Deck 18: Treating Substance Use Disorders

Question 1

Rapid opioid detoxification is based on

A)the use of methadone to avoid withdrawal symptoms.
B)making sure that the user experiences the full discomfort of withdrawal,while providing medical support.
C)anesthetizing users and administering an antagonist,so that withdrawal occurs while they are asleep.
D)switching the user to a shorter-duration opioid.

Answer 1

C

Question 2

Although many medications have been tested for treating cocaine use disorder,most have shown little promise and none has yet been approved.The most promising results have been found with

A)modafinil.
B)naltrexone.
C)buprenorphine.
D)acamprosate.

Answer 2

A

Question 3

Varenicline,approved in 2006 for smoking cessation

A)is also used as an antidepressant.
B)is an opioid antagonist.
C)is a partial nicotinic-receptor antagonist.
D)blocks the metabolism of nicotine.

Answer 3

C

Question 4

Although no medication has yet received FDA approval for treating cannabis use disorder,one has shown effectiveness in relieving cannabis withdrawal symptoms.That medication is

A)naltrexone.
B)methadone.
C)cocaine.
D)oral THC.

Question 5

and antagonist treatments are included in the __________ phase of treatment.

A)detoxification
B)relapse prevention
C)punishment
D)maintenance

Question 6

Prevention of withdrawal symptoms using medications would be considered part of the ____________ process.

A)detoxification
B)relapse prevention
C)punishment
D)maintenance

Question 7

Although naltrexone has been used to treat alcohol use disorder,it

A)is an opioid antagonist,and it is not clear how it works with alcohol users.
B)has never received any research support for this type of use.
C)is not available for prescription in the U.S.
D)is dangerous because people become deathly ill if they drink alcohol while taking it.

Question 8

Motivational enhancement therapy has as its goal

A)helping the user move to another "stage of change."
B)helping the user "hit bottom."
C)confronting the user with all of the bad consequences of his or her behavior.
D)finding alternative activities to draw the user away from the substance.

Question 9

Giving the user rewards for drug-free urine samples

A)doesn't work very well.
B)is a form of contingency management.
C)is a common technique in 12-step programs.
D)is based on the "stages of change" model.

Question 10

The most common form of medical treatment for opioid addiction is

A)methadone maintenance.
B)rapid opioid detoxification.
C)naltrexone therapy.
D)buprenorphine.

Question 11

Before we can evaluate the success of a drug treatment program,we have to understand the program's

A)administrative structure.
B)training requirements.
C)goals.
D)theoretical approach.

Question 12

Because most heroin addicted people prescribed naltrexone stop taking it,

A)it is no longer used for this purpose.
B)they typically undergo prolonged withdrawal reactions.
C)researchers are testing a depot form that blocks heroin's effects for up to six weeks.
D)a company is developing a better tasting capsule.

Question 13

Because of the potential danger of alcohol withdrawal symptoms,these symptoms are often prevented or treated by administering

A)opioids.
B)amphetamine.
C)antabuse.
D)benzodiazepines.

Question 14

CBT approaches to treatment

A)have not worked as well as traditional psychotherapy.
B)rely on the use of medications to prevent withdrawal symptoms.
C)use hypnotism as the major form of treatment.
D)have the clients to identify people,places,and behaviors associated with drug use.

Question 15

Besides methadone,another substitute medication has recently been approved for maintaining opioid addicted patients.It is

A)antabuse.
B)buprenorphine.
C)zolpidem.
D)olanzepine.

Question 16

Which of these has NOT received FDA approval for use during the maintenance phase of alcohol treatment?

A)naltrexone
B)bupropion (Zyban)
C)antabuse
D)acamprosate

Question 17

Studies of court-ordered referrals to Alcoholics Anonymous versus other types of interventions have

A)found that none of these approaches is effective.
B)found that AA is more effective than other approaches.
C)found that other approaches are more effective than AA.
D)not found differences in effectiveness between AA and other approaches.

Question 18

Which of these is NOT an FDA-approved form of nicotine replacement therapy?

A)nicotine water
B)nicotine lozenges
C)nicotine gum
D)nicotine nasal spray

Question 19

The substance that accounted for the most admissions in the Treatment Episode Data Set from 2011 was

A)cocaine.
B)alcohol.
C)heroin.
D)methamphetamine.

Question 20

Is treatment for drug addiction effective?

A)Only if the user wants it to work.
B)Most studies do not show any effectiveness.
C)Statistically,treatment does reduce crime and increase employment.
D)Yes,more than half of those treated remain abstinent for more than a year.

Question 21

There is no documented cocaine withdrawal syndrome.

Question 22

The most effective potential medical treatment for cocaine use disorder appears to be the antidepressant drug citalopram.

Question 23

The majority of drug treatment takes place in an outpatient setting.

Question 24

The opioid antagonist naltrexone can prevent heroin from having its normal effect if it is injected.

Question 25

Give a brief description of the Alcoholics Anonymous approach to "treating" alcohol-addicted people including some of the underlying philosophy.What do we know about the effectiveness of this approach?

Question 26

The most common form of treatment for opioid dependence is rapid opioid detoxification.

Question 27

CBT may be ineffective for long-term methamphetamine users because of the many cognitive deficits caused by the drug.

Question 28

What medications are used in treating people diagnosed with opioid use disorder,and how does each of these work?

Question 29

Describe the process and goals of motivational enhancement therapy.Be sure to include the concept of denial and also stages of change in your answer.

Question 30

The only kinds of medications approved for use in smoking cessation are various forms of nicotine replacement therapy,like nicotine patches and gum.

Question 31

The "therapeutic workplace" is an example of what approach to drug treatment?

A)motivational enhancement therapy
B)cognitive-behavioral therapy
C)detoxification
D)contingency management

Question 32

Naltrexone is an opioid antagonist that has been approved for use in treating alcohol use disorder.

Question 33

The DSM-V provides diagnostic criteria for substance dependence and substance abuse.

Question 34

Moderate doses of dronabinol can be used to reduce the symptoms associated with marijuana withdrawal.

Question 35

What medications are used in treating people diagnosed with alcohol use disorder,and how does each of these work?

Question 36

Which one of these is an agonist therapy?

A)methadone for heroin addiction
B)nicotine gum for tobacco addiction
C)Both A and B
D)Neither A nor B

Question 37

In motivational enhancement therapy,drinkers are given antabuse so that they will be afraid to drink alcohol.

Question 38

Acamprosate,the most recent drug approved to treat alcohol use disorder,is structurally similar to the neurotransmitter GABA.