Unit 4 of 5
Study guide for DSST DSST Substance Abuse — Unit 4: Treatment and Prevention. Practice questions, key concepts, and exam tips.
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A counselor is working with a client who has been struggling with addiction. The client has a strong support system and is motivated to make changes. The counselor decides to use a treatment approach that focuses on identifying and challenging negative thought patterns and behaviors. What type of treatment approach is the counselor most likely using?
Answer: B — The correct answer is B) Cognitive-behavioral therapy, because this approach focuses on identifying and challenging negative thought patterns and behaviors. A) Medication-assisted treatment is incorrect because it involves the use of medication to treat addiction, rather than focusing on thought patterns and behaviors. C) Motivational interviewing is incorrect because it is a goal-oriented approach that focuses on resolving ambivalence and increasing motivation, rather than directly challenging negative thought patterns and behaviors. D) Family therapy is incorrect because it involves working with the client's family members to address addiction, rather than focusing on individual thought patterns and behaviors.
A counselor is working with a client who has been struggling with addiction to prescription opioids. The client has a history of relapse and has not responded well to traditional 12-step programs. The counselor is considering alternative approaches to treatment. Which of the following approaches would be most appropriate for this client?
Answer: C — Medication-assisted treatment (MAT) with a focus on opioid replacement therapy is the most appropriate approach for this client because it addresses the physical aspects of opioid addiction and can help reduce withdrawal symptoms and cravings. CBT (A) and MI (B) are helpful approaches, but they may not directly address the client's physical dependence on opioids. Psychodynamic therapy (D) may be helpful in exploring underlying issues, but it is not a primary treatment for opioid addiction. Therefore, MAT (C) is the most appropriate choice.
A company is designing a workplace substance abuse prevention program. The program includes mandatory drug testing, educational workshops about addiction risks, and a confidential employee assistance program (EAP) that offers counseling and treatment referrals. Which component of this comprehensive approach is most directly aligned with PRIMARY prevention principles?
Answer: D — Primary prevention focuses on preventing substance abuse before it occurs in the general population through education, awareness, and risk reduction—not identification of existing users. While option C correctly identifies education as primary prevention, option D is superior because comprehensive primary prevention integrates both universal education AND accessible support systems to reinforce prevention messaging and catch emerging issues early. Option A reflects secondary prevention (identifying current users through testing). Option B reflects secondary/tertiary prevention (intervening with at-risk or affected individuals). The question tests whether students understand that effective prevention programs layer multiple strategies, with primary prevention being the foundational educational component supported by accessible resources.
A counselor is working with a client who has been struggling with addiction to prescription opioids. The client has a history of chronic pain and has been taking opioids for an extended period. The counselor recommends a treatment approach that focuses on managing the client's pain while also addressing their addiction. Which of the following treatment approaches is most likely to be recommended by the counselor?
Answer: D — The correct answer is D) Multidisciplinary pain management with buprenorphine and behavioral therapy. This approach is most likely to be recommended because it addresses both the client's chronic pain and addiction. Buprenorphine is a medication that can help manage opioid addiction and chronic pain, and behavioral therapy can help the client develop coping skills and strategies to manage their pain and addiction. The other options are incorrect because they do not address both the client's pain and addiction. A) CBT alone may not be sufficient to address the client's chronic pain. B) MAT with methadone may not be appropriate for someone with chronic pain, as methadone can have negative effects on pain management. C) 12-step facilitation therapy may not provide the comprehensive approach needed to address the client's complex needs.
A counselor is working with a client who has been struggling with addiction to prescription opioids. The client has a history of relapse and has not responded well to traditional 12-step programs. The counselor wants to try a new approach that focuses on the client's personal motivations and goals. Which of the following treatment approaches would be most appropriate for this client?
Answer: B — Motivational interviewing (MI) is a goal-oriented, person-centered approach that focuses on exploring and resolving ambivalence, which is particularly useful for clients who are struggling with addiction and have a history of relapse. MI is designed to help clients resolve their ambivalence and increase their motivation to change. CBT is a problem-focused approach that aims to identify and change negative thought patterns, but it may not be the best fit for this client. DBT is a type of CBT that focuses on emotional regulation and distress tolerance, but it may not be the most appropriate choice for this client. Psychodynamic therapy is a type of therapy that focuses on exploring the underlying causes of a client's behavior, but it may not be the most effective approach for this client.
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