Drugs in Society Chapter 15 Treatment
More people resolve their substance abuse problems through _____ than any other way. a. Pharmacological treatment b. Self help groups c. Cognitive-behavioral therapy d. Spontaneous remission
Spontaneous remission
Brief interventions tend to be most effective for individuals with mild to moderate alcohol problems. a. True b. False
True
Sokolow, et al. (1981) reported in their survey of patients in New York alcoholism rehabilitation programs that almost _______% used at least one other drug in the 30 days before treatment. a. 20 b. 50 c. 75 d. 90
50
Hunt, Barnett, and Branch (1971) showed that __________% of the individuals treated for alcohol, tobacco, or heroin abuse in abstinence-oriented programs had returned to their primary substance use three months after treatment. a. 10 b. 25 c. 50 d. 70
70
______ is a pharmacotherapy for alcoholism that affects the NMDA receptor and the metabotropic glutamate receptors. a. Naltrexone b. Buspirone c. Sertaline d. Acamptrosate
Acamptrosate
______ is a self-help group for alcohol abusers that was founded by Dr. Bob and Bill W. a. Rational Recovery (RR) b. Secular Organizations for Sobriety (SOS) c. Alcoholics Anonymous (AA) d. Women for Sobriety (WFS)
Alcoholics Anonymous (AA)
______ differs from AA in that there is no emphasis on spirituality or a higher power. a. SOS b. SMART c. RR D. All of these
All of these
The ______ model is the foundation for Alcoholics Anonymous (AA) a. Moral b. Biologica c. Social learning d. American disease
American disease
Which of the following drugs has FDA approval for treatment of alcohol-use disorders? a. Ondansetron b. Antabuse c. Baclofen d. Topiramate
Antabuse
What is typically the first step in the substance abuse treatment process? a. Selecting the appropriate treatment environment b. Assessment c. Setting treatment goals d. Selecting a counselor
Assessment
Which of the following results have been reported in research conducts on the effectiveness of therapeutic communities? a. Low attrition rates b. Treatment is not cost-effective c. Associated with a more productive life after discharge if stay is long enough d. All of these
Associated with a more productive life after discharge if stay is long enough
Why is methadone used in the treatment of heroin abuse? a. Because it blocks the receptors that heroin binds to b. Because it lasts longer than heroin c. Because it blocks the addict's craving for heroin d. Because it breaks down heroin before it can bind
Because it blocks the addict's craving for heroin
The treatment most clearly implied from the ______ model is to advise at risk people of their risk for developing a substance use disorder and perhaps to counsel them to avoid alcohol or drugs. a. Biological b. Moral c. Disease d. Social learning
Biological
_____ is the greatest barrier to changing a substance abuse problem. a. The lack of effective treatment measures b. Denial c. Peer pressure d. None of these
Denial
________ involves the medical management of alcohol withdrawal symptoms. a. Detoxification b. Milieu treatment c. Partial hospital care d. Quarterway house treatment
Detoxification
The ______ model is especially important because of its prevalence in the United States. a. Moral b. Disease c. Social learning d. Sociocultural
Disease
Which of the following is an alcohol-sensitizing drug? a. Naltrexone b. Sertraline c. Acamprosate d. Buspirone
Disulfiram
Drug therapeutic communities are most often run by ________. a. Certified Drug Abuse Counselors b. Ex-addicts c. Clinical psychologists d. M.D.s
Ex-addicts
According to the opponent process theory, the individual's self-efficacy to cope with high-risk situations determines whether or not they will relapse. a. True b. False
False
Alcohol and drug treatment that most people receive today is consistently supported by research evidence. a. True b. False
False
Alcoholics Anonymous (AA) has been shown to be, by far, the most effective treatment for alcoholism. a. True b. False
False
Harm reduction programs stress abstinence as the only way to reduce the harmful consequences of alcohol abuse to society. a. True b. False
False
One drawback of Internet-based treatment interventions is that they do not offer the "support network" available in more traditional treatment. a. True b. False
False
One limitation of Alcoholics Anonymous (AA) is that it is appropriate only for those holding Judeo-Christian beliefs. a. True b. False
False
One of the most common early effects of Antabuse when a small quantity of alcohol is consumed is dyspnea, or labored breathing. a. True b. False
False
Recent research has shown that both naltrexone and acamprosate in combination with behavioral treatments produce better outcomes than the same behavioral treatments paired with a placebo. a. True b. False
False
Substance abuse professionals and peer self-help groups are competitive and antagonistic toward one another. a. True b. False
False
There does not seem to be any connection between alcohol or drug abuse and psychological disorders. a. True b. False
False
Treatment outcome research has shown that inpatient substance abuse treatment is ineffective. a. True b. False
False
Individuals with genetic polymorphism in the ______ receptor tend to be more responsive to naltrexone's effects on alcohol use. a. Dopamine b. GABA c. Mu-opioid e. Epinephrine
GABA
A needle exchange program would be an example of the _______ approach to substance abuse. a. Moderation Management b. Harm Reduction c. Moral model d. Disease model
Harm Reduction
In a recent study in Canada, heroin addicts who failed in methadone treatment were successful when prescribed _______. a. Buspirone b. Antabuse c. LAAM d. Heroin
Heroin
In ________ there is considerable attention given to the medical aspects of alcohol problems. a. Milieu treatment b. Individual outpatient treatment c. Impatient hospital treatment d. Self-help groups
Impatient hospital treatment
An example of a(n) _______ would be Milieu treatment a. Hospital setting b. Intermediate setting c. Outpatient setting d. Detoxification program
Intermediate setting
Halfway houses are an example of a(n) ___________ a. Hospital setting b. Intermediate setting c. Outpatient setting d. Self-help group
Intermediate setting
Why is levo-alpha-acetylmethadol sometimes used as a substitute for methadone? a. It has longer-lasting effects b. It is not an opiate c. It is less expensive d. It is more effective
It has longer-lasting effects
_______ is the last stage of the stages of change model. a. Maintenance b. Contemplation c. Action d. Recovery
Maintenance
According to the _____ model, treatment consists of spiritual or legal intervention. a. Moral b. Sociocultural c. Biological d. Social learning
Moral
In the _____ model, individuals are seen as personally responsible for problems they incur from their drug and alcohol use. a. Sociocultural b. Social learning c. Biological d. Moral
Moral
_______ is a non-medical treatment for alcohol use disorders in which verbal psychotherapy is used to encourage the individual to move forward in the stages of changing alcohol-use patterns. a. Motivational enhancement b. Conjoint treatment c. Classical-conditioning d. Milieu theray
Motivational enhancement
An important antidrug drug used to treat opiate dependence is _________, an opiate antagonist. a. Naltrexone b. Desipramine c. Disulfiram d. Carbimide
Naltrexone
_______ is an opiate antagonist that may help in recovery from alcohol dependence. a. Naltrexone b. Sertraline c. Acamprosate d. Buspirone
Naltrexone
Narcotics Anonymous evolved with a concentration on ______ a. Opiates b. Cocaine c. Marijuana d. Hallucinogens
Opiates
About 60% of the drug abusers in treatment receive their treatment in ________ a. Outpatient treatment b. Methadone treatment c. Therapeutic communities d. Impatient detoxification
Outpatient treatment
_______ are people working in patient care and not possessing a formal degree. a. Counselors b. Paraprofessionals c. Sponsors d. Psychotherapists
Paraprofessionals
According to the stages of change model, individuals in the _____ stage often have not acknowledged a problem. a. Contemplation b. Preparation c. Precontemplation d. Maintenance
Precontemplation
_______ refers to the resolution of a problem without the use of formal treatment. a. Rebound b. Homeopathy c. Spontaneous remission d. Self-help
Precontemplation
Individuals in the _____ stages are typically on the edge of taking action to change. a. Preparation b. Contemplation c. Precontemplation d. Action
Preparation
Which of the following self-help movements stopped holding meetings in 1999 and now condemns the self-help movement? a. SOS b. SMART c. Rational Recovery d. WFS
Rational Recovery
______ is an educational movement that is based on cognitive-behavioral principles and the Addictive Voice Recognition Technique. a. Women for Sobriety (WFS) b. Secular Organizations for Sobriety (SOS) c. Rational Recovery (RR) d. Alcoholics Anonymous (AA)
Rational Recovery
In Alcoholics Anonymous (AA), the beginning of recovery occurs when the alcoholic ______ a. Tells his/her story b. Recognizes God's love c. Stops drinking d. Recognizes his/her powerlessness over alcohol
Recognizes his/her powerless over alcohol
The focus of _____ is on four key areas: motives for use, beliefs, emotions, and behavior. a. SMART b. AA c. SOS d. WFS
SMART
_______ is a self-help group that is purported to be based on methods that are scientifically validated and is led by a coordinator who has maintained a period of sobriety or has never had an alcoholic problem. a. SMART b. Rational Recovery c. Secular Organizations for Recovery d. Women for Sobriety
SMART
The Sobriety Priority Program is the philosophy that underlies ________ a. Women for Sobriety (WFS) b. Rational Recovery (RR) c. Secular Organizations for Sobriety (SOS) d. Alcoholics Anonymous (AA)
Secular Organizations for Sobriety (SOS)
________ is an approach in which a person's withdrawal is monitored by professional staff in a treatment setting, but no drugs are administered. a. Pharmacotherapy b. Social detoxification c. Milieu therapy d. Aftercare
Social detoxification
According to the _____ model, treatment includes arranging a person's environment so that nonabuse of psychoactive substances is reinforced. a. Moral b. Social learning c. Biological d. Sociocultural
Social learning
Structured behavioral contracting programs for drug abusers follow the _______ model. a. Social learning b. Biopsychosocial c. Moral d. Disease
Social learning
Taxation of beverage alcohol would be an example of an intervention based on the _______ model. a. Sociocultural b. Social Learning c. Moral d. Disease
Sociocultural
______ is one of the last steps in Alcoholics Anonymous (AA) and involves a stable one-to-one relationship between a member with more sobriety and one with less. a. Sponsorship b. Tutoring c. Twelfth-stepping d. Guidance
Sponsorship
Why is it difficult to assess the effectiveness of Alcoholics Anonymous (AA)? a. The sample is too heterogeneous b. Alcoholics Anonymous (AA) refuses to release data c. The members are anonymous d. Each chapter follows completely different procedures
The members are anonymous
Which of the following is likely to result as a consequence of the 2010 Affordable Care Act? a. Substance use disorders will be less likely to be covered by insurance. b. Fewer people will have access to treatment. c. There will be greater demand for substance abuse treatment. d. None of the above
There will be greater demand for substance use abuse treatment
Which of the following is not true about self-help groups? a. Participants both give and receive help b. Professional treatment programs use them as part of aftercare c. They led by group leaders who have recovered d. Group members share the same identified problem
They are led by group leaders who have recovered
Sokolow's 1981 study showed that patients arriving for alcohol treatment were most likely to also use _________ a. Marijuana b. Antidepressants c. Tranquilizers d. Cocaine
Tranquilizers
What is the primary problem impacting the effectiveness of drug treatment programs? a. The development of dependence to drugs used in pharmacotherapy b. Treatment drop-out c. The lack of sufficient trained counselors d. The lack of specific treatment programs tailored to individual drugs
Treatment drop-out
According to the 2011 NSDUH survey, more people were admitted to drug treatment for abuse of pain relievers than for any other nonalcohol drug. a. True b. False
True
Antabuse is thought to be effective because it creates a learned aversion to alcohol. a. True b. False
True
Drug treatment in therapeutic communities is associated with a more productive life following discharge if there was sufficient length of stay. a. True b. False
True
Halfway houses are usually designed as milieu treatment. a. True b. False
True
In inpatient settings for substance abuse, the organization of patient care is similar to that given to people hospitalized for physical problems. a. True b. False
True
Naltrexone, an opiate antagonist, is an approved pharmacotherapy used in alcohol treatment. a. True b. False
True
Substance-use problems in women tend to develop faster than they do in men. a. True b. False
True
Temposil is an alcohol-sensitizing drug that is not available in the U.S. a. True b. False
True
The biopsychosocial model is a new viewpoint attempting to account for the three major variable domains known to influence behavior. a. True b. False
True
The primary goal of detoxification is to manage withdrawal symptoms. a. True b. False
True
Which of the following is not true of A.A.? a. It advocates relinquishing control to a higher power b. It advocates making direct amends to people harmed by an individuals drinking c. With it's emphasis on God, the program is only appropriate for those who accept Western religious beliefs d. Nonalcoholics may not attend closed meetings
With it's emphasis on God, the program is only appropriate for those who accept Western religious beliefs
