Question 1

The dried leaves and/or flowers of a cannabis plant is know as __________ .

Accepted Answer

The answer of The dried leaves and/or flowers of a...

Question 2

Some theorists associate alcoholism with exaggerated activation of an endogenous system in response to alcohol stimulation. Which system do they suggest?

Accepted Answer

A)  the alcohol system 
B)  the dopamine system 
C)  the opiod system 
D)  the amygdala system

Question 3

Your friend misses work and has serious family difficulties because he uses drugs. However, he is not addicted to drugs. What DSM-IV diagnosis should be made in this case?

Accepted Answer

A)  substance abuse 
B)  substance craving 
C)  substance dependence 
D)  substance ingestion habit

Question 4

You have been asked to design a targeted drug prevention program. Your task is to decide on which sex, if any, should receive more attention. You decide that it depends on which drug or drugs are under consideration and that

Accepted Answer

A)  for alcohol abuse the focus should be on women, who have a higher rate of alcohol abuse. 
B)  for alcohol dependence the focus should be on women, who have a higher rate than men. 
C)  for drug abuse, in general, the focus should be on men who have the highest rate. 
D)  for drug dependence in general the rates are equal, so each sex will have to be targeted.

Question 5

Which of the following must a person exhibit in order to be diagnosed with substance dependence in the DSM-IV-TR?

Accepted Answer

A)  delirium tremens 
B)  tolerance and withdrawal 
C)  a pattern of compulsive use 
D)  concealed substance use and blackouts

Question 6

Discuss cultural differences in drug-related problems.

Accepted Answer

The answer of Discuss cultural differences in drug-related problems....

Question 7

Longitudinal studies of adolescent alcohol use and their expectancy patterns have found that

Accepted Answer

A)  those with positive expectations go on to consume greater amounts of alcohol. 
B)  those with negative expectations go on to consume greater amounts of alcohol. 
C)  those with positive expectations go on to consume lesser amounts of alcohol. 
D)  those who consume greater amounts of alcohol go on to have more positive expectations.

Question 8

You are reading an older text on alcohol and other drugs. The text has numerous references to the word addiction, which you find later has been replaced by ____________________. The two terms have essentially the same meaning.

Accepted Answer

A)  abuse. 
B)  anhedonia. 
C)  substance dependence. 
D)  self‑destructive tendencies.

Question 9

What is the general conclusion on research designed to match certain types of patients to particular alcohol treatment programs?

Accepted Answer

A)  There is little evidence for the effectiveness of matching. 
B)  The primary variable predicting treatment success is the accuracy of the match. 
C)  The success of these matches depends primarily on the client's level of comorbid conditions. 
D)  Age, socioeconomic status, and other demographic factors are the key to creating a good match.

Question 10

Rebecca is trying to recover from alcoholism. Her therapist is attempting to help her reduce the abstinence violation effect. This is a problem for Rebecca because as soon as she has even a small drink, she thinks,

Accepted Answer

A)  "I am a worthless person." 
B)  "I can recover on my own; I don't need help." 
C)  "I'm only doing something wrong if it's illegal." 
D)  "I've messed up; I may as well go ahead and get drunk."

Question 11

The active substances in opium are

Accepted Answer

A)  LSD and PCP. 
B)  cocaine and heroin. 
C)  codeine and morphine. 
D)  marijuana and cocaine.

Question 12

What pattern of drinking-related behavior was reported by George Vaillant in his longitudinal study of males?

Accepted Answer

A)  Most of the men stopped drinking prior to age 30. 
B)  Those who remained abstinent for six years were unlikely to relapse. 
C)  The majority of the men drank so heavily, they were dead before the age of 40. 
D)  The rate of abstinence was low and changed little over the course of the follow-up.

Question 13

A relative was admitted to the hospital and given doses of naltrexone for problems related to alcohol. How will this drug affect the man?

Accepted Answer

A)  It will block the action of GABA. 
B)  It will block the action of norepinephrine. 
C)  It will increase levels of dopamine in the brain. 
D)  It will decrease the level of endogenous opioids.

Question 14

Abstinence during a treatment program that allows for the removal of a drug on which a person has become dependent is known as __________ .

Accepted Answer

The answer of Abstinence during a treatment program that allows...

Question 15

Alex is listening to a lecture on the history of opiate drugs and he learns something that he finds very surprising. What has he heard the lecturer say?

Accepted Answer

A)  "Heroin is a synthetic opiate made from morphine." 
B)  "Heroin has actually been legally available by prescription in the U.S. for years." 
C)  "Heroin is a synthetic drug that was originally developed as an antidepressant." 
D)  "Heroin is not really an opiate because it is synthetic and does not actually come from poppies."

Question 16

You are designing a research study to test the effectiveness of a new type of treatment program for alcohol dependence, and you want to be able to assess changes in your subjects' craving for alcohol. Which of the following would be a good index of their craving?

Accepted Answer

A)  the amount of alcohol they drink 
B)  the discomfort they experience when they don't drink 
C)  their need to increase the amount that they drink 
D)  the amount of time they spend planning to drink

Question 17

How does the rate of alcohol problems compare in men and women?

Accepted Answer

A)  Although the difference in the rates is narrowing, the rate is still much higher among men. 
B)  The rate is much higher among males and the difference between males and females is growing larger. 
C)  Community surveys indicate that the rates are virtually identical. 
D)  Although in the past males have had much higher rates, females now have higher rates.

Question 18

Which of the following is an example of psychological dependence on alcohol?

Accepted Answer

A)  not wanting to drink alone 
B)  drinking to relieve negative moods 
C)  ability to drink more and more over time 
D)  cognitive impairments due to alcohol abuse

Question 19

At the mental health center a young man will begin what is called motivational interviewing. What can this man expect during the session that will follow?

Accepted Answer

A)  Several members of law enforcement organizations will "lay it out" for this client-either he "shapes up or he will go to jail." 
B)  A physician will try to ascertain the reasons behind this man's failure to comply with instructions to take Antabuse on a daily basis. 
C)  Using a nonconfrontational approach, an interviewer will help him to resolve his ambivalence about using drugs and to make a definite commitment to change. 
D)  A number of recovered drug addicts will confront him with what awaits if he does not change his ways.

Question 20

What is the most common active ingredient in marijuana?

Accepted Answer

A)  LSD 
B)  PCP 
C)  THC 
D)  LOB

Exam 11: Substance Use Disorders