Question 1

Interpreting a failure as an indication that personal coping resources were exceeded in a particular situation and that incidents such as these provide useful information are both essential aspects of

Accepted Answer

Relapse prevention programs emphasize understanding failures not as catastrophic events, but as opportunities to learn and improve strategies for coping with challenges. This approach helps individuals recognize that exceeding personal coping resources in a particular situation is a part of the learning and recovery process, rather than a complete setback.

Question 2

Surveys conducted by the Harvard School of Public Health have revealed that approximately 50 percent of all college students have a binge drinking problem, but when asked if they viewed themselves as having a problem with alcohol, ___________ of them believed they had a problem.

Accepted Answer

The correct answer is 1 percent because despite the high prevalence of binge drinking, very few students perceive themselves as having a problem with alcohol.

Question 3

The Harvard School of Public Health survey of college students found that many extreme negative consequences such as getting into trouble with the police and having unplanned, unprotected sex was associated with __________________.

Accepted Answer

Binge drinking is associated with extreme negative consequences such as getting into trouble with the police and having unplanned, unprotected sex, according to surveys and research conducted by institutions like the Harvard School of Public Health.

Question 4

A therapist working in a relapse prevention program would most likely assert that a lapse is

Accepted Answer

A lapse is often seen as an indication that the personal coping skills of an individual were exceeded, rather than a lack of willpower or strength. This perspective helps in focusing on developing stronger coping mechanisms rather than attributing failure to personal shortcomings.

Question 5

Handing out clean needles to drug addicts and giving free condoms to people at risk for sexually transmitted diseases are both examples of interventions that are most consistent with the ____________ approach to prevention.

Accepted Answer

These interventions are examples of the harm reduction approach, which aims to reduce the negative consequences associated with drug use and sexual activity without necessarily stopping the behaviors themselves.

Question 6

The abstinence violation effect best refers to

Accepted Answer

The abstinence violation effect refers to the negative feelings and self-blame a person experiences when they violate their commitment to abstinence, often leading to a sense of hopelessness and potentially further lapses.

Question 7

Research regarding the effectiveness of Alcoholics Anonymous (AA) treatment programs indicates that of those alcoholics who start an AA program, remain in it, and are still abstinent after one year is approximately _____________.

Accepted Answer

The answer of Research regarding the effectiveness of Alcoholics Anonymous...

Question 8

Moderate drinkers at schools with the highest alcohol consumption rates were more likely

Accepted Answer

Moderate drinkers at schools with high alcohol consumption rates are more likely to report having their property destroyed by heavy drinkers, as their environment may foster behaviors that lead to such incidents.

Question 9

Relapse prevention interventions attempt to keep lapses from becoming a relapse by treating a lapse as an indicator that

Accepted Answer

Relapse prevention interventions focus on identifying and managing high-risk situations where a client's coping skills may be insufficient, leading to a lapse. By addressing these lapses as indicators of exceeded coping skills, interventions can be tailored to strengthen these skills and prevent a full relapse.

Question 10

All of the following were discussed as negative consequences associated with heavy-drinking college students EXCEPT

Accepted Answer

Students who drink heavily tend to have lower academic averages.

Question 11

Which of the following statements regarding the frequency of relapse is false?

Accepted Answer

The statement that fewer than 15 percent of all treated alcoholics maintain their improvements after one year is false. The success rate for treated alcoholics maintaining sobriety for one year is generally higher than 15 percent.

Question 12

When compared to the effectiveness of Alcoholics Anonymous (AA) programs, relapse prevention programs have been found to be equally effective and usually involve a ___________ intervention.

Accepted Answer

Relapse prevention programs are typically designed to be briefer interventions compared to the long-term, ongoing support provided by Alcoholics Anonymous (AA) programs.

Question 13

Most people working with substance abusers define the return to a previously harmful or undesirable behaviour pattern as a _________________.

Accepted Answer

Relapse is the term most commonly used by professionals to describe the return to substance use after a period of abstinence.

Question 14

Self-blaming for a failure to adhere to a commitment and taking this failure as evidence for a lack of willpower or personal strength are most central to which of the following?

Accepted Answer

The abstinence violation effect involves self-blame and interpreting a lapse in adherence to a commitment (like abstaining from alcohol or sticking to a diet) as a personal failure, reflecting a lack of willpower or strength.

Question 15

A politician argues that it is very difficult if not impossible to eliminate problems such as drug and alcohol abuse and asserts that what is important is for us to reduce the negative consequences associated with these behaviours, such as unsafe sex and criminal behaviour. This politician's views are most consistent with

Accepted Answer

The harm reduction model focuses on reducing the negative consequences associated with drug and alcohol abuse rather than solely aiming to eliminate the use of these substances. This approach aligns with the politician's views on addressing the negative outcomes of substance abuse rather than the impossibility of completely eradicating the behaviors themselves.

Question 16

All of the following statements would be viewed as consistent with a relapse prevention approach to substance abuse treatment EXCEPT

Accepted Answer

The relapse prevention approach to substance abuse treatment emphasizes understanding and learning from the process of relapse rather than attributing it to a lack of willpower or personal strength. It focuses on identifying triggers, improving coping strategies, and viewing lapses as opportunities for growth, rather than as failures.

Question 17

Jessica has a drug problem and has been seeking substance abuse counselling. She has remained drug free for several months, but last week she ran into some friends with whom she used to frequently get high and she ended up using some drugs with them. Afterwards, she felt terrible about breaking her commitment to remain drug free and concluded that she must not have the self-discipline and willpower needed to quit. Within a week, she had fully resumed her harmful drug behaviour. This example best demonstrates the phenomenon called

Accepted Answer

The abstinence violation effect describes a situation where an individual, after breaking a commitment to abstain from a substance or behavior, experiences feelings of failure and guilt, which then lead to a full-blown return to the problematic behavior. This is exactly what happened to Jessica after she used drugs with her friends.

Question 18

Harm reduction approaches to prevention attempt to reduce the negative consequences of a behaviour by doing such things as handing out clean needles to drug addicts. In contrast, programs such as Alcoholics Anonymous, have the goal of eliminating and refraining entirely from a problematic behaviour and adhere to the ____________ approach.

Accepted Answer

Programs like Alcoholics Anonymous focus on the abstinence approach, which aims to completely stop and avoid the problematic behavior, unlike harm reduction strategies that seek to minimize the negative impacts of such behaviors.

Question 19

Harold has been receiving treatment for alcoholism for over a year and treatment has been going very well. However, two months ago, after a particularly bad day at work, some friends invited him to go with them to a bar and Harold had five beers. The next day when he thought about what had happened, he started to feel badly, but then remembered some things he'd spoken about with his counsellor about the problems associated with excessively blaming himself and being negative. As a result, Harold was able to put this incident behind him and he was able to remain abstinent for the next three months. In this example, Harold's one-time slip would best be defined as an example of

Accepted Answer

Harold's one-time slip is best defined as a lapse because it was a brief return to alcohol use after a period of abstinence, from which he was able to recover and continue his abstinence. A relapse would imply a more significant return to previous patterns of alcohol use.

Question 20

A prevention strategy that is concerned primarily with reducing the negative effects and consequences of a behaviour rather than trying to eliminate it is the _______________ approach to substance abuse problems.

Accepted Answer

The harm reduction approach focuses on minimizing the negative health, social, and legal impacts associated with substance use, without necessarily requiring cessation of use. It acknowledges that while stopping drug use is the best outcome for health, it may not be immediately achievable for all individuals, and thus, seeks to reduce the risks associated with drug use.

Quiz 15: Stress, Coping, and Health