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According to your text, which of the following is NOT one of the roles the assessment
process plays?
a. Forms the foundation of the rehabilitation process
b. Helps put the drug abuser in jail
c. Helps identify those individuals who require professional assistance with their SUDs
d. Helps identify the proper level of treatment for an individual with a SUD
The efforts to interdict supplies of illicit drugs around the world in the last part of the
20th century have resulted in
a. the availability of such compounds remaining about the same as before.
b. a slight decrease in the availability of illicit drugs in the last decade.
c. an increase in the availability of illicit drugs in the past decade.
d. no major change in methods of drug transport for high level drug dealers who
provide illicit drugs for local consumption.
Barbituric acid has been found to be
a. a potent hallucinogenic.
b. twice as strong as diazepam as an anxiolytic compound.
c. difficult to digest when consumed with foods that are highly acidic.
d. biologically inactive.
Tolerance to a compound is seen when
a. the individual cannot predict in advance how much of that compound will be used.
b. the compound induces a state of well-being when used.
c. the individual is motivated to avoid compounds similar to that usually abused.
d. the individual must use more of a compound to achieve the effects once achieved at a
lower dose.
Which of the following is described as a "weapon" commonly used in families with
SUDs as a way to try to control other members?
a. Guilt
b. Differentiation
c. Conditional love
d. All of these answers
Marijuana acts as an effective aphrodisiac.
a. True
b. False
Children who break the "no talk" rule, even decades after they leave the home
a. can be emotionally "expelled" from the family.
b. are re-initiated into the position they used to hold in the family, even if it is to the
exclusion of their own parental roles and duties.
c. become objects of ridicule within the extended family.
d. are encouraged to do so by other, emotionally weaker family members.
Annually, _______of all deaths in the U.S. can be directly traced to smokingrelated
illnesses.
a. 10 percent
b. 33 percent
c. 20 percent
d. 50 percent
Which of the following is a good summary of the Mellanby effect, according to your
text?
a. A person feels more intoxicated when the alcohol levels are falling, after the neurons
have been affected by the alcohol molecules.
b. A person feels more intoxicated as the blood alcohol level is rising
c. The alcohol ingested causes the body to become stimulated.
d. The alcohol ingested causes the release of opioid peptides in the peripheral regions of
the body.
Research evidence also suggests that cocaine is able to indirectly activate the
____receptor sites in the brain.
a. opioid mu and kappa
b. opioid mu and delta
c. opioid sigma and epilson
d. lamda and mu
Unlike strains of tobacco currently in use, the original strains of tobacco used in the
New World
a. may have caused hallucinations.
b. had analgesic properties, thus prompting physicians in Europe to recommend their
use.
c. did not contain nicotine at all.
d. had higher levels of nicotine than found in strains used today.
Approximately ______ of sexual assaults are carried out by men who have ingested
alcohol prior to the assault.
a. 30 percent
b. 20 percent
c. 50 percent
d. 40 percent
Which of the following amphetamine variants is the most lipid soluble?
a. Levoamphetamine sulfate
b. Dextroamphetamine sulfate
c. Methamphetamine
d. This has not been studied in detail
A cornerstone of the medical model is that disease states are a reflection of
a. biological dysfunction at the cellular or molecular level.
b. a corruption of "free will."
c. a disruption in the balance of the four humors of the body.
d. the unavoidable consequence of commerce, which has brought us things such as the
bubonic plague in the 1300s, when flea infested rats were carried from areas where the
plague was endemic to areas where it had never been seen before.
Cocaine abusing women who become pregnant find that they
a. require less cocaine to achieve a certain degree of euphoria than they did before
becoming pregnant.
b. require about as much cocaine as before to achieve the same degree of euphoria.
c. require more cocaine than they needed before becoming pregnant to achieve the same
degree of euphoria.
d. are able to achieve the same degree of euphoria as before only if they also abuse
alcohol concurrently.
Nitrous oxide abusers run the risk of death through
a. heart attack.
b. heat exhaustion.
c. hypoxia.
d. stroke.
The person who enters a substance abuse rehabilitation program tends to
a. be more impaired than those who can abstain without formal treatment.
b. have a great number of family members who have similar substance use problems.
c. want to avoid legal consequences for his or her behavior.
d. do so because of the financial cost of continued substance use.
During the most recent resurgence of cocaine abuse in the United States, what year did
cocaine abuse peak?
a. 1969
b. 1974
c. 1986
d. 1991
Prohibition in the United States could be described as a ______social experiment.
a. failed
b. successful
c. primitive
d. neutral
According to your text, the two-question screening instrument designed by Brown, et.
al., is
a. at best able to identify only 75 percent of substance abusers.
b. able to identify substance abusers with 95 percent accuracy if the client answers
honestly.
c. avoids the problem of confusion over binge substance use and addiction.
d. identifies those people who have a compulsion to use chemicals.
The compound most commonly abused by illicit drug abusers is
a. methamphetamine.
b. cocaine.
c. marijuana.
d. MDMA ("Ecstasy").
Amphetamines are ________, according to your text.
a. the most common form of illicit drug abused in the U.S.
b. not commonly abused on college campuses in the U.S.
c. most frequently prescribed in September, at the start of the academic year
d. the second most commonly abused illicit substance in the U.S.
According to your text, "codependency" and "enabling" are
a. constructs to help the professional categorize behavior more effectively.
b. frighteningly real concepts that ruin people's lives.
c. only seen in dysfunctional homes.
d. less common now than in the 1980s.
The combined effects of simultaneous marijuana and cocaine use on the cardiovascular
system
a. are not known.
b. are not dangerous.
c. decreases the risk of cocaine-related heart problems.
d. increases the heart rate only 10 beats per minute.
Treatment goals are to be
a. focused exclusively on individuals' expectations and hopes.
b. imposed on the individual by treatment staff, who are after all those trained in
various professions.
c. stated in measurable terms.
d. stated in terms vague enough so the client cannot help but accomplish them.
Which of the following is associated with adolescent substance abuse problems?
a. High level of involvement in after-school activities
b. History of friends having attempted suicide
c. Lack of strong religious beliefs
d. High self-esteem
There are ________ approved medications used to treat alcohol use disorders.
a. four
b. ten
c. twenty seven
d. hundreds of
Inhalant abusers
a. as a group tend to abuse even flammable agents that might be inhaled.
b. do not try to heat any compound to cause it to release any fumes that can be abused
through inhalation.
c. are also exclusively intravenous drug abusers.
d. face no risk of death from their abuse of these compounds, since they are so
commonly found around the house.
Jamal will have an occasional glass of wine with dinner, does not require daily use of
alcohol to function, has never had any negative consequences due to his drinking, and
does not use alcohol for continuous periods of time. Jamal would most likely be
considered
a. someone with an alcohol addiction.
b. someone with an alcohol abuse problem.
c. a binge drinker.
d. a rare or social drinker.
According to your text, the average heavy drinker can expect to lose _____ years of
potential life to drinking-related diseases or health problems.
a. 18-20
b. approximately 12
c. 14-15
d. up to 25
D. Siegel postulated that
a. we define who we are by the relationships we enter into.
b. substances offer a direct means through which to learn about the 'self."
c. meditation is the best way to learn about the 'self" for most people.
d. relationships help to shape the flow of energy both within and between people.
Barbiturates can
a. induce an amphetamine-like state of mania.
b. induce respiration arrest at high dosage levels.
c. increase respiration to the point at which it triggers an anxiety attack in persons with
ADHD.
d. not induce tolerance.
Which of the following is not a cardiovascular complication that can result from
cocaine abuse?
a. Cardiomyopathy
b. Sudden aortic dissecton
c. Heart attack
d. Pulmonary hypotension
