Deck 1: The Role of the Mental Health Professional in Prevention and Treatment

Question 1

The major danger of inhalant use by young people is:

A)it leads to use of more dangerous drugs
B)the acute and chronic effects of these substances
C)the synergistic effect with alcohol
D)impaired cognitive functioning

Answer 1

B

Question 2

Which is true with regard to tolerance and withdrawal for CNS stimulants?

A)tolerance develops rapidly and withdrawal is medically dangerous
B)cross-tolerance develops and withdrawal must be medically supervised
C)tolerance rapidly develops and withdrawal is unpleasant
D)tolerance develops slowly and withdrawal requires psychotropic medications

Answer 2

C

Question 3

Which of the following is not an acute or chronic effect of opioids?

A)insomnia
B)euphoria
C)respiratory depression
D)death from overdose

Answer 3

A

Question 4

Which of the following is true with regard to tolerance and withdrawal for CNS depressants?

A)tolerance rapidly occurs and withdrawal can be medically dangerous
B)tolerance rapidly occurs and withdrawal is unpleasant but not dangerous
C)reverse tolerance occurs between alcohol and Xanax
D)tolerance occurs rapidly to alcohol but not to other CNS depressants

Question 5

The CNS stimulants include:

A)methamphetamine,crack,and nicotine
B)Quaalude,cocaine,and caffeine
C)amphetamine,nicotine,and peyote
D)cocaine,methamphetamine,and Antabuse

Question 6

The Comprehensive Drug Abuse Prevention and Control Act categorizes drugs:

A)according to the latest scientific evidence
B)according to abuse potential and approved medical uses of the drug
C)based on drug classifications
D)based on the recommendations of the Drug Enforcement Agency

Question 7

Overdose on CNS depressants:

A)occurs rarely but is quite dangerous
B)is due to the synergistic effect of alcohol and barbiturates
C)frequently occurs in the case of alcohol use
D)is a leading method of suicide with Valium

Question 8

The danger of a drug is a function of:

A)the legality of the drug
B)the schedule classification of the drug in the Comprehensive Drug Abuse Prevention and Control Act
C)the number of deaths per year caused by use of the drug
D)the acute and chronic effects of the drug and the route of administration

Question 9

Chronic use of marijuana:

A)has an adverse effect on lung function,increases heart rate,suppresses the immune system,and decreases testosterone
B)results in lung dysfunction,a motivational syndrome,sterility,and impaired reaction time
C)can cause lung cancer in polydrug drug abusers
D)impairs short and long term memory,reduces ambition,increases appetite,and impedes sexual potency

Question 10

Psychological dependence on alcohol or another drug indicates that:

A)a person needs the substance to think,feel,and function normally
B)a person demonstrates tolerance and withdrawal
C)the tissues of the body require the drug
D)when alcohol or other drug use is discontinued,the person exhibits mental disorders

Question 11

Anabolic steroids

A)have no medically useful function
B)can cause death or serious medical problems in high doses
C)contrary to popular belief,do not increase body mass
D)can result in a withdrawal syndrome but no tolerance has been demonstrated

Question 12

The withdrawal from opioids:

A)is medically dangerous
B)is analogous to a severe case of the flu
C)should be treated with benzodiazepines
D)has been over exaggerated by the media

Question 13

The neurobiology that explains how most drugs are highly reinforcing involves:

A)direct action in the hippocampus area of the brain
B)the neurotransmitter dopamine
C)a larger reward center in the brain of addicts
D)increased blood flow to the brain when drugs are taken

Question 14

Which of the following is not true with regard to marijuana?

A)use results in altered time sense and impaired immediate recall
B)most reports of overdose are panic reactions
C)neither tolerance nor withdrawal has been demonstrated
D)there are probably medical uses for marijuana

Question 15

The acute effects of CNS stimulants include:

A)respiratory depression,rapid heart rate,and a feeling of confidence
B)increased psychomotor activity,alertness,and reduction of fatigue
C)euphoria,tachycardia,and enhanced sexual pleasure
D)paranoia,agitation,and increased CNS activity

Question 16

Compared to other drug classifications: CNS depressants

A)cause fewer deaths than cocaine,methamphetamine,and heroin
B)are less harmful than other drugs because there is little harm from low level alcohol use
C)are extremely dangerous due to the overprescribing of minor tranquilizers such as Valium and Xanax
D)cause more acute and chronic harm than most other psychoactive drugs

Question 17

Hallucinogens differ from many other classifications of psychoactive drugs in that:

A)the duration of effect is considerably longer
B)the overuse of hallucinogens can cause suicidal ideation
C)these drugs are mainly abused by artistic individuals
D)no physical dependence has been demonstrated

Question 18

In defining terms used in the AOD field:

A)there is consistent agreement among professionals regarding terms such as "addiction" and "dependence"
B)"chemical dependency" means addiction to narcotics
C)addiction refers to psychological and/or physical dependence on alcohol or other drugs
D)tolerance and withdrawal are necessary and sufficient conditions for "addiction"

Question 19

Which of the following is usually not considered a Club Drug?

A)Rohypnol
B)Suboxone
C)MDMA
D)Ketamine

Question 20

The CNS depressants include:

A)barbiturates,minor tranquilizers,and certain over-the-counter drugs
B)alcohol,cannabis,and minor tranquilizers
C)alcohol,heroin,and barbiturates
D)minor tranquilizers,Quaalude,and cannabis

Question 21

Alan Marlatt,a proponent of a social learning model of addiction,believes that addictive behaviors:

A)arise from dysfunctional dynamics in the family of origin
B)reflect an individual's effort to escape shame from the family of origin
C)result from the combination of genetic propensity for addiction with certain environmental conditions
D)are related to work,home,or job stress

Question 22

Major tranquilizers are used to control the symptoms of psychotic disorders.Which of the following is not true about these drugs:

A)they produce psychomotor slowing,emotional quieting,and an indifference to external stimuli
B)no tolerance or withdrawal occurs
C)disordered motor movements,slow motor movements,and under activity occurs
D)physical and psychological dependence occurs

Question 23

The classic disease model of addiction describes alcoholism in which way?

A)progressive,irreversible,chronic,curable
B)progressive,reversible,acute,incurable
C)progressive,reversible,chronic,incurable
D)progressive,irreversible,chronic,incurable

Question 24

Which of the following statements would be true for someone who believes in the moral model of addiction?

A)"That addict needs to go to NA"
B)"That junkie needs to get his life together"
C)"That alcoholic needs therapy"
D)"That crack-head needs to go live someplace else"

Question 25

Which of the following is not an implication of the disease model?

A)participation in AA is necessary for recovery
B)abstinence is the only reasonable goal for addicts
C)an addict never recovers from addiction
D)an alcoholic cannot use marijuana without risking addiction to that drug

Question 26

The disease model of addiction differs from psychological models in that:

A)addiction is seen as a primary disease rather than secondary to another mental disorder
B)psychosocial stressors are the result of addiction in the disease model
C)the addictive personality is genetically determined according to the disease model
D)an addict is not responsible for his or her behavior in the disease model

Question 27

According to the text,the greatest advantage of the disease concept is:

A)the emphasis on treatment of the addict rather than moral judgment
B)the encouragement to participate in AA
C)the removal of responsibility from the addict for behavior caused by addiction
D)the reduction of fear of addiction in those without a genetic predisposition

Question 28

Which of the following statements would be true for someone who believes in a psychological model of addiction:

A)"That addict needs to go to NA"
B)"That junkie needs to get his life together"
C)"That alcoholic needs therapy"
D)"That crack-head needs to go live someplace else"

Question 29

According to Jellinek,alcoholism:

A)is a progressive disease in which loss of control occurs in the late stages
B)is a progressive disease but the stages are reversible
C)is a progressive disease in which characteristic symptoms define each stage
D)is a multivariate disease with highly fluid stages

Question 30

With regard to the identification of an "addictive personality",researchers have found that:

A)addicts have as many different types of personalities as non-addicts
B)obsessive-compulsive individuals seem to be prone to workaholism
C)while personality traits are difficult to identify,alcoholics tend to have anti-social personality disorder
D)the identification of an "addictive personality" has provided an explanation for recovering individuals tendency to develop non-drug addictions

Question 31

According to a sociocultural model,addiction is:

A)secondary to a primary mental disorder
B)the result of a combination of genetic and characterological factors
C)related to religious affiliation
D)related to cultural,religious,family,and peer variables

Question 32

The "second generation" anti-depressants are being prescribed frequently because:

A)they have a more rapid onset of effect and fewer adverse side effects than other anti-depressants
B)Prozac may cause homicidal or suicidal behavior
C)MAO inhibitors can cause heart attacks
D)they are more effective than tricyclics in controlling depression

Question 33

Which of the following statements would be true for someone who believes in a disease model of addiction?

A)"That addict needs to go to NA"
B)"That junkie needs to get his life together"
C)"That alcoholic needs therapy"
D)"That crack-head needs to go live someplace else"

Question 34

Which of the following is not true regarding psychological models of addiction?

A)addiction is a bad habit
B)AOD use can result from self-medication for endogenous depression
C)some people have addictive personalities
D)psychotropic medications are the appropriate treatment for addiction

Question 35

Proponents of the disease concept believe that research on alcoholic's control over drinking shows that:

A)alcoholics lose control over their alcohol use after the first drink
B)alcoholics cannot predict the situations in which they will lose control over their use
C)animal subjects can be taught to use alcohol in a controlled manner but people cannot
D)alcoholics can only control their use in laboratory settings

Question 36

Proponents of the disease model cite the following evidence to support this model:

A)lack of norepinephrine receptors in the left angular gyrus
B)studies showing the validity of the progressive nature of Jellinek's stages
C)studies of twins showing a genetic predisposition for alcoholism
D)the high relapse rate for alcoholics

Question 37

Which of the following statements would be true for someone who believes in a sociocultural model of addiction:

A)"That addict needs to go to NA"
B)"That junkie needs to get his life together"
C)"That alcoholic needs therapy"
D)"That crack-head needs to go live someplace else"

Question 38

Which of the following is not an argument used to dispute the disease concept?

A)Jellinek's research methodology was flawed
B)the progressive and irreversible nature of addiction has not been supported by research
C)AA has a vested interest in the disease model
D)research studies have shown that alcoholics can control their use

Question 39

Which of the following is not a disadvantage of the disease model?

A)addicts may use the disease model to avoid responsibility for their behavior
B)people with alcohol or other drug problems may not receive appropriate treatment if they do not fit the characteristics of the model
C)if treatment is based on a disease model,it may have a strictly medical orientation
D)the spiritual component of the disease model could alienate some clients

Question 40

According to the moral model,addiction is:

A)a consequence of personal choice
B)contrary to biblical prohibitions
C)a spiritual deficiency
D)best treated through religious affiliation

Question 41

What statement best describes the biopsychosocial model of addiction?

A)a combination of the medical,psychological,and sociocultural models
B)etiology of addiction is explained by the relative influence of many variables on each addict
C)biological,psychological and sociological factors are the focus of treatment
D)a model of addiction developed to create a contrast with the disease model

Question 42

What is the advantage of a multivariate model of addiction?

A)a multivariate model will meet the needs of agnostic and atheist clients
B)a multivariate model accounts for the diversity seen in etiology,progression,and successful approaches for those with AOD problems
C)a multivariate model explains why treatment providers do not see heavy users with no life problems
D)eclectic approaches have shown the most success in treating mental disorders