Substance Abuse Final

Drug court is cost effective for communities. a. true b. false

a

Legal threats of incarceration of pregnant women who are using drugs during pregnancy have resulted in a. Fewer women obtaining prenatal care b. A commitment to provide basic social and health care needs c. More money for services d. More prevention and treatment services available

a

Social Workers should view clients as in charge of their own goals. a. true b. false

a

Woman caring for minor children (prior to incarceration in prison) make up approximately 10% of all women offenders. a. True b. False

b

Mandatory minimum sentences apply to all of the substances listed below except: a. Cocaine b. Marijuana c. Alcohol d. Heroin

c

The current approach to addiction as criminal rather than a health issue separates the U.S. from most developed countries and has produced_________. a. Prevention programs that dramatically reduce addiction b. Low relapse rates c. The largest prison population in the world d. Effective reduction of substance abuse

c

Georgia's driving under the influence (DUI) laws make it illegal for drivers of all ages to operate motor vehicles if they have blood alcohol concentration (BAC) percentages of: a. 0.08% or higher, if they're 21 years old or older operating regular passenger vehicles. b. 0.04% or higher, if they're operating commercial vehicles. c. 0.02% or higher, if they're younger than 21 years old. d. all of the above

d

One of the most promising developments in recent years is the ______, an alternative to prison for substance abusers a. Work release program b. Mandatory minimum sentencing c. Mental health court d. Drug court

d

Strategies to finding solutions include: a. Miracle question b. The personal narrative c. Scaling questions d. Coping questions e. all of the above

e

The first step of the 12 steps of AA/NA begins:

We admitted we were powerless over alcohol/addiction and our lives had become unmanageable

If a person using naltrexone relapses and uses the abused drug, naltrexone blocks the euphoric and sedative effects of the abused drug and prevents feelings of euphoria. a. true b. false

a

The most popular form of delivering substance abuse treatment is: a. individual counseling b. group therapy c. prison d. mandated courses

b

The documentary "The House I Live In", claims that the U.S.'s narcotics laws are based on controlling _________. a. Black people only b. White people only c. Lower class (poor) people of all colors d. Latinos

c

Key ingredients to assessment include: a. empathy b. provide hope c. reflective listening d. all of the above

d

The steps to enhance motivation include: a. Express empathy b. Develop discrepancy c. Avoid argumentation d. Roll with resistance e. Support self-efficacy f. all of the above

f

"Confidentiality of Alcohol and Drug Abuse Patient Records" (2011) apply to all agencies that provide substance abuse treatment or prevention. a. true b. false

a

"Process for defining the nature of the problem and developing specific treatment recommendations for addressing the problem" is the definition of a. assessment b. motivation c. interview d. social work

a

A fundamental difference between AA meetings and 12-step treatment model is _____ a. AA meetings stress the voluntary nature of attendance b. Compliance is stressed in the AA meetings c. The treatment model stresses confidentiality d. AA requires monthly dues

a

Acamprosate is a medication for people in recovery who have already stopped drinking alcohol and want to avoid drinking. It works to prevent people from drinking alcohol, but it does not prevent withdrawal symptoms after people drink alcohol. a. true b. false

a

According to the U.S. Department of Justice, around one-half of inmates in the federal prison system are serving time for drug related crimes. a. True b. False

a

According to the text, rather than punishing drug use in pregnant women, emphasis should be put placed on addressing women's basic health needs, which exist with or without pregnancy and do not end with the delivery of the baby. a. True b. False

a

According to your text, which of the following is essential knowledge a counselor should have before conducting screening and assessment for clients who have co-occurring disorders? a. Familiarity with the diagnostic criteria for common mental disorders b. Complete confidence that you are competent in every area c. Access to the "gold standard" screening/assessment instruments for COD d. Skill in detecting whether or not the client is telling the truth

a

Addictive Disease Support Services (ADSS) are medium-intensity community-based services that promote substance use recovery for people with addictive disease and other substance use disorders. a. true b. false

a

Disulfiram is a medication that treats chronic alcoholism. It is most effective in people who have already gone through detoxification or are in the initial stage of abstinence. a. true b. false

a

Drug conspiracy laws cause women to be arrested as their partners turn them in as a part of their plea bargaining agreements to get their sentences reduced. a. true b. false

a

Finding solution to problem viewed as more important than finding the cause a. true b. false

a

Focusing attention on what the client wants to see happen as a result of working together with the clinician accomplishes which goal? a. Sets up a collaborative partnership with clinician b. Establishes the credibility of the clinician's knowledge c. Helps the client understand that they need to stay abstinent d. Allows the clinician a way to tell which options they will pursue

a

Gambling problems can be prevented by removing gambling machines from shopping centers, strip malls, clubs, and hotels. a. true b. false

a

Global Commission on Drug Policy (2011) led by former presidents from Latin America called for... a. end to drug wars b. increased police presence in minority communities c. banishment of minimum sentencing d. all of the above

a

Government encourages drug testing for welfare recipients. a. true b. false

a

Like methadone, buprenorphine reduces opioid craving and withdrawal, and can blunt the effects of other opioids. a. true b. false

a

Medication-Assisted Treatment (MAT) is the use of medications, in combination with counseling and behavioral therapies, to provide a "whole-patient" approach to the treatment of substance use disorders. a. true b. false

a

Methadone reduces opioid cravings and withdrawal, and can blunt the effects of other opioids. a. true b. false

a

Most inmates in federal prison are minorities. a. true b. false

a

Practitioners are advised to focus on harms other than substance use, such as unemployment, poverty, need for housing. a. true b. false

a

SSI for alcohol/drug disabilities has been discontinued. a. true b. false

a

Smoking is the leading cause of preventable death. a. true b. false

a

Strengths-based practice defined by Saleebey as "a versatile practice approach, relying heavily on ingenuity and creativity." a. true b. false

a

The "C" in CAGE stands for: a. Have you ever felt you ought to cut down on your drinking or drug use? b. Have people annoyed you by criticizing your drinking or drug use? c. Have you ever felt bad or guilty about your drinking or drug use? d. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or get rid of a hangover?

a

The AUDIT includes 10 items that cover amount and frequency of drinking, alcohol dependence symptoms, personal problems, and social problems. a. true b. false

a

The SASSI differs from other substance abuse assessments because: a. Most of the true/false items on one side of the form do not ask directly about substance abuse b. It can only be administered by physicians c. It also requires a drug test d. It takes the most time to administer

a

The Stages of Change Model: Prochaska and DiClemente includes: a. Precontemplation, Contemplation, Preparation, Action, Maintenance, Relapse b. Preparation, Implementation, Action, Awareness, Completion, Revocery c. Action, Regret, Maintenance, Recovery, Completion d. Precontemplation, Preparation, Action, Regret, Recovery

a

The principle advantage of screening tools is to provide _____ a. A method of quickly detecting the possibility of addiction problems b. A method of positively identifying addiction problems c. A method of securing third party payments d. A means of holding clients accountable for their behaviors

a

There is TANF drug testing in some states. a. true b. false

a

War on drugs is not harm reduction but harm maximization a. true b. false

a

What percent of substance misusers get treatment? a. 11% b. 15% c. 20% d. 5%

a

When conducting an assessment, it is effective to use a. open ended questions b. minimal encouragers c. closed questions d. nonverbal communication

a

When used as a treatment for alcohol dependency, naltrexone blocks the euphoric effects and feelings of intoxication. a, true b. false

a

Women have the fastest growing prison population rate, especially in federal prisons a. true b. false

a

__________ was the fastest growing population in prison from 1977 to 2005. a. Women b. Hispanics c. African Americans d. Non-citizens

a

______________ is defined as a "client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence." a. Motivational Interviewing (MI) b. Behavioral Interviews (BI) c. Competency Interviews (CI) d. Structured Interviews (SI)

a

According to the test, media reports of a whole generation of "crack babies" a. Led to policy reform where reform was needed b. Were not based on research studies c. Should have focused on "meth babies" instead d. Underestimated the problem

b

According to the text, when assets of suspected drug dealers are seized, a. The impact is greatest on the middle class who own enough to suffer a loss b. The whole family may suffer serious loss c. This is an example of harm reduction d. Statistics show drug dealing in the immediate area is reduced

b

Civil Asset Forfeitures is when a. neighbors loot property of imprisoned drug dealers b. Police seize property (cars, houses) related to crimes committed based on "a mere preponderance of evidence c. police commit tax fraud d. all of the above

b

Decriminalization of all illicit drugs has been a major policy experiment in which location? a. The United States b. Portugal c. Mexico City d. Washington D.C.

b

Even though White and Black people use drugs at approximately the same rate, ______ are 10.1 times more likely to be sent to prison for drug offenses a. White people b. Black people c. Both groups d. Latino people

b

TWEAK stands for: a. Temptation, Willingly, Episodes, Aggression, Kut down b. Tolerance, Worried, Eye Openers, Amnesia, Kut down c. Tolerance, Willingly, Episodes, Amnesia, Kut down d. Temptation, Worried, Eye Openers, Aggression, Kut down

b

The "A" in cage stands for: a. Have you ever felt you ought to cut down on your drinking or drug use? b. Have people annoyed you by criticizing your drinking or drug use? c. Have you ever felt bad or guilty about your drinking or drug use? d. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or get rid of a hangover?

b

The outcome measurement for harm reduction is: a. Abstinence from the addictive behavior b. Any step in the direction of reducing the danger of addiction c. Successful employment d. Entering formal treatment

b

Cognitive behavioral therapy is based on the idea that: a. Abstinence is required in order to change addictive behaviors b. Addiction is a disease with inevitable progression c. Maladaptive thinking and bad habits are the mechanisms that cause addictive problems d. A person needs to "hit bottom" before they can change their addictive behavior

c

The "G" in CAGE stands for: a. Have you ever felt you ought to cut down on your drinking or drug use? b. Have people annoyed you by criticizing your drinking or drug use? c. Have you ever felt bad or guilty about your drinking or drug use? d. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or get rid of a hangover?

c

The name of the only organization that provides a needle exchange program in Georgia is ____. a. Atlanta Metro Needle Exchange b. Atlanta Area Humane Addiction Program c. Atlanta Harm Reduction Coalition d. Addiction Help Recovery Cooperative

c

Visitors who want to attend and AA or NA meeting in the community should a. Read the Big Book before attending b. Ask permission of the group facilitator c. Attend an open meeting d. Only attend with a member of that group

c

Which of the following is NOT a technique of enhancing motivation in clients/patients? a. Rolling with resistance b. Expressing empathy c. Breaking through denial d. Identifying discrepancies

c

Which of the following is NOT consistent with the strengths- based approach? a. Providing options b. Choice c. Urinalysis testing d. Awareness of the client's readiness for change

c

__________ young black men are behind bars a. 3 in 5 b. 4 in 10 c. 1 in 9 d. 3 in 7

c

"Confidentiality of Alcohol and Drug Abuse Patient Records" (2011) ensures that: a. there is no disclosure of content that would be harmful to the patient with or without the patient's signed consent b. clients who seek treatment are protected from being asked facts about their prior drug use or dealing c. there is no disclosure of content without the patient's consent even in court subpoenas d. all of the above e. a and b only

d

Alcoholics Anonymous as practiced as a mutual self-help group in the community, a. Is non-voluntary b. Requires that attendees abstain from alcohol/drugs c. Requires people to stay clean and sober for two months before becoming members d. Is run by recovering individuals

d

Dennis Saleebey developed these ideas a. focus on possibilities, choices- providing treatment options b. resilience, healing, and wholeness c. contrast with problem-solving approach d. all of the above

d

How do we honor client's self-determination when the client is harming himself/herself with substance misuse? a. Right of choice should be extended to all social classes; as it is people in poverty have far less choice than those at high income levels b. It is important to provide options. Abstinence-based models do not c. Attend to readiness of client to change d. all of the above

d

Needle exchanges serve only _________ of drug injectors a. 20% b. 10% c. 30% d. 15%

d

Risk factors for gambling problems include a. the presence of current posttraumatic stress disorder symptoms b. minority race or ethnicity c. being a Veterans Affairs (VA) patient d. all of the above e. a and c only

d

The "E" in CAGE stands for: a. Have you ever felt you ought to cut down on your drinking or drug use? b. Have people annoyed you by criticizing your drinking or drug use? c. Have you ever felt bad or guilty about your drinking or drug use? d. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or get rid of a hangover?

d

What are advantages of assessment? a. Get information b. Match to counselor c. Get insurance reimbursement for diagnosis d. all of the above

d

What are disadvantages of assessment? a. set up false expectations for specialized treatment b. delays actual treatment c. may be inappropriate for many minority groups d. all of the above

d

Which of the following best describes the effectiveness of research on cognitive-behavioral therapy: a. A promising approach b. The least empirically supported approach to addiction interventions c. Less empirical support than solution- focused therapy d. The most empirically supported (with data) of all the therapy interventions

d

Which of the following is NOT a screening tool for alcohol problems? a. CAGE b. TWEAK c. AUDIT d. Twenty Questions

d

_______ has become an increasingly popular drug as access to narcotic "pill mills", "pain clinics" and other illegitimate sources of narcotic pain medication have been restricted by public policy. a. Cocaine b. Oxycontin c. Marijuana d. Heroin

d

The Substance Abuse Screening Inventory (SASSI) a. is a different approach to assessment instruments—does not ask directly about substance misuse on one side of the form b. consists of true-false items. such as "I am often resentful," and "I like to obey the law." c. decides who is misusing substances d. all of the above e. a and b ONLY

e

Which of the following is true about AUDIT? a. Scoring discriminates between different levels of risk—hazardous, harmful, and possible dependence. b. it is a prevention tool to assess future risks. c. it can be given to the client as a questionnaire, it can be filled out, or it can be used as interview questions. d. it is available for free on the Internet. e. all of the above f. a, b, and c ONLY

e