SWK 330 - Addictions Final

The highest level of alcohol use is found among?

21 year olds

What age is the brain fully delevoped?

25

Early American colonists used alcohol for all except which of the following? Protection against disease, a solvent, an antiseptic, or a deodorant

A deodorant

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

The ABC-DE Model stands for:

Activating Event, Beliefs, Consequences, Dispute, Effect

Abuse of which substance is the leading risk factor for death among youths?

Alcohol

Dopamine is associated with the use of: heroin, alcohol, gambling, or all of the above?

All of the above

Motivational interviewing involves the following: Empathy, discrepancy, avoiding argumentation, or all of the above

All of the above

The ABC-DE model can be used to help someone:

All of the above

The following are examples of harm reduction strategies

All of the above

Valuing the principle of self-determination entails:

All of the above

ABC-DE Model is part of:

Cognitive Behavioral Therapy

What stage of change fits: - 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 any 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 movement promotes what action with individuals whose legal problems are related to their addiction?

Decarceration - treatment in the community

1Cognitive Behavioral Therapy views _______________ as a main area of focus when looking at behavioral changes.

Distortions in thinking

An open-ended question:

Encourages elaboration and further communication

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 the role of the helper in this stage is to:

Engage in problem solving and encourage smal initial steps

T or F? 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.

Fa;se

T of F? Every state has state funded medical coverage to address gambling addiction

False

T or F? A diagnosis of depression is rare in the U.S.

False

T or F? According to most experts in the field of Drug Prevention, the DARE Program has shown effective outcomes in preventing kids and young adults from using drugs.

False

T or F? Alcohol does not kill as many people per year has methamphetamines.

False

T or F? Bipolar is best treated with therapy and medications typically do not provide any relief.

False

______________ is the basic principle the cause and effect are intertwined

Interactionism

When talking with someone about a substance use concernt it is best to:

Listen w/o judgement & find out what benefits they get from using the substance

____________ 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

According to Hester and Miller's empirical research, the highest treatment effectiveness scores were obtained for...

Motivational enhancement

OARS is a technique of what therapeutic model?

Motivational interviewing

Which one of these is not a depressant?

Nicotine

According to the text, the rituals of anorexia are closely related to

OCD

What does O.A.R.S. stand for?

Open ended questions, Affirmations, Reflections, & Summaries

The self-help group for individuals with eating problems is

Overeaters Anonymous (OA)

QPR stands for?

Question, Persuade, Refer

Setting a goal that is SMART means it is Specific, Measurable, Achievable, in addition to:

Relevant and Time-Bound

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

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/her ability to handle alcohol is?

Tolerance reversal

In the days before purificaiton, drinking wine was safer than drinking water?

True

T or F? A person with a mental health AND substance use diagnosis is considered to have a co-occuring disorder.

True

T or F? According to the text concering shopping addiction, the key factor is materialism.

True

T or F? Addiction can impact anyone at any stage of their life and there are treatment programs that focus on the older population due to the different life experiences and stressors they may be experiencing.

True

T or F? Alcoholics Anonymous (AA) identifies the desire to quit drinking as the only requirement for membership.

True

T or F? America has had a love/hate relationship with alcohol.

True

T or F? Auditory hallucinations are a symptom of psychosis

True

T or F? Childhood trauma and poor role models are 2 examples of risk factors for substance misuse

True

T or F? Communication skills training and stress management are both examples of cognitive behavioral techniques.

True

T or F? Developing discrepancy refers to acknowledging the difference between what someone wants for their life and the behaviors they are engaging in.

True

T or F? Eating disorder, trauma disorder, childhood sexual abuse, rape, and domestic violence are highly correlated to eating disorders

True

T or F? Harm Reduction strategies support self-determination

True

T or F? If someone is struggling to not drink alcohol, but really wants to quit, they are welcomed to attend an AA meeting?

True

T or F? 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

T or F? One difference between a screener and an assessment is that the assessment goes in depth and the screener does not.

True

T or F? Role playing is a technique used in Cognitive Behavioral Therapy.

True

T or F? SMART Recovery stands for Self-Management and Recovery Training.

True

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

1. Trauma is considered:

a. An environmental factor contributing to addiction

1. Socioeconomic status has:

a. Impacts on access to substances along with access to treatment.

1. Using marijuana for medicinal purposes ONLY:

a. Means you are using it as it was prescribed for a diagnosed condition

1. Federal Confidentiality laws pertaining to substance use treatment are:

a. More strict than other categories of treatment.

1. For a treatment program to be considered gender- responsive, it needs to include:

acknowledgement, gender specific health concerns, trauma-informed care

1. The impact of substance use on parenting can lead to the following: abuse, neglect, lack of bonding, all

all of the above

Some examples of advantages of the assessment process include: insurance, the full picture, appropriate treatment, or all of the above

all of the above

1. The impacts of social class on someone with addiction include:

avoiding homeless shelter & ability to stay out of jail

As stated in the text, addiction is an illness of the:

body, mind, & soul

1. 95% of substance use treatment centers in the US have specialty services for people of color.

false

1. A 17- year old can use marijuana legally as long as the state allows for legal recreation use.

false

1. Wegscheider's Role Theory, includes the role of the Chief Enabler, which is also known as the:

family manager

1. The following label is used in Wegscheider's Role Theory to describe the family member that is extremely responsible:

hero

1. An example of gender-related factors in substance use treatment involve:

neo-natal care & gender affirming hormones

DiClemente and Prochaska's Transtheoretical model identify 5 stages of the change process and the stages include pre-contemplation, contemplation, and

preparation, action, and maintanance

T or F? PTSD is only diagnosed if you are a victim of violence

False

Delirium Tremens "DTs" is a symptom of withdrawal associated with which substance?

Alcohol

What are the criticisms of AA? masculine language, term "alcohol", abstinence, or all of the above

All of the above

T or F? Alcoholics Anonymous (AA) is considered a formal treatment for addiction and receives governmental funding.

False

T or F? Constricted and pinpoint size pupils indicates someone has been using stimulants.

False

According to QPR, the best thing to do for someone who you think is suicidal includes:

Listen 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

The different levels of care for substance use treatment include early intervention, outpatient treatment, residential and inpatient, along with

Medically managed intensive inpatient treatment.

A harm reduction strategy would encourage?

Meeting someone where they are & Progressive PoliciesNNic

1. In recovery there is a Three R's Model that includes the following:

Rename, Reframe, Reclaim

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

T or F? SMART Recovery combines the concept of self-help groups with cognitive behavioral techniques.

True

T or F? Setting a SMART goal means it needs to be Specific, Measurable, Achievable, Relevant and Time-bound.

True

T or F? Step Facilitated Treatment (FST) encourages 12 step meeting attendance in addition to incorporating other modalities.

True

T or F? The Housing First model promotes addressing housing needs as a priority.

True

T or F? There are times tha mental health symptoms can mimic substance use

True

1. Establishing Drug Free zones creates a scenario where selling drugs in certain locations is more punitive than others (i.e., within certain feet from a school, etc). This practice as several drawbacks that include:

both a and b

1. Addiction is known as a "family disease" because it is the family that causes the addiction 100% of the time whether that be through genetics or the environment.

false

1. Addictions treatment providers are 100% comprised of individuals with personal experience with addiction.

false

1. Even if someone does not consent, as long as you are trying to help them, it is ok to disclose substance use treatment history and records to entities requesting this information.

false

1. Gender has little to no impact on someone's addiction and should not influence the type of substance use treatment they will receive.

false

1. Men get intoxicated quicker than women if they are drinking the same amounts.

false

1. Managed care impacts treatment in the following ways:

how long a visit can last & what services can be covered

1. Treatment that includes culturally based services includes:

interpretation, includes family, staff from diverse culture

Heroin is a semi-synthetic derivative of?

opium

Human rights apartments for formerly homeless people in San Francisco

reduce costs to the cities by $1,000 per month

1. A positive correlation has been found with people leaving an abusive relationship and entering recovery from a substance.

true

1. Culture can influence how you help someone with addiction therefore it is important to ask questions and seek to understand as much as possible when attempting to help someone.

true

1. Culture can play a role in the development of addiction.

true

1. Decriminalization of marijuana means that it eliminates jail or prison, but other penalties may remain in place.

true

What disorder has the highest mortality rate of any mental disorder?

Anorexia Nervosa

According to Shavelson (2001), which three words define harm reduction?

Any Positive Change

The miracle question involves:

Asking someone if they were to achieve this goal overnight, without any barriers, what their life would look like.

Which of the following are examples of harm reduction strategies? Education, clean needles, moderation of internet use, or all of the above

All of the above

What word describes being 'on the fence' about a decision

Ambivalence

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 experiencing:

Ambivalent Guilt

A disorder that can be described has a mixture of "highs and lows" is:

Bipolar

Solution-focused therapy includes which of the following? The miracle question, focusing on the past, scaling questions, both a & c

Both a & c

T or F? 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

T or F? 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 they were not already thinking about it.

False

T or F? In the State of Missouri you can force someone into Substance Use Treatment, even if they do not wish to do so (excluding incarceration).

False

T or F? 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

T or F? Step 9 states "Make a 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

T or F? The only people who can treat someone with an addiciton is someone else with an addiction.

False

T or F? The suicide rate for pathological gamblers is lower than for any other addictive disorder.

False

T or F? There are no medications that can help with cravings for alcohol

False

Cocaine use as coca lead chewing originated with:

South American indigenous peoples

The 12-steps are viewed as:

Spiritual in nature

T or F?Open meetings and closed meetings are two types of AA meetings. Open meetings can include family, friends and supports of the person struggling with the addiction.

True

1. 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

1. Native- Americans are rarely impacted by addiction.

false

1. 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

1. The majority of states have a fully illegal status on marijuana.

false

1. There is no difference in the type of treatment available for those on state-funded insurance and commercial insurance.

false

1. When addressing a concern with a loved one who is struggling with addiction, it is suggested to use labels as much as possible so to clearly articulate the issues.

false

1. When someone stops using drugs the family dynamic immediately improves almost without any effort.

false

1. If we are "Reframing" something, we are adding a more positive way of saying and looking at it.

true

1. Some governmental assistance requiring routine drug testing is an example of a Federal and State policy issue that prompts welfare reform.

true

1. The Civil Asset Forfeiture allows for property to be seized by law enforcement even if there is not a conviction of a crime.

true

1. 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

1. Using proper pronouns, not assuming sexuality and making non-discriminatory policies visible are all examples of Transgender trauma-informed care.

true

1. Women have a higher mortality rate than men with heavy drinking.

true