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Jose, a substance abuse counselor, is working with Melynda, who has an SUD. They are
currently coming up with a continuing plan to support Melynda's desire to work
towards recovery. She is currently attending weekly group therapy, going to three AA
meetings per week, as well as meeting with Jose every week. She is proud that she has
been sober for two weeks. Melynda is most likely in which stage of change, according
to Prochaska's model?
a. Pre-contemplation
b. Maintenance
c. Action
d. Contemplation
It is believed that _______of those who are infected with HIV in the U.S. are unaware
of this fact.
a. 5 percent
b. 30 percent
c. 15 percent
d. 60 percent
Benzodiazepine over-sedation usually is
a. not commonly encountered when the person starts to take one of these medications.
b. commonly encountered when the person starts to take one of these medications.
c. a measure of the individual's vulnerability to the development of physical addiction
to one of these compounds.
d. a sure sign of cross tolerance to other CNS depressants such as alcohol
orantihistamines.
In assessing the adolescent substance user, the assessor can count upon the
a. firm boundaries between abuse and substance use.
b. fact that since they are illicit chemicals any use equals abuse.
c. fact that there are no firm boundaries between use, abuse and problem use.
d. parents as an unbiased source of information.
For years it has wrongly been assumed that dual diagnosis clients
a. who are addicted share the same motivational traits as persons without a psychiatric
problem who are addicted.
b. who abuse chemicals have the same motivational traits as persons who are addicted
to chemicals.
c. who have a job are less motivated to quit than those without a job, since their stress
level is higher.
d. do not abuse chemicals for the same reason(s) over the years.
Parents tend to _______their ability to influence the decisions that their children make.
a. dismiss
b. not question
c. overly rely on
d. accept
Which of the following is NOT one of the side effects of methylphenidate?
a. Anemia
b. Low blood pressure
c. Anorexia
d. Insomnia
What professionals still use cocaine medically?
a. Ear-nose-throat specialists
b. Psychiatrists
c. Oral surgeons
d. Orthopedic surgeons
The human spirit is best measured by
a. psychological test data, biological factors and spiritual forces.
b. the minor weight loss that has been identified when a person dies.
c. the number and intensity of attempts the individual makes to avoid existential pain.
d. none of these answers. Scientists do not try to measure the spirit, but ignore it.
Codependent persons are often taught
a. it is permitted to express my anger towards the dysfunctional person's behavior.
b. it is not permitted for me to have problems of my own.
c. I am always capable of dealing with an emergency.
d. it is possible to negotiate boundaries as I grow older and mature emotionally.
Jed has just smoked some marijuana and Bill has just eaten some marijuana brownies.
Who is more likely to experience marijuana-induced anxiety?
a. Jed
b. Bill
c. Neither
d. They will both experience equal amounts of anxiety.
Aspirin is thought to be a factor in ________ of bleeding ulcers.
a. 10-20 percent
b. 40-50 percent
c. 20-41 percent
d. 8-12 percent
Which of the following is the phase used to describe a period where the abuse of a
certain compound is infrequent within a society, although more prevalent in certain
small segments of society?
a. Decline
b. Expansion
c. Plateau
d. Incubation
Which of the following analgesic compounds has the longest elimination half life?
a. Morphine
b. Demerol
c. Methadone
d. Codeine
Aspiration of material vomited is
a. only seen in those who abuse alcohol and an inhalant simultaneously.
b. only seen in those who suffer inhalant-related stomach damage.
c. a potential side effect of inhalant abuse.
d. an impossibility since the inhalants do not influence the gastrointestinal system.
The dose-dependent effect of the early anxiolytic/hypnotic drugs means they could
produce _____ in the user.
a. sedation
b. sleep
c. death
d. all of these
_________alcohol or drugs of abuse has been identified as a sign of possible impending
problems.
a. Attempts to introduce others to
b. Total preoccupation with
c. Total abstinence from
d. Indifference to
A long-term opioid addict
a. will rarely experience constipation since the opioids do not influence the muscle
(meiotic) movements of the gastrointestinal tract.
b. will become totally tolerant to the respiratory depressant effects of their drug of
choice.
c. will achieve the "rush" or "flash" experience by switching to another class of drugs.
d. is prone to constipation due to the effects of narcotics in the gastrointestinal tract.
Which of the following is NOT true of a formal family intervention project?
a. The client's verbal consent is necessary in advance.
b. The client's written consent is necessary in advance.
c. That there be no retribution by any of the participants.
d. That it be rehearsed in advance.
According to your text, children with ____with their parents are more likely to resist the
urge to engage in substance abuse.
a. conflicted relationships
b. strong attachment bonds
c. strong friendships
d. many similarities
Greg is involved in a type of treatment he is planning on doing for at least one year. He
lives with a group of people with SUDs who are working on changing their deviant
substance abuse behaviors, becoming more mature, and improving their lives without
the need for substances. His program is highly structured with activities scheduled from
early morning until late in the evening. He is confronted daily about his behaviors and
his coping strategies, but Greg feels like he can take the confrontations because he feels
supported. Greg is most likely participating in what type of treatment?
a. Intensive long-term outpatient
b. Hospital-based residential treatment
c. Detox program
d. Therapeutic community
The confrontations during interventions need to include specific examples of how the
participants have been impacted by the addicted person's behaviors.
a. True
b. False
Of those able to abstain from cocaine for 12 weeks, up to _____ will remain drugfree
for the first 6 months following treatment.
a. 60 percent
b. 80 percent
c. 10 percent
d. 15 percent
The ______benzodiazepines are the compounds of choice for controlling the alcohol
withdrawal syndrome.
a. short acting or intermediate acting
b. ultra short acting or short acting
c. ultra short duration or intermediate acting
d. intermediate duration or long duration
Nineteen different pharmaceuticals have been tried in experimental trials as possible
pharmacological treatments for cocaine abuse or addiction. According to your text,
which of the following is true?
a. Only one has proven effective.
b. None have been identified as being consistently effective, as yet.
c. Electro-convulsive therapy (ECT) appears promising at this time.
d. Desipramine has proven effective.
The abuse of Salvia Divinorum by a woman prior to and during pregnancy
a. is not recommended.
b. has been proven to have no effect on the fetus.
c. has about the same impact on fetal growth and development as does the abuse of
cocaine.
d. is twice as dangerous to the fetus as the abuse of cocaine during pregnancy.
Globally, alcohol is thought to cause
a. twice as many deaths as tobacco.
b. the same number of deaths as does tobacco.
c. 2.4 million deaths per year.
d. 3.8 million deaths per year.
There are over _______ over-the-counter cough and cold remedies that contain
dextromethorphan.
a. 50
b. 75
c. 100
d. 140
All chronic drinkers will need to continue increasing the amount of alcohol consumed
in order to reach a given level of intoxication throughout their lifetime.
a. True
b. False
Codependency is characterized by
a. preoccupation with "escape" behaviors to avoid blame for another person's SUD.
b. a consensus about how to spell the word by mental health professionals.
c. preoccupation with another person's behavior, and attempting to control that person's
substance use.
d. insensitivity to another person's behavior.
Barbiturates can _________when used as a hypnotic.
a. cause a paradoxical increase in theta wave activity on the EEG while the patient is
asleep
b. cause an increase in 'spindles" and 'spikes" seen on the EEG during Stage II sleep
c. help the user pass from Stage I to Stage II sleep more easily
d. interfere with normal REM sleep
In 2001, Portugal revised the legal sanctions against illicit drug use so the consequences
were in proportion to the crimes. Since then, they found
a. the number of illicit drug users has remained about the same, and demand on the
health care system has stopped growing each year.
b. the quality of illicit drugs has dropped, since drug dealers no longer had to worry
about customer loyalty in an era when the consequences for use were lower.
c. there is a reduced demand on the health care system.
d. the number of illicit drugs being smuggled into the country appears to be about the
same each year, although interdiction is now easier.
Which of the following conditions do some people/researchers/doctors believe may
benefit from marijuana use?
a. Emphysema
b. Multiple sclerosis
c. Crohn's disease
d. All of these answers
Steps four through nine of the AA 12-step program have been identified as
a. a period in which the person searches for the root causes of his or her addiction.
b. stages of change.
c. the period in which the individual is allowed to take pride in his or her
accomplishments.
d. a period of special pain for the recovering person as he or she faces problems without
alcohol.
The symptoms of mild alcohol withdrawal usually peak in _____hours and then
gradually decline in intensity, according to your text.
a. 72-96
b. 48-72
c. 24-48
d. 120
