Deck 15: Social Work and Substance Use, Abuse, and Dependence

Question 1

_____ is short-term treatment designed to oversee the client's safe withdrawal from the substance to which he or she is addicted.

A) Outpatient treatment
B) Detoxification
C) Alcoholics Anonymous
D) Family system treatment

Answer 1

B

Question 2

Current government policy regarding alcohol and drug problems emphasizes and funds all of the following strategies except:

A) Classification
B) Enforcement
C) Prevention
D) Treatment

Answer 2

A

Question 3

_____ is the defense mechanism used by people with alcohol problems by assigning little importance to drinking or its consequences.

A) Minimization
B) Rationalization
C) Denial

Answer 3

A

Question 4

In a family where substance dependence is involved, _____ assume increasing responsibility for maintaining family functioning and making excuses on the abuser's behalf.

A) Scapegoats
B) Lost children
C) Mascots
D) Enablers

Question 5

Resistance to a drug's effects developed over time as the body adapts to the repeated administration of a chemical compound is called:

A) Minimization
B) Denial
C) Tolerance
D) Dependence

Question 6

The most prevalent defense used by people who are substance dependent is:

A) Minimization
B) Rationalization
C) Denial

Question 7

Dissociative anesthetics include which of the following:

A) Hashish
B) Heroin
C) Cocaine
D) Ketamine

Question 8

Potential questions to ask about a client during substance abuse or dependence assessment that focus on the confusion area include which of the following:

A) What happens when the client loses self-control over his/her drinking/drugging
B) How will the client monitor himself/herself
C) What is getting in the way of the client accepting that there is a drug/alcohol abuse problem
D) What values does the client cherish the most

Question 9

_____ is a term referring to dependence on some substance.

A) Tolerance
B) Addiction
C) Intoxication
D) Alcoholism

Question 10

The use of _____ is responsible for more than 400,000 deaths in the United States each year.

A) Nicotine
B) Heroin
C) Valium
D) Barbiturates

Question 11

Regarding intervention with groups, traditional strategies in substance abuse groups often have had a _____ focus for the purpose of targeting denial and rationalization processes.

A) Complementary
B) Condemning
C) Confrontational
D) Centriole

Question 12

_____ is the defense mechanism that involves making excuses for the problems caused by the dependence on the substance.

A) Minimization
B) Rationalization
C) Denial

Question 13

Many _____ usually work with suicidal, homicidal, or resistant clients and have a strong 12-step group orientation, with clients being expected to attend multiple 12-step meetings during the week.

A) Therapeutic communities
B) Halfway houses
C) Inpatient treatment facilities
D) Mutual self-help groups

Question 14

Opioids include all of the following except:

A) Heroin
B) Cocaine
C) Opium
D) Morphine

Question 15

In the treatment process for chemical dependence, the _____ interview is one of the goals to determine the best course of treatment.

A) Engagement
B) Assessment
C) Intervention
D) Planning

Question 16

This route of administration of a substance is quicker than drinking/swallowing, but slower than either inhalation or injection.

A) Squeezing
B) Mainlining
C) Snorting
D) Popping

Question 17

All of the following principles are important regardless of the treatment approach or program for chemical dependence except:

A) Follow-up
B) Help to develop a social network
C) Assessment of the problem
D) Using a choice component

Question 18

The method of substance administration that takes the most time to take effect is:

A) Oral ingestion
B) Inhalation
C) Injection
D) Mucous membrane

Question 19

_____, linked to drug abuse and dependence, is the development of a series of symptoms, often involving psychological or behavioral changes, directly related to intake of the substance and its influence on the central nervous system.

A) Minimization
B) Withdrawal
C) Tolerance
D) Intoxication

Question 20

_____ is known as bottom shelf stimulants.

A) Speed
B) Nicotine
C) Crank
D) Meth

Question 21

The credo of the addicted family is "don't talk, don't trust, and don't feel."

Question 22

Stage three of the four-stage recovery model for substance dependence treatment is:

A) Transformation
B) Growth
C) Confrontation
D) Abstinence

Question 23

Reflective listening involves translating what they think the client is feeling into words.

Question 24

CNS is an abbreviation for combined narcotic substance.

Question 25

The term substance is often referred to as psychoactive substance.

Question 26

The defense mechanism of rationalization is the most used by alcoholics, and involves making excuses for the problems caused by the dependence on alcohol.

Question 27

Snorting is a quicker method of administration of a drug than inhalation or injection.

Question 28

In almost any practice setting, a social worker may need to address AODA problems.

Question 29

Outpatient treatment consists of temporary residences to assist in the transition from an inpatient program to the real-life community.

Question 30

Special K, Rohypnol and ecstasy are all in the same drug category.

Question 31

The engagement process has the goal of determining the best course of treatment.

Question 32

Family members of substance abusers often feel tremendous guilt.

Question 33

Crank is considered a bottom shelf stimulant.

Question 34

The second stage in the four-stage recovery model for substance dependence treatment is:

A) Transformation
B) Growth
C) Confrontation
D) Abstinence

Question 35

Inhalation is the method of administration of a drug that takes the most time for its affect to be felt.

Question 36

The term substance abuse is now commonly replacing addiction.

Question 37

Most drugs of abuse can be smoked or inhaled.

Question 38

Sometimes substance dependence is referred to as chemical dependence.

Question 39

_____ strategies for alcohol or other drug misuse are based on the premise that alcohol or other drug use ranges across a continuum, starting with no consequences for use and ending with devastating consequences for use, with lots of stages in between.

A) Four-stage recovery
B) Therapeutic adjunct
C) Behavior continuance
D) Harm reduction

Question 40

In most agencies, individual counseling with clients who have chemical dependence problems is provided more frequently than group sessions.

Question 41

Al-Anon is specifically for teenagers within families of alcoholics.

Question 42

The first stage of the four-stage recovery model is the confrontation stage.

Question 43

When working with an alcoholic in treatment, it is always imperative that his or her first aspect be total abstinence.

Question 44

What do you think are the reasons so many people use mind-altering substances?

Question 45

Define the defense mechanisms of minimization, rationalization, and denial.

Question 46

Five principles were described in the text as important regardless of the treatment approach or program. One was engagement; explain the other four.

Question 47

What are dissociative anesthetics?

Question 48

A key component of a harm reduction approach is choice.

Question 49

Describe the terms tolerance and withdrawal, as they pertain to people with alcohol problems.

Question 50

Explain the following types of resources for the treatment of alcoholism.
A. Detoxification
B. Therapeutic communities
C. Pharmacological adjuncts

Question 51

List ten potential questions that you could ask a client during a substance abuse or dependence assessment.

Question 52

Do you believe the current illegal substances should be legalized? Why or why not?

Question 53

Where should public funding be focused regarding substance abuse and dependence-prevention, treatment, or enforcement? Explain your reasons.

Question 54

List the drugs that are considered stimulants and those considered as depressants.

Question 55

Describe the eight themes that characterize the families of people who are substance dependent.

Question 56

Cite and describe four methods of administering mind-altering substances.

Question 57

Medications such as Antabuse that are used to combat alcoholism are called pharmaceutical equivalents.

Question 58

Describe the four-stage recovery model.

Question 59

What are the strengths and weaknesses of the four-stage recovery model and the harm reduction approach?