CDC EOC

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CULTURE (terms)

Destructiveness- Active discrimination

Incapacity- Passive discrimination

Blindness- Discrimination by ignoring culture

Openness- Working with minority populations

Competence- Working with complex issues and cultural nuances

Proficiency- Committed to excellence and proactive effort.

CLINICAL SUPERVISION (terms)

Clinical Supervision PURPOSE- enhanced proficiency in knowledge essential to effective job performance.

Administrative Supervision PURPOSE- Ensure compliance with agency and regulatory body’s policies and procedures

Clin Sup OUTCOME- Improved client care

Counseling OUTCOME- Open ended, based on client needs

Admin super TIMEFRAME- Short term and ongoing

Counseling timeframe- Based on client needs

Clin super AGENDA- Based on agency mission and counselor needs

Admin Super AGENDA- Based on agency needs

Clin super BASIC PROCESS- Teaching/learning specific skills and negotiating learning objectives

Counseling BASIC PROCESS- Behavioral, cognitive, and affective process including exploring and teaching.

7 Principles of DHA

The seven principles of the “ready reliable care” model guide our work and apply to all staff, in every job. When we use these principles in our work, we advance high reliability.

6 Levels of harm

No harm- Event reached pt but no harm was evident.

Mild harm- Bodily or psychological injury resulting in minimal symptoms or loss of function.

Moderate harm- Bodily or psychological injury adversely affecting functional ability or quality of life.

Severe harm- Bodily or psychological injury that interferes substantially with quality of life.

Temporary harm- Expected to revert to approximately normal.

Permanent harm- Not expected to revert to approximately normal.

Three levels of mind awareness? (Freud)

Conscious, subconscious, and unconscious.

Three psychological forces that determine personality? (Freud)

Id, ego and superego.

Anxiety or psychic pain (Freud)

People try to protect themselves from this/these when they develop defense mechanisms.

Repression (Freud)

Involuntary exclusion of a painful, conflicting memory from awareness.D

Denial (Freud)

A defense mechanism commonly used against the stress of a terminal illness diagnosis.

Identification (Freud)

The wish to be like a person and to assume characteristics of his/her personality.

5 Stages of Development according to Freud

Oral- 1st stage when a young child derives satisfaction from and copes with anxiety by sucking

Anal- 2nd stage when a child needs to learn to delay gratification for toilet training

Phallic- 3rd stage when Electra and Oedipus complex occurs

Latent - 4th stage 6 to puberty

Genital- 5th stage Puberty to adulthood

Problem with Freud’s theory of development

It fails to explore any phases of adulty development

Freud’s dream theory - psychoanalytical therapeutic approach

Insight into the individual’s wants, desires, and conflicts

Vicarious Trauma (3 types)

Practitioner emotional trauma- repeatedly being exposed to stories of trauma, altering the worldview of the practioner

Prac Vicarious trauma- Results from supporting a client who has suffered from a traumatic event(s)

Compassion fatigue- Hearing stories of abuse, death, tragedy, etc. that changes one on a fundamental level.

Practitioner emotional trauma is the?

Emotional impact on practitioners who are exposed to their clients traumatic experiences

What strategies can help practitioners build emotional resilience?

Seeking supervision and peer support.

Engaging in regular self-care activities

Compassion fatigue is described as the?

Emotional impact on practitioners who are exposed to their clients’ traumatic experiences.

Burnout- Helplessness?

Burnout indicating behavior exhibited by an individual after enduring repeated aversive stimuli beyond their control

Burnout terms-

Stress, fatigue, helplessness.

Coping mechanisms to manage burnout-

Journaling, Painting or drawing, Practicing mindfulness.

Work environment sources of burnout-

Work overload, insufficient reward, value conflict(s) between the pt and coworkers.

Symptoms of burnout-

Experiencing a change in sleep and eating habits

Feeling exhausted and unable to pay attention

Reacting more impatiently and intolerantly

Dreading the beginning of the workday

Consistently participating in organized religion is considered the best way to attend to the spiritual dimension of self-care.

False

Dimensions of Self care

Emotional, physical, spiritual

Cultural competency

The capacity of a clinician to work effectively in accordance with a client’s beliefsC

Culture

Structure of beliefs and practices distinctive to a particular group of people: a vast structure of behaviors, ideas, attitudes, values, habits, beliefs, customs, language, rituals, ceremonies, histories, and practices distinctive to a particular group of people.

Cultural differences

Vast array of different people groups based on varying behaviors, attitudes, etc.

What best describes cultural competency?

The capacity to understand and work effectively with different cultural groups.

Which action best demonstrates cultural competency in a counseling setting?

Understanding the client’s cultural background and incorporating it into their treatment plan.

Positive and negative forces

Forces synthesized during the developmental phases resulting in a healthy personality

Successful mastery of the developmental tasks of each stage

add strength to an individual’s personality

To develop scholastic and social competency

the central scheme during middle childhood (school age)

School age

Unsuccessful completion of this stage will cause the individual to withdraw from peers.

What is NOT a step to ensure a culturally competent tx for clients?

Emphasize open-ended discussion in group therapy settings

One clinical benefit of being a culturally competent clinician is?

Improved communication with clients

_____ best describes cultural differences?

The vast array of different cultural groups based on varying behaviors, attitudes, values, languages, celebrations, rituals, and histories.

What medication is used to treat Schizophrenia?

Antipsychotics

What med treats depression and anxiety?

Antidepressants

What medication reduces anxiety but preserves physical activity?

Anti-Anxiety

What medication is best utilized for Bi-Polar disorder?

Mood stabilizers

What medication increases alertness, attention, and energy?

Stimulants

What medication is a “downer” that suppresses the CNS? (central nervous system)

Depressants

Some users experience “bad trips” when these (drugs) are consumed?

Hallucinogens

This drug is predominantly used for acute and chronic pain?

Opiates

This drug must be inhaled

Inhalents

This drug is used joff label for glaucoma, pain relief, and nausea?

Cannabis

Which statement about drug interactions with psychoactive drugs is correct?

Alcohol can enhance the effects of CNS depressants.

Which statement about the major classes of psychoactive drugs is correct?

Antidepressants can be used to treat conditions other than depression.

Which combos of psychoactive drugs and other substances are potentially dangerous?

Alcohol and antianxiety agents

Cannabis and CNS depressants

Antidepressants and stimulants

Hallucinogens and any other meds

(ALL OF THE ABOVE)

____ is an indication for the use of antidepressants?

Managing anxiety disorders

One diagnostic indication for the use of antianxiety agents is?

Managing anxiety disorders

What is a common side effect of antidepressants?

Nausea

What is a common side effect of antipsychotics?

Dry mouth

One of the adverse side effects of psychopharmacological drugs is?

Antipsychotics can cause tardive dyskinesia

What is a common side effect of synthetic cannabis?

Increased HR

The disease model of addiction suggests that ____ may play an important role in addiction tx?

Medical tx

Which neurotransmitter is primarily associated with the reward system and addiction?

Dopamine

In relation to the changes in the brain due to repeated substance use, the disease model of addiction suggests it?

Causes substantive changes that lead to loss of control over drug use.

Which best describes the disease model of addiction is, “addiction _____?”

Is a chronic disease that leads to loss of control over substance use

The concept of alcoholism remains doubtful to some bc the concept is primarily rooted in?

Behavioral traits

Those who adhere to the biopsychosocial model of addiction believe biological considerations provide the primary explanation for addiction?

FALSE

Which factors are considered in the biopsychosocial model of addiction?

-Genetic predisposition

-Psychological stress

-Social environment

Family gene ancestry plays what kind of role in addiction in the role of family gene ancestry in the biopsychosocial model of addiction?

A significant but not independent role

What are considered external sources of factors that support addiction development in the biopsychosocial model?

-Situation of stress and increased risk

-Permanent damage to important social relations

What is considered an internal source of factors that support addiction development in the biopsychosocial model?

Damage to the body and mental illness

Sleeplessness is the hallmark of this substance?

Amphetamines

Toluene )glue) is the most popular of this type of drug?

Inhalants

Chronic use can cause cancer of the lung, throat, and/or mouth.

Nicotine

The most widely used drug in the world

Caffeine

The most prescribed of all medications

Opioids

Can act as a stimulant, depressant, and hallucinogen

Cannabis

The effects of this drug are highly unpredictable and erratic.

PCP (Phencyclidine)

Freebasing is the term used when vapors from this drug are inhaled?

Cocaine

This drug alters brain function to include illusions, delusions, and hallucinations.

Hallucinogens

These drugs are prescribed as a treatment for anxiety and as a sleep aid.

Sedatives, hypnotics, or anxiolytics

What is NOT a condition that can be legally treated with amphetamines?

Depression

What effect do inhalants have on the CNS?

Depressant

Which abbreviation represents a “date rape” drug?

GHB

Which drug is known for causing “speed runs” followed by intense depression known as “crashes”?

Amphetamines

What is NOT a street name for amphetamines?

-Dexies

-Speed

-Blow

-Ice

Blow

_______ is a common side effect of inhalant abuse?

CNS depression

What is NOT a common effect of nicotine use?

-Increased blood pressure

-Increased metabolism

-Enhanced mood

-Birth defects

Enhanced mood

What is common side effect of PCP use?

Triggering psychosis

What is NOT a common side effect of cocaine use?

-Hallucinations

-Increased mental alertness

-Cardiac arrest

-Seizures

Hallucinations

What is a common street name for sedative, hypnotics, or anxiolytics?

BlowA

A common side effect of MDMA use is?

Euphoria and tactile enhancement

What is the disorder of the brain called, characterized by unsteady gait, confusion, tremors, atrophy, difficulty with speech, and problems with eye movement that is caused by chronic alcohol use?

Wernicke’s Encephalopathy

A 12-oz glass of beer, 5oz glass of wine, and a 1.5oz shot of liquor all generally?

Contain the same amount of alcohol

Alcohol is a?

CNS depressant

What is the most common form of alcohol induced liver disease (ALD)?

Fatty liver

Emotional relapse is defined by?

Poor self-care, including emotional, psychological, and physical care, leads to emotional relapse. Clients are not consciously thinking about using.

Mental relapse is defined by?

Cognitive resistance diminishes, and the need for escape increases. Warning signs include more insistent or frequent thoughts of using.

Physical relapse is defined by?

Occurs when an individual starts using again; most physical relapses are opportunities.

What is NOT a stage of relapse?

Spiritual

What is a common denominator of emotional relapse?

Poor self care.

A goal of relapse prevention is to?

Recognize early warning signs.

What is a key factor in preventing relapse?

Recognizing early warning signs.

What is a characteristic of mental relapse?

Increased need for escape.

What is a common obstacle to recovery?

Negative thinking

Which term in used to describe the unique roles each family member plays in the alcoholic’s family?

Codependency