Substance Abuse Midterm

The rules for the alcoholic family, according to Claudia Black, are a. "every unhappy family is unhappy in its own way" b. "don't talk, don't trust, don't feel" c. "one day at a time" d. "seek change slowly"

b. "don't talk, don't trust, don't feel"

Which one of the following is not a depressant? a. nicotine b. alcohol c. morphine d. methamphetimine

a. nicotine

The "immigrant paradox" is when foreign-born immigrant family members are found to have fewer problems than their U.S. born children who are moving toward acculturation a. true b. false

a. true

The DSM-5 uses the term "addiction" instead of dependence. a. true b. false

a. true

The family hero, according to Wegscheider, often grows up to enter the helping professions. a. true b. false

a. true

Women are more likely than men to have a spouse or partner who also is abusing substances a. true b. false

a. true

An exception to the trend in reduced teen drug use is in regard to a. use of prescription drugs not prescribed for them b. heroin use c. use of ectasy d. cocaine use

a. use of prescription drugs not prescribed for them

An ecosystems framework relevant to the family a. views members in constant interaction b. is no longer accepted as a popular model c. focuses exclusively on the nuclear family d. is a predominant model in psychology today

a. views members in constant interaction

Most drug and alcohol treatment programs for Hispanic clients employ cultural responsiveness in their programming a. true b. false

b. false

Relapse is uncommon in those who have previously been treated for substance abuse/addiction and demonstrates a lack of motivation for treatment that should usually result in denial of admission treatment a. true b. false

b. false

The text recommends total abstinence as the best criterion by which to measure treatment success. a. true b. false

b. false

Drugs affect the brain by tapping into its communication system and interfering with the way _____ normally send, receive, and process information. a. brain hemispheres b. neaurons c. synapses d. nerves

b. neurons

In her role theory, Wegscheider (1981) introduced the role of _____________ to represent a significant role in the drug dependent family dynamics a. the family manager b. the scapegoat c. the taskmaster d. the family monitor

b. the scapegoat

_________ is a behavior pattern of compulsive substance abuse. a. Obsessive compulsive disorder b. Abuse c. Addiction D. Behavior Disorder

c. Addiction

_____ is used to block withdrawal symptoms and reduce cravings for narcotics and is distributed in clinics/hospitals in the US and Britain. a. heroin b. OxyContin c. Methadone d. Versed

c. Methadone

_______ is a process of medically weaning an individual off of a substance while monitoring the person's physical condition and administering medications to provide relief from symptoms. a. rehabilitation b. intensive outpatient treatment c. detoxification d. drug court

c. detoxification

This drug activates the very receptors in the brain involved in the increase of appetite. a. PCP b. Nicotine C. Ecstasy D. Marijuana

d. Marijuana

According to the text, an intervention with an elderly person in contrast to a standard intervention should a. proceed more slowly b. contain a larger number of participants c. proceed more rapidly d. be highly confrontational to break entrenched defenses

a. proceed more slowly

Philadelphia physician Benjamin Rush is known for recommending: a. pre-temperance ideology b. the 12-step program c. medical treatment for chronic "inebriates" d. providing combat soldiers with liquor to prevent trauma

c. medical treatment for chronic inebriates

It is never too early to begin preparing family members of alcoholics/addicts for the changes they need to make. a. true b. faluse

a. true

Which cultural/historical group encouraged complete abstinence from alcohol consumption? a. Greeks b. Followers of Islam c. Romans d. Hebrews

b. Followers of Islam

The phrase "no wrong door" refers to a. the need for fire exits in treatment centers b. integrated treatment practices c. the need to first decide whether the mental disorder or the substance abuse is the primary problem d. harm reduction practices

b. integrated treatment practices

According to Wegscheider, a high risk for marrying an alcoholic faces the family a. hero b. scapegoat c. lost child d. mascot

a. hero

Abuse of which of these substances is the leading risk factor for death among youths? a. nicotine b. alcohol c. cocaine d. methamphetamine

b. alcohol

The third leading cause of death after heart disease and cancer is a. illicit drug use b. head injury c. astma d. alcohol misues

d. alcohol misuse

Compared to men, women who have problems with substance misuse a. often do not have a history of sexual abuse from childhood b. do not suffer from low self-esteem c. are less likely to have a serious mental disorder d. are more likely to have a serious mental disorder

d. are more likely to have a serious mental disorder

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 rate of substance misuse when they are medicated with Ritalin d. none of the above

b. have higher rates of substance misuse than other boys

The phenomenon associated with aging and/or long term use in which the drinker is able to drink a great deal of alcohol without much obvious effect is a. tolerance b. tolerance reversal c. withdrawl d. cross-tollerance

a. tolerance

In spite of the prevalence of substance misuse among people with disabilities and the Americans with Disabilities Act of 1990, there is evidence that these persons are less likely to enter or complete treatment. a. true b. false

a. true

A recent change in emergency room admissions concerns overdoses related to _________ overdoses a. alcohol b. meth c. prescription drug misuse d. marijuana

c. prescription drug misuse

According to the Global Status Report on Alcohol, the male/female ratio of heavy episodic drinking, lists which country as having the largest gap between males and females a. Canada b. Germany c. Italy d. Mexico

d. Mexico

In Colonial America, strong drink was thought to: a. cause rickets b. induce pain c. cause seizures d. protect against disease

d. protect against disease

Women-specific treatment programs are more likely to provide the following services EXCEPT: a. children's activities b. assistance in locating housing c. anger management d. residential beds for client's children

d. residential beds for client's children

Children who grew up in addict/alcoholic homes often develop coping mechanisms that may be useful later. The hero, for example, more than other siblings learns to ___________ a. assume responsibility early b. make friends easily c. have a great imagination d. become peer group oriented

a. assume responsibility early

The drug court movement promotes what action with individuals whose legal problems are related to their addiction? a. decarceration-treatment in the community b. incarceration-treatment in the prison system c. requiring to serve out the remainder of prison term if the individual relapses d.moving clients into a "wet house."

a. decarceration-treatment in the community

Research indicates that in the transition from separate to integrated treatment for co-occuring disorders that a. stable remission rates more than double b. the investment is too costly to be worth the trouble c. the 12 step approach works best d. clients with different types of disorders do not get along well together

a. stable remission rates more than double

According to the text, approximately 50% of mental health clients have problems stemming from their own or their family members' addiction problems a. true b. false

a. true

Compared to men, women become intoxicated more readily even at the same body weight. a. true b. false

a. true

Male partners of alcoholics are less likely to join support groups than female partners. a. true b. false

a. true

Which of the following does integrated treatment programs not provide. a. team approach b. focus on substance abuse problems before mental health problems c. long-term commitment d. one location for treatment of both problems

b. focus on substance abuse problems before mental health problems

An explanation presented in the text for the link between early sexual abuse and later development of alcoholism is all EXCEPT a. the development of biochemical abnormalities in the brain associated with trauma b. having older brothers c. the impact of anxiety and stress during adolescence which lead to later self-medication with chemicals d. the sense of shame and self-disgust in the victim which reduces his/her coping skills with later problems

b. having older brothers

In the recent past, women who were identified as alcoholics, drug addicts, or compulsive gamblers were considered a. not especially deviant b. promiscuous c. mentally ill d. repressed

b. promiscuous

In situations of domestic violence, the counselor is advised by the text authors to a. refer the couple to conjoint counseling b. refer the violent partner to a batters' group c. not mention domestic violence in screening; let the partner bring it up later d. if children are endangered, keep it confidential so not to risk loss of trust

b. refer the violent partner to a batters' group

A person who abuses drugs eventually feels flat, lifeless, and depressed and is unable to enjoy things that were previously pleasurable. Now the person needs to keep taking drugs again just to try and bring his or her _____________ function back up to normal. a. dopamine b. serotonin c. norepinephrine d. adrenaline

b. serotonin

According to classical family systems theorists, the person with the drug use problem is viewed as ________________ a. a person suffering from a mental disorder b. the symptom carrier c. the problem d. the person in need of a formal interention

b. the symptom carrier

The prefrontal cortex of the brain reaches full maturity soon after age a. 10 b. teens c. mid-20s d. 30s

c. mid-20s

According to the text, ____________ is/are addressed in substance abuse treatment but is/are relatively ignored by professional family therapists a. genograms b. children's roles in the family c. spirituality d. interactionism

c. spirituality

The most commonly used substance by persons with severe mental illness is a. cannabis b. cocaine c. meth d. alcohol

d. alcohol

As stated in the text, addiction is the illness of the ________ a. body b. mind c. soul d. all of the above

d. all of the above

The following concepts or notions were derived from Bill W. except for: a. powerlessness b. carrying the message to other persons c. seeking divine guidance d. empowerment

d. empowerment

Key themes of African American families of which the counselor should be aware are all EXCEPT: a. a network of extended family ties b. reciprocity in providing aid c. the personal connection between family and therapist d. non-reciprocity regarding gift-giving

d. non-reciprocity regarding gift-giving

According to research on teen smoking, a strong risk factor for smoking is all except: a. having friends who smoke b. dropping out of school c. having a risk-taking personality d. sports involvement

d. sports involvement

Protective factors among young, low-income, Mexican American women include a. the breakdowns of the family of origin and extended kinship networks b. the survival of poverty c. an attitude of fatalism d. the responsibility of providing family connection and care of the children

d. the responsibility of providing family connection and care of the children