Physicians often claim that, because of “neuroplasticity,” addictions are brain diseases.
In reality
a. neuroplasticity can only take place under special circumstances.
b. neuroplasticity only involves regions of the brain involved in involuntary behaviors.
c. we do not yet know enough about neuroplasticity to claim that it is a factor in the
SUDs.
d. neuroplasticity is an evolutionary construct that is left over from the stone ages.
Approximately ______of alcohol-dependent persons will report having _______,
according to your text.
a. 20-25 percent; problems making decisions in social settings
b. 30-40 percent; anxiety
c. 20-25 percent; anxiety
d. 10-30 percent; anxiety
Amber has overdosed on heroin and has just been rushed to the hospital. She has been
given the drug Narcan to help stop the potentially fatal symptoms of the overdose.
Amber has been administered this drug
a. intravenously.
b. orally.
c. intramuscularly.
d. through any of these methods, depending on how acute her symptoms are.
Which of the following statements about women, employment and substance abuse is
most true?
a. Women are more likely to work in low-status jobs than men.
b. Women are more likely to gain notice from employers about unacceptable job
performance due to substance abuse than men.
c. Women are more likely to have access to Employee Assistance Programs than men.
d. All of these answers are true.
Some nitrate compounds are used medicinally to treat
a. asthma.
b. kidneyrelated disorders.
c. skin rashes.
d. heart conditions.
According to your text ______of adults in the U.S. have engaged in at least one episode
of “binge” drinking in the past 12 months.
a. 5 percent
b. 28 percent
c. 15 percent
d. 35 percent
The Alcoholics Anonymous program is based on the premise that
a. alcoholism is a spiritual disease.
b. once the person is abstinent, it is necessary to identify the cause of the person’s
alcoholism.
c. alcoholics as a group tend to be focused on pleasing others too much.
d. it is a time-limited program, and the individual should expect to outgrow the need to
attend the group meetings.
The neural activity within various regions of the brain transpires within ____; fMRI or
PET scan images require _______for data collection.
a. 2-3 minutes; 30 minutes
b. seconds; 30 minutes
c. hundredths of a second; minutes
d. a second; minutes
Clients in a therapeutic community are viewed as passing through three phases of
change: compliance, ________, and making a personal commitment to change.
a. maintenance of hidden drug-use thoughts
b. fear of the treatment process
c. conformity
d. denial in the service of the ego
The concept of codependency
a. forces offenders to take full responsibility for their behavior.
b. is based on the theories of personality put forward by Alfred Adler.
c. is an outgrowth of the concept of the co-alcoholic popular in the 1950s.
d. is based on the personality theory of Otto Rank, presented in the 1930s.
Which of the following is NOT part of the absorption process of drug molecules in the
human body?
a. Detoxification
b. Cellular transport mechanisms
c. Method of administration
d. Molecular binding characteristics of that compound
The _______effect of a drug is the desired effect.
a. compound
b. placebo
c. secondary
d. primary
The assessor, while functioning as a “gatekeeper” for the admissions process
a. must identify which insurance company benefit package will pay for treatment.
b. gathers the information to justify treatment.
c. essentially operates on the assumption that everybody has a SUD until proven
otherwise.
d. works as an extension of the law enforcement agencies, helping to identify those
likely to drive under the influence of chemicals in the future.
Which of the following symptoms of steroids abuse is only seen in males?
a. Priapism
b. Unnatural hair growth or loss
c. Infertility or sterility
d. Acne
Available evidence suggests that the virus that causes AIDS
a. was introduced into the population of homosexual males in the 1980s.
b. is a virus that “jumped” from an animal species into humans.
c. was a genetic mutation that resulted from germ warfare experiments.
d. is a single strain of virus.
LSD is chemically similar to which neurotransmitter?
a. Serotonin
b. GABA
c. Dopamine
d. Acetylcholine
The assessment that an individual needs an intervention project
a. is often speculative.
b. requires that the individual meet a set of rigidly defined criteria.
c. requires that the individual have threatened to harm self or others.
d. also requires the individual’s guardian to agree before it can be carried out.
An important rule for assessing and diagnosing an individual is to always assume
deception unless proven otherwise.
a. True
b. False
Children have at least a rudimentary knowledge of alcohol and its effects _____,
according to your text.
a. by the time of entry into third grade
b. by the time that they graduate from grade school
c. depending on whether they have older siblings or not
d. by preschool
The bromide salts were initially introduced as
a. a treatment for insomnia, and later, when it was discovered they also have
anti-seizure effects, as an anticonvulsant.
b. a treatment for seizures, and later, when it was discovered they help calm the user, as
a treatment for anxiety.
c. a treatment for gastric distress caused by impure water, until it was discovered they
had anti-seizure effects.
d. a method of self-discovery by Elizabethan drug abusers.
Your aunt, who suffers from sleep apnea, likes to have a “wee shot of brandy” before
going to bed to help her sleep better. Based on your textbook, this
a. can suppress or improve the symptoms of sleep apnea.
b. can exacerbate the symptoms of sleep apnea.
c. will have no effect on her sleep apnea symptoms.
d. will have little effect on her sleep apnea if she waits 20 minutes before going to bed.
Drug dealers, it has been claimed, are only interested in selling their product without
consideration for the harm it does. To combat this trend
a. the Drug Enforcement Administration has become just as cold and indifferent to the
suffering forced on the drug dealers.
b. stiff legal sanctions are only applied to middle to upper level drug dealers.
c. casual abusers are not charged with drug possession by the Drug Enforcement
Administration if it is their first offense.
d. constitutional rights are more strongly respected to avoid having arrestees escape
charges because their rights were violated.
A compound that is 98 percent lipid-bound means
a. 98 percent of that compound’s molecules have formed chemical bonds with lipids
found in the blood.
b. 98 percent of that compound’s molecules are available for the body to use
immediately.
c. 98 percent of the molecules for that compound are subject to elimination more
rapidly because of being in this state.
d. 2 percent of the drug molecules are not available to have any biological effect.
It has been suggested that the “adult children” movement
a. allows the “baby boomer” generation to bask in the glory of being a victim of
selfidentified trauma.
b. encourages the victims of dysfunctional homes to seek professional assistance.
c. takes into account the fact that thousands of generations of children have been raised
in dysfunctional homes, and identifies how each generation suffered.
d. will continue to meet needs of those who suffered in childhood from being raised in
an unhealthy home well into the 21st century.
In contrast to the screening phase, during the assessment phase the individual
conducting the assessment is attempting to
a. assign responsibility for the individual’s substance use disorder on to those who hurt
the client emotionally.
b. identify the severity of the client’s SUD.
c. identify socioeconomic forces that contributed to the development of the client’s
SUD.
d. develop a time sequence for the victimization of the substance abusing individual.
The patient who is prescribed buspirone should not expect to
a. have dietary restrictions recommended while he or she is on this medication.
b. experience the peak effects in 2-5 hours.
c. be able to dose just once daily.
d. have to take a dose 3-4 times a day.
The average smoker requires _______ serious attempts to quit smoking before reaching
success.
a. 1-2
b. 3-4
c. 5-10
d. 15-20
AA members are limited to donating no more than ______to the organization annually.
a. an unlimited amount
b. $10,000
c. $1,000
d. 10 percent of their annual income
Ephedrine’s use as an agent for cardiac care in health care settings has
a. been restricted because of government concerns that it might be diverted for illicit
purposes.
b. continued for some conditions, but also is rarely used in the treatment of some other
conditions as new pharmaceuticals become available.
c. been eliminated entirely because the demand has outstripped supply and so
physicians have not been forced to use other compounds.
d. been totally eliminated in response to federal and state laws prohibiting its use.
For a child, one of the main developmental goals is to emotionally separate from one’s
parents.
a. True
b. False
It has been estimated that _______ of high school graduates will graduate from college.
a. 10-15 percent
b. 55-60 percent
c. 49-52 percent
d. 20-24 percent
According to your text, which of the following is NOT an anticipated consequence of
the chronic use of alcohol?
a. Nutritional deficiencies
b. Diarrhea
c. Inflammation of the pancreas
d. Enhanced bone formation by osteoblasts in the body
Steroid abusers include
a. police and security officers.
b. amateur and professional athletes.
c. adolescent girls hoping to lose body fat and get more “toned.”
d. all of these answers.