Deck 18: Rethinking Drug Policy: What Works, Whats Possible, and Whats Feasible

Question 1

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 identify people,places,and behaviors associated with drug use.

Answer 1

D

Question 2

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

Answer 2

A

Question 3

Because most opioid dependent 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.

Answer 3

C

Question 4

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 5

Although naltrexone has been used to treat alcohol dependence,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 6

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 7

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 8

Although many medications have been tested for treating cocaine dependence,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.

Question 9

Both drug agonist (substitution)and antagonist treatments are included in the __________ phase of treatment.

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

Question 10

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

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

Question 11

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 12

The substance that accounted for the most admissions in the Treatment Episode Data Set from 2009 was

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

Question 13

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.

Question 14

Is treatment for drug dependence 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 15

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 16

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.

Question 17

The most common form of medical treatment for opioid dependence is

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

Question 18

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

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

Question 19

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 20

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

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

Question 21

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

Question 22

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

Question 23

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

Question 24

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

Question 25

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 26

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 27

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

Question 28

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

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

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

Question 31

There is no documented cocaine withdrawal syndrome.

Question 32

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

Question 33

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

Question 34

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

Question 35

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

Question 36

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

Question 37

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

Question 38

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