The development of pharmaceuticals specific to substance use disorders has been
delayed because
a. those regions of the brain involved in the addictions are so widespread that no single
pharmaceutical, or combination of pharmaceuticals, can work on every one.
b. pharmaceutical companies view the demand as too limited to make the development
of such medications worthwhile.
c. the current generation of medications is sufficient to treat conditions associated with
substance use disorders.
d. there are new medications under development which should revolutionize the
treatment of substance use disorders.
According to your text, taking cocaine with ______increases the user’s risk of sudden
cardiac death 18 fold compared to taking cocaine alone.
a. marijuana
b. heroin
c. methamphetamine
d. alcohol
In support of the pseudo-stability found in homes where one parent has a substance use
disorder
a. important roles within the family are strongly adhered to.
b. the excitement of never knowing how the addicted person will behave becomes a
source of entertainment for the family members.
c. parental roles are often left unfulfilled, unless others assume those tasks.
d. both parents must still assume responsibility for providing for the safety of their
children.
Those individuals who are least likely to break down in a stressful situation are those
who
a. are able to withdraw into a fantasy land or dream world.
b. retreat from the stressor as much as possible.
c. believe they can cope.
d. are able to prioritize the stressors into those that do, and do not, affect the ‘self.”
The core of the assessment process is
a. having the client complete the SASSI.
b. asking the CAGE questions.
c. a clinical interview.
d. performing the TWEAK.
In addition to treatment for heroin, research is being conducted to see if methadone may
also be effective in treating _________ dependence. a. nicotine
b. cocaine
c. alcohol
d. marijuana
Which of the following statements is NOT true, according to your text?
a. Many clinicians believe that any substance use during childhood and adolescence is a
sign of a serious problem.
b. Clinicians are able to rely on clear definitions of “childhood” and “adulthood.”
c. Some clinicians believe that experimental drug use is a regular aspect of adolescence.
d. Adolescence in industrialized countries seems to have been extended.
During the action phase of the Prochaska model, the therapist’s goals are to do all of the
following EXCEPT
a. plan for concrete steps that are then taken to modify behavior.
b. be alert for signs of problems.
c. assist the client to address issues that contribute to or exacerbate the SUD.
d. assist in individual growth.
After periods of prolonged cocaine abuse, the individual will fall into a state of
depression that might reach
a. anorexic proportions.
b. suicidal proportions.
c. the point where person wants to substitute other short-acting CNS depressants for
cocaine.
d. bliss and euphoria.
Globally, tobacco products are thought to cause _________ premature deaths a year.
a. 70 million
b. 8 million
c. 5 million
d. 17 million
The therapist should serve as a
a. guide and confidant.
b. neutral mirror against which the ‘self” can be projected.
c. example because the therapist has “been there” by being in recovery themselves.
d. drill-instructor-like person helping the client towards recovery.
Which of the following was not identified as a direct cause of homelessness by your
text?
a. Lack of affordable housing
b. Poverty
c. Chronic unemployment/underemployment
d. Substance use disorders
Which of the following is NOT one of the reasons described in your text that may
contribute to why college students living in sororities and fraternities binge drink at
higher rates than students not living in sororities and fraternities?
a. Students living in sororities and fraternities are more likely to be student athletes.
b. Students attracted to living in sororities and fraternities may be more likely to engage
in abusive drinking.
c. Students living in sororities and fraternities are surrounded by others who engage in
binge drinking.
d. Students living in sororities and fraternities may view binge drinking as a rite of
passage.
There has been research of late suggesting that
a. acamprosate is not effective.
b. the diagnosis of alcoholism is usually in error.
c. first-degree relatives of a person with a substance use disorder are as much at risk for
the development of a substance use disorder as the identified patient.
d. the medication Cipro is useful in treating alcohol use disorders.
The universally accepted definition of addiction is outlined in the DSM-5.
a. True
b. False
According to Freud’s “repetition compulsion,” once the addict stops his/her
dysfunctional behaviors, the codependent will
a. be cured.
b. begin to set appropriate boundaries.
c. give up control of the exaddict’s behaviors.
d. attempt to find someone else who is dysfunctional.
Involuntary commitment to treatment
a. is legal in more than 30 states.
b. is a violation of the client’s second amendment rights under the constitution.
c. is illegal in all states.
d. is about as effective as other forms of court-mandated treatment.
Which of the following approaches has been found to enhance abstinence in the early
stages of recovery?
a. Motivational Interviewing
b. Voucher-based reinforcement
c. Cognitive-behavioral approaches
d. Psychodynamic approaches
The theory that the SUD reflects another primary, psychiatric disorder that will resolve
once the mental illness is effectively treated
a. has few adherents at this time.
b. is the assumption on which most treatment for dual diagnosis patients is based at this
time.
c. tends to be true only for criminal offenders, but not for the majority of mentally ill
substance abusers.
d. helps the client better understand his or her plight.
The “drug court” client who is most likely to benefit from this program is
a. a non-violent recidivist with a substance-related conviction.
b. a first time offender who does not have a history of violence.
c. repeat offenders whose crimes also involve those not substance related.
d. those offenders who are under the age of 25.
About ________ of those prescribed disulfiram take it as prescribed.
a. 7 percent
b. 15 percent
c. 20 percent
d. 45 percent
Everything can be understood, it is argued, if
a. we eliminate diversity.
b. we break things down into small enough units.
c. we utilize behavioral psychology theory.
d. pain is eradicated, order is enforced, and financial gain is limited.
Which of the following individuals testified before Congress and asserted that
marijuana was as much of a problem in this country as heroin addiction?
a. J. Edgar Hoover
b. Henry Anslinger
c. Harry S. Truman
d. George W. Norris
At the “open” meeting
a. the individual is encouraged to discuss his or her progress in the 12-step program.
b. one or two volunteers will speak about the program and visitors are encouraged to
ask questions.
c. each group member is expected to stand up and confess his or her shortcomings.
d. a designated topic is discussed in detail, with members joining the discussion as they
desire.
The debate concerning whether inhalant abuse may serve as a “gateway” drug is
a. still ongoing.
b. largely dismissed, the same as is the case with marijuana.
c. much better supported in the research than the idea of marijuana as a “gateway” drug.
d. dependent on whether the abuse also smokes tobacco.
The compound known as “fry” is
a. a mixture of amphetamines and cocaine for smoking.
b. a mixture of amphetamine and marijuana, which counteracts the harsh side effects of
the amphetamine.
c. phencyclidine sprinkled onto a regular cigarette for smoking.
d. marijuana soaked in formaldehyde, then laced with PCP for smoking.
One often overlooked factor that helps to explain the impact of parental substance abuse
or addiction on a given child is the
a. sex of the dysfunctional parent.
b. level of achievement of the dysfunctional child.
c. availability of pets.
d. child’s educational achievements.
What percentage of persons who enter into a substance abuse rehabilitation program
will begin an outpatient treatment program?
a. 85 percent
b. 30 percent
c. 70 percent
d. 55 percent
The risk of addiction for cocaine
a. is about the same for either sex.
b. is higher for men than it is for women.
c. is higher for women than it is for men.
d. is lower for women who are not pregnant, but is otherwise about the same.
Women tend to be ________as compared to men who drink.
a. solitary drinkers
b. group drinkers
c. found engaging in disruptive behaviors more often
d. involved with the legal system more often
A common form of benzodiazepine abuse is when they are mixed with ________ to
produce a sense of euphoria.
a. anabolic steroids
b. barbiturates
c. methadone
d. marijuana
Which of the following is NOT one of the ways ephedrine is currently used medically?
a. In some forms of nasal surgery
b. In some forms of surgery where low blood pressure is a problem
c. To treat symptoms of shock
d. To decrease nasal congestion
Which of the following is one of the major disadvantages of paraldehyde?
a. Cardio-suppressant effects
b. Noxious taste and odor on breath
c. Staining properties on the user’s teeth
d. Addictive effects (about half those of) alcohol