SWK 330 Final Exam
the highest level of alcohol use is found among:
21 year olds
the brain is determined to be fully developed by the age of:
25
someone that wanted to quit drinking and has now been completely sober for 2 weeks and attends weekly therapy sessions and AA meeting is in what stage of change?
Action
cognitive behavioral therapy views _____ as a main area of focus when looking at behavioral changes.
Distortions in thinking
The preparation stage of change involves making plans to take action in the near future after a period of having not taken any action. the role of the helper in this stage is to:
Engage in problem solving and encourage small initial steps
According to most experts in the field of Drug Prevention, The DARE program has shown effective outcomes in preventing kids and young adults from drugs.
False
Alcohol does not kill as many people per year as methamphetamines.
False
PTSD is only diagnosed if you are a victim of violence.
False
Dopamine is associated with use of:
Heroin, Alcohol, and Gambling. All of the above
_______ is the basic principle that cause and effect are intertwined.
Interactionism
OARS is a technique of what therapeutic model?
Motivational Interviewing
According to the text, the rituals of anorexia are closely related to
Obsessive-Complusive Disorder
Which of the following are examples of harm reduction strategies?
Providing education on safe quantities of alcohol, providing clean needles for those who may be injecting drugs, and supporting moderation on internet use. All of the above
QPR stands for the following:
Question, Persuade, Refer
Eating disorder; trauma disorder; childhood sexual abuse, rape, and domestic violence are highly correlated to eating disorders.
True
In the days before purification, drinking wine was safer than drinking water.
True
setting a SMART goal means it needs to be Specific, Measurable, Achievable, Relevant, and Time-Bound.
True
someone having a direct relative that has an addiction is:
a genetic and possibly environmental factor
the impact of substance use on parenting can lead to the following
abuse, neglect, and lack of bonding all of the above
for a treatment program to be considered gender responsive, it needs to include:
acknowledgment of the different gender roles, addressing gender specific health concerns, and trauma informed care practices. all of the above
ABC-DE model stands for
activating event, beliefs, consequences, dispute, effect
Abuse of which of these substances risk factor for death among youths?
alcohol
what word best describes being 'on the fence' about a decision?
ambivalence
According to Shavelson (2001), which three words define harm reduction?
any positive change
Early American colonists used alcohol for all except which of the following:
as a deodorant
according to ecosystems theory, adaptation involves personal and environmental changes that occur:
as an active process each member of a family much go through as the result of addiction
the miracle question involves:
asking someone if they were to achieve this goal overnight, without any barriers, what would their life look like
a disorder that can be described as a mixture of "highs and lows" is:
bipolar
As stated in the text, addiction is an illness of the:
body, mind, and soul
the impacts of social class on someone with addiction include:
both A and B ability to avoid staying in a homeless shelter, and ability to stay out of jail due to proper legal representation
managed care impacts treatment in the following ways:
both A and B, guidelines on how long a visit can last and what services can be covered under different plans
an example of gender related factors in substance use treatment involve:
both A and B, including Neo natal care in the services, and allowing for individuals to continue taking gender affirming hormones during their course of treatment
establishing drug free zones creates a scenario where selling drugs in certain locations is more punitive than others. this practice has several drawbacks that include:
both A and B, studies show that the majority of those charged with selling drugs in these zones were not selling to school aged kids, and disproportionately targeting urban neighborhoods.
the self-help group for individuals with eating problems is
called Overeaters Anonymous (OA)
the help-help group for individuals with eating problems is
called overeaters anonymous
the ABC-DE model can be used to help someone:
change beliefs and responses to certain events in life, cope with triggers and prevent relapse, and improve relationships with people in their environment. All of the above
what stage of change would best fit the following: -knows and acknowledges heroin addiction is impacting their life in a negative way -says they want to quit, but aren't ready to right now -willing to talk with a friend, but not ready to speak with a professional or go to self help meetings
contemplation
When a tolerance that develops for one drug generalizes to another drug in the same pharmaceutical class, this is called:
cross-tolerance
The drug court promotes what action with individuals whose legal problems are related to their addiction?
decarceration - treatment in the community
the "3 C's" entail helpful reminders to family and friends that they:
did not cause, cannot control or cure their loved ones addiction
an open ended question:
encourage elaboration and further communication
Motivational interviewing involves the following:
expressing empathy, developing discrepancy, avoiding argumentation. All of the above
"codependent" is an official diagnosis a family may be given and this can be found in the diagnostic and statistical manual of mental disorders, 5th edition
false
the suicide rate for pathological gamblers is lower than any other addictive disorder.
false
there are no medications that can help with cravings for alcohol.
false
there is no difference in the type of treatment available for those on state-funded insurance and commercial insurance
false
when addressing a concern with a loved one who is struggling with addiction, it is suggest to use labels as much as possibly so to clearly articulate the issues.
false
when someone stops using drugs the family dynamic immediately improves without any effort
false
if maria decides to return to the residence with Antonio while continuing to receive outreach services through the domestic violence resource, the service provided by the resources would be considered:
harm reduction
the following are examples of harm reduction strategies.
helping someone who is not ready to stop drinking find stable housing, providing education on safe amounts of alcohol consumption, and helping someone with a gambling addiction come up with a plan to limit, but not completely stop, time spent online. All of the above
______ is used to block withdrawal symptoms and reduce cravings and is distributed in clinics/hospitals in the US and Britain.
methadone
bipolar is an example of a:
mood disorder
federal confidentiality laws pertaining to substance use treatment are:
more strict than other categories of treatment
According to Hester and Miller's empirical research, the highest treatment effectiveness scores were obtained for...
motivational enhancement
Which of these is not a depressant?
nicotine
Heroin is a semi-synthetic derivative of:
opium
Maria is using marijuana in a:
recreational manner
the type of guilt one experiences when they lose someone and the person may feel they should have been the one who lost their life instead, is described as
survivor guilt
Breweries popped up in the Midwest related to the arrival of...
the Germans
wegscheider's role theory, includes the role of the chief enabler, which is also known as the:
the family manager
if someone is struggling to not drink alcohol, but really wants to quit, they are welcomed to attend an AA meeting?
true
if we are "reframing" something, we are adding a more positive way of saying and looking at it
true
in domestic and intimate partner violence situations substance use can be a factor with both the aggressor AND the victim/survivor
true
Which of the following is true?
America has had a love/hate relationship with alcohol.
Delirium Tremens "DT's" is a symptom of withdrawal associated with what substance?
Alcohol
the impact of antonio's drinking and violence impacts:
Maria and all 3 of her children
Cocaine use as coca leaf chewing originated with:
South American indigenous people
Maria has identified her Mexican American culture to be very important to her and the resource she is assessing did not make note of this in her intake paperwork. this program would be considered:
both A and C, lacking cultural responsiveness and to benefit from trauma informed care training
when talking with someone about a substance use concern it is best to:
both B and C, listen without judgement and find out what benefits they get from using the substance
someone who has been diagnosed with a substance use disorder and is unable to maintain employment as a result will be able to easily get assistance because a substance use disorder is considered a qualifying diagnosis for disability.
false
step 9 states "make direct amends to such people whenever possible, except when to do so would injure them or others." this is ONLY referring to physical injury.
false
the majority of states have a fully illegal status on marijuana.
false
the only people who can treat someone with an addiction is someone else with an addiction.
false
the only person impacted by addiction is the person struggling with the addiction
false
marais 10 year old will fall under which role according to the Wegscheider Role Theory:
hero
the following label is used in Wegscheider's role theory to describe the family member that is extremely responsible:
hero
socioeconomic status has:
impacts on access to substances along with access to treatment
According to the QPR, the best thing to do for someone who you think is suicidal includes:
listening to them without judgement
someone who has sustained sobriety for over 4 years and has a strong support system that they utilize when needed, would be in what stage of the change process?
maintenance
treatment that includes culturally bases services includes:
offering interpretation services, includes family in the treatment process, and recruits and retains staff from diverse cultures. all of the above
OARS in Motivational Interviewing involves:
open-ended questions, affirmations, reflections, and summarizing
DiClemente and Prochaska's trans theoretical model identity 5 stages of the change process and the stages include pre-comtemplation, contemplation and
preparation, action, maintenance
Human rights apartments for formerly homeless people in San Francisco...
reduce costs to the cities by $1,000 per month.
setting a goal that is SMART means it is specific, achievable, in addition to
relevant and time bound
in recovery there is a three R's model that includes the following:
rename, reframe, and reclaim
valuing the principle of self determination entails:
respecting an individuals right to determine their own decision and goals, allowing someone to make decisions seen if they are seen as "bad decision, and viewing a person as the expert of their own life. All of the above
the 12-steps are viewed
spiritual in nature
the prevalence of serious mental disorders in the substance abusing population can be characterized as:
the norm, not the exception
motivational interviewing approaches the helping process, viewing the _____ as the expert.
the person receiving the help
the phenomenon associated with aging in which the drinker loses his ability to handle alcohol is:
tolerance reversal
lowering the drinking age from 21 and providing early education on moderation and safe alcohol consumption is an example of a harm reduction strategy.
true
the Housing First model promotes addressing housing needs as a priority.
true
Solution focused therapy includes which of the following?
Both A and C, the miracle question and scaling questions.
A harm reduction approach would encourage:
Both A and D: meeting someone where they are and Progressive Policies
if you are concerned about someone that may be suicidal it is best to avoid conversation about this topic as it may put the thought in their head if they were not already thinking about it.
False
SBIRT is a model that follows a specific pathway to get people needing substance use treatment connected to the relevant services. SBIRT stands for:
Screening, brief intervention, referral to treatment
95% of substance use treatment centers in the US have specialty services for people of color
false
AA is considered a formal treatment for addiction and receives governmental funding.
false
Bipolar is best treated with therapy and medications typically do not provide any relief
false
using marijuana for medical purposes only:
means you are using it as it was prescribed for a diagnosed condition
the different levels of care for substance use treatment include early intervention, outpatient treatment, residential and inpatient, along with
medically managed intensive inpatient treatment
some examples of advantages of the assessment process include
meeting insurance requirements, gaining full picture of a persons life and the identified problem, and getting someone referred to the appropriate treatment needed. All of the above
AA identifies the desire to quit drinking as the only requirement for membership
true
Developing discrepancy refers to acknowledging the different between what someone wants for their life and the behaviors they are engaging in
true
Harm Reduction strategies support self-determination.
true
SMART recovery combines the concept of self help groups with cognitive behavioral techniques.
true
SMART recovery stands for self management and recovery training
true
Step Facilitated treatment encourages 12 step meeting attendance in addition to incorporating other modalities
true
a person with a mental health disorder AND substance us diagnosis is considered to have a co-occrruing disorder
true
a positive correlation has been found with people leaving an abusive relationship an entering recovery from a substance
true
auditory hallucinations are a symptom of psychosis:
true
the contemplation stage of change involves which of the following?
ambivalence about making the change
a mother feeling resentful about caring for her daughter, whom she loves, struggling with addiction may be experimenting:
ambivalent guilt
trauma is considered
an environmental factor contributing to addiction
the following disorder has the highest mortality rate of any mental disorder
anorexia nervosa
a 17 year old can use marijuana legally as long as the state allows for legal recreation use.
false
a diagnosis of depression is rare in the US
false
according to the text concerning shopping addiction, the key factor is materialism.
false
addiction is known as a "family disease" because it is the family that causes the addiction 100% of the time weather that be through genetics or the environment
false
addictions treatment providers are 100% comprised of individuals with personal experience with addiction
false
constricted and pinpoint size pupils indicates someone has been using stimulants.
false
even if someone does not consent, as long as you are trying to help them, it is okay to disclose substance us treatment history and records to entities requesting this information.
false
every state has state funded medical coverage to address gambling addiction.
false
gender has little to no impact on someones addiction and should not influence the type of substance use treatment they will receive.
false
genetics, not the environment, is the only cause of addiction
false
if my goal is SMART that means I can leave it with no end date and vague so I can continue to add to it over time?
false
in the state of missouri you can force someone into Substance Use Treatment, even if they do not wish to do so
false
it is recommended to engage a couple in counseling if it is an abusive situation so that the aggressor can be called out for their behaviors
false
met get intoxicated quicker than women if they are drinking the same amounts.
false
native Americans are rarely impacted by addiction
false
once someone completes the 12 steps it is recommended that they no longer attend 12 step meetings and they are encouraged to consider themselves graduated from the program of AA.
false
people with co-occurring disorders are more likely to get the help they need quickly due to the number of resources that address substance use and mental health at the same time.
false
addiction can impact anyone at any stage in their life and there are treatment programs that focus on older population due to the different life experiences and stressors they may be experiencing.
true
communication skills training and stress management are both examples of cognitive behavioral techniques.
true
culture can influence how you help someone with addiction therefore it is important to ask questions and seek to understand as much as possibly when attempting to help someone
true
culture can play a role in the development of addiction
true
decriminalization of marijuana means that it eliminates jail or prison, but other penalties may remain in place
true
one difference between a screener and an assessment is that the assessment goes in depth and the screener does not.
true
open meeting and closed meetings are two types of AA meeting. open meetings include family, friends and supports of the person struggling with the addiction.
true
some governmental assistance requiring routine drug testing is an example of a federal and state policy issue that prompts welfare reform
true
the civil assess forfeiture allows for property to be seized by law enforcement even if there is not a conviction of a crime
true
there are 4 main statuses of marijuana legalization. if a state identifies it has fully legal this means it can be used recreational and medicinal without punishment by those 21 years of age and older.
true
there are times that mental health symptoms can mimic substance use.
true
using proper pronouns, not assuming sexuality and making non-discriminatory policies visible are all examples of transgender trauma informed care.
true
women have a higher mortality rate than men with heavy drinking.
true
childhood trauma and poor role models are two examples of risk factors for substance misuse.
tue
Role playing is a technique used in cognitive behavioral therapy
ture
there are some criticisms of AA and these include:
use of masculine language, use of the term "alcohol" which does not include other substances, and promotes total abstinence. All of the above
the pre contemplation stage of change involves not recognizing that there is even a need for the change, and the role of the helper is to:
validate lack of readiness and build rapport
