Continuing Education Quiz

Earn continuing education credits by taking this quiz on the article that begins on page 36 of this issue. A grade of 70% or above will earn you a certificate of completion for two nationally certified continuing education hours. This is an open-book quiz. After reading the article, complete the quiz by circling one of the three multiple-choice answers for each question. Please give only one response per question. Incomplete answers will be marked as incorrect. Send a photocopy of the page along with your payment of $35. Please complete fully the information section below; print clearly.

Improving prescriber and nonprescriber collaboration in the treatment of alcohol dependence

1. The “medicalization” of alcohol dependence treatment is being driven in part by the managed care industry's demand for:

a. Providers' written documentation.

b. Reliance on proven treatments.

c. Use of credentialed providers.

2. Physicians who see alcoholism as a moral failing rather than an illness might accuse counselors of engaging in this behavior toward the patient.

a. Transference

b. Blaming

c. Enabling

3. The manner in which physicians discuss patient cases often is difficult for counselors to relate to because it focuses largely on describing patients':

a. Symptoms.

b. Quality of life.

c. Family interaction.

4. In speaking with prescribing professionals, counselors need to avoid being too aggressive while at the same time not being overly:

a. Deferential.

b. Focused on psychological issues.

c. Descriptive.

5. A counselor who observes a patient who is obsessed with cravings for alcohol and has suffered a relapse in the past is likely to recommend to a prescriber that this medication be considered.

a. Disulfiram

b. Naltrexone

c. Buprenorphine

6. A counselor who observes a patient who presents with a negative emotional state and anxiety in the weeks following drinking cessation is likely to recommend to a prescriber that this medication be considered.

a. Naltrexone

b. Disulfiram

c. Acamprosate

7. Better communication of what the counselor knows about the patient might help lift this barrier to physicians' addressing patients' addiction issues.

a. Time constraints

b. Stigma against the addict

c. Confidentiality concerns

8. A 2001 article cited this rate of staff turnover over a two-year period in addiction treatment programs.

a. 20 to 30%

b. 50 to 60%

c. 80 to 90%

9. The author refers to counselors who believe medications detract from recovery because they remove:

a. The need for psychotherapeutic services.

b. The need for patient monitoring.

c. The necessary difficulties that result from abstinence.

10. The author compares the knowledge needed for the counselor in the area of medications to the broad-based knowledge needed by this profession in a different subject area.

a. Building contractor

b. Attorney

c. Journalist