Substance abuse final

Women tend to get intoxicated faster and off less alcohol Women have shorter intervals between drinking episodes

2 biological differences between men and women in regards to alcohol response.

True

Children get addicted to gambling at a higher rate than adults (true or false)

True

Internet gambling is the fastest growing sector of the market (True or False)

True

Women who come into treatment are more likely to have started drinking later in life compared to men in treatment.

promote access to treatment without requiring abstinence as a condition for receiving treatment.

an example of a harm reduction strategy to reduce barriers to treatment is: A. promote access to treatment without requiring abstinence as a condition for receiving treatment. B. require eligibility and identification status before treatment entry. C. employ waiting list. D. Publish treatment fees.

psychosis

because continued smoking (like drinking) changes the brain, quitting is likely to bring about all except: a. Irritability B. Psychosis C. Depression D. intense craving for the drug

confront client denial

common techniques for enhancing motivation in the motivational interviewing model include all of the following except: a. Roll with resistance b. confront client denial c. admit diminished control over the addiction. d. develop discrepancy between present behavior and important personal goals.

refocus blame

each one f these is a step of strength-based counseling as described in the book except A. reframe b. Rename C. Reclain D. Refocus blame

true

highest level of alcohol use occurs in early 20s (true or false)

Incorporate recognition of the impact of a toxic social environment as a contributor to substance use problems.

in working with Latin American families the therapist should: A. Stress the individual is prioritized above all else. B. rely on behavioral contracts to ensure compliance. C. incorporate recognition of the impact of a toxic social environment as a contributor to substance use problems. D. speak in a forceful and direct manner.

30-40

research shows that ________% of gambling revenue comes from persons with gambling addictive problems. A. 80 B. 30-40 c. 5 - 10 d. 60

The crisis at each stage must be resolved before going on to the next one

According to Erikson A. one should focus on triumphs not crises B. identity issues are most important in the middle years. C. girls' stages should be emphasized in contrast to those of boys d. The crisis at each stage must be resolved before going on the next one.

Binge eating disorder

DSM 5 has made the following changes to include _________ as a mental disorder A. Bulimia B. Binge eating disorder C. Anorexia D. Bipolar disorder

The mascot

Forever clowning, the occupier of this role helps provide comic relief for the family unit. Encouraged to be cute and to joke around. Can attract positive attention while distracting others from serious matters

COD is treated in a stage wise fashion with different services provided at different stages

How has the advent of integrated treatment programs changed treatment? A. clients receive mental health treatment in one facility and substance abuse treatment in different facility b. persons with cognitive impairments and physical disabilities are not served as well. c. COD is treated in a stage-wise fashion with different services provided at different stages.

assessment may take a back seat to helping a client meet survival needs

In harm reduction approach, "assessment as treatment" means that: a. building a relationship with the client on the client's terms takes a long engagement period where assessments is an ongoing process. B. assessment may take a back seat to helping a client meet survival needs. C. treatment can begin after diagnosis is made. D. formal assessment is conducted before treatment can begin.

Overdose due to failure to take into account the patients body size

Methadone maintenance failure, according to the test is associated with all except: A. Overdose due to failure to take into account the patient's body size. B. inadequada doses being prescribed. C. Treatment programs located too far away from the potential patient causing undue hardship in assessing treatment D. Inadequate funding by federal and state sources.

individuals who want to drink moderately

Moderation Management is best suited for: A. individuals who have a desire to stop drinking. B. Individuals who want to drink moderately. C. Individuals who want to limit their drinking to six days a week. D. individuals who were formally dependent on alcohol and now want to drink moderately.

Hero

Often the firstborn child in the family, this high-achieving and competent individual is constantly seeking approval. The family labels this child as the star—scholar, athletic hero, or performer.

South Korea

The country where internet addiction is perhaps most rampant, as described in the test is: A. Ireland B. South Korea C. Australia D. Denmark

The family Manager

The individual who occupies this position is often the sober partner of an alcoholic or addict. The role that the family manager assumes is to overfunction to compensate for the partner's underfunctioning.

prefrontal cortex

The part of the brain that continues to develop during youth until the mid-20s is the: a. Nucleus accumbens b. prefrontal cortex c. synapse d. amygdala

True

The term self - efficacy is a term found in motivational interviewing theory. (True or False)

Psychological Trauma

Theories of addiction include the following EXCEPT: A. Weak moral character B. Heredity and disease C Psychological trauma D. modeling (Behavioral; environment observation)

focus on client's self determination and adopt the terms used by client and lesbian clients.

Therapist working with gay and lesbians are advised to A. Insist that members of the family of origin participate in sessions. B. Encourage gays and lesbians to come out C. focus on client self-determination and adopt the terms used by gay and lesbian clients. d. use the term sexual preference.

Lost child

This child lives in a fantasy world and is said to be little or no trouble. Although he or she may be lonely, this younger child can entertain him- or herself through endless playing with dolls, watching television, or playing computer games.

The scapegoat

This is the child, often the second born, whom everyone loves to blame. The negative label is applied and seems to stick. The irresponsible behavior that accompanies this role often lands the perpetrator in trouble.

The chemically dependent person

This member of the family is gripped by contradictions. Sensitive to the point of touchiness, the chemically dependent person is selfishly preoccupied with the sources of addiction. Often charming and talented, this family member tends to see life events and personalities in terms of black and white, all or nothing.

Marijuana can help cure other addictions

What did you learn about step 1 from the 12 step journaling exercise except: A. Identification of my issue B. Marijuana can help cure other addictions. C. in some ways my life may have become unmanageable. D. I can learn from others regarding Step 1

Films and lecture on the nature addiction

Which is the least effective model of group therapy in addiction treatment. a. Motivation interviewing groups. B. focus on coping skills and relapse prevention C. Films and lecture on the nature addiction

Gamblers Anonymous

Which of the following is a spiritually based mutual help program? A. Gamblers Anonymous B. Smart recovery C. Women for sobriety D. Moderation Management

Because they experience discrimination from being addicted and the oppression of being female in this culture.

Why are addicted women said to suffer from a double whammy? A. Because they experience discrimination from being addicted and the oppression of being female in this culture. B. because they experience both the joy of recovering and the joy of being a woman in this culture. C. Because they experience both the jolt of the addictive behavior and the depression of being female.

12 step programs encourage people to decide for themselves if they have a problem with addiction and desire to stop.

Why, according to the authors, are 12 step programs such as AA, GA or NA compatible with a harm reduction philosophy A. 12 step programs require only a few weeks of abstinence before a person is eligible for membership. B. 12 step programs help people diagnose whether they are truly addicted C. 12 step programs encourage people to decide for themselves if they have a problem with addiction and desire to stop. D. 12 step programs help people control their addiction as well as abstain from their addiction.

ask the client, "what changes, if any, are you thinking of making?"

a good beginning to closing the deal in motivation interviewing is to: a. confront the client with obvious need for change based on what they have said. B. ask the client "what changes, if any, are you thinking of making?" C. suggest resources for the change process. D. write out a plan for change

False

a key trait of the family "lost child" is perfectionism (True or False)

True

alcohol consumption and binge drinking are more common in Europe than America (true or false)

characterized by borrowing money to pay debts

problem gambling among substance abusers is A. not considered a serious problem. b. doesnt usually result in an elevated risk of suicide and attempted suicide. c. associated with other disorders such as schizophrenia. d. characterized by borrowing money to pay debts.

True

the US centers for substance abuse treatment recommends age-specific treatment for older adults with addiction rather than treatment in mixed settings.

Neuroplasticity

the term for the phenomenon of changing the brain through changing one's thinking is known as: A. Neuroplasticity B. A fault assumption C. Disproportionality. D. Intersectionality

a diagnosis is usually made by a licensed psychologist, physician, social worker or chemical dependency counselor

what are the major differences between assessment and diagnosis A. a diagnosis is usually approached through a clinical interview. B. a diagnosis takes into account social justice issues that impact the clients symptoms. C. a diagnosis is usually made by a licensed psychologist, physician, social worker, or chemical dependency counselor.

discriminates between different levels of risky behavior with alcohol

which of the following are benefits of using the AUDIT screen for substance abuse problems A. Discriminates between different levels of risky behavior with alcohol. B. is specifically designed to diagnose alcoholism C. Takes only 20 minutes to screen

Use friendly intake forms that use such terms as partner and significant other

which of the following are ways to build trust with lesbian, gay, bisexual and transgender people? a. Assume then need to work on their sexual orientation as well as their addiction problem. B. use friendly intake forms that use such terms as partner and significant other c. display pamphlets on methods of becoming heterosexual. D. assure them that you are heterosexual (if you are)

Ritalin

which of the following drugs does not help smokers quit/reduce smoking? A. Wellbutrin B. Zyban C. Ritalin D. Chantix

TWEAK

which of the following is the best screening tool for black obstetric patients and for white women A. TWEAK B. 20 questions C. AUDIT D. CAGE

after winning, did you put your winnings into a saving account for the future

which question is not included in the GA twenty questions? a. After winning, did you put your winnings into a savings account for the future? B. have you ever gambled to escape worry or trouble? C. have you ever sold anything to finance gambling? D. Did gambling cause you to have difficulty sleeping?

Contemplation

which stage of change is characterized by a person who argues against change, but at the same time, agrees with the need to change. A. Action B. Pre-contemplation C. contemplation D. Preparation.

women may fear losing custody of their children if they go to treatment

why are women less likely than men to enter treatment over their lifetime. A. women have higher educational attainment so dont need treatment as much. B. women are more likely to have children which gives them a reason to stay abstinent without treatment. c. Women have more money than men. D. Women may fear losing custody of their children if they go to treatment.