Deck 14: Treatment of Substance-Use Disorders

Question 1

Sarah has a substance abuse problem.What will be her greatest barrier to change?

A)lack of effective treatment measures
B)denial
C)peer pressure
D)coping mechanisms

Answer 1

B

Question 2

Which group is an educational movement based on cognitive-behavioural principles and the Addictive Voice Recognition Technique?

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

Answer 2

C

Question 3

What did Narcotics Anonymous evolve to have a concentration on?

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

Answer 3

A

Question 4

In which stage of change is Jack if he lacks the serious intention to undergo change in the foreseeable future?

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

Question 5

According to the stages of change model,in what stage have individuals often NOT acknowledged a problem?

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

Question 6

How do the majority of people resolve their substance abuse problems?

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

Question 7

Which movement's philosophical position shifted to such a degree that they stopped support meetings in 1999,and they publicly condemn the self-help movement?

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

Question 8

In which model does treatment consist of spiritual or legal intervention?

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

Question 9

Martin considers himself to be an atheist.Which group would best meet his needs?

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

Question 10

Helen is seriously considering taking action to stop drinking in the next thirty days.Which stage of change is this a sign of being in?

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

Question 11

Jane is a member of Alcoholics Anonymous and has officially begun her alcoholic recovery.What did she do?

A)told her story
B)recognized God's love
C)stopped drinking
D)recognized her powerlessness over alcohol

Question 12

What is the term for the resolution of a problem without the use of formal treatment?

A)rebound
B)homeopathy
C)spontaneous remission
D)self-help

Question 13

What is one of the last steps that involve 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 14

Which group's philosophy is based on the Sobriety Priority Program?

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

Question 15

What self-help group for alcohol abusers was founded by Dr.Bob and Bill W?

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

Question 16

Which self-help group 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 17

What stage is an individual typically in when on the edge of taking action to change?

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

Question 18

Fred's therapist told him during their first session that he thinks Fred is personally responsible for the problems he incurred from his drug and alcohol use.What theoretical model does Fred's therapist use?

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

Question 19

Which model is the foundation for Alcoholics Anonymous (AA)?

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

Question 20

Jason is an alcoholic but does not believe that he has a drinking problem.However,he would like to stop drinking.He does well for a day or two but then returns to drinking.Which stage of change is Jason in?

A)spontaneous remission
B)contemplation
C)preparation
D)action

Question 21

Which model is especially important because of its prevalence in North America?

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

Question 22

What important antidrug substance,used to treat opiate dependence,is an opiate antagonist?

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

Question 23

What type of professionally monitored help is Elaine receiving to manage her withdrawal symptoms without any drugs,while she stays in the treatment setting?

A)pharmacotherapy
B)social detoxification
C)milieu therapy
D)aftercare

Question 24

Which of the following is an alcohol-sensitizing drug?

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

Question 25

In which model would an intervention based on taxation of beverage alcohol be used?

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

Question 26

To treat her drug addiction,Alice chose a therapeutic community.By whom are these treatment plans most often run?

A)certified drug abuse counsellors
B)ex-addicts
C)clinical psychologists
D)M.d.s

Question 27

Which drug is a pharmacotherapy for alcoholism that affects the NMDA receptor and the metabotropic glutamate receptors?

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

Question 28

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 not identified
D)each chapter follows completely different procedures

Question 29

Which treatment involves the medical management of alcohol withdrawal symptoms?

A)detoxification
B)milieu treatment
C)partial hospital care
D)quarterway house treatment

Question 30

Which non-medical treatment for alcohol use disorders uses verbal psychotherapy 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 31

What treatment model primarily emphasizes abstinence for those considered to be at-risk for substance dependency?

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

Question 32

Sam went out with his friends and drank two alcoholic drinks while he was being treated with a therapeutic dose of disulfiram.He now sits outside,his heart racing and his breathing difficult and he's frightened.How long will these symptoms last?

A)5 minutes
B)30 minutes
C)one hour
D)two hours

Question 33

Which approach to substance abuse would a needle exchange program be an example of?

A)moderation management
B)harm reduction
C)moral model
D)disease model

Question 34

What would be an example of milieu treatment?

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

Question 35

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 36

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 37

Antabuse is to alcohol as methadone is to which of the following?

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

Question 38

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 counsellor

Question 39

Which of the following gives considerable attention to the medical aspects of alcohol problems?

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

Question 40

In which model does treatment include arranging a person's environment so that nonabuse of psychoactive substances is reinforced?

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

Question 41

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

Question 42

Dr.James has implemented substance abuse programs in a number of pharmacological treatment settings.As such,what type of model of substance-use disorder is his model linked to?

A)biological model
B)educational
C)social learning
D)sociocultural models

Question 43

Which is NOT a "special population" in alcohol and drug treatment?

A)adolescents
B)women
C)Aboriginal Canadians
D)those diagnosed with HIV and AIDS

Question 44

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

Question 45

What has the general body of literature revealed regarding the effectiveness of drug use treatment methods for adolescents compared to adults?

A)Pharmacological treatments are more effective for adolescents compared to adults.
B)The vast majority of treatments are based on research and clinical experiences with adults,therefore,adolescent effectiveness has not been determined.
C)Families "scape-goat" the adolescent,causing all therapeutic strategies to be less effective compared to the adults.
D)Therapeutic settings are more successful for adults than for adolescents.

Question 46

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

Question 47

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

Question 48

Temposil is an alcohol-sensitizing drug that is available in Canada.

Question 49

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

Question 50

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

Question 51

What research results were reported after studying the effectiveness of therapeutic communities?

A)low attrition rates
B)treatment is not cost-effective
C)it is associated with a more productive life after discharge if the stay is long enough
D)success occurs if a probation order is part of outpatient follow-up

Question 52

According to Sokolow,Welte,Hynes,and Lyons' (1981)survey of patients in New York alcoholism rehabilitation programs,what percentage used at least one other drug in the 30 days before treatment?

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

Question 53

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

Question 54

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

Question 55

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

Question 56

Halfway houses are usually designed as milieu treatment.

Question 57

The primary goal of detoxification is to manage withdrawal symptoms.

Question 58

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

Question 59

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

Question 60

According to Hunt,Barnett,and Branch (1971),what percentage 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 percent
B)25 percent
C)50 percent
D)70 percent

Question 61

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

Question 62

How do economic factors affect alcohol and drug treatment?

Question 63

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

Question 64

What does treatment outcome research tell us about the effectiveness of alcohol and other drug treatment,respectively?

Question 65

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

Question 66

Describe the five models of the causes of alcohol dependence.

Question 67

Describe the pharmacological approaches used in the treatment of alcoholism and opiate abuse.Describe the mechanisms of action of these pharmacotherapies as well as the research evidence regarding their effectiveness.

Question 68

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

Question 69

What are the major models and theories of relapse? What are the mechanisms of relapse for each?

Question 70

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

Question 71

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