Deck 17: Substance Abuse Treatment: Strategies for Change

Question 1

The drug prevention strategy of harm reduction entails reducing the potential damage caused to only the substance abuser him- or herself.

Answer 1

False

Question 2

A dual-diagnosis patient is someone who abuses two drugs at the same time.

Answer 2

False

Question 3

Increasing the taxes on cigarettes is an example of supply reduction.

Answer 3

True

Question 4

Most drug abusers abuse only one drug.

Question 5

Quebec was the first province to institute a retail display ban on cigarettes in 2002.

Question 6

The drug prevention strategy of supply reduction may entail reducing the accessibility of a substance or increasing its cost.

Question 7

Polydrug abusers are abusers of polyethylene or polyurethane products.

Question 8

In Canada, the regulations for drug trafficking and possession vary across the provinces and territories.

Question 9

A sentence of a minimum two years' imprisonment is imposed if the sale of a drug occurs near a school or playground.

Question 10

Programs like Smart Serve that educate servers on when to limit alcohol consumption are an example of supply reduction.

Question 11

Rehabilitation is a matter of reducing the likelihood that a drug abuser will behave in a similar way in the future.

Question 12

A major priority of the Canadian drug prevention strategy is to focus on substance abuse in youth.

Question 13

Restricting the sale of spirits to LCBO stores is an example of demand reduction.

Question 14

Someone who abuses both beer and whiskey is an example of a polydrug abuser.

Question 15

Everyone in Canada who needs treatment for an alcohol or illicit drug-use problem receives it.

Question 16

Drug paraphernalia are defined as products whose predominant use is to administer, prepare, package, or store illicit drugs.

Question 17

Roughly 30% of all abusers of alcohol or other drugs have had a serious mental disorder in their lifetime.

Question 18

Public service announcements about the health dangers of using injectable drugs of abuse would be an example of harm reduction.

Question 19

A minor, almost totally irrelevant goal of incarceration is deterrence.

Question 20

Methadone and disulfiram (brand name: Antabuse) treatment are two examples of strategies that apply to a wide range of alcohol or drug-abuse situations.

Question 21

Drug courts handle only nonviolent juvenile offenders of drug laws.

Question 22

Those who are most determined to stay clean and sober are those who actively avoid situations that increase the possibility of relapse.

Question 23

One form of enabling behaviour is rationalization.

Question 24

In the action stage, drug use has not yet stopped.

Question 25

EAP stands for the slogan "enhance all prevention."

Question 26

Feelings of denial help family members of a drug abuser avoid humiliation and shame.

Question 27

An individual in the contemplation stage of change often sets a specific "quit date."

Question 28

Employee assistance programs focus on alcohol abuse exclusively.

Question 29

Taking over the responsibilities of a drug abuser is a form of enabling.

Question 30

The average prison sentence for drug trafficking is over a year.

Question 31

The average prison sentence for possession is less than a month.

Question 32

Those in the maintenance stage of change have been drug-free for at least six months.

Question 33

Employee Assistance Programs (EAPs) are mandatory in all Canadian workplaces.

Question 34

The precontemplation stage immediately precedes the action stage.

Question 35

The stigma of being labelled an ex-offender increases the risk of relapse in substance abusers released from prison.

Question 36

Avoiding and shielding are two forms of enabling behaviour.

Question 37

Contemplation and preparation are stages of change that occur after a family's acceptance of drug abuse.

Question 38

In many provinces, it is unlawful to sell drug paraphernalia to minors unless they are accompanied by a parent or legal guardian.

Question 39

The enabling behaviour of cooperation and collaborating occurs when enablers tell others that the drug abuse was only an isolated incident and that the abuser never was in any danger.

Question 40

Denial and bargaining are two typical family reactions to the condition of drug abuse.

Question 41

About _______% of individuals in substance-abuse treatment have a co-occurring mental health condition.

A) 30
B) 40
C) 50
D) 60

Question 42

The R.I.D.E. program would be an example of which general strategy of drug prevention?

A) supply reduction
B) demand reduction
C) harm reduction
D) addiction reduction

Question 43

Approximately ____% of alcohol or other drug (AOD) abusers have serious mental disorders.

A) 5
B) 20
C) 30
D) 60

Question 44

Family support plays an important role in the success of drug-abuse treatment.

Question 45

Which of the following is NOT one of the main goals of the CCSA's paired approach to drug prevention?

A) to promote equity in health
B) to normalize substance abuse
C) to prevent or delay substance use
D) to reduce the harms associated with substance use

Question 46

According to the text, the most comprehensive source of information on substance-abuse treatment information in Canada is the CCSA.

Question 47

Patients in treatment for substance abuse who also have a co-occurring mental health condition are referred to as __________.

A) dual-diagnosis patients
B) secondary disorder patients
C) comorbid clients
D) co-existing disorder patients

Question 48

Family scapegoats usually feel like they "fade into the woodwork" and become emotionally and physically detached from their families.

Question 49

An individual who abuses heroin and frequently smokes marijuana is referred to as a __________.

A) polydrug abuser
B) multiple substance abuser
C) neither A nor B
D) both A and B

Question 50

A major priority of the Canadian drug prevention strategy is to focus on substance abuse in __________.

A) the elderly
B) youth
C) females
D) males

Question 51

Which of the following people would be referred to as a dual-diagnosis patient?

A) A man suffering from depression and taking the drug Prozac (prescribed by his physician)
B) A heroin addict who also snorts cocaine
C) A man with anxiety disorder who also smokes marijuana
D) A woman with depression who does not take the medication that was prescribed by her doctor

Question 52

Increasing the cost of alcohol would be an example of which general strategy of drug prevention?

A) supply reduction
B) demand reduction
C) harm reduction
D) addiction reduction

Question 53

Which of the following is an example of a polydrug abuser?

A) A 15-year-old male who abuses tobacco and beer
B) A 60-year-old female who abuses wine and beer
C) A 20 year-old female who abuses marijuana and hashish
D) all of the above

Question 54

Dual-diagnosis patients frequently participate in the practice of __________.

A) self-medicating
B) self-diagnosing
C) self-detecting
D) self-protecting

Question 55

According to the text, the overall cost of substance abuse to society has __________ in the past decade.

A) increased dramatically
B) decreased somewhat
C) remained unchanged
D) decreased significantly

Question 56

In Canada, the average age of first substance use is __________.

A) 12 or 13
B) 14 or 15
C) 16 or 17
D) 18 or 19

Question 57

Analogy: Antabuse is to alcohol as methadone is to __________.

A) cocaine
B) heroin
C) speed
D) marijuana

Question 58

Narcotics Anonymous is best suited for __________.

A) cocaine addicts
B) marijuana addicts
C) heroin addicts
D) all of the above

Question 59

Claims that sound "too good to be true" are never made by a highly qualified drug-abuse treatment facility.

Question 60

All other considerations being equal, inpatient treatment is preferred over outpatient treatment.

Question 61

According to federal drug trafficking law, which schedule of controlled substances is penalized most severely?

A) Schedule I
B) Schedule II
C) Schedule III
D) Schedule IV

Question 62

Federal penalties for simple possession on the first offense __________.

A) make strict distinctions among the particular schedule of drug
B) involve a maximum of community service for one week
C) are much more severe for Schedule V drugs than for Schedule I drugs
D) none of the above

Question 63

A drug treatment court is best described as __________.

A) an outpatient treatment program
B) an inpatient treatment program
C) a dedicated legal system for drug-related crimes
D) a law enforcement program designed to deter potential drug offenders

Question 64

Which of the following is a component of drug treatment courts?

A) employment opportunities
B) medical treatment
C) regular court dates
D) all of the above

Question 65

An example of a strategy for treatment that cuts across different forms of drug abuse is __________.

A) methadone maintenance
B) disulfiram (brand name: Antabuse)
C) LAAM maintenance
D) a 12-step program

Question 66

Ultimately, incarceration of drug offenders has two basic goals of prevention, namely __________.

A) deterrence and rehabilitation
B) reward and punishment
C) punishment and community protection
D) action and inaction

Question 67

It is illegal for drug paraphernalia to be __________.

A) purchased by a minor unless the minor is accompanied by a parent or legal guardian
B) advertised on TV
C) exported from another country
D) all of the above

Question 68

If you decided to avoid behaviour X because you did not want the negative consequences of doing X, then you would have been reacting to a message of __________.

A) deterrence
B) tertiary prevention
C) reward
D) psychological dependence

Question 69

_______ is an integrated approach to drug treatment, which recognizes that psychological, social, and biological factors each play a role in drug abuse.

A) The dual-diagnosis model
B) The polydrug abusers model
C) The biopsychosocial model
D) The self-medication model

Question 70

Youth make up _______% of the 90 000 Canadians accused of drug offences.

A) 9
B) 19
C) 38
D) 51

Question 71

__________ is defined as having on one's person any illegal or nonprescribed controlled substance for one's own use.

A) Simple possession
B) Trafficking
C) Importation/exportation
D) Production

Question 72

According to the text, both youth and adult drug-related cases have about a __________ chance of being stayed, withdrawn, dismissed, or discharged.

A) 30%
B) 40%
C) 50%
D) 60%

Question 73

According to the text, the number of youth committing drug-related offences is __________ and the number of youth charged with a drug offence is __________.

A) increasing; decreasing
B) increasing; increasing
C) decreasing; increasing
D) decreasing; decreasing

Question 74

Drug offenders who visit a treatment centre during the day but do not spend the night are referred to as __________.

A) outpatients
B) inpatients
C) visiting patients
D) part-time patients

Question 75

Community Correctional Brief Treatment, Relapse Prevention and Maintenance Program (Choices), and Programme preliberatoire en toxicomanie (ALTO) are examples of __________.

A) prison-based treatment programs
B) drug treatment courts
C) employee assistance programs
D) 12-step programs

Question 76

In Canada, all drug-related offenses are dictated __________.

A) at the federal level
B) at the provincial level
C) at the municipal (city) level
D) at the county level

Question 77

Which of the following circumstances carries a mandatory minimum prison sentence?

A) Trafficking a Schedule I drug in a playground
B) Trafficking a Schedule II drug while carrying a weapon
C) Trafficking a Schedule I drug with an underage accomplice
D) all of the above

Question 78

Penalties for the sale of drug paraphernalia __________.

A) are only covered under the regulatory authority of the federal government
B) are enforced by provincial and municipal laws
C) are a violation of human rights
D) exclude importation, exportation, and advertising of paraphernalia

Question 79

Matt was walking in the schoolyard of his son's elementary school when he sold cocaine to a drug user. The police caught him making the sale and arrested him. This is his first offense. According to the Controlled Drugs and Substances Act of 1996 and Bill C-15 of 2009, what punishment should Matt expect to receive?

A) 10 to 20 years in prison
B) a minimum imprisonment of 2 years
C) 1 to 5 months of probation
D) $1000 fine and 6 months imprisonment

Question 80

Which of the following drugs is used for both alcoholism and heroin addiction?

A) naltrexone
B) Antabuse
C) methadone
D) LAAM