Deck 15: Treatment of Substance-Use Disorders

Question 1

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

Answer 1

A

Question 2

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

Answer 2

D

Question 3

Which term best reflects the treatment that occurs in self-help groups for substance use disorders?

A)agent-centric
B)client-centric
C)empirical
D)reciprocal

Answer 3

D

Question 4

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

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

Question 5

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 6

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.

Question 7

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

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

Question 8

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 are correct

Question 9

Which of the following is not true of AA?

A)It advocates relinquishing control to a higher power.
B)It advocates making direct amends to people harmed by an individual's drinking.
C)The program is only appropriate for those who accept Western religious beliefs.
D)Nonalcoholics may not attend closed meetings.

Question 10

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)

Question 11

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

Question 12

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 13

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

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

Question 14

Which term best reflects overall activities intended to treat substance use disorders?

A)pharmacological
B)casual
C)planned
D)milieu

Question 15

Narcotics Anonymous evolved with a concentration on

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

Question 16

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 17

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 18

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

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

Question 19

is the last stage of the stages of change model.

A)Maintenance
B)Contemplation
C)Action
D)Recovery

Question 20

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

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

Question 21

Halfway houses are an example of a(n) .

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

Question 22

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 23

involves the medical management of alcohol withdrawal symptoms.

A)Detoxification
B)Milieu treatment
C)Partial hospital care
D)Immersive treatment

Question 24

Taxation of alcoholic beverages would be an example of an intervention based on the model.

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

Question 25

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

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

Question 26

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

A)The sample is too heterogeneous.
B)The organization refuses to release data.
C)The members are anonymous.
D)Each chapter follows completely different procedures.

Question 27

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 28

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

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

Question 29

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 30

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 31

are people working in direct patient care without a formal degree.

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

Question 32

Which term describes therapeutic services that follow a person's completion of a formal treatment program?

A)maintenance
B)integration
C)aftercare
D)milieu

Question 33

Individuals with genetic polymorphism in the receptor tend to be more responsive to naltrexone's effects on alcohol use.

A)dopamine
B)GABA
C)mu-opioid
D)epinephrine

Question 34

Which of the following is an alcohol-sensitizing drug?

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

Question 35

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

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

Question 36

is an opiate antagonist that may help in recovery from alcohol dependence.

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

Question 37

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 38

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 39

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 40

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

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

Question 41

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 42

Which of the following played a key role in the expansion of drug treatment services during the 1980s?

A)development of evidence-based methods
B)growth of crack cocaine use
C)availability of insurance benefits
D)impact of media outreach campaigns

Question 43

From a formal perspective, a person who has successfully completed an alcohol abuse treatment program is advised to stay out of bars to avoid .

A)remission
B)temptation
C)flashbacks
D)cues

Question 44

To increase the potential for successful outcomes, many believe that treatment of polysubstance abusers must address which of the following?

A)dosage rates
B)social influences
C)behavior patterns
D)sociopathic factors

Question 45

Why is methadone used in the treatment of heroin abuse?

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

Question 46

Under the Affordable Care Act, treatment for substance use disorders is categorized as a(n) service.

A)optional
B)limited
C)uncovered
D)essential

Question 47

Drug therapeutic communities are most often run by .

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

Question 48

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 49

What is one of the advantages of using LAAM to treat heroin addicts over using methadone?

A)shorter duration
B)fewer health risks
C)lower cost
D)higher compliance

Question 50

Halfway houses are usually designed as milieu treatment.

Question 51

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 52

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 are correct.

Question 53

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

Question 54

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

Question 55

The urges and cravings model states that relapse of substance use occurs because these two experiences are .

A)genetic
B)automatic
C)socially endorsed
D)survival-based

Question 56

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

Question 57

According to the disease model of alcohol use disorder, complete abstinence from alcohol should be the only valid goal of treatment.

Question 58

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

Question 59

Which of the following terms best reflects a person who is addicted to meth and has an anxiety disorder?

A)polyphasic
B)dual-diagnosis
C)sociopathic
D)opponent process

Question 60

When did treatment of substance use disorders shift from applying a "one size fits all" strategy?

A)mid-1970s
B)late 1980s
C)mid-1990s
D)early 2000s

Question 61

Describe the five models of the causes of alcohol dependence.

Question 62

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 63

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

Question 64

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

Question 65

Describe the Alcoholics Anonymous program and how it works.What are the beginning and ending steps of the program?

Question 66

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

Question 67

Recent research has demonstrated that telehealth methods are ineffective for treating substance use disorders.

Question 68

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

Question 69

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

Question 70

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

Question 71

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

Question 72

In order to be cost effective, a person with a substance use disorder must remain in outpatient treatment for at least three months.

Question 73

According to the 2015 NSDUH survey, more people were admitted to drug treatment for abuse of pain relievers than for any other nonalcohol drug.

Question 74

Temposil is an alcohol-sensitizing drug that is not available in the United States.

Question 75

How do economic factors affect alcohol and drug treatment?

Question 76

Describe current research on Internet-based approaches to treating substance use disorder.How might technology change approaches to treatment? What benefits and drawbacks do you see with these approaches?

Question 77

According to the opponent process theory, the individual's self-efficacy to cope with high-risk situations determines whether or not they will relapse.

Question 78

Recent research has shown that acamprosate in combination with behavioral treatment produces better outcomes than the same behavioral treatment paired with a placebo.

Question 79

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

Question 80

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