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Question 1 of 18
What is the correct definition of harm reduction?
Convincing people to totally abstain from substances and addictive behaviors
Any action that attempts to reduce the harm of substances or other addictive behaviors
Discussing the pros and cons with clients about substances and addictive behaviors
Notifying the police if a client is engaging in substance use or addictive behaviors
Question 2 of 18
Which of the following is not an example of harm reduction?
Needle exchange programs
Providing contraceptives to encourage safe sex
Providing safe places to engage in risky behaviors
Allowing clients to attempt suicide without intervention
Question 3 of 18
Which of the following are all general life examples of harm reduction?
Seatbelts
Ear protection
Face mask
All of the above answers are correct
Question 4 of 18
How many principles does the National Harm Reduction Coalition propose?
4
5
8
12
Question 5 of 18
What is the opposite of the tree of stigma?
Tree of truth
Tree of liberation
Tree of harm
Tree of strength
Question 6 of 18
Which professional code of ethics directly speaks to harm reduction being consistent with the value of self-determination?
APA
ACA
NASW
AAMFT
Question 7 of 18
Which of the following is not a recommended ethical view of clients with regard to harm reduction?
Focus on a client’s problems and challenges
Challenge stigmatization
Develop a collaborative, empowering relationship with the client
Start where the patient is
Question 8 of 18
In the risk-set-setting model, what question is asked in the category of set?
What issue is being presented?
What is the physical environment where the harm is occurring?
How is the client feeling?
What substance is being used?
Question 9 of 18
In relational and harm reduction assessments, which category is represented by “normalize feelings and behaviors by acknowledging the functional aspects of the behavior”?
Embracing ambivalence
Repair
Strengthening self-management
Managing engagement
Question 10 of 18
What is the definition of motivational interviewing?
Convincing a client that their behaviors are unsafe and harmful
Debating with a client about the need for substances in their life
A person-centered directive method of enhancing intrinsic motivation
Assisting the client in restructuring maladaptive thoughts
Question 11 of 18
What does OARS stand for in motivational interviewing?
Open ended questions, affirmations, rebounding, selecting
Open ended questions, affirmations, reflective listening, summarizing
Offering advice, affirmations, reasoning, selecting
Options, abilities, resources, strengths
Question 12 of 18
What do initial harm reduction approaches typically involve?
Mobilizing strengths for client change
De-stigmatizing the behavior
Developing a power-sharing collaboration
Question 13 of 18
Which of the following is not a suggestion for harm reduction in oncology settings?
Use one pharmacy
Promote a single prescriber
Assume that oncology patients are using more substances than prescribed
Check state prescription monitoring database for every prescription
Question 14 of 18
Which of the following is not a suggestion for harm reduction in palliative care and hospice settings?
Abstinence is a requirement
Use interdisciplinary collaboration
Plan for physical safety for staff
Avoid communication with other providers on the team
Question 15 of 18
What does M. Bigler say stands above moral judgments regarding risky or socially negative behaviors?
Personhood
Self-determination False
Personality
Culture
Question 16 of 18
What should clinicians ethically consider regarding implementing harm reduction strategies?
The nature and severity of the client’s addiction
The state of change that the client is in
The inherent safety risks currently present for the client
All of the above
Question 17 of 18
A client states, “I know my unsafe sex behaviors put me at risk for diseases, but I have to make money to survive.” What stage of change is this client most likely in?
Action
Pre-contemplation
Contemplation
Maintenance
Question 18 of 18
Which of the following is not recommended for harm minimization regarding self-injury?
Using clean instruments for each episode of self-harm
Encouraging the client to self-harm as much as they want or need to
Keeping implements in awkward places
Creating a safe space in advance