Deck 18: Chemical Dependency

Question 1

The disease model controversy of alcohol addiction hinges on the treatment principles of AA,funding sources,and third party payments.​

Answer 1

True

Question 2

MAST,Alcadd,and SASSI are acronyms for new,innovative addiction treatment programs.​

Answer 2

False

Question 3

The Hero in an alcoholic family is most likely to be the oldest child.​

Answer 3

True

Question 4

Approximately half of all alcohol and other substance abusers also have other psychiatric problems.​

Question 5

The Contingency Management approach has better treatment outcomes and lower relapse than most other approaches.​

Question 6

Node-link mapping is an actual map that links points that the alcoholic will need to follow to attain and retain sobriety.​

Question 7

The Minnesota model of a twenty-eight day treatment program is currently seen as the best bet for addiction treatment.​

Question 8

The quickest and easiest way to get an addict clean is to go "cold turkey" and let them suffer the consequences of physical withdrawal.​

Question 9

Direct psychometric methods to determine alcoholic behavior are problematic because of response reliability.​

Question 10

Alcohol is a "drug" in exactly the same way that heroin is.​

Question 11

The idea of "big pink pet elephants that sit in the middle of the room and that everyone has to walk around yet never acknowledges," has to do with the concept of codependency.​

Question 12

Adult children of alcoholics (ACOAs)run higher risks than others for developing alcoholism.​

Question 13

Family members of a chemical dependent may cause further problems for the dependent because of their attempts to keep the family in equilibrium.​

Question 14

Societal norms have a great deal to do with the behavioral outcomes of drug consumption.

Question 15

People who have a blood alcohol level of 0.15% will all act in a similar manner.​

Question 16

Antabuse,a drug that affects craving for alcohol,holds a great deal of promise because it doesn't have potential harmful side effects.​

Question 17

Treatment "secrets" are a way of trying to co-opt treatment and blackmail staff.​

Question 18

There is one clear-cut model of addiction which chemical dependency units use in treatment programs.​

Question 19

The term "drug" is an artifact constructed by society.​

Question 20

The Gateway model of addiction proposes that peers lead the addict through a "gateway" to drugs.​

Question 21

To motivate a chemical dependent to seek treatment,usually:​

A)a crisis must be created.
B)enablers must demand treatment too.​
C)denial must cease.​
D)the dependent should "bottom out" and be detoxified first.​

Question 22

Alcohol is the most abused drug because it:​

A)is quickly addictive.
B)has severe and immediate physical consequences.​
C)is legal,relatively inexpensive,and easily obtainable.​
D)is often combined with other drugs.​

Question 23

Displacement is a defense mechanism that:​

A)vents hostility on an undeserving person or object.
B)allows the person to retreat to a fantasy world.​
C)attributes one's own motives to others.​
D)plays down the seriousness of the situation.​

Question 24

The Community Reinforcement Approach is a very eclectic approach that crosscuts all of the ecosystems of the individual,even to the point of using Antabuse.​

Question 25

Enablers will:​

A)seek to find other addictive personalities to form a relationship with,in order to help them.
B)attempt to keep the family in maladaptive homeostasis.​
C)find other codependents to support them.​
D)have few defense mechanisms to help them cope.​

Question 26

The major controversy of alcohol addiction occurs between:​

A)disease models and socio-cultural models.
B)​law enforcement and human service.
C)​whether physical or psychological effects are more important.
D)genetic and gateway models.

Question 27

Besides their mental health problems,the mentally ill tend to be big abusers of alcohol and drugs.​

Question 28

Of the following current principles of substance abuse treatment,which is not true?​

A)Addiction and other psychiatric disorders are treated separately.
B)Case management has moved away from the 28-day model.​
C)Client autonomy and responsibility are major driving forces to treatment regimens.​
D)Computer-based assessment protocols help tailor-make individual treatment plans.​

Question 29

Alcoholism is often called the disease of what?​

A)Minimizing
B)Rationalization​
C)Intellectualization​
D)Denial​

Question 30

Enabling is:​

A)the natural and logical consequence of drug dependence.
B)not treatable to the extent that few positive outcomes may be anticipated.​
C)a character deficit of the co-dependent.​
D)an attempt to keep the family in equilibrium.​

Question 31

Attempts to determine alcoholic personalities through the use of tests have been problematic because:​

A)alcoholics have a variety of different problems,and their personalities resemble those of schizophrenics.
B)the medical model and AA do not believe in alcoholic personalities,only the disease of alcoholism.​
C)the alcoholic may have very different personality profiles pre- and post-detoxification.​
D)the alcoholic personality can be profiled using psychometric tests.​

Question 32

A good definition of enabling would be that:​

A)the abuser has enough financial means to quickly increase drug use.
B)a family member practices behaviors that allow the abuser to continue drug use without suffering consequences.​
C)the therapist helps the abuser become more cognitively able to abstain from drugs.​
D)use of one drug allows the abuser to move to a more powerful drug.​

Question 33

Changing mental sets is important in treating chemical dependence for all the following reasons,except:​

A)beliefs about the events can be critical to staying "dry."
B)recognizing cues can help the client learn how to avoid potential problems.​
C)"should," "ought," and "must" statements may lead the client to drink again.​
D)chemical dependents become victims of their rational thoughts.​

Question 34

The concept underlying AA's treatment approach is:​

A)rugged individualism.
B)spirituality and sponsorship.​
C)self-reliance.​
D)staying sober long-term is simple and anyone can be successful just by following a few steps.​

Question 35

Reaction formation in a recovering alcoholic occurs when:​

A)temper tantrums and sulking are used to manipulate others.
B)hurtful events are buried in unconscious memory.​
C)the individual needs acceptance and goes out of his or her way to find it.​
D)the "cured" alcoholic assumes responsibility for curing all alcoholics.​

Question 36

One of the decision variables as to whether a drug abuser will be treated as an in- or outpatient is based on:​

A)whether the client is a polyuser.
B)whether the treatment program is AA-based or not.​
C)whether the client's withdrawal is going to be severe.​
D)how the client will pay for treatment.​

Question 37

Two reasons that new drug treatment theories and methodologies have entered the chemical dependency scene are:​

A)insurance providers and research evidence that the Minnesota model may be no more valid than other models.
B)higher cure rates and greater numbers of abusers.​
C)new "designer" drugs and younger addicts.​
D)a greater incidence of polyusers and more mentally ill users.​

Question 38

The prescriptive model of drug addiction proposes that:​

A)there is a prescriptive behavior that fits certain drugs.
B)genetics prescribe what and how much of a drug will be used.​
C)self-prescription and physician prescription are used to relieve pain.​
D)prescriptions are written to replace addictive drugs with less addictive drugs.​

Question 39

Unbelievably,adult children of alcoholics (ACOAs)tend to marry other alcoholics.​

Question 40

Of the following,which does not apply in making a diagnosis for treatment of a chemical dependent?​

A)Personality profile
B)Support system​
C)Willpower​
D)Drug choice​

Question 41

Critics of the "disease" concept of chemical dependency argue that it is actually "dis-ease" with one's ability to cope and have enough discipline to stop abusing substances.Compose an essay on whether you believe chemical dependency is truly a "disease" or is "dis-ease."​

Question 42

Family treatment involves the worker:​

A)encouraging the family to shame their addict into sobriety.
B)teaching the family to openly express feelings.​
C)teaching family members to carry messages to one another.​
D)supporting the addict's defenses against change until he/she reaches the commitment stage in motivational change theory.​

Question 43

What model describes an addiction that is attributed to first starting with cigarettes and then moving on to alcohol and then cocaine?​

A)Gateway
B)Lifestyle​
C)Prescriptive​
D)Peer cluster

Question 44

AA's role in after care is to:​

A)stop the person from drinking by use of aversive conditioning.
B)supplement cognitive behavior change through remotivation therapy.​
C)socialize and avoid isolation.​
D)provide people with religion.​

Question 45

Take a position,pro or con,on the following statement,and support your argument: Gambling or sex may be classified as addictions.​

Question 46

Aftercare involves all of the following except:​

A)cognitive boosters.
B)possible use of drug antagonists.​
C)hydro-immersion therapy.​
D)family treatment.​

Question 47

You are a crisis worker that is meeting with a client at a sandwich shop.The client,who smells of stale smoke and alcohol,is telling you about how his wife is threatening to leave and take their young children with her because of his cocaine use.Describe to the client the process of getting treatment and what the client might expect in treatment.​

Question 48

Of the three rules that govern alcoholic families which does not apply?​

A)Don't complain
B)Don't talk​
C)Don't trust​
D)Don't feel​

Question 49

An enabler makes this statement: "Marriage is forever,for richer for poorer,in sickness and in health,and that's why I stay with her.I've just got to pray harder that a miracle will happen." These statements indicate the person is using what as a defense mechanism?​

A)Displacement​
B)Dissociation​
C)Intellectualization​
D)Suppression​

Question 50

Discuss the role of medication-assisted therapy in addiction treatment and present arguments for pros and cons.​

Question 51

Of the following statements,which is not true of aftercare?​

A)Percentages of people who relapse are around 50 percent in the first year.
B)Negative emotional states and interpersonal social and environmental pressures mount.​
C)Client's never encounter crisis points.​
D)Aftercare maintains the client's conscious connections with the positive aspects of treatment.​