One in five citizens of the United States
a. has ingested hallucinogens.
b. smokes cigarettes.
c. drinks alcohol daily.
d. has ever used a tobacco product.
Janie is about to successfully graduate from residential treatment. She lacks a stable
support system at home and is worried about her ability to live independently, but she is
motivated to remain abstinent and get back on her feet. Which of the following might
be the best option for Janie?
a. A halfway house
b. Partial hospitalization
c. Therapeutic community
d. Remain in residential treatment
It has been estimated that ____ of clients with a substance use disorder who
successfully complete treatment develop a progressive form of the disorder that might
prove fatal.
a. 30 percent
b. 70 percent
c. 25 percent
d. 40 percent
Which of the following term does the author use to describe the phenomenon of college
students feeling protected against all but the most severe repercussions of their alcohol
use?
a. Group isolation
b. Group insulation
c. Social norms
d. Social insulation
The goal of the formal intervention project is having the client
a. gain a working understanding with their family.
b. enter treatment immediately.
c. acknowledge their problem.
d. promise to end their use of the substance in question.
Rosalita is currently participating in group therapy to stop using cocaine. She is also
doing marital counseling with her husband so he can support her overcoming her
addiction. Which stage of treatment is Rosalita most likely in, according to McLellan’s
tripartite model of treatment?
a. Detox/stabilization
b. Rehabilitation
c. Continuing care
d. Termination
Drugs that have the highest pharmacological reward potential for abuse tend to have a
a. rapid onset of action.
b. slow onset of action.
c. strong social learning component.
d. low probability of being addictive.
A rarely discussed relapse trigger is the individual’s
a. sense of balance (loss of balance while intoxicated being equated with further
substance use).
b. sense of touch (feel of what it is like to touch the desired substance just one more
time).
c. sense of smell.
d. spousal permission to go and abuse chemicals.
Which of the following statements is true concerning the bioavailability of chemical
compounds related to drug misuse abuse?
a. There is little known about drug distribution patterns in overdose situations.
b. The main site of biotransformation is the pancreas.
c. The effects of any compound are the same in animals as in humans.
d. The method of administration for a compound does not matter in pharmacokinetics.
In the event of an opiate overdose, the best treatment appears to be _____administered
under a physician’s supervision.
a. Narcan
b. aprizalole
c. naltrexone
d. Haldol
At its height, the sale and distribution of illegal alcohol
a. employed about 18,000 people in an era when jobs were hard to come by.
b. produced jobs mainly in the southeast where the manufacture of ‘shine” (moonshine)
was common.
c. made up 5 percent of the gross national product of the U.S.
d. inhibited the growth of organized crime because there were so many amateur
bootleggers and distributors at work.
The heavy, chronic use of alcohol will
a. aid in weight loss in women only, although the reason for this is not known at
present.
b. alter the normal pattern of bacterial growth in the mouth, increasing the drinker’s risk
for pneumonia should these bacteria be aspirated.
c. reduce the effects of sleep apnea as it causes the muscles of the trachea to become
more relaxed and less tense.
d. increase the effectiveness of the immune system through the manner in which
glucose derived from alcohol biotransformation becomes a source of energy for the
white blood cells.
People who are alcohol-dependent are thought to lose about _______of potential life as
a result of their drinking.
a. 6 months
b. 2 years
c. 7 years
d. 15 years
The most common route of administration of MDMA is
a. inhaling.
b. intranasally.
c. orally.
d. intravenously.
Anthropological evidence would suggest that some varieties of the Cannabis sativa
family of plants have been harvested for their hemp fiber for at least ______ years, plus
or minus 500 years.
a. 7,000
b. 12,000
c. 15,000
d. 8,000
According to sources cited in your text, there is evidence that the consumption of mead
can be traced back
a. to the ‘stone ages.”
b. 18,000 years.
c. 2,000 years.
d. to the 8th century B.C.E.
According to your text, inhalant-related seizures are
a. a sign of impending inhalant-related death.
b. usually time-limited and of no significant consequence.
c. a very real possibility for the abuser.
d. only found in those who suffer cardiac arrhythmias.
The reasons why Native Americans develop substance use disorders
a. closely parallel those of the dominant culture.
b. may be different for those persons who live on identified reservations.
c. depend on differing access to drugs of abuse.
d. do not account for their increased risk of premature death.
Employees with an AUD are _______times more likely to file a “workman’s
compensation” claim than nondrinkers.
a. 2
b. 3
c. 4
d. 5
The ___ is a variant of the hallway house that serves as a transitional step between more
intensive treatment and independent living.
a. ‘sober house”
b. “detox residence”
c. “living clean house”
d. “transitional living facility”
Even if the individual does enter into a rehabilitation program, ________is a problem.
a. transportation
b. appropriate medical care
c. non-compliance
d. intrusiveness into family matters
Historically, women with substance abuse problems have faced greater social
condemnation than men.
a. True
b. False
What percentage of those opioid-dependent people who only completed “detox”
program return to the abuse of chemicals within 6 months?
a. 75 percent
b. 90 percent
c. 10 percent
d. 25 percent
Narcotic analgesics currently in use tend to preferentially activate the ______ receptor
site in the brain.
a. mu
b. epsilon
c. sigma
d. delta
Evidence suggests that beer made from ingredients other than fermented honey might
date back to
a. 3,000 B.C.E.
b. 5,000 B.C.E.
c. 7,000 B.C.E.
d. 9,000 B.C.E.
According to your text, all of the following are methods by which alcohol has been
introduced into the body EXCEPT
a. orally.
b. transdermal administration.
c. as a vapor.
d. intravenously.
Another unintended consequence of the “war on drugs” is that
a. law enforcement agencies have become financially dependent on state and federal
grants provided each year to help them in the “war on drugs.”
b. many states are now forced to spend almost as much money on new prison
construction as they do on college classroom construction/renovations.
c. communities fight against the possibility of having a new prison built there, which is
a reflection of the “not in my back yard” phenomenon.
d. communities have found the concentration of drugs in the hands of a few dealers has
drawn large numbers of drug abusers to those communities as they seek easy access to
suppliers.
Codependency and enabling
a. have continued to be popular topics for researchers.
b. have all but faded into obscurity.
c. are as well accepted as real phenomenon as coronary artery disease.
d. have never been called addictive behaviors.
According to your text, the lowest level of intimacy between partners is when
a. only one partner has an active alcohol use disorder.
b. both partners have similar levels of alcohol abuse.
c. there are children younger than 5 in the home.
d. the marital partners have different shifts to work.
Research into the effects of all known compounds in marijuana on the user’s brain
a. has consistently failed to show any adverse effect.
b. generally shows only short term damage to the hippocampus region of the brain,
which resolves with abstinence.
c. reveals long term cognitive impairment for short term or social users.
d. is relatively rare and very limited in scope.
All of the following are involved in the process of removing compounds from the body
EXCEPT:
a. intravenous administration.
b. absorption.
c. distribution.
d. method of transport.
Describe some of the ways individuals end up participating in courtmandated
treatments.
Answer:No answer provided.
Discuss the influences on neuroadaptation to narcotic analgesics.
Answer:No answer provided.
Describe the current medical uses for narcotic analgesics.
Answer:No answer provided.
Describe the tactics politicians use to hide the true cost of the “war” on drugs.
Answer:No answer provided.
Describe some of the ways clients may attempt to deceive urine toxicology testing.
Answer:No answer provided.
Discuss some of the “games” of addiction that may be used to build a support system
enabling the user access to their problem chemicals.
Answer:No answer provided.
Describe the complicated relationship between schizophrenia and SUDs regarding
dualdiagnosis.
Answer:No answer provided.
Describe the three subcategories on medications used in the treatment of opioid use
disorders (OUDs).
Answer:No answer provided.
What are the types of “response sets” that might distort the assessor’s opinions of the
client’s SUD? What are ways to mitigate these?
Answer:No answer provided.
What are the subjective effects of barbiturates at normal dosage levels?
Answer:No answer provided.
Describe the process of biotransformation.
Answer:No answer provided.
Describe the characteristics of a rare, or social, drinker.
Answer:No answer provided.
Provide a working definition of the term intervention based on your text.
Answer:No answer provided.
Explain how the distribution of opioid receptors across the brain results in the wide
range of effects.
Answer:No answer provided.
Describe some of the characteristics shared by many substance abuse rehabilitation
professionals.
Answer:No answer provided.
Describe the learning theory model of the development of SUDs.
Answer:No answer provided.
Discuss some of the factors that might contribute to, or protect against, a relapse back to
active chemical abuse.
Answer:No answer provided.
Discuss the three distinct cocaine “epidemics” that have occurred in the United States.
Answer:No answer provided.