Final Substance Abuse and Treatment

Whereas bulimics suffer more from anxiety, anorexics are inclined toward depression.

False

The Gin CAGE stands for:

Guilt feelings about drinking

Research indicates that in the transition from separate to integrated treatment for cooccurring disorders that

Stable remission rates more than double

Because continued smoking (like drinking) changes the brain, quitting is likely to bring about:

b. Depression c. Irritability d. B andC

The requirement to join Gamblers Anonymous is

A desire to stop gambling

Abuse of which of these substances is the leading risk factor for death among youths?

Alcohol

The third leading cause of death after heart disease and cancer is: a. Illicit drug use

Alcohol misuse

What approach is NOT considered in the text to be strengths-based?

Problem-focused therapy

The highest level of alcohol use is found among:

21 years old

According to Drake and Mueser, what percentage of mental health clients can professionals expect to have problems related to alcohol

50%

What percentage of patients treated at mental health centers have problems with alcohol and other drugs?

60%

Self-change or "natural recovery" occurs with what percent of persons who quit smoking altogether?

80-90%

The preferred treatment for eating disorders described in the book is

A combination of pharmaceutical and cognitive interventions

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

Anxiety and obsessiveness

A person in the "contemplation" stage exhibits little or no ambivalence about making a change.

False

Methadone and buprelnorpbine can be prescribed more readily by doctors than formerly as some restrictions have been eased

False

Erik Erikson's stage of development pertaining to adolescence was:

Identity vs. role diffusion

A major focus in motivational interviewing is to help clients:

Increase willingness to change

Substance use disorders are NOT especially prevalent in individuals with?

Low IQ

Which of the following is an example of harm reduction strategy?

Lowering financial barriers to treatment

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

Marijuana

Mueser, Noordsy, and Drake (2003) delineate seven types of services that need to be considered for an appropriate treatment plan for persons with co-occurring disorders. Which of the following is NOT a part of that plan?

Marriage Counseling

Philadelphia physician Benjamin Rush is known for recommending:

Medical treatment for "inebriates"

Which drug accounts for more emergency room visits than any other illicit drug, according to a survey released by the National Association of Counties (2006)?

Meth

Serotonin is an example of a:

Neurotransmitter

Which one of these is NOT a depressant?

Nicotine

According to the text, the rituals of anorexia are closely related to

OCD

Adolescent girls surpass boys in the use of prescription drugs.

True

CAGE assesses both past and current drinking problems.

True

Harm reduction strategies for alcohol misuse are based on the premise that alcohol use ranges across a continuum, starting with no consequences and with devastating consequences

True

Motivational strategies have been found to work well with persons with co-occurring disorders.

True

The same primitive reward system in the brain is central to the development of both excessive eating and chemical addiction.

True

The teen drug of choice is alcohol.

True

When given a choice, people tend to choose the goal that is most appropriate for the severity of their problems.

True

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

Urinalysis testing

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

Use of educational tapes, lectures, and films

An exception to the trend in reduced teen drug use is in regard to:

Use of prescription drugs not prescribed for them

Which of these is NOT an opiate?

Valium

According to the book, the following is a theme in the history of substance abuse and addiction: ·

a. Cultural traditions breed different reactions to the same drug b. America has a love/hate relationship with alcohol c. Increased drug potency tends to be associated with prohibition d. All of the above

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

a. Decarceration-treatment in the community b. Incarceration-treatment in the prison system c. Requirement to serve out the remainder of prison term, in case of relapse d. None of the above

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

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

Using a holistic basis for measurement, which of the following is considered a standard measurement for successful treatment outcomes?

improvement that might include moderate drug/alcohol use

Naltrexone works by:

Blocking brain activity that produces a high

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

Break through denial

Bingeing and purging behavior is most closely associated with:

Bulimia

The National Institute of Justice (2006), in its review of research findings on drug court effectiveness made the following recommendations for improving the retention rate:

Counseling sessions that include family members

When a tolerance that develops for one drug generalizes to another drug in the same pharmaceutical class, this is called: ·

Cross-tolerance

According to the DSM-IV what term or-terms replace(s) the word addiction?

Dependence

The slower metabolism, lower body mass, and decrease in an enzyme called alcohol dehydrogenase applies to which population and helps drive down their tolerance level?

Elderly People

The phrase "no wrong door" refers to

Integrates treatment practices

According to the text, motivational enhancement therapy

Is both cognitively based and client centered

______________is used to block withdrawal symptoms and reduce cravings and is distributed in clinics/hospitals in the US and Britain:

Methadone

A national sample found that__________ persons who suffered from a pathological gambling disorder also had problems with alcohol

Most

This model of practice, according to the text, uses a stages-of-change framework

Motivational enhancement strategies

Which of the following are not typical symptoms defined by the DSM-IV to diagnose substance dependence:

Nervous facial tics

Collaborative case management refers to

Offering a menu of supports and services

Which population receives between 25% and 30% of all prescriptions and account for more than half of the hospitalizations resulting from drug interactions?

Older Americans

According to Wallen, a formal intervention with an elderly person in contrast to a standard intervention should:

Proceed more slowly

Which class of medications has become the first line of treatment to combat depression?

SSRl's

According to Miller and Rolnick, a formal assessment (such as strengths based assessment)

Should be avoided as part of motivational work

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

Sleep difficulies

According to Burke, Arkowitz, and Menchola's (2003) meta-analysis of motivational interviewing showed positive results in clinical trials for all of the following dependencies except:

Smoking

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

Social Psychology

A behavior pattern of compulsive substance abuse is the definition of:

The concept of addiction

Miller and Rollnick recommend with regard to substance use assessment, that:

The counselor avoid the role of expert

Jellinick's major contribution was:

To identify multiple alcoholisms

The phenomenon associated with aging in which the drinker loses his/her ability to handle alcohol is:

Tolerance reversal

The traditional treatment system commonly involves a continuum of care that includes all of the following except:

Treatment on demand

About half as many elderly persons drink as young persons

True

Boys with ADHD

a. Have lower rates of substance misuse than other boys b. Have higher rates of substance misuse than other boys c. Have the highest rates of substance misuse when they are medicated with Ritalin d. None of the above

A strong risk factor for smoking is

a. Having friends who smoke b. Dropping out of school c. Having a risk-taking personality d. All of the above

Which of the following helps to reduce angry outbursts?

a. Healthy self-talk c. Petting the dog d. A and C

The following is used to curb nicotine addiction:

a. The nicotine patch b. Zyban c. Naltrexone d. All of the above

Binge drinking is defined for males as ____________drinks on one occasion:

5 or more

The most common psychiatric diagnosis for persons with an AOD disorder is:

Anxiety and mood disorders

Heroin is a synthetic derivative of:

Opium

The self-help group for individuals with eating problems is

Overeaters Anonymous (OA)

Which of the following is NOT a mood disorder?

PTSD

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

Pathological gamblers

The following disorder is included in the 2000 DSM-IV only under the category "needs further study"

Pathological gambling

Emergency rooms today are reporting that around ¼ of the drug related emergency room admissions are for overdoses of __________________and over the counter drugs

Perscription

Bulimics tend to share which of the following characteristics?

a. A likely history of childhood sexual abuse b. A tendency to abuse alcohol c. The tendency to have overweight family members d. All of the above

A characteristic of fetal alcohol syndrome is:

a. A small head circumference b. A low nasal bridge c. A short face d. All of the above

A major criticism of AA noted in the text is:

a. AA's refusal to modernize its concepts b. Lack of welcome to drug addicts d. Both A and B

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

a. Brief intervention b. Motivational enhancement c. A version therapy d. All of the above

The following is NOT a goal of motivational interviewing:

a. Compliance from the client b. Challenging resistance c. Confrontation d. All of the above

Which of the following may reduce the "harms" of compulsive gambling for women?

a. Decreasing the accessibility of gambling venues, for example from shopping centers, malls, grocery stores and hotels c. Involving compulsive gamblers, financial institutions, gambling operators, and government to work on solutions together d. Both A and C

According to the text, which of the following behaviors cannot become addictive?

a. Drug/alcohol use b. Eating c. Shopping d. None of the above

To understand the pain connected with addictive and compulsive behavior, one must:

a. Focus on harm of substance misuse b. Understand the pleasure side of the activity c. Emphasize character weakness d. All of the above

Solution-focused therapy:

a. Is based on behavioral therapy techniques b. Sees the person as the problem c. Relies on diagnostic labels from the DSM d. None of the above

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

a. Body b. Mind c. Soul d. All of the above

The following assessment instrument has been found to be successful in revealing alcohol problems:

a. AUDIT b. TEAK c. CAGE d. All of the above

The harm reduction model stresses:

a. Availability of the substance over other agent b. Recognition of individual variation in response to the substance or other agent c. Understanding of the person-in-environment configuration d. All of the above

Which following statement, according to the text, is true?

a. Brain degeneration may be reversed to some extent with therapy b. Psychological counseling can alter brain chemistry c. Schick Schadel does not rely on 12 step programming d. All of the above

According to the text, one drawback to the use of DSM-IV-TR's either/or category is:

a. Its failure to standardize criteria b. Its lack of diagnostic capabilities c. It fails to account for human behavior d. None of the above

Which of the following is a reason that a person with co-existing disorders might use a substance?

a. Loneliness b. Boredom c. Insomnia d. All of the above

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

a. More homelessness c. More incarceration d. A and C

Alcoholism is described in this book as an illness because:

a. The concept recognizes alcoholism as a medical problem b. It is non-victim blaming c. It is non-judgmental d. All of the above

An explanation presented in the text for the link between early sexual abuse and later development of alcoholism is:

a. The development of biochemical abnormalities in the brain associated with trauma b. The impact of anxiety and stress during adolescence which lead to later self medication with chemicals c. The sense of shame and self-disgust-in the victim which reduces his/her coping skills with later problems d. All of the above

Most clients come to treatment in the

Pre-contemplation and contemplation stages

Which of the following approaches rest on the assumption that clients have abilities, possibilities, strengths and competencies?

a. Motivational interviewing b. Narrative therapy c. Solution-focused therapy d. All of the above

Results from one NIAAA study found to be effective in treatment for alcohol dependence:

a. Naltrexone b. Behavioral counseling c. Medication management in cases of co-occurring disorders d. All of the above

A myth concerning people with disabilities, according to CSAT, is

a. People with disabilities don't abuse substances b. People with disabilities aren't apt to sue the program regardless of the services offered c. A person is noncompliant when a disability prevents him or her from participating in treatment d. All of the above

The following concept or notion was derived from Bill W.:

a. Powerlessness b. Carrying the message to other persons c. Seeking divine guidance d. All of the above

Typical warning signs of internet addiction include which of the following?

a. Preoccupation with the internet b. Jeopardized friendships c. Lying behavior d. All of the above

In the dual diagnosis program described by Angela Woods:

a. Relapses are viewed as something that happens b. Patients speak openly about mental illness d. A and B

The following is a risk factor for an eating disorder among girls:

a. Stress and trauma b. Susceptibility to media ads and images c. Substance misuse d. All of the above