Deck 14: Social Work and Substance Use, Abuse, and Dependence

Question 1

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

Answer 1

C

Question 2

_____ is the array of symptoms that develop as a result of discontinued use of a substance or the compulsion to absorb the substance to avert these symptoms.

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

Answer 2

B

Question 3

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

A)Outpatient treatment
B)Detoxification
C)Alternative medication
D)Family-system treatment

Answer 3

B

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

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

A)oral ingestion.
B)inhalation.
C)injection.
D)snorting.

Question 6

Which of the following is also known as a "top of the line" stimulant?

A)Cocaine
B)Caffeine
C)Tobacco
D)Nicotine

Question 7

The need to use increased amounts of a substance to reach the same level of mood alteration initially achieved is called _____.

A)minimization
B)denial
C)tolerance
D)dependence

Question 8

Identify the basic area under which a substance abuse or dependence assessment relates to asking the potential question "How is the client affecting the lives of others?"

A)E steem
B)Confusion
C)D enial
D)A cceptance

Question 9

_____ is the defense mechanism used by people who abuse alcohol that involves assigning little importance to drug use or its consequences.

A)Minimization
B)Rationalization
C)Denial

Question 10

Which of the following routes of administration of a substance is quicker than drinking or swallowing, but slower than either inhalation or injection?

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

Question 11

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

A)minimization.
B)rationalization.
C)denial.

Question 12

Which of the following belongs to the category of hallucinogens?

A)Hashish
B)Marijuana
C)Ketamine
D)Mescaline

Question 13

_____ is also known as a bottom shelf stimulant.

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

Question 14

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

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

Question 15

Opioids include all of the following except :

A)heroin.
B)cocaine.
C)opium.
D)morphine.

Question 16

Which of the following addictive drugs, which do not fit into the stimulant or depressant categories, can cause increased heart rate and blood pressure, slowed motor functioning, memory loss, and, potentially, nausea?

A)Dissociative anesthetics
B)Hallucinogens
C)Opioids and morphine derivatives
D)Cannabinoids

Question 17

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

A)engaging with social workers.
B)using a multiple-system approach to individualized treatment.
C)assessing a client's problem.
D)using a choice component to incorporate a care plan.

Question 18

_____ is the defense mechanism used by people who abuse drugs that involves making excuses for the problems caused by the dependence on a substance.

A)Minimization
B)Rationalization
C)Denial

Question 19

Which of the following is a potential question to ask about a client during substance abuse or dependence assessment that focuses on the confusion area?

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 do the client cherish the most?

Question 20

Of the important features of various treatment approaches to chemical dependence, _____ is the act of determining the nature and causes of a client's problem.

A)engagement
B)assessment
C)intervention
D)planning

Question 21

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

Question 22

_____ 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 many states in between.

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

Question 23

Withdrawal is the development of a series of symptoms directly related to intake of the substance and its influence on the central nervous system.

Question 24

Most drugs of abuse can be smoked or inhaled.

Question 25

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

Question 26

C NS is an abbreviation for combined narcotic substance.

Question 27

Special K, Rohypnol, and ecstasy belong to the same drug category.

Question 28

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

A)transformation.
B)growth.
C)confrontation.
D)abstinence.

Question 29

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

Question 30

Rationalization is the defense mechanism most used by alcoholics and involves insisting to oneself that nothing is wrong.

Question 31

Crank is considered a bottom shelf stimulant.

Question 32

Family members of substance abusers often feel tremendous guilt.

Question 33

Reflective listening is an interviewing technique where social workers or counselors translate what they think the client is feeling into words.

Question 34

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

Question 35

The term substance abuse is now commonly replacing the term addiction.

Question 36

Which of the following is true of the growth phase as part of the four-stage recovery model for substance dependence treatment?

A)During this phase, clients strive to maintain sobriety, although relapses are common.
B)This phase reflects the beginning of a new lifestyle not involving substance abuse.
C)During this stage, clients are often "obsessed" with their abstinence and recovery.
D)This stage marks a true change in life orientation from the former substance-abuse days.

Question 37

The term substance is often referred to as psychoactive substance.

Question 38

The engagement process of substance abuse treatment has the goal of thoroughly assessing the client's problem.

Question 39

A client's chosen route of drug administration is important assessment information.

Question 40

Alcohol and other drug abuse is often masked by and interrelated to many other problems.

Question 41

Discuss the role of a practitioner in a harm reduction approach.

Question 42

Briefly describe the strengths-based approach to treating alcohol and other substance abuse as proposed by Van Wormer and Davis.

Question 43

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

Question 44

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

Question 45

Briefly explain the four categories of pathological patterns of behaviors concerning how a substance is used as cited in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Question 46

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

Question 47

Explain the defense mechanisms minimization, rationalization, and denial.

Question 48

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

Question 49

Describe the four-stage recovery model.

Question 50

The harm reduction approach demands total abstinence, whereas the four-stage recovery model allows greater flexibility in pursuing control over the substance.

Question 51

Describe the terms tolerance and withdrawal in the context of people with alcohol problems.

Question 52

A key component of a harm reduction approach is choice.

Question 53

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

Question 54

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

Question 55

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

Question 56

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

Question 57

What are dissociative anesthetics?

Question 58

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

Question 59

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