Deck 15: Treatment of Substance-Use Disorders

Question 1

is the last stage of the stages of change model.

A) maintenance
B) contemplation
C) action
D) recovery

Answer 1

A

Question 2

is an educational movement that is based on cognitive-behavioral principles and the Addictive Voice Recognition Technique.

A) Women for Sobriety (WFS)
B) Secular Organizations for Sobriety (SOS)
C) Rational Recovery (RR)
D) Alcoholics Anonymous (AA)

Answer 2

C

Question 3

is a self-help group for alcohol abusers that was founded by Dr. Bob and Bill W.

A) Rational Recovery (RR)
B) Secular Organizations for Sobriety (SOS)
C) Alcoholics Anonymous (AA)
D) Women for Sobriety (WFS)

Answer 3

C

Question 4

The focus of is on four key areas: motives for use, beliefs, emotions, and behavior.

A) SMART
B) AA
C) SOS
D) WFS

Question 5

differs from AA in that there is no emphasis on spirituality or a higher power.

A) SOS
B) SMART
C) RR
D) all of these

Question 6

Which of the following is not true of A.A.?

A) it advocates relinquishing control to a higher power
B) it advocates making direct amends to people harmed by an individuals drinking
C) with it's emphasis on God, the program is only appropriate for those who accept Western religious beliefs
D) nonalcoholics may not attend closed meetings

Question 7

Which of the following is not true about self-help groups?

A) participants both give and receive help
B) professional treatment programs use them as part of aftercare
C) they are led by group leaders who have recovered
D) group members share the same identified problem

Question 8

refers to the resolution of a problem without the use of formal treatment.

A) Rebound
B) Homeopathy
C) Spontaneous remission
D) Self-help

Question 9

Narcotics Anonymous evolved with a concentration on

A) opiates
B) cocaine
C) marijuana
D) hallucinogens

Question 10

is a self-help group that is purported to be based on methods that are scientifically validated and is led by a coordinator who has maintained a period of sobriety or has never had an alcohol problem.

A) SMART
B) Rational Recovery
C) Secular Organizations for Recovery
D) Women for Sobriety

Question 11

is the greatest barrier to changing a substance abuse problem.

A) The lack of effective treatment measures
B) Denial
C) Peer pressure
D) None of these

Question 12

The model is the foundation for Alcoholics Anonymous (AA).

A) moral
B) biological
C) social learning
D) American disease

Question 13

is one of the last steps in Alcoholics Anonymous (AA) and involves a stable one-to-one relationship between a member with more sobriety and one with less.

A) Sponsorship
B) Tutoring
C) Twelfth-stepping
D) Guidance

Question 14

The Sobriety Priority Program is the philosophy that underlies .

A) Women for Sobriety (WFS)
B) Rational Recovery (RR)
C) Secular Organizations for Sobriety (SOS)
D) Alcoholics Anonymous (AA)

Question 15

According to the stages of change model, individuals in the stage often have not acknowledged a problem.

A) contemplation
B) preparation
C) precontemplation
D) maintenance

Question 16

Which of the following self-help movements stopped holding meetings in 1999 and now condemns the self-help movement?

A) SOS
B) SMART
C) Rational Recovery
D) WFS

Question 17

According to the model, treatment consists of spiritual or legal intervention.

A) moral
B) sociocultural
C) biological
D) social learning

Question 18

More people resolve their substance abuse problems through than any other way.

A) pharmacological treatment
B) self help groups
C) cognitive-behavioral therapy
D) spontaneous remission

Question 19

Individuals in the stage are typically on the edge of taking action to change.

A) preparation
B) contemplation
C) precontemplation
D) action

Question 20

In Alcoholics Anonymous (AA), the beginning of recovery occurs when the alcoholic .

A) tells his/her story
B) recognizes God's love
C) stops drinking
D) recognizes his/her powerlessness over alcohol

Question 21

Individuals with genetic polymorphism in the receptor tend to be more responsive to naltrexone's effects on alcohol use.

A) dopamine
B) GABA
C) mu-opioid
D) epinephrine

Question 22

is an opiate antagonist that may help in recovery from alcohol dependence.

A) naltrexone
B) sertraline
C) acamprosate
D) buspirone

Question 23

In there is considerable attention given to the medical aspects of alcohol problems.

A) milieu treatment
B) individual outpatient treatment
C) inpatient hospital treatment
D) self-help groups

Question 24

The treatment most clearly implied from the model is to advise at risk people of their risk for developing a substance use disorder and perhaps to counsel them to avoid alcohol or drugs.

A) biological
B) moral
C) disease
D) social learning

Question 25

Which of the following is an alcohol-sensitizing drug?

A) naltrexone
B) buspirone
C) disulfiram
D) acamprosate

Question 26

is a pharmacotherapy for alcoholism that affects the NMDA receptor and the metabotropic glutamate receptors.

A) Naltrexone
B) Buspirone
C) Sertraline
D) Acamprosate

Question 27

is an approach in which a person's withdrawal is monitored by professional staff in a treatment setting, but no drugs are administered.

A) Pharmacotherapy
B) Social detoxification
C) Milieu therapy
D) Aftercare

Question 28

According to the model, treatment includes arranging a person's environment so that nonabuse of psychoactive substances is reinforced.

A) moral
B) social learning
C) biological
D) sociocultural

Question 29

Taxation of beverage alcohol would be an example of an intervention based on the model.

A) sociocultural
B) social learning
C) moral
D) disease

Question 30

A needle exchange program would be an example of the approach to substance abuse.

A) Moderation Management
B) Harm Reduction
C) moral model
D) disease model

Question 31

In the model, individuals are seen as personally responsible for problems they incur from their drug and alcohol use.

A) sociocultural
B) social learning
C) biological
D) moral

Question 32

The model is especially important because of its prevalence in the United States.

A) moral
B) disease
C) social learning
D) sociocultural

Question 33

Why is it difficult to assess the effectiveness of Alcoholics Anonymous (AA)?

A) the sample is too heterogeneous
B) Alcoholics Anonymous (AA) refuses to release data
C) the members are anonymous
D) each chapter follows completely different procedures

Question 34

Which of the following drugs has FDA approval for treatment of alcohol-use disorders?

A) Ondansetron
B) Antabuse
C) Baclofen
D) Topiramate

Question 35

What is typically the first step in the substance abuse treatment process?

A) selecting the appropriate treatment environment
B) assessment
C) setting treatment goals
D) selecting a counselor

Question 36

involves the medical management of alcohol withdrawal symptoms.

A) Detoxification
B) Milieu treatment
C) Partial hospital care
D) Quarterway house treatment

Question 37

are people working in direct patient care and not possessing a formal degree.

A) Counselors
B) Paraprofessionals
C) Sponsors
D) Psychotherapists

Question 38

is a non-medical treatment for alcohol use disorders in which verbal psychotherapy is used to encourage the individual to move forward in the stages of changing alcohol-use patterns.

A) Motivational enhancement
B) Conjoint treatment
C) Classical-conditioning
D) Milieu therapy

Question 39

An example of a(n) would be Milieu treatment

A) hospital setting
B) intermediate setting
C) outpatient setting
D) detoxification program

Question 40

Halfway houses are an example of a(n) .

A) hospital setting
B) intermediate setting
C) outpatient setting
D) self-help group

Question 41

The primary goal of detoxification is to manage withdrawal symptoms.

Question 42

In a recent study in Canada, heroin addicts who failed in methadone treatment were successful when prescribed _________.

A) Buspirone
B) Antabuse
C) LAAM
D) heroin

Question 43

Sokolow, et al. (1981) reported in their survey of patients in New York alcoholism rehabilitation programs that almost % used at least one other drug in the 30 days before treatment.

A) 20
B) 50
C) 75
D) 90

Question 44

The biopsychosocial model is a new viewpoint attempting to account for the three major variable domains known to influence behavior.

Question 45

Structured behavioral contracting programs for drug abusers follow the model.

A) social learning
B) biopsychosocial
C) moral
D) disease

Question 46

Which of the following results have been reported in research conducted on the effectiveness of therapeutic communities?

A) low attrition rates
B) treatment is not cost-effective
C) associated with a more productive life after discharge if stay is long enough
D) all of these

Question 47

Drug therapeutic communities are most often run by .

A) Certified Drug Abuse Counselors
B) ex-addicts
C) clinical psychologists
D) M.D.s

Question 48

Halfway houses are usually designed as milieu treatment.

Question 49

Sokolow's 1981 study showed that patients arriving for alcohol treatment were most likely to also use .

A) marijuana
B) antidepressants
C) tranquilizers
D) cocaine

Question 50

Hunt, Barnett, and Branch (1971) showed that % of the individuals treated for alcohol, tobacco, or heroin abuse in abstinence-oriented programs had returned to their primary substance use three months after treatment.

A) 10
B) 25
C) 50
D) 70

Question 51

Harm reduction programs stress abstinence as the only way to reduce the harmful consequences of alcohol abuse to society.

Question 52

Why is levo-alpha-acetylmethadol sometimes used as a substitute for methadone?

A) it has longer-lasting effects
B) it is not an opiate
C) it is less expensive
D) it is more effective

Question 53

One limitation of Alcoholics Anonymous (AA) is that it is appropriate only for those holding Judeo-Christian beliefs.

Question 54

Which of the following is likely to result as a consequence of the 2010 Affordable Care Act?

A) Substance use disorders will be less likely to be covered by insurance.
B) Fewer people will have access to treatment.
C) There will be greater demand for substance abuse treatment.
D) None of the above.

Question 55

In inpatient settings for substance abuse, the organization of patient care is similar to that given to people hospitalized for physical problems.

Question 56

What is the primary problem impacting the effectiveness of drug treatment programs?

A) the development of dependence to drugs used in pharmacotherapy
B) treatment drop-out
C) the lack of sufficient trained counselors
D) the lack of specific treatment programs tailored to individual drugs

Question 57

About 60% of the drug abusers in treatment receive their treatment in .

A) outpatient treatment
B) methadone treatment
C) therapeutic communities
D) inpatient detoxification

Question 58

Why is methadone used in the treatment of heroin abuse?

A) because it blocks the receptors that heroin binds to
B) because it lasts longer than heroin
C) because it blocks the addict's craving for heroin
D) because it breaks down heroin before it can bind

Question 59

An important antidrug drug used to treat opiate dependence is , an opiate antagonist.

A) naltrexone
B) desipramine
C) disulfiram
D) carbimide

Question 60

Substance abuse professionals and peer self-help groups are competitive and antagonistic toward one another.

Question 61

Treatment outcome research has shown that inpatient substance abuse treatment is ineffective.

Question 62

What is relapse prevention? What techniques are used in this treatment approach?

Question 63

One drawback of Internet­based treatment interventions is that they do not offer the "support network" available in
more traditional treatment.

Question 64

Recent research has shown that both naltrexone and acamprosate in combination with behavioral treatments produce better outcomes than the same behavioral treatments paired with a placebo.

Question 65

There does not seem to be any connection between alcohol or drug abuse and psychological disorders.

Question 66

According to the opponent process theory, the individual's self-efficacy to cope with high-risk situations determines whether or not they will relapse.

Question 67

Alcohol and drug treatment that most people receive today is consistently supported by research evidence.

Question 68

Alcoholics Anonymous (AA) has been shown to be, by far, the most effective treatment for alcoholism.

Question 69

Describe the pharmacological approaches used in the treatment of alcoholism and opiate abuse. Describe the mechanisms of action of these pharmacotherapies as well as the research evidence regarding their effectiveness.

Question 70

Drug treatment in therapeutic communities is associated with a more productive life following discharge if there was sufficient length of stay.

Question 71

Antabuse is thought to be effective because it creates a learned aversion to alcohol.

Question 72

Describe the Alcoholics Anonymous (AA) program. What are the 12 steps? What are the beginning and ending steps of the Alcoholics Anonymous (AA) recovery program?

Question 73

Substance-use problems in women tend to develop faster than they do in men.

Question 74

What does treatment outcome research tell us about the effectiveness of alcohol and other drug treatment, respectively?

Question 75

One of the most common early effects of Antabuse when a small quantity of alcohol is consumed is dyspnea, or labored breathing.

Question 76

Temposil is an alcohol-sensitizing drug that is not available in the U.S.

Question 77

Naltrexone, an opiate antagonist, is an approved pharmacotherapy used in alcohol treatment.

Question 78

According to the 2011 NSDUH survey, more people were admitted to drug treatment for abuse of pain relievers than for any other nonalcohol drug.

Question 79

Brief interventions tend to be most effective for individuals with mild to moderate alcohol problems.

Question 80

Describe the five models of the causes of alcohol dependence.