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

Question 1

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

Answer 1

C

Question 2

_____, 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

Answer 2

D

Question 3

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

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

Answer 3

C

Question 4

_____ 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 5

Which of the following belongs to the category of hallucinogens?

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

Question 6

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)Esteem
B)Confusion
C)Denial
D)Acceptance

Question 7

Opioids include all of the following except:

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

Question 8

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 9

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 10

_____ is also known as a bottom shelf stimulant.

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

Question 11

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 12

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 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

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 15

_____ 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

Question 16

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

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

Question 17

_____ 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

Question 18

_____ 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 19

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

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

Question 20

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 21

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

Question 22

The term substance is often referred to as psychoactive substance.

Question 23

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

Question 24

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

Question 25

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

Question 26

Family members of substance abusers often feel tremendous guilt.

Question 27

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

Question 28

Crank is considered a bottom shelf stimulant.

Question 29

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 30

CNS is an abbreviation for combined narcotic substance.

Question 31

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

Question 32

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

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

Question 33

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

Question 34

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

Question 35

_____ 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 36

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 37

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

Question 38

Most drugs of abuse can be smoked or inhaled.

Question 39

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

Question 40

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

Question 41

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

Question 42

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

Question 43

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

Question 44

Explain the defense mechanisms minimization, rationalization, and denial.

Question 45

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

Question 46

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

Question 47

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

Question 48

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

Question 49

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

Question 50

A key component of a harm reduction approach is choice.

Question 51

What are dissociative anesthetics?

Question 52

Describe the four-stage recovery model.

Question 53

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

Question 54

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

Question 55

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

Question 56

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

Question 57

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

Question 58

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 59

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