Deck 11: Substance Related Disorders

Question 1

_________________ is a new symptom related to Substance Use Disorder that was added to the DSM-5.

A) Withdrawal
B) Tolerance
C) Craving
D) Cross-tolerance

Answer 1

C

Question 2

When assigning a Substance Use Disorder diagnosis in the DSM-5:

A) The general class of substance is indicated (e.g., "Opioid Use Disorder") rather than the specific substance (e.g., "Heroin Use Disorder").
B) A severity specifier must be given that is based upon the number of symptom criteria met.
C) Either tolerance or withdrawal must be present for the diagnosis to be given.
D) All of the above

Answer 2

B

Question 3

_________________ is a persistent amnestic condition that develops after prolonged, heavy alcohol use and includes symptoms such as retrograde and anterograde amnesia. It is preceded by _________________, which includes symptoms such as ataxic gait, nystagmus, and mental confusion due to a lack of thiamine.

A) Korsakoff's Syndrome; Wernicke's Encephalopathy
B) Cessation Amnesia; Korsakoff's Syndrome
C) Wernicke's Encephalopathy; Korsakoff's Syndrome
D) Cessation Amnesia; Wernicke's Encephalopathy

Answer 3

A

Question 4

The Abstinence Violation Effect refers to:

A) A well-replicated research finding demonstrating the high likelihood of full-blown relapse when an individual violates his/her sobriety within the first year of achieving it
B) A concept in Behavioral Couples Therapy for alcoholism that predicts the return of drinking when a couple experiences significant conflict in the relationship
C) A concept used in Relapse Prevention treatment related to a cognitive error in which an individual believes that if he or she uses even a small amount (lapse) following a period of abstinence, this is the same as a full-blown relapse and all treatment gains have been lost
D) A well-replicated research finding from the 12-step literature that shows worse long-term outcomes for individuals who follow a harm reduction approach to their substance use (i.e., trying to cut down but not completely stop using) compared to those who follow an abstinence-only approach

Question 5

Barbiturates and benzodiazepines fall into the _________________ class of drugs while phencyclidine (PCP) falls into the _________________ class.

A) Hallucinogens; inhalants
B) Sedatives, anxiolytics, and hypnotics; hallucinogens
C) Sedatives, anxiolytics, and hypnotics; inhalants
D) Opioids; hallucinogens

Question 6

The four basic principles of Motivational Interviewing are:

A) Review lapse vs. relapse, create trigger hierarchy, develop coping strategies, teach lifestyle balance
B) Conduct interpersonal inventory, review behavioral chaining, teach distress tolerance, prepare relapse drill
C) Provide psychoeducation, explore ambivalence, review communication skills, teach problem solving
D) Express empathy, develop discrepancy, roll with resistance, support self-efficacy

Question 7

_________________ is a homeostatic process that occurs in the brain in which there is a _________________ in the number and sensitivity of _________________ receptors in the brain.

A) Changed set point model; increase; serotonin
B) Neuroadaptation; increase; dopamine
C) Changed set point model; decrease; serotonin
D) Neuroadaptation; decrease; dopamine

Question 8

A pharmacological treatment for alcohol abuse that is considered a maintenance treatment because it must be taken daily and that produces flushing, headache, and nausea after ingesting alcohol is called:

A) Disulfiram (Antabuse)
B) Naltrexone (Revia)
C) Acamprosate (Campral)
D) Levo-alpha acetyl methadol (LAAM)

Question 9

Which of the following is true about Alcoholics Anonymous (AA)?

A) Research findings indicate that participation in AA generally enhances positive outcomes for those who are receiving professional treatment.
B) It includes sponsorship as a cornerstone to recovery.
C) It is based on a harm-reduction approach.
D) Both a. and b.

Question 10

A client with a substance use disorder attends a residential treatment program that rewards her with vouchers each time she attends group or obtains a negative urine toxicology test (i.e., indicating no drug use). The vouchers can then be used to buy snacks, toiletries, magazines, and so on at a "store" in the program. The name that best describes this treatment is:

A) Relapse prevention
B) Applied behavioral analysis
C) Contingency management
D) Classical conditioning therapy