBT:

a.   topics are presented in order.

b.   is highly individualized.

c.   both a. and b. above

d.   none of the above

 

10. CBT therapists should ask patients whether they are willing to ______________________ outside of sessions.

a.   practice skills

b.   generalize skills

c.   both a. and b. above

d.   none of the above

 

C.  Structure and Format of Sessions

 

11. Reviewing and discussing the practice exercise occurs in the _______________ Third of the Session.

a.   First

b.   Second

c.   Final

d.   none of the above

 

12. Urine test results are discussed in the _______________ Third of the Session.

a.   First

b.   Second

c.   Final

d.   none of the above

 

13. Problem solving is conducted in the _______________ Third of the Session.

a.   First

b.   Second

c.   Final

d.   none of the above

 

14. The topic is introduced in the _______________ Third of the session.

a.   First

b.   Second

c.   Final

d.   none of the above

 

15. Topics are related to current concerns in the _______________ Third of the Session.

a.   First

b.   Second

c.   Final

d.   none of the above

 

D.   Sessions Goals and Interventions

 

16. Setting Goals is a part of __________________________ .

a.   Topic 5

b.   Topic 6

c.   Topic 7

d.   Topic 8

 

17. The goal(s) for significant others session(s) are:

a.   to offer significant others the opportunity to learn about the treatment in which patients are involved.

b.   to explore strategies through which they can help patients become and remain abstinent.

c.   both a. and b. above

d.   none of the above

 

18. Significant other sessions should be carefully planned in advance by:

a.   patients.

b.   therapist.

c.   both a. and b. above

d.   none of the above

 

19. Significant others can offer CBT support in all of the following ways EXCEPT:

a.   monitoring compliance with medications.

b.  offering support and talking during cravings or thoughts about cocaine.

c.   learning the symptoms of codependence.

d.   helping reduce cocaine and other substance abuse cues in the environment.

 

E. CBT Research Basis

 

20. A group of studies (Carrol 1996) suggests CBT is most effective for:

a.   alcoholism.

b.   cocaine addiction.

c.   nicotine dependence.

d.   none of the above

 

21. When compared to subjects receiving IPT, CBT subjects:

a.   were more likely to complete treatment.

b.   were more likely to attain 3 or more weeks of continuous sobriety.

c.   were more likely to be continuously abstinent 4 or more weeks when they left treatment.

d.   all of the above

 

22. Severe cocaine users who received CBT were _____________________ than those assigned to IPT.

a.   more likely to achieve abstinence

b.   no more likely to achieve abstinence

c.   less more likely to achieve abstinence

d.   unknown

 

23. At one year followup (Carrol et al. 1994a), subject’s cocaine abuse:

a.   remained stable.

b.   decreased.

c.   both a. and b. above

d.   none of the above

 

24. Effects of CBT compared with CM for cocaine outcome measures are:

a.    immediate.

b.   delayed.

c.   both a. and b. above

d.   none of the above

 

25. The most frequently diagnosed comorbid disorder with cocaine abusers was:

a.   depression.

b.   sociopathic personality disorder.

c.   alcohol dependence.

b.   none of the above

 

 NOTE: Record answers on Course Completion form - do not send in your exam.