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
