Chapter 15: Practice Questions
__________ refers to the resolution of a problem without the use of formal treatment.
Spontaneous remission
Halfway houses are usually designed as milieu treatment.
True
Which of the following is an alcohol-sensitizing drug? - naltrexone - buspirone - disulfiram - acamprosate
disulfiram
An example of a(n) ____________ would be Milieu treatment
intermediate setting
Halfway houses are an example of a(n) __________.
intermediate setting
Why is levo-alpha-acetylmethadol sometimes used as a substitute for methadone?
it has longer lasting effects
According to the stages of change model, individuals in the __________ stage often have not acknowledged a problem.
precontemplation
Individuals in the __________ stage are typically on the edge of taking action to change.
preparation
Which of the following is not true of A.A.? - it advocates relinquishing control to a higher power - it advocates making direct amends to people harmed by an individuals drinking - with it's emphasis on God, the program is only appropriate for those who accept Western religious beliefs - nonalcoholics may not attend closed meetings
with it's emphasis on God, the program is only appropriate for those who accept Western religious beliefs
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.
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
70
_________ is a pharmacotherapy for alcoholism that affects the NMDA receptor and the metabotropic glutamate receptors.
Acamprosate
__________ is a self-help group for alcohol abusers that was founded by Dr. Bob and Bill W.
Alcoholics Anonymous (AA)
The __________ model is the foundation for Alcoholics Anonymous (AA).
American disease
Which of the following drugs has FDA approval for treatment of alcohol-use disorders? - Ondansetron - Antabuse - Baclofen - Topiramate
Antabuse
_________ is the greatest barrier to changing a substance abuse problem.
Denial
__________ involves the medical management of alcohol withdrawal symptoms.
Detoxification
According to the opponent process theory, the individual's self-efficacy to cope with high-risk situations determines whether or not they will relapse.
False
Alcohol and drug treatment that most people receive today is consistently supported by research evidence.
False
Harm reduction programs stress abstinence as the only way to reduce the harmful consequences of alcohol abuse to society.
False
One limitation of Alcoholics Anonymous (AA) is that it is appropriate only for those holding Judeo-Christian beliefs.
False
One of the most common early effects of Antabuse when a small quantity of alcohol is consumed is dyspnea, or labored breathing.
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.
False
Substance abuse professionals and peer self-help groups are competitive and antagonistic toward one another.
False
There does not seem to be any connection between alcohol or drug abuse and psychological disorders.
False
Treatment outcome research has shown that inpatient substance abuse treatment is ineffective.
False
Alcoholics Anonymous (AA) has been shown to be, by far, the most effective treatment for alcoholism.
Fasle
One drawback of Internetbased treatment interventions is that they do not offer the "support network" available in more traditional treatment.
Fasle
A needle exchange program would be an example of the _________ approach to substance abuse.
Harm Reduction
___________ 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.
Motivational enhancement
__________ is an opiate antagonist that may help in recovery from alcohol dependence.
Naltrexone
__________ are people working in direct patient care and not possessing a formal degree.
Paraprofessionals
Which of the following self-help movements stopped holding meetings in 1999 and now condemns the self-help movement? - SOS - SMART - Rational Recovery - WFS
Rational Recovery
__________ is an educational movement that is based on cognitive-behavioral principles and the Addictive Voice Recognition Technique.
Rational Recovery (RR)
The focus of _________ is on four key areas: motives for use, beliefs, emotions, and behavior.
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 alcohol problem.
SMART
The Sobriety Priority Program is the philosophy that underlies __________.
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.
Social detoxification
__________ 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.
Sponsorship
Which of the following is likely to result as a consequence of the 2010 Affordable Care Act? - Substance use disorders will be less likely to be covered by insurance. - Fewer people will have access to treatment. - There will be greater demand for substance abuse treatment. - None of the above.
There will be greater demand for substance abuse treatment.
According to the 2011 NSDUH survey, more people were admitted to drug treatment for abuse of pain relievers than for any other nonalcohol drug.
True
Antabuse is thought to be effective because it creates a learned aversion to alcohol.
True
Brief interventions tend to be most effective for individuals with mild to moderate alcohol problems.
True
Drug treatment in therapeutic communities is associated with a more productive life following discharge if there was sufficient length of stay.
True
In inpatient settings for substance abuse, the organization of patient care is similar to that given to people hospitalized for physical problems.
True
Naltrexone, an opiate antagonist, is an approved pharmacotherapy used in alcohol treatment.
True
Substance-use problems in women tend to develop faster than they do in men.
True
Temposil is an alcohol-sensitizing drug that is not available in the U.S.
True
The biopsychosocial model is a new viewpoint attempting to account for the three major variable domains known to influence behavior.
True
The primary goal of detoxification is to manage withdrawal symptoms.
True
________ differs from AA in that there is no emphasis on spirituality or a higher power. - SOS - SMART - RR - all of these
all of these
What is typically the first step in the substance abuse treatment process?
assessment
Which of the following results have been reported in research conducted on the effectiveness of therapeutic communities? - low attrition rates - treatment is not cost-effective - associated with a more productive life after discharge if stay is long enough - 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?
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.
biological
The _________ model is especially important because of its prevalence in the United States.
disease
Drug therapeutic communities are most often run by __________.
ex-addicts
In a recent study in Canada, heroin addicts who failed in methadone treatment were successful when prescribed _________.
heroin
In __________ there is considerable attention given to the medical aspects of alcohol problems.
inpatient hospital treatment
__________ is the last stage of the stages of change model.
maintenance
According to the __________ model, treatment consists of spiritual or legal intervention.
moral
In the _________ model, individuals are seen as personally responsible for problems they incur from their drug and alcohol use.
moral
Individuals with genetic polymorphism in the _____ receptor tend to be more responsive to naltrexone's effects on alcohol use.
mu-opiod
An important antidrug drug used to treat opiate dependence is __________, an opiate antagonist.
naltrexone
Narcotics Anonymous evolved with a concentration on ________
opiates
About 60% of the drug abusers in treatment receive their treatment in ________.
outpatient treatment
In Alcoholics Anonymous (AA), the beginning of recovery occurs when the alcoholic __________.
recognizes his/her powerlessness over alcohol
According to the __________ model, treatment includes arranging a person's environment so that nonabuse of psychoactive substances is reinforced.
social learning
Structured behavioral contracting programs for drug abusers follow the _____ model.
social learning
Taxation of beverage alcohol would be an example of an intervention based on the __________ model.
sociocultural
More people resolve their substance abuse problems through ___________ than any other way.
spontaneous remission
Why is it difficult to assess the effectiveness of Alcoholics Anonymous (AA)?
the members are anonymous
Which of the following is not true about self-help groups? - participants both give and receive help - professional treatment programs use them as part of aftercare - they are led by group leaders who have recovered - 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 _____.
tranquilizers
What is the primary problem impacting the effectiveness of drug treatment programs?
treatment drop-out
