SWK 440 Addictions

Which of the following is essential knowledge a counselor should have before conducting screening and assessment for clients who have co-occurring disorders?

Familiarity with the diagnostic criteria for common mental disorders

The first step of the 12 steps of AA begins

"We admitted we were powerless over alcohol."

Approximately______________of U.S. prison inmates meet the DSM criteria for substance misuse.

1.5 million

Women make up approximately ___% of AA membership (as of 2007)

33

Binge drinking is defined for males as ________ drinks on one occasion.

5 or more

Parallel or sequential treatment with persons who have COD had annul rates of remission of

5%

The percentage of persons who are severely mentally ill that can even drink alcohol or use drugs at a moderate level without consequences is

5%

What percent of those with eating disorders misuse alcohol or other drugs?

50%

Up to XXX percent of female offenders have a substance abuse problem

80

In AA, newcomers may spend entire days in meeting after meeting; it is routinely suggested that they attend ______ meetings in 90 days.

90

The principle advantage of screening tools is to provide

A method of quickly detecting the possibility of addiction problems.

A fundamental difference between AA meetings and 12 Step treatment models is:

AA meetings stress the voluntary nature of attendance

Which is the only alcohol screening test designed and validated for international use in a wide variety of populations, cultures, and languages?

AUDIT

About 90% of the world's heroin comes from?

Afghanistan

Aversion treatment derives from the ______________ school.

Classical conditioning/behaviorism

Which country is considered the world's leading producer of cocaine?

Columbia

The following statement is true of drug use rates in school surveys except for this one:

Minorities have lower rates of illicit drug use than Whites in the lower grades.

Which of the following does not describe empathy as described by Carl Rogers and William Miller

Repeating back what the client said

According to the book, all of the following are themes in the history of substance abuse and addiction except:

Russia has done much to advance the course of addiction treatment

Focusing attention on what the client wants to see happen as a result of working together with the clinician accomplishes which goal?

Sets up a collaborative partnership with the clinician

Which of these is not an opiate

Valium

Ondansetron has been used effectively in treating

alcoholism

Which of the following have been found to be more related to anorexia than bulimia?

anxiety and obsessiveness

Which of the following is not a technique for enhancing motivation?

break through denial

Family therapy as a profession is criticized in the text for its use of a traditional _________model

classic systems

The lachrymose drunk, according to Father Martin, is the __________ drunk.

crying

In the persuasion stage of Stage-Wise Treatment, the goal is to

open up opportunities for the client to think about their own goals

Heroin is a semi-synthetic derivative of

opium

Which of the following is a not a reason why women are less likely than men to enter treatment?

partner support

According to a National Council study, the suicide rate is highest among which of the following addictions

pathological gamblers

A recommended way to build trust with gay and lesbian clients (according to the text) is to:

post a Safe Place symbol on a pink triangle on the office door

Of all the sexual minorities, which group is the most subject to violent assault and employment iscrimination?

transgendered persons

Which of the following is not a method used in cognitive-behavioral therapy

the miracle question

The requirement to join Gamblers Anonymous is

a desire to stop gambling

A drug used experimentally to treat trauma victims is

Ecsttasy

According to the text, all of the following are risk factors for an eating disorder among girls except for:

early dating

According to the text, motivational enhancement therapy

is both cognitively based and client centered

The incidence of problem gambling is higher in

racial and ethnic minorities than among whites

Which one of the following characterizes Assertive Community Treatment (ACT)

recognized as a best practice approach

In situations of domestic violence, the counselor is advised by the text authors to

refer the violent partner to a batterers' group

Which of the following areas are risks for lesbian and bi-sexual women who are not open about their sexual orientation and who lack social support

self-harm

The highest percentage of teenagers who actually attempt or commit suicide are those struggling with ___________.

sexual orientation issues

Breweries popped up in the Midwest related to the arrival of____________

the Germans

Which national or indigenous population introduced marijuana into the "New World"?

the Spaniards

Which of the following best describes the effectiveness research on Cognitive-behavioral therapy?

the most empirically supported of all the group therapy interventions

The Lie/Bet questionnaire rules out pathological gambling problems when a client answers "no" to

two questions

Which factor does not account for the low rate of alcohol/drug misuse for the Asian/Pacific Islander group?

Asians are the "model minority" without many addiction problems

In co-occurring disorders, which level of care is not classified by CSAT?

Harm reduction care

Which of the following states does not have legalized gambling (as of 2011)?

Hawaii

Which national group is singled out in the text for their healthy enjoyment of good wine?

Italians

The notion of "brain lock" is used by Schwartz to explain the disorder,________.

OCD

Even though Asian Americans in general have a higher educational status and higher income status than other minorities, it is misleading to describe them as a "model minority" because

their addiction rates have consistently been under-reported in the prevalence studies

According to the text, to understand the pain connected with addictive and compulsive behavior, one must:

understand the pleasure side of the activity.

Which countries of the following have the highest total per capita consumption in liters of pure alcohol

Moldova and the Czech Republic

Which internet site is NOT useful for finding alcohol/drug screening and assessment instruments

US Census

The self-help group for individuals with eating problems is

called Overeaters Anonymous (OA)

The American experiment with "prohibition - the noble experiment":

caused corruption of police and politicians

A strength-based approach to detoxification services would include which part of the following

focus on immediate housing needs

The Twelve Traditions are

guidelines for the functioning of the program in the community

According to the text, the following behaviors can become addictive except for:

studying

In her role theory, Wegscheider (1981) introduced the role of_____ to represent a significant role in the drug dependent family dynamics

the scapegoat

Which of the following treatment modalities was not highly rated in empirical research for effectiveness?

use of educational tapes, lectures, and films

Restorative justice

is the guiding philosophy of PEASE academy

Which of the following is not a tenet of a strengths-based approach?

urinalysis testing

Which factor is not considered a hallmark of effective treatment with Asians with substance abuse problems?

use of Narrative therapy as an intervention

According to the most recent AA member random survey (AA, 2004) of 7,500 AA members in the US and Canada, the average AA member is:

white

All of the following are prescription drugs strongly associated with Emergency Room visits except for

Melatonin

Which of the following is the screen that CSAT recommends for use in substance abuse or other settings to help identify clients who may have mental health problems?

Mental Health Screening Form III

Persons who wish for help with managing to drink moderately should attend

Moderation Management

The outcome measurement for harm reduction therapy is:

any step in the direction of reducing harm

According to the text, generalizations about family role traits—hero, scapegoat, etc.

are not empirically validated

Early American colonists used alcohol for all except which of the following?

as a deodorant

Which of the following characterizes Solution-focused therapy?

assumes the future can be created and negotiated regardless of the problem

The text recommends from a harm reduction perspective to control college binge drinking through

b and c (lowering the legal drinking age to 18 or 16 & restricting the marketing of alcohol products)

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

body, mind, and soul

A fundamental difference between the writings of cofounder Bill Wilson and professional treatment programs that practice "Twelve-Step Facilitation" is around the issue of _______

compliance

A skill that is not particularly helpful for counselors in developing culturally sensitive practice is:

confrontation

Technological advances often exceed a people's ability to handle it. What was the turning point for alcohol?

distillation

A major focus in motivational interviewing is to help clients:

explore and resolve ambivalence

The phrase "no wrong door" refers to

integrated treatment practices

A concept that is stressed in the text for its explanatory value is:

interactionism

Cognitive-behavioral therapy is based on the idea that

maladaptive thinking and bad habits are the mechanisms that cause addictive problems

According to data from the National Survey on Drug Use and Health (2006), in the 18 to 25 age group, which of the following substances had the highest usage?

marijuana

Compulsive gambling surveys consistently report that ______ are the group most likely to experience pathological gambling problems.

men

According to "the metaphor of disease": alcoholism is a threefold disease and includes which of the following?

mental, physical, and spiritual

Collaborative case management refers to

offering a menu of supports and services to the client

A recent change in emergency room admissions concerns overdoses related to ____overdoses.

prescription drug misuse

BASICS is a program for

prevention of college binge drinking.

The concept of culture

refers to learned values, behaviors, and beliefs that are shared by other group members

A clinical diagnosis of pathological gambling as defined in the DSM IV-R does not include which of the following:

sleep difficulties

According to the text, principles of motivational intervention are derived from the findings primarily from

social psychology

According to the text, _____________ is/are addressed in substance abuse treatment but is/are relatively ignored by professional family therapists

spirituality

Which of the following helps to reduce angry outbursts?

taking a time out

The Community Reinforcement and Family Training Approach (CRAFT)

teaches family members how to provide positive feedback to the addicted member

The story of "Mr. Glue Head" best illustrates

the advantages of letting the client define the problem

An ecosystems framework relevant to the family

views members in constant interaction

Of the following prescribed drugs, the one least likely to be associated with getting high is

Antabuse

Interactionism is seen most vividly, according to the text, in

family system dynamics.

Persons who are dually diagnosed with substance misuse and mental disorders can expect the following (compared to persons with just substance misuse problems)

more homelessness

In Colonial America strong drink was thought to:

protect against disease

Women-specific treatment programs are more likely to provide the following services except:

residential beds for client's children

Among current Native American adults who drink alcohol, the prevalence rate

varies a great deal

Tennessee remains the only state where

a woman can be criminally prosecuted for using illicit drugs while pregnant

The drug court movement promotes what action with individuals whose legal problems are related to their addiction?

decarceration - treatment in the community

Family group counseling used in child welfare programming

has roots in indigenous customs

Which of the following is not a negative symptom associated with schizophrenia is:

heightened feelings of pleasure

According to Wegscheider, a high risk for marrying an alcoholic faces the family

hero

Erik Erikson's stage of development pertaining to adolescence was

identity vs. role confusion

Which factor does not cause variation in drinking and drug use rates among Native Americans and Alaska Natives vary by

intelligence

Alcoholics Anonymous, as practiced as a mutual-help group in the community

is run by recovering individuals

The use of traditional cultural and spiritual practices in Native American treatment

needs more systematic evaluation before we can assess the efficacy of this approach

In the recent past, women who were identified as alcoholics, drug addicts, or compulsive gamblers were considered

promiscuous

According to research on teen smoking, a strong risk factor for smoking is all except:

sports involvement

Protective factors among young, low-income, Mexican American women include

the responsibility of providing family connection and care of the children

Which of the following is a true statement concerning clients with schizophrenia?

all of the above (1. What looks like resistance or denial may in reality be a manifestation of negative symptoms of schizophrenia, 2.Clients with co-occurring mental disorder involving psychosis have a higher risk for self-destructive and violent behaviors, 3. Clients with a co-occurring mental disorder involving psychosis are particularly vulnerable to homelessness, housing instability, victimization, poor nutrition, and inadequate financial resources)

According to Carol Gilligan, Erikson's conceptualization for young life was:

lacking in concern for female developmental issues

According to research, the only drug that causes addiction in the majority of users is

nicotine

In the GA 20 Question Screen, how many questions must a person answer "yes" for a positive screen of compulsive gambler?

7

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

motivational enhancement.

Mueser et al. recommend for working with families with a member who has a co-occurring disorder,that therapists

not give substance use priority; wait for the family member to bring it up