Health care professionals have a single, clear definition of what an intervention is with
substance abusing clients.
a. True
b. False
During “euphoric recall,” the person will
a. sound as if he or she is speaking of a valued friend.
b. sound as if he or she is speaking of a despised or hated family member.
c. outline at great length the cost that each substance has extracted from him or her, and
the substance-induced rewards for using them.
d. discuss how negative feelings about substance use encouraged him or her to remain
abstinent.
Preliminary research suggests that congenital growth problems are _____more common
in infants of MDMA abusing mothers than normal.
a. 2 times
b. 3.5 times
c. 5 times
d. 7 times
Successful efforts at interdiction
a. reduce drug availability and lower the potency of the product sold.
b. cause distributors to increase the potency of their product to retain customers and
encourage others to sell drugs.
c. encourage abusers to seek out that supplier; they reason that if he was arrested, he
must have been selling a potent product.
d. discourage others from attempting to sell alcohol or drugs in that location.
The minimum effective dose of Methadone has been found to be
a. 50 mg per day.
b. 60 mg per day.
c. 70 mg per day.
d. 80 mg per day.
Parental _______ has been found to strongly influence substance use behaviors by
children and adolescents.
a. emotional dependency
b. degree of differentiation
c. style of punishment
d. control
Although treatment centers for substance use disorders abound in the United States
a. many of the least effective techniques are used in these centers.
b. the profit margin is very large, which makes such treatment centers a very good
investment on the part of the owners.
c. there are not sufficient assessors to assess all substance abusers and make appropriate
referrals.
d. they tend to cater to those who abuse illicit drugs more than they do those with
alcohol use disorders.
Although the abuse of a chemical might not have caused the development of a mental
illness
a. it might be intertwined with the mental illness.
b. it will not influence the course of that disorder, either.
c. it will easily be identified as a separate disorder from the mental illness.
d. the mental illness will always resolve once the substance use disorder is treated.
One of the important cornerstones of recovering from codependency is
a. gaining control over the addict’s behavior.
b. detachment from the addict’s dysfunctional behavior.
c. protecting the addict from the consequences of his/her behavior.
d. all of these answers.
It has been estimated that ______ of the population is homeless.
a. 1 percent
b. 4 percent
c. 3 percent
d. 2 percent
A business owner calls you about an employee who failed a worksite urine drug
toxicology test. The person is addicted to drugs and the employer wants them to be sent
to a rehabilitation center. Your response would be
a. to help them find a rehabilitation center close to where the employee lives.
b. to assume the employee is addicted.
c. to suggest the need for a complete substance use assessment.
d. refer the individual to an outpatient drug and alcohol counselor you know.
One other factor the assessor should attempt to identify is
a. client’s motivation for seeking treatment services.
b. whether financial windfall was a motivating factor.
c. second degree relatives who might also have a SUD.
d. who supplies alcohol or drugs to the client.
Chronic marijuana abusers were found to have a ________, according to your text.
a. reduction in hippocampal size
b. increased ventricle size
c. reduction in the size of the corpus collusum
d. increased size of the amygdala
There has been research suggesting that men who smoke marijuana
a. experience improved testicular function.
b. have a higher incidence of prostate cancer.
c. have a higher incidence of bladder cancer.
d. have a higher incidence of testicular cancer.
The Rational Recovery movement
a. draws heavily on psychoanalytic theory in their attempt to assist the person.
b. draws heavily on family systems theory in its attempt to assist the member.
c. draws heavily upon the cognitive-behavioral schools of therapy.
d. work toward helping the individual learn to control his or her drinking.
In the U.S., what percentage of women who become infected with HIV contracted the
virus from heterosexual relations with an infected partner?
a. 22 percent
b. 85 percent
c. 55 percent
d. 75 percent
Which of the following may affect how a woman responds to a drug versus a man?
a. Birth control pills
b. Hormones related to her menstrual cycle
c. Lower body mass than men
d. All of the above
If an intravenous drug abuser should attempt to clean the “rig” by rinsing it out with tap
water
a. this can result in bacterial contamination of the needle since tap water is not sterile.
b. this will move the bacterial contaminants to the tip of the needle, making the next
person to use that needle more likely to become infected.
c. this will cause the most vulnerable bacteria to die by exposing them to the chlorine in
the tap water, leaving the more virulent strains behind to infect the next user.
d. the water itself will encourage the growth of microorganisms.
Opioid treatment contracts
a. attempt to strike a balance between the legitimate need for treatment of chronic pain
disorders and treatment noncompliance.
b. are lifelong states of being for the average addicted person.
c. are the same in all clients, with little if any variation between persons.
d. are not affected by environmental substance use “cues.”
The theory that cocaine use can contribute to liver damage
a. has been confirmed by research studies but not widely known by the general public.
b. tends to be proven only in abusers who suffer an acute aortic dissection.
c. is controversial at this time.
d. has only recently been proposed.
Methylphenidate is most commonly used to treat the symptoms of
a. bipolar disorder.
b. tourette’s disorder.
c. attention deficit hyperactivity disorder.
d. obsessive compulsive disorder.
It has been suggested that adolescent cigarette smoking is possibly an expression of
a. repressed anger.
b. rebellion against parental authority.
c. the attempt to use nicotine’s stimulant effects to stay awake in school.
d. a desire to self-medicate adolescent angst.
Researchers have identified _______ different chemicals in tobacco smoke.
a. 2,250
b. 1,650
c. 4,700
d. 100,000
Clinical research has demonstrated that
a. one year after assessment, 50 percent of those assessed as having an SUD did not
demonstrate even one symptom of the disorder.
b. those admitted to treatment appear to be more likely to achieve abstinence than those
who do not seek admission.
c. the best treatment controls every aspect of clients’ lives until they are able to deal
with the problems they will encounter in that area of their lives.
d. rehabilitation programs play a stronger role in the client’s life than social forces.
It is currently believed that ____of women will demonstrate symptoms of a substance
use disorder at some point in their lives.
a. 15.1 percent
b. 12.3 percent
c. 7.1 percent
d. 4.5 percent
One disadvantage of inpatient/residential treatment is
a. there is not much structure provided to the client.
b. the quality of treatment is much lower than outpatient treatment.
c. the client has to completely leave his/her life for a period of time.
d. there is no way to help a client “detox.”
Which of the following is an example of collateral information that may be important to
collect during a client assessment?
a. Information from family members
b. Past treatment records
c. Court documents
d. All of these answers
Individuals with problems with their _______are especially at risk of experiencing
“barbiturate hangovers.”
a. liver
b. kidney
c. heart
d. lungs
According to your text, the highest concentration of alcohol that can be achieved from
fermentation is about
a. 22 percent.
b. 28 percent.
c. 15 percent.
d. 8 percent.
The strength of the Minnesota model was that it
a. mandated 28 days in the rehabilitation setting.
b. drew on the training and skills of a range of specialists.
c. isolated the client from outside influences of all kinds.
d. was found to work with the “worst of the worst” (chronic drinkers).