Deck 18: Treating Substance Use Disorders

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Question
Rapid opioid detoxification is based on

A)the use of methadone to avoid withdrawal symptoms.
B)making sure that the user experiences the full discomfort of withdrawal,while providing medical support.
C)anesthetizing users and administering an antagonist,so that withdrawal occurs while they are asleep.
D)switching the user to a shorter-duration opioid.
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Question
Although many medications have been tested for treating cocaine use disorder,most have shown little promise and none has yet been approved.The most promising results have been found with

A)modafinil.
B)naltrexone.
C)buprenorphine.
D)acamprosate.
Question
Varenicline,approved in 2006 for smoking cessation

A)is also used as an antidepressant.
B)is an opioid antagonist.
C)is a partial nicotinic-receptor antagonist.
D)blocks the metabolism of nicotine.
Question
Although no medication has yet received FDA approval for treating cannabis use disorder,one has shown effectiveness in relieving cannabis withdrawal symptoms.That medication is

A)naltrexone.
B)methadone.
C)cocaine.
D)oral THC.
Question
and antagonist treatments are included in the __________ phase of treatment.

A)detoxification
B)relapse prevention
C)punishment
D)maintenance
Question
Prevention of withdrawal symptoms using medications would be considered part of the ____________ process.

A)detoxification
B)relapse prevention
C)punishment
D)maintenance
Question
Although naltrexone has been used to treat alcohol use disorder,it

A)is an opioid antagonist,and it is not clear how it works with alcohol users.
B)has never received any research support for this type of use.
C)is not available for prescription in the U.S.
D)is dangerous because people become deathly ill if they drink alcohol while taking it.
Question
Motivational enhancement therapy has as its goal

A)helping the user move to another "stage of change."
B)helping the user "hit bottom."
C)confronting the user with all of the bad consequences of his or her behavior.
D)finding alternative activities to draw the user away from the substance.
Question
Giving the user rewards for drug-free urine samples

A)doesn't work very well.
B)is a form of contingency management.
C)is a common technique in 12-step programs.
D)is based on the "stages of change" model.
Question
The most common form of medical treatment for opioid addiction is

A)methadone maintenance.
B)rapid opioid detoxification.
C)naltrexone therapy.
D)buprenorphine.
Question
Before we can evaluate the success of a drug treatment program,we have to understand the program's

A)administrative structure.
B)training requirements.
C)goals.
D)theoretical approach.
Question
Because most heroin addicted people prescribed naltrexone stop taking it,

A)it is no longer used for this purpose.
B)they typically undergo prolonged withdrawal reactions.
C)researchers are testing a depot form that blocks heroin's effects for up to six weeks.
D)a company is developing a better tasting capsule.
Question
Because of the potential danger of alcohol withdrawal symptoms,these symptoms are often prevented or treated by administering

A)opioids.
B)amphetamine.
C)antabuse.
D)benzodiazepines.
Question
CBT approaches to treatment

A)have not worked as well as traditional psychotherapy.
B)rely on the use of medications to prevent withdrawal symptoms.
C)use hypnotism as the major form of treatment.
D)have the clients to identify people,places,and behaviors associated with drug use.
Question
Besides methadone,another substitute medication has recently been approved for maintaining opioid addicted patients.It is

A)antabuse.
B)buprenorphine.
C)zolpidem.
D)olanzepine.
Question
Which of these has NOT received FDA approval for use during the maintenance phase of alcohol treatment?

A)naltrexone
B)bupropion (Zyban)
C)antabuse
D)acamprosate
Question
Studies of court-ordered referrals to Alcoholics Anonymous versus other types of interventions have

A)found that none of these approaches is effective.
B)found that AA is more effective than other approaches.
C)found that other approaches are more effective than AA.
D)not found differences in effectiveness between AA and other approaches.
Question
Which of these is NOT an FDA-approved form of nicotine replacement therapy?

A)nicotine water
B)nicotine lozenges
C)nicotine gum
D)nicotine nasal spray
Question
The substance that accounted for the most admissions in the Treatment Episode Data Set from 2011 was

A)cocaine.
B)alcohol.
C)heroin.
D)methamphetamine.
Question
Is treatment for drug addiction effective?

A)Only if the user wants it to work.
B)Most studies do not show any effectiveness.
C)Statistically,treatment does reduce crime and increase employment.
D)Yes,more than half of those treated remain abstinent for more than a year.
Question
There is no documented cocaine withdrawal syndrome.
Question
The most effective potential medical treatment for cocaine use disorder appears to be the antidepressant drug citalopram.
Question
The majority of drug treatment takes place in an outpatient setting.
Question
The opioid antagonist naltrexone can prevent heroin from having its normal effect if it is injected.
Question
Give a brief description of the Alcoholics Anonymous approach to "treating" alcohol-addicted people including some of the underlying philosophy.What do we know about the effectiveness of this approach?
Question
The most common form of treatment for opioid dependence is rapid opioid detoxification.
Question
CBT may be ineffective for long-term methamphetamine users because of the many cognitive deficits caused by the drug.
Question
What medications are used in treating people diagnosed with opioid use disorder,and how does each of these work?
Question
Describe the process and goals of motivational enhancement therapy.Be sure to include the concept of denial and also stages of change in your answer.
Question
The only kinds of medications approved for use in smoking cessation are various forms of nicotine replacement therapy,like nicotine patches and gum.
Question
The "therapeutic workplace" is an example of what approach to drug treatment?

A)motivational enhancement therapy
B)cognitive-behavioral therapy
C)detoxification
D)contingency management
Question
Naltrexone is an opioid antagonist that has been approved for use in treating alcohol use disorder.
Question
The DSM-V provides diagnostic criteria for substance dependence and substance abuse.
Question
Moderate doses of dronabinol can be used to reduce the symptoms associated with marijuana withdrawal.
Question
What medications are used in treating people diagnosed with alcohol use disorder,and how does each of these work?
Question
Which one of these is an agonist therapy?

A)methadone for heroin addiction
B)nicotine gum for tobacco addiction
C)Both A and B
D)Neither A nor B
Question
In motivational enhancement therapy,drinkers are given antabuse so that they will be afraid to drink alcohol.
Question
Acamprosate,the most recent drug approved to treat alcohol use disorder,is structurally similar to the neurotransmitter GABA.
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Deck 18: Treating Substance Use Disorders
1
Rapid opioid detoxification is based on

A)the use of methadone to avoid withdrawal symptoms.
B)making sure that the user experiences the full discomfort of withdrawal,while providing medical support.
C)anesthetizing users and administering an antagonist,so that withdrawal occurs while they are asleep.
D)switching the user to a shorter-duration opioid.
C
2
Although many medications have been tested for treating cocaine use disorder,most have shown little promise and none has yet been approved.The most promising results have been found with

A)modafinil.
B)naltrexone.
C)buprenorphine.
D)acamprosate.
A
3
Varenicline,approved in 2006 for smoking cessation

A)is also used as an antidepressant.
B)is an opioid antagonist.
C)is a partial nicotinic-receptor antagonist.
D)blocks the metabolism of nicotine.
C
4
Although no medication has yet received FDA approval for treating cannabis use disorder,one has shown effectiveness in relieving cannabis withdrawal symptoms.That medication is

A)naltrexone.
B)methadone.
C)cocaine.
D)oral THC.
Unlock Deck
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Unlock Deck
k this deck
5
and antagonist treatments are included in the __________ phase of treatment.

A)detoxification
B)relapse prevention
C)punishment
D)maintenance
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
6
Prevention of withdrawal symptoms using medications would be considered part of the ____________ process.

A)detoxification
B)relapse prevention
C)punishment
D)maintenance
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
7
Although naltrexone has been used to treat alcohol use disorder,it

A)is an opioid antagonist,and it is not clear how it works with alcohol users.
B)has never received any research support for this type of use.
C)is not available for prescription in the U.S.
D)is dangerous because people become deathly ill if they drink alcohol while taking it.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
8
Motivational enhancement therapy has as its goal

A)helping the user move to another "stage of change."
B)helping the user "hit bottom."
C)confronting the user with all of the bad consequences of his or her behavior.
D)finding alternative activities to draw the user away from the substance.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
9
Giving the user rewards for drug-free urine samples

A)doesn't work very well.
B)is a form of contingency management.
C)is a common technique in 12-step programs.
D)is based on the "stages of change" model.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
10
The most common form of medical treatment for opioid addiction is

A)methadone maintenance.
B)rapid opioid detoxification.
C)naltrexone therapy.
D)buprenorphine.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
11
Before we can evaluate the success of a drug treatment program,we have to understand the program's

A)administrative structure.
B)training requirements.
C)goals.
D)theoretical approach.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
12
Because most heroin addicted people prescribed naltrexone stop taking it,

A)it is no longer used for this purpose.
B)they typically undergo prolonged withdrawal reactions.
C)researchers are testing a depot form that blocks heroin's effects for up to six weeks.
D)a company is developing a better tasting capsule.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
13
Because of the potential danger of alcohol withdrawal symptoms,these symptoms are often prevented or treated by administering

A)opioids.
B)amphetamine.
C)antabuse.
D)benzodiazepines.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
14
CBT approaches to treatment

A)have not worked as well as traditional psychotherapy.
B)rely on the use of medications to prevent withdrawal symptoms.
C)use hypnotism as the major form of treatment.
D)have the clients to identify people,places,and behaviors associated with drug use.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
15
Besides methadone,another substitute medication has recently been approved for maintaining opioid addicted patients.It is

A)antabuse.
B)buprenorphine.
C)zolpidem.
D)olanzepine.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
16
Which of these has NOT received FDA approval for use during the maintenance phase of alcohol treatment?

A)naltrexone
B)bupropion (Zyban)
C)antabuse
D)acamprosate
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
17
Studies of court-ordered referrals to Alcoholics Anonymous versus other types of interventions have

A)found that none of these approaches is effective.
B)found that AA is more effective than other approaches.
C)found that other approaches are more effective than AA.
D)not found differences in effectiveness between AA and other approaches.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
18
Which of these is NOT an FDA-approved form of nicotine replacement therapy?

A)nicotine water
B)nicotine lozenges
C)nicotine gum
D)nicotine nasal spray
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
19
The substance that accounted for the most admissions in the Treatment Episode Data Set from 2011 was

A)cocaine.
B)alcohol.
C)heroin.
D)methamphetamine.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
20
Is treatment for drug addiction effective?

A)Only if the user wants it to work.
B)Most studies do not show any effectiveness.
C)Statistically,treatment does reduce crime and increase employment.
D)Yes,more than half of those treated remain abstinent for more than a year.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
21
There is no documented cocaine withdrawal syndrome.
Unlock Deck
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Unlock Deck
k this deck
22
The most effective potential medical treatment for cocaine use disorder appears to be the antidepressant drug citalopram.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
23
The majority of drug treatment takes place in an outpatient setting.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
24
The opioid antagonist naltrexone can prevent heroin from having its normal effect if it is injected.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
25
Give a brief description of the Alcoholics Anonymous approach to "treating" alcohol-addicted people including some of the underlying philosophy.What do we know about the effectiveness of this approach?
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
26
The most common form of treatment for opioid dependence is rapid opioid detoxification.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
27
CBT may be ineffective for long-term methamphetamine users because of the many cognitive deficits caused by the drug.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
28
What medications are used in treating people diagnosed with opioid use disorder,and how does each of these work?
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
29
Describe the process and goals of motivational enhancement therapy.Be sure to include the concept of denial and also stages of change in your answer.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
30
The only kinds of medications approved for use in smoking cessation are various forms of nicotine replacement therapy,like nicotine patches and gum.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
31
The "therapeutic workplace" is an example of what approach to drug treatment?

A)motivational enhancement therapy
B)cognitive-behavioral therapy
C)detoxification
D)contingency management
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
32
Naltrexone is an opioid antagonist that has been approved for use in treating alcohol use disorder.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
33
The DSM-V provides diagnostic criteria for substance dependence and substance abuse.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
34
Moderate doses of dronabinol can be used to reduce the symptoms associated with marijuana withdrawal.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
35
What medications are used in treating people diagnosed with alcohol use disorder,and how does each of these work?
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
36
Which one of these is an agonist therapy?

A)methadone for heroin addiction
B)nicotine gum for tobacco addiction
C)Both A and B
D)Neither A nor B
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
37
In motivational enhancement therapy,drinkers are given antabuse so that they will be afraid to drink alcohol.
Unlock Deck
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Unlock Deck
k this deck
38
Acamprosate,the most recent drug approved to treat alcohol use disorder,is structurally similar to the neurotransmitter GABA.
Unlock Deck
Unlock for access to all 38 flashcards in this deck.
Unlock Deck
k this deck
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Unlock Deck
Unlock for access to all 38 flashcards in this deck.