Deck 15: Treatment of Substance-Use Disorders

Question 1

According to the stages of change model,individuals in the __________ stage often have not acknowledged a problem.

A)contemplation
B)preparation
C)precontemplation
D)maintenance

Answer 1

C

Question 2

Which of the following is not true about self-help groups?

A)participants both give and receive help
B)professional treatment programs use them as part of aftercare
C)they are led by group leaders who have recovered
D)group members share the same identified problem

Answer 2

C

Question 3

__________ is a self-help group for alcohol abusers that was founded by Dr.Bob and Bill W.

A)Rational Recovery (RR)
B)Secular Organizations for Sobriety (SOS)
C)Alcoholics Anonymous (AA)
D)Women for Sobriety (WFS)

Answer 3

C

Question 4

__________ is an educational movement that is based on cognitive-behavioral principles and the Addiction Voice Recognition Technique.

A)Women for Sobriety (WFS)
B)Secular Organizations for Sobriety (SOS)
C)Rational Recovery (RR)
D)Alcoholics Anonymous (AA)

Question 5

In Alcoholics Anonymous (AA),the beginning of recovery occurs when the alcoholic __________.

A)tells his/her story
B)recognizes God's love
C)stops drinking
D)recognizes his/her powerlessness over alcohol

Question 6

The Sobriety Priority Program is the philosophy that underlies __________.

A)Women for Sobriety (WFS)
B)Rational Recovery (RR)
C)Secular Organizations for Sobriety (SOS)
D)Alcoholics Anonymous (AA)

Question 7

__________ is one of the last steps in Alcoholics Anonymous (AA)and involves a stable one-to-one relationship between a member with more sobriety and one with less.

A)Sponsorship
B)Tutoring
C)Twelfth-stepping
D)Guidance

Question 8

The __________ model is the foundation for Alcoholics Anonymous (AA).

A)moral
B)biological
C)social learning
D)American disease

Question 9

__________ is the last stage of the stages of change model.

A)maintenance
B)contemplation
C)action
D)recovery

Question 10

Narcotics Anonymous evolved with a concentration on ________

A)opiates
B)cocaine
C)marijuana
D)hallucinogens

Question 11

More people resolve their substance abuse problems through ___________ than any other way.

A)pharmacological treatment
B)self help groups
C)cognitive-behavioral therapy
D)spontaneous remission

Question 12

__________ refers to the resolution of a problem without the use of formal treatment.

A)Rebound
B)Homeopathy
C)Spontaneous remission
D)Self-help

Question 13

__________ is the greatest barrier to changing a substance abuse problem.

A)The lack of effective treatment measures
B)Denial
C)Peer pressure
D)None of these

Question 14

The focus of _________ is on four key areas: motives for use,beliefs,emotions,and behavior.

A)SMART
B)AA
C)SOS
D)WFS

Question 15

Which of the following self-help movements stopped holding meetings in 1999 and now condemns the self-help movement?

A)SOS
B)SMART
C)Rational Recovery
D)WFS

Question 16

According to the __________ model,treatment consists of spiritual or legal intervention.

A)moral
B)sociocultural
C)biological
D)social learning

Question 17

Individuals in the __________ stage are typically on the edge of taking action to change.

A)preparation
B)contemplation
C)precontemplation
D)action

Question 18

In the _________ model,individuals are seen as personally responsible for problems they incur from their drug and alcohol use.

A)sociocultural
B)social learning
C)biological
D)moral

Question 19

__________ is a self-help group that is purported to be based on methods that are scientifically validated and is led by a coordinator who has maintained a period of sobriety or has never had an alcohol problem.

A)SMART
B)Rational Recovery
C)Secular Organizations for Recovery
D)Women for Sobriety

Question 20

________ differs from AA in that there is no emphasis on spirituality or a higher power.

A)SOS
B)SMART
C)RR
D)all of these

Question 21

__________ are people working in direct patient care and not possessing a formal degree.

A)Counselors
B)Paraprofessionals
C)Sponsors
D)Psychotherapists

Question 22

Taxation of beverage alcohol would be an example of an intervention based on the __________ model.

A)sociocultural
B)social learning
C)moral
D)disease

Question 23

An example of a(n)____________ would be Milieu treatment

A)hospital setting
B)intermediate setting
C)outpatient setting
D)detoxification program

Question 24

Why is it difficult to assess the effectiveness of Alcoholics Anonymous (AA)?

A)the sample is too heterogeneous
B)Alcoholics Anonymous (AA)refuses to release data
C)the members are anonymous
D)each chapter follows completely different procedures

Question 25

___________ is a non-medical treatment for alcohol use disorders in which verbal psychotherapy is used to encourage the individual to move forward in the stages of changing alcohol-use patterns.

A)Motivational enhancement
B)Conjoint treatment
C)Classical-conditioning
D)Milieu therapy

Question 26

_________ is a pharmacotherapy for alcoholism that affects the NMDA receptor and the metabotropic glutamate receptors.

A)Naltrexone
B)Buspirone
C)Sertraline
D)Acamprosate

Question 27

__________ is an approach in which a person's withdrawal is monitored by professional staff in a treatment setting,but no drugs are administered.

A)Pharmacotherapy
B)Social detoxification
C)Milieu therapy
D)Aftercare

Question 28

__________ is an opiate antagonist that may help in recovery from alcohol dependence by alleviating the longer-term symptoms of alcohol withdrawal.

A)naltrexone
B)sertraline
C)acamprosate
D)buspirone

Question 29

What is typically the first step in the substance abuse treatment process?

A)selecting the appropriate treatment environment
B)assessment
C)setting treatment goals
D)selecting a counselor

Question 30

__________ involves the medical management of alcohol withdrawal symptoms.

A)Detoxification
B)Milieu treatment
C)Partial hospital care
D)Quarterway house treatment

Question 31

The _________ model is especially important because of its prevalence in the United States.

A)moral
B)disease
C)social learning
D)sociocultural

Question 32

Halfway houses are an example of a(n)__________.

A)hospital setting
B)intermediate setting
C)outpatient setting
D)self-help group

Question 33

A needle exchange program would be an example of the _________ approach to substance abuse.

A)Moderation Management
B)Harm Reduction
C)moral model
D)disease model

Question 34

In __________ there is considerable attention given to the medical aspects of alcohol problems.

A)milieu treatment
B)individual outpatient treatment
C)inpatient hospital treatment
D)self-help groups

Question 35

According to the __________ model,treatment includes arranging a person's environment so that nonabuse of psychoactive substances is reinforced.

A)moral
B)social learning
C)biological
D)sociocultural

Question 36

Which of the following drugs has FDA approval for treatment of alcohol-use disorders?

A)Ondansetron
B)Antabuse
C)Baclofen
D)Topiramate

Question 37

Drug therapeutic communities are most often run by __________.

A)Certified Drug Abuse Counselors
B)ex-addicts
C)clinical psychologists
D)M.D.s

Question 38

Which of the following is an alcohol-sensitizing drug?

A)naltrexone
B)buspirone
C)disulfiram
D)acamprosate

Question 39

The treatment most clearly implied from the __________ model is to advise at risk people of their risk for developing a substance use disorder and perhaps to counsel them to avoid alcohol or drugs.

A)biological
B)moral
C)disease
D)social learning

Question 40

Almost half of the drug abusers in treatment receive their treatment in ________.

A)outpatient treatment
B)methadone treatment
C)therapeutic communities
D)inpatient detoxification

Question 41

One limitation of Alcoholics Anonymous (AA)is that it is appropriate only for those holding Judeo-Christian beliefs.

Question 42

The primary goal of detoxification is to manage withdrawal symptoms.

Question 43

Substance abuse professionals and peer self-help groups are competitive and antagonistic toward one another.

Question 44

Halfway houses are usually designed as milieu treatment.

Question 45

Harm reduction programs stress abstinence as the only way to reduce the harmful consequences of alcohol abuse to society.

Question 46

The biopsychosocial model is a new viewpoint attempting to account for the three major variable domains known to influence behavior.

Question 47

An important antidrug drug used to treat opiate dependence is __________,an opiate antagonist.

A)naltrexone
B)desipramine
C)disulfiram
D)carbimide

Question 48

Naltrexone,an opiate antagonist,is an approved pharmacotherapy used in alcohol treatment.

Question 49

One drawback of Internet-based treatment interventions is that they do not offer the "support network" available in more traditional treatment.

Question 50

What is the primary problem impacting the effectiveness of drug treatment programs?

A)the development of dependence to drugs used in pharmacotherapy
B)treatment drop-out
C)the lack of sufficient trained counselors
D)the lack of specific treatment programs tailored to individual drugs

Question 51

Which of the following results have been reported in research conducted on the effectiveness of therapeutic communities?

A)low attrition rates
B)treatment is not cost-effective
C)associated with a more productive life after discharge if stay is long enough
D)all of these

Question 52

Temposil is an alcohol-sensitizing drug that is not available in the U.S.

Question 53

Why is methadone used in the treatment of heroin abuse?

A)because it blocks the receptors that heroin binds to
B)because it lasts longer than heroin
C)because it blocks the addict's craving for heroin
D)because it breaks down heroin before it can bind

Question 54

Hunt,Barnett,and Branch (1971)showed that __________% of the individuals treated for alcohol,tobacco,or heroin abuse in abstinence-oriented programs had returned to their primary substance use three months after treatment.

A)10
B)25
C)50
D)70

Question 55

In a recent study in Canada,heroin addicts who failed in methadone treatment were successful when prescribed _________.

A)Buspirone
B)Antabuse
C)LAAM
D)heroin

Question 56

Why is levo-alpha-acetylmethadol sometimes used as a substitute for methadone?

A)it has longer-lasting effects
B)it is not an opiate
C)it is less expensive
D)it is more effective

Question 57

One of the most common early effects of Antabuse when a small quantity of alcohol is consumed is dyspnea,or labored breathing.

Question 58

Sokolow,Welte,Hynes,and Lyons (1981)reported in their survey of patients in New York alcoholism rehabilitation programs that __________% used at least one other drug in the 30 days before treatment.

A)20
B)50
C)75
D)90

Question 59

In inpatient settings for substance abuse,the organization of patient care is similar to that given to people hospitalized for physical problems.

Question 60

Antabuse is thought to be effective because it creates a learned aversion to alcohol.

Question 61

Alcohol and drug treatment that most people receive today is empirically supported by research evidence.

Question 62

Recent research has shown that both naltrexone and acamprosate in combination with behavioral treatments produce better outcomes than the same behavioral treatments paired with a placebo.

Question 63

Drug treatment in therapeutic communities is associated with a more productive life following discharge if there was sufficient length of stay.

Question 64

Treatment outcome research has shown that inpatient substance abuse treatment is ineffective.

Question 65

Brief interventions tend to be most effective for individuals with mild to moderate alcohol problems.

Question 66

Alcoholics Anonymous (AA)has been shown to be,by far,the most effective treatment for alcoholism.

Question 67

There does not seem to be any connection between alcohol or drug abuse and psychological disorders.

Question 68

Substance-use problems in women tend to develop faster than they do in men.