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