Inhalant abuse, especially volatile solvent abuse, is difficult to control mostly because
a. the users are young.
b. the laws that outlaw inhalant abuse are not strong enough.
c. there are very few symptoms of the abuse.
d. the substances are nearly everywhere.
Inhalant abusers
a. generally keep to the level of exposure limits suggested by the Occupational Health
and Safety regulations proposed by the government.
b. tend to inhale their compounds of choice at levels far above those seen when the
compound is used as directed.
c. expose themselves to potentially lethal levels of radioactive compounds, which is the
main reason inhalant abusers die.
d. are not very adept at finding new substances to abuse as inhalants.
Alcohol tends to _______ Rapid Eye Movement (REM) sleep.
a. enhance
b. reduce
c. not alter
d. intensify
In many areas, how is butyl nitrite sold?
a. In felt-tipped pens
b. As a “room deodorizer”
c. In whipped cream cans
d. In model airplane glue
Defense mechanisms are thought to protect the individual from immediate awareness of
internal conflict, but they do so
a. at the cost of long term adjustment.
b. by helping parental interjects take root.
c. by limiting the individual’s awareness of somatic perception.
d. by helping the ego engage in counter-phobic behaviors.
The _______effect of a drug is an unwanted side effect.
a. compound
b. placebo
c. secondary
d. primary
Historically, substance use has been occurring
a. since the early 1700s.
b. only in the last 50 years.
c. primarily in the urban areas of Europe and North America.
d. for thousands of years.
The ketamine sold by illicit drug dealers
a. is usually manufactured in small “mom and pop” laboratories.
b. is usually manufactured by large cartels in ‘superlabs.”
c. is usually diverted from legal markets.
d. usually has a slightly different chemical structure than the pharmaceutical form of the
same compound.
The authors do not recommend nicotine replacement therapy as a way to help pregnant
smokers quit.
a. True
b. False
An alcohol user’s position on the continuum of chemical use
a. may rise or fall depending on their current situation.
b. is legally reset when they are admitted to rehabilitation.
c. begins with the onset of the user’s first legal problem.
d. can, by design, only move upwards, with periods of reduced drinking merely halting
the movement on the scale.
Which of the following is true for most inhalant abusers according to your text?
a. The abuse of these compounds locks them into a cycle of abuse and abstinence that
will last for years.
b. The adverse consequences of inhalant abuse are such that most abusers just quit to
avoid the risks associated with the abuse of these compounds.
c. The abuser will move from compounds that induce a less intense “high” to those that
induce more intense feelings of euphoria over time.
d. The abuse of these compounds is a phase that lasts only 1-2 years and is then
discontinued.
What term is used to describe the notion that most people are incapable of coping with
difficult life issues without the help of a professional?
a. Freudism
b. Differentiation
c. Therapism
d. Cognitivism
It has been suggested that clinicians tend to
a. overlook cases that do not fit their preconceptions.
b. selectively remember cases that fit their preconceptions.
c. review theoretical models to determine which model fits which client but are unable
to use that information as a guide to treatment because of managed care constraints.
d. have an unbiased recall of all cases they have worked with.
At dosage levels above 1,000 mg, the effects of dextromethorphan are very similar to
those of
a. phencyclidine.
b. high doses of cocaine.
c. the now-banned substance methaqualone.
d. inhalants.
The client who is offered the opportunity to complete treatment in lieu of jail by the
court
a. is assumed to have no legal right to say “no” to this recommendation.
b. rarely views this as an opportunity for growth.
c. is assumed to be motivated to stop abusing chemicals.
d. is assumed to be less likely to benefit from treatment than those who arrive through
other venues.
Participants need to have clear, specific ____ready should the addicted person refuse to
enter treatment after the intervention.
a. confrontations
b. apologies
c. sanctions
d. threats
Samantha learned that someone had given her LSD without her knowledge. Before the
effects of the drug set in, Samantha was scared of how she was going to experience the
drug because she had a terrifying experience in the past. Samantha’s _______ will have
an impact on her physical experience of the drug.
a. social learning
b. reward potential
c. blindness to the drug’s effects
d. expectations
Which of the following is a potential health consequence of inhalant abuse?
a. Brain damage
b. Kidney damage
c. Bone marrow damage
d. All of these answers
Which part of the treatment plan includes a description of the steps needed for the client
to accomplish in order for treatment to be completed successfully?
a. Treatment goal
b. Treatment methodology
c. Aftercare
d. Discharge summary
One potential consequence of HVA infection is
a. death in rare cases.
b. acute liver failure in about 25 percent of cases.
c. relapsing hepatitis in about 25 percent of cases.
d. hepatitis-related dementia in rare cases.
Which of the following models of dual diagnosis conditions seems to be supported by
the most evidence?
a. Self-medication model
b. Causal relationship model
c. Super-sensitivity model
d. Substance abuse as secondary model
The majority of inhalant abusers will go on to develop other drug problems.
a. True
b. False
There are more than _______known derivatives of the testosterone molecule.
a. 5,000
b. 50
c. 900
d. 1,000
By the time the Harrison Narcotics Act was passed in 1914
a. narcotics abuse was reaching its peak in the United States.
b. narcotics abuse had been on the decline for about 10 years.
c. narcotics abuse was limited to smoking opium by Chinese immigrants.
d. physicians were no longer able to prescribe narcotics to patients.
It has been suggested that individuals who learn to abstain from alcohol
a. benefit most when they avoid involvement with community-based support groups.
b. seem to do so in spite of treatment, not because of it.
c. identify the treatment program as the most significant component of their recovery.
d. are often unimpressed with ancillary services but benefit most from
psychoeducational components such as lectures.
In the infected person, tuberculosis is found
a. in the lungs.
b. in oxygen-poor tissues since oxygen is a poison to bacteria.
c. most often in the lungs, but can be found virtually anywhere in the body.
d. in the central nervous system.
The subcutaneous method of drug administration
a. results in a more rapid onset of action than other methods of drug administration.
b. involves the injection of the compound just under the skin.
c. is the most common method by which narcotic analgesics are abused.
d. results in a more rapid response to the compound being injected than intramuscular
injections.
Enabling behaviors might be motivated by which of the following factors?
a. Pathological interdependency
b. Social pressure to be a “good” spouse
c. Desire to support and protect one’s partner
d. All of these answers
With the increased success of the interdiction of methamphetamine
a. “mom and pop” laboratories began to appear across the country.
b. “mom and pop” laboratories began to shut down as abusers switched to other drugs
of abuse and demand dropped.
c. “mom and pop” laboratories began to be replaced by ‘superlabs” in other countries
that produced huge amounts of methamphetamine, which was then smuggled into this
country.
d. the demand for methamphetamine increased as casual users wanted to experiment
with it.
A single dose of aspirin (325 mg) provides the same level of analgesia as
a. 5 milligrams of Demerol.
b. 15 milligrams of Demerol.
c. 100 mg of codeine.
d. 50 milligrams of meperidine.
Describe the term distribution halflife, including its two subforms.
Answer:No answer provided.
What are some of the advantages and disadvantages of outpatient treatment programs?
Answer:No answer provided.
Discuss the “development” of pharmaceutical agents used in the treatment of SUDs,
including the issue of “off label” applications.
Answer:No answer provided.
Why is heroin considered more potent than morphine, from which it is derived?
Answer:No answer provided.