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Definition
Clients' knowledge should not be ignored, because many clients do know more about substance abuse and use than the general public. This knowledge is what Paulo Friere calls: |
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The ingestion of substances with any regularity that results in little or no significant negative life consequences. |
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The use of drugs - legal or illegal- with some regularity or pattern,that results in a pattern of negative life consequences resulting from their substance use. |
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People who are considered substance abusers, unlike those who simply use, must demonstrate a of negative life consequences. |
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1. The term addiction refers to the __________ effects of certain drugs (Ch. 1, p.10): a) Physiological b) Psychological c) Relational d) None of the above |
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b) Enablement by family or friends |
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Definition
2. Which of the below is not a DSM-IV-TR criteria for substance abuse? (p. 9) a) Use in situations where it is "physically hazardous" b) Enablement by family or friends c) Failure to fulfill major role obligations d) Recurrent substance-use-related legal problems |
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b) rarely, low to nonexistent* |
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3. People classified as substance abusers _________ experience physiological impairments and usually have __________ levels of psychological impairments (Ch. 1, p. 12): a) often, high b) rarely, low to nonexistent c) often, low d) rarely, high |
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5. What is a negative life consequence? (Ch. 1, p. 6) a) Problems that occur in one’s life because of substance use b) Problems that affect the user and those around the user c) Only a d) Both a & b |
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Definition
7. Social workers need to examine their ________ about substance use, abuse and chemical dependency. a) Personal beliefs b) Values c) Stereotypes d) All the above |
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8. According to the DSM IV-TR classification of substance abuse one must use drugs regularly and meet which of the following classifications? a) Failure to fulfill major role obligations b) Use in situations where it is physically hazardous c) Have recurrent substance use related legal problems d) Any of the above |
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9. An example of a negative life consequence is: a) Not being able to obtain a job b) The positive feelings of drug usage c) Isolation from family/friends d) A and C |
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c) There is a perceived need for the substance* |
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Definition
10. Which of the following is NOT an indicator of substance abuse? (p. 9) a) The substances are being used with some regularity or pattern b) The pattern of use results in negative life consequences c) There is a perceived need for the substance d) The substances used can be legal or illegal |
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12. The difference between abuse and dependency is often _________. a) Patterns of negative life consequences b) Measured in intensity c) Pervasiveness d) All the above |
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Definition
13. Which factors play an important role in determining the likelihood of substance abuse? a) Education b) Employment c) annual income d) All of the above* |
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14. What age group comprises the largest group with alcohol and other drug problem? a) 15-21 b) 21-25 c) 25-44 d) None of the above |
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15. For ________________, substance abuse is usually misdiagnosed and/or treated differently because of other co-morbidity issues and because of a treatment bias (Ch.1 p.19): a) Adolescents b) Men c) Women d) All of the above |
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16. The most prevalent co-occurring psychiatric disorder with substance abuse is (Ch.1 p.17): a) Anxiety disorders b) Eating disorders c) Depression d) A & C |
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Definition
17. Studies show many people "mature out" of drinking by age __? (p. 14) a) 45 b) 29 c) 15 d) 38 |
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Definition
18. The most common theory used to explain chemical dependency is the (p.5): a) addiction model b) disease model c) mental illness model |
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Definition
19. When a person has recurrent or chronic use that results in a physiological and/or psychological “need” for the drug as a matter of survival, causing severe and/or chronic negative life consequences, they are best known as (p. 10): a) Substance Abuser b) Chemically Dependant* c) Substance user d) Anxious |
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d) Much of American society frowns on substance abuse in men more than in women.* |
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Definition
20. Which of the following statements is false in regard to gender considerations? (p.18) a) Generally, men are more like than women to be diagnosed with a substance abuse problem. b) Women experience a more powerful physiological and psychological dependence. c) Women have a 50 to 100 times higher mortality rate from alcohol and drug abuse. d) Much of American society frowns on substance abuse in men more than in women. |
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b) They are usually younger at the point of assessment * |
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Definition
21. Which of the following is not true about women with substance abuse problems (Ch. 1, p. 18): a) They typically become intoxicated more quickly b) They are usually younger at the point of assessment c) They experience a higher rate of physiological impairment d) They have a shorter onset of drinking related problems |
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a) The statistics don’t indicate whether or not the accidents or deaths involved people with substance abuse problems* |
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Definition
22. What is the most inherent problem with accident and death statistics involving substance use? (p. 15) a) The statistics don’t indicate whether or not the accidents or deaths involved people with substance abuse problems b) The statistics only include first-time users c) The statistics don’t include all kinds of accidents or deaths d) They do not assume that every person involved in a substance-related accident or death was chemically dependent on that substance |
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Definition
23. Which of the following statements is true in regard to Chemical Dependency? (p.12) a) It is a lifestyle b) Personal relationships with friends and loved ones come second to drug use. c) Individuals that are chemically dependent believe that using drugs is a matter of daily survival. d) All of the Above. |
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Definition
24. Chemical dependency is characterized as feeling like what emotion? (Ch.1, pg 26) a) being in love b) obsession c) revenge d) sadness |
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(T/F) 1. An individual can abuse a substance without having a dependency with the substance. |
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Definition
2. Men are more likely than women to be diagnosed with a substance abuse problem. |
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3. The key to an accurate assessment often hinges on your ability to recognize and distinguish between dependency and abuse. P.11 |
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Definition
4. Nearly everyone in the United States has at one time or another experienced substance use, abuse, or chemical dependency among friends, family members, or acquaintances. (Ch. 1, p.1) |
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Definition
5. Chemical dependency is a lifestyle. (Ch. 1, p. 12) |
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Definition
6. Psychological withdraw is not as serious as physical withdraw. (Ch. 1, p.11) |
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Definition
7. People can use both legal and illegal drugs and experience no negative consequences. These individuals are not considered substance abusers. (Ch. 1, p. 8-9) |
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Definition
8. The time between conception and confirmation of pregnancy is a critical time frame if the woman is using substances—including nicotine and caffeine. (p. 20) |
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Definition
9. People who experience one or two incidents can be considered substance abusers. (p.9) |
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Definition
10. Substance abuse refers to use of legal/illegal drugs with some regularity or pattern that results in persons experiencing a pattern of negative life consequences resulting from their substance use. (pg. 9) |
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Term
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Definition
11. Drug addiction has a distinct biological and medical origin. (Ch.1 pg. 5) |
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Term
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Definition
12. Johnson states nobody is immune from chemical dependency. (Ch. 1 pg, 22) |
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b) African Americans are less likely to use drugs than European Americans* |
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Definition
4. According to SAMHSA which statement is true about African Americans and substance abuse? (Ch. 1, p. 21) a) African Americans are more likely to use drugs than European Americans b) African Americans are less likely to use drugs than European Americans c) African Americans and European Americans are equal users with substance abuse d) None of the above |
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Definition
6. Approximately what percent of people in treatment for a substance abuse problem also have a co-occurring mental disorder? (Ch. 1, p. 17) a) 53 percent b) 61 percent c) 78 percent d) 95 percent |
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Definition
11. Which of the following are ways female substance abusers differ from male substance abusers? (p. 18) a) Women experience more significant negative consequences in a shorter time period b) Women become intoxicated more quickly on less alcohol because of lower body water content, hormone fluctuations, and reduced enzymes used to metabolize alcohol. c) Women can always out drink men d) A and B only* |
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Term
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Definition
___________ exists when people form a social group based on common location, interest, identification, culture, and/or activities. |
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1- those based on geographical location. 2- non-place communities of identification (race, gender, sexual orientation, etc.) 3- personal communities comprising the multiple communities of each individual. |
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Definition
What are the three types of community described by Fellini? |
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d) All are types of communities |
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Definition
1. According to Fellin (1995), which of the following is a type of community? (p. 155) a) Community based on geographical location b) Non-place communities of identification (race, gender) c) Personal communities comprising the multiple communities of each individual d) All are types of communities |
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c) Oppressive social practices that no longer exist but are still rooted in our communities and treated as if they are present* |
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Definition
2. Historical memory is... (p. 159): a) The way the family and friends of the substance user remember their abuse even after sobriety b) The idea that our personal behaviors are strongly influence by our own personal history c) Oppressive social practices that no longer exist but are still rooted in our communities and treated as if they are present d) An individual's perception of the past |
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Term
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Definition
3. Communities help substance users to define: a) Which drugs are acceptable for use b) What frequency/amount of usage is acceptable c) When substance use becomes problematic d) All of the above |
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Term
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Definition
4. How does a community play in part of substance abuse (p.153) a) Determines self-image and behavior b) Provides norms, attitudes, beliefs, and behaviors c) Enforcement and policies can influence users d) All of the above |
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Definition
5. A community exists when people form a social group based on common (ch.6 p.155) a) Location b) Interest c) Culture d) All of the above |
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Definition
6. What are the two most dangerous drugs in terms of health consequences and potential for physical/psychological dependency? a) Morphine and marijuana b) Cocaine and PCP c) Alcohol and nicotine d) None of the above |
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c) No, oppressive practices that no longer exist are still rooted in people’s memories and attitudes |
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Definition
7. Is the right to self-determination equally available to everyone? (page 158-159) a) Yes, laws have changed to give more equal rights to everyoneb) Yes, outright acts of discrimination have lessened over time c) No, oppressive practices that no longer exist are still rooted in people’s memories and attitudes c) No, self-determination does not exist. |
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Definition
8. A comprehensive substance abuse assessment looks at which areas? (ch. 6, p. 155) a) Ethnicity and culture b) Community conditions c) Community resources d) All of the above |
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d) Middle or upper class housewives |
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Definition
9. The stereotypical heroin user during the early 1900s was (ch.6, p. 168) a) Homeless men b) Lower class women c) Adolescents d) Middle or upper class housewives |
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b) The anti-drug abuse act of 1986 |
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Definition
10. What was the name of the legislation that expanded mandatory minimum sentences (5-40 years for possessing 5 grams of cocaine/crack or more) for cocaine offenses? a) Federal sentencing reform act of 1984 b) The anti-drug abuse act of 1986 c) The Anti-drug abuse act of 1988 d) None of the above |
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b) Pressures places on an individual to return to “normal” as defined by the local community. |
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Definition
11. Research suggests that most substance abuse treatment fails because (p. 161): a) Inadequate funding resulting in poor program implementation b) Pressures places on an individual to return to “normal” as defined by the local community. c) Poorly trained professionals and paraprofessionals who often do not fully understand substance abuse/addiction d) The physical and mental addiction powers of the substances |
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d) Non-degreed, so-called “life-experienced” counselors |
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12. Much of the daily business of chemical dependency treatment is performed by (p. 178): a) Medically trained Doctoral level professionals b) Licensed Doctoral or Master's level professional counselors c) Specially trained Bachelor's level para-professional counselors d) Non-degreed, so-called “life-experienced” counselors |
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13. A drug has the potential for abuse if … a) There is evidence that individuals use the drug b) Individuals are taking the drug on their owninitiative rather than on the basis of medical advise c) There is evidence of actual abuse of a substance d) All of the above |
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14. In what year did the U.S. Congress pass the Comprehensive Drug Abuse Prevention and Control Act (p. 169)? a) 1997 b) 1965 c) 1970 d) none of the above |
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Definition
15. In which year did the Anti-Drug Abuse Act get passed creating some of the most wide-ranging and harsh penalties in American history (p. 173)? a) 1980 b) 1992 c) 1975 d) 1988 |
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Term
a) It established new federal funding entities for treatment, prevention, and research * |
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Definition
16. For Social Workers, the most important element of the Anti-Drug Abuse Act of 1988 was (Ch. 6, p. 173): a) It established new federal funding entities for treatment, prevention, and research b) Harsher more severe sentencing for cocaine offenses c) Mandatory minimum sentencing for drug offenses committed near schools d) Made marijuana legal |
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Term
a) It established new federal funding entities for treatment, prevention, and research * |
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Definition
16. For Social Workers, the most important element of the Anti-Drug Abuse Act of 1988 was (Ch. 6, p. 173): a) It established new federal funding entities for treatment, prevention, and research * b) Harsher more severe sentencing for cocaine offenses c) Mandatory minimum sentencing for drug offenses committed near schools d) Made marijuana legal |
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17. Drugs that have a high potential for abuse with no acceptable medical use, lack accepted safety standards for use of the drug, and include heroin, methaqualone, hallucinogens, and marijuana are listed as…(p. 170): a) Schedule I b) Schedule II c) Schedule III d) Schedule IV |
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18. In the Comprehensive Drug Abuse Prevention and Control Act, which of the five Schedules have the drugs that have been accepted for medical use but also have the high potential for abuse and/or dependency (Ch.6 p.170)? a) Schedule I b) Schedule II c) Schedule III d) Schedule IV e) Schedule V 19. Which drug is considered |
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19. Which drug is considered a schedule I drug, meaning it has a high potential for abuse and no accepted medical use (Ch. 6, p. 170): a) Codeine b) Cocaine c) Methamphetamine d) Hallucinogens (LSD) |
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20. Which of the addictive drugs below are not included in the Comprehensive Drug Abuse Prevention and Control Act (p. 170). a) Nicotine and alcohol b) Nicotine and marijuana c) Alcohol and opiates d) Xanax and alcohol |
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Definition
21. Schedule I drugs include all of the following except: (p.170) a) Heroin b) Cocaine c) LSD d) Marijuana |
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22. Social workers who are interested in working in the substance abuse field usually (p. 177)? a) Are recovering from their own chemical dependency b) Think that this population of clients are easy and fun to work with c) Have lived with chemically dependent significant others d) A and C only |
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b) High School Diploma/ GED |
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Definition
23. What qualifies in every state except one as acceptable academic credential to work as a substance abuse counselor? (p.178) a) Bachelor's Degree b) High School Diploma/ GED c) Master's Degree d) Personal life experiences |
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Definition
24. Social workers performing substance abuse assessments must understand___________ of the various anti-drug laws passed in the last 20 years. (p. 174) a) Federal b) State c) Local interpretation d) All the above |
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a) agreed upon treatment plan |
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Definition
25. What is the major outcome of assessment? (Ch.6, p. 182) a) agreed upon treatment plan b) outlining reasons for substance use c) obtaining a bio-psycho-social history d) deciding the best route of treatment to help the client achieve sobriety. |
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Definition
26. What entity often determines treatment outcomes today? (155) a) Managed care b) Community influences c) Social work beliefs d) Federal drug laws |
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Definition
27. What is the treatment framework used by AA to promote the success of their program? (159) a) Biological model b) Social conditioning c) The social self d) Significant others |
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b) expanded mandatory minimum sentences for cocaine offenses* (ch 6.)(p.171 |
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Definition
28. The Anti-Drug Abuse Act of 1986... a) lessened the severity of sentences for cocaine offenses b) expanded mandatory minimum sentences for cocaine offenses(ch 6.)(p.171) c) Declared that crack cocaine and powder cocaine are the same substance and should be treated the same d) Declared cocaine acceptable for medical use |
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d) The 1970 Controlled Substances Act included regulations on alcohol and nicotine |
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Definition
29. Which one of the following is NOT correct? a) Food and Drug Act was created in 1906 which required strictly labeling of drugs b) The 1914 Harrison Tax Act first established distribution as a crime c) The 1970 Controlled Substances Act divided drugs into 5 schedules d) The 1970 Controlled Substances Act included regulations on alcohol and nicotine |
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Definition
1. Marijuana is a schedule I drug. |
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Definition
2. Researchers have found that most substance abuse treatment fails because of the pressures placed on an individual to return to “normal” as defined by the local community. (Ch 6, p. 161) |
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Definition
3. Until the early 1900s, the use of alcohol and other drugs was mostly tolerated. (p.168) |
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Definition
4. People exist and participate within only one community at a time. (p. 155) |
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Definition
5. The self is a social creation, not one that can be created totally by one’s self. (p.157) |
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Definition
6. Planning for substance abusers reintegration into their home environment is one of the most important aspects of recovery. (Ch. 6, p. 161) |
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Definition
7. Determining a person's social relationships is not important to assessment of substance abuse. (Ch.6, p.165) |
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Definition
7. Determining a person's social relationships is not important to assessment of substance abuse. (Ch.6, p.165) |
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Term
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Definition
8. Community assessment is a necessary part of the overall substance abuse assessment process. (Ch. 6, p. 162) |
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Definition
9. Steroids are considered schedule V drugs include under the Control Substance Act. (Ch. 6, p. 170) |
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Definition
10. You should assess client’s proximity to community institutions and associations where positive social relationships and activities occur when working with clients who live in rural areas? (Ch. 6, p. 164-165) |
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Definition
11. Many members of the majority culture refuse to acknowledge that people still face discrimination and oppression on a daily basis; instead they believe that discrimination is a thing of the past. (p. 159) |
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Definition
12. According to the Anti-Drug Abuse Act of 1986, individuals possessing 5 grams of crack cocaine face harsher punishments than possession of 5 grams of powder cocaine. (p.171) |
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Term
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Definition
13. Race, gender, social class, sexual preference, perceived mental illness or substance abuse problems can all negatively affect an individual’s ability to make choices about their lives with in mainstream society. (Ch.6.p.158-159) |
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Definition
means that all drugs affect all people differently. |
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Definition
1. When using street drugs, one can never know (Ch. 2, p. 29-30) a) The exact dose b) Level of purity c) Strength of the drug d) All of the above |
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Term
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Definition
2. What individual factors influence how drugs affect their users? (Ch. 2, p. 30) a) What they eat b) Amount of sleep c) Physical health d) All of the above |
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Term
c) A person's environment |
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Definition
3. According to Falk, what reinforces drug-taking behavior the most? (Ch. 2, p. 31): a) The addictive qualities of the drug b) A person's genetic makeup c) A person's environment d) The drug's variability |
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Definition
4. When a drug reaches its maximum effect (when an increase in the dose will not increase its effect) this is known as: (Ch. 2, p. 32) a) Maxing out b) Bottoming out c) Leveling off d) Topping off |
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Definition
5. What is the MOST common route of drug administration? (Ch. 2, p. 33) a) Mucous membrane b) Inhalation c) Oral d) Injection |
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Definition
6. Which is the route of administration that takes drugs faster to the brain? pg. 33 a) By injection b) Oral c) Inhalation d) Mucous membrane |
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c) Inhalation/Smoking, Oral |
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Definition
7. Regarding methods of administering drugs, ____________ provides the fastest route to the brain, while ___________ provides the slowest route. p. 33) a) Injection, Oral b) Mucous Membranes, Inhalation/Smoking c) Inhalation/Smoking, Oral d) Oral, Mucous Membranes |
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Term
a) Delivers the drugs to the brain faster than ingestion |
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Definition
8. Injecting drugs into the bloodstream _________. (Ch. 2, p.34) a) Delivers the drugs to the brain faster than ingestion b) Slows the amount of time it takes for the drug to reach the brain than ingesting c) Reduces the risk of contracting diseases like AIDS d) Is safer than ingesting drugs |
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Definition
9. The following are effects of marijuana use EXCET: (p.45) a) Feeling relaxed b) Increased pulse rate c) Bloodshot eyes d) Decreased appetite e) Dry mouth |
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Definition
10. Which of the following alcohol withdrawal symptoms often proceeds to the development of seizures, making the withdrawal potentially lethal? a) tremors b) hallucination c) insomnia d) loss of appetite |
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Term
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Definition
11. Besides drinking and swallowing, which is the next most common way to take drugs? (Ch. 2 p. 34) a) Injecting b) Inhaling c) Snorting d) Huffing |
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Term
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Definition
12. All of the below affect the tolerance of drug use except: (Ch. 2, p. 35) a) Frequency of use b) Color c) Dose d) Route of administration |
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Term
c) Needs larger doses of a drug to produce the same effect |
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Definition
13. A person who has developed a drug tolerance _________. (Ch. 2, p.35) a) Needs smaller doses of a drug to produce the same effect b) Is more likely to vote to legalize marijuana c) Needs larger doses of a drug to produce the same effect d) No longer needs any drugs to produce the same effect |
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Definition
14. What type of tolerance occurs when tolerance to one drug transfers to other drugs, diminishing the effect of the other drugs as well? (Ch. 2, p. 36) a) Physical toleranceb) Psychological tolerance c) Behavioral tolerance d) Cross-tolerance |
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Definition
15. When the brain begins functioning normally in the presence of certain drugs is: a) Physical tolerance b) Behavioral tolerance c) Psychological tolerance d) Cross-tolerance |
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Definition
16. A tolerance to alcohol could also result in a cross tolerance of: (Ch. 2, p.36) a) Hallucinogens b) Benzodiazepines c) Amphetamines d) Opiates |
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Definition
17. The effects of CNS depressants are related to ________. (Ch.2, p. 38) a) The dose b) Tolerance levels c) Social Factors d) All of the Above |
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Definition
18. What now accounts for more than 30% of all prescriptions for controlled substances in the U.S.? (Ch. 2, p. 38) a) Over-the-counter medications b) Benzodiazepines c) OxyContin d) Vicodin |
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Definition
19. Which of the following is not a Central Nervous System Depressant? (Ch. 2, p.39) a) Alcohol b) Barbiturates c) Cocaine d) Over the counter medications to aid with sleep |
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Definition
20. Symptoms of delirium tremens (DT’s), the most severe form of alcohol withdrawal include which of the following? (Ch. 2 p. 39) a) Hallucinations b) Staggering c) Fever d) Both a & c |
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Definition
21. Which of the following is the most highly addictive drug available? (Ch.2, p. 42) a) marijuana b) alcohol c) LSD d) nicotine |
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Definition
22. Which of the following has been considered one of the most controversial drugs in the U.S in recent times? (Ch. 2, p. 45) a) Cannabis b) Crack c) Meth d) Heroin |
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Definition
23. Egyptian, Greek, and Arabic cultures used which drug for health and recreational use? (Ch. 2 p. 47) a) CNS stimulants b) Cannabis c) Opiates d) None of the above |
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Definition
24. Which of the following is not a “natural opiate”? (Ch. 2, p.48) a) Opium b) Morphine c) Codeine d) Alcohol |
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Definition
25. Drugs that are in the opiate classification are created in which way? (Ch.2, p. 48) a) Harvested from the Opium/Poppy Plant b) Synthetically made c) Both A and B d) Only A |
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Definition
26. Which drug is the most potent? (Ch. 2, p. 51) a) PCP b) LSD c) Marijuana d) Methadone |
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Definition
27. What class of drug is becoming more of an issue for children and a big concern for parents, significant others and social workers? (Ch. 2, p. 53) a.) Opiates b.) Hallucinogens c.) Inhalants d.) Stimulants |
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Definition
28. Besides the appearance of intoxication, what is another way you can determine someone is abusing inhalants? (Ch. 2, p.53) a.) Giddiness b.) Smell of chemicals c.) Drug test d.) Psychotic behavior |
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Definition
29. What is the central component of understanding alcohol dependence syndrome? (Anton article, p. 165) a) Cravings b) Psychology c) Brain mechanisms d) Neurological mechanisms |
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b) Using alcohol cravings* |
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Definition
30. Cognitive psychology emphasizes the need for understanding, monitoring and ____________ as part of a structured alcoholism treatment approach. (Anton article, p. 165) a) How much money the client spends on alcohol b) Using alcohol cravings c) What family and friends say d) What type of alcohol the client consumes |
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Definition
31. Alcoholics Anonymous is just one type of treatment approach based on __________. (Anton article, p.168) a) Social networks b) The bottle down system c) The person-centered focus d) Systems theory |
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Term
c) Distract the client from craving and enhance his or her resistance mechanisms against the phenomenon by encouraging members to call their sponsors if they experience cravings* |
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Definition
32. Treatments approaches based on social networking attempt to: (Anton article, p. 168) a) Cognitively process expectations regarding the pleasant effects of alcohol and a person’s belief in his or her own ability to cope with the desire to drink. b) Identify specific triggers that cause individuals to become dependent. c) Distract the client from craving and enhance his or her resistance mechanisms against the phenomenon by encouraging members to call their sponsors if they experience cravings d) Link users with individuals via the internet that have been in recovery for a minimum of 2 years. |
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Definition
33. Addiction can be understood as a form of psychic retreat because _________. (Waska article, p. 59): a) Drugs provide a method of hiding from an unsafe object b) Drugs provide a way of disconnecting emotionally from an unsafe object c) Drugs provide an attempt for the user to free themselves from the pressure of an unsafe object d) All of the above |
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34. In both case one and case two, the drug provided a false sense of _________. (Waska article, p. 60) a) Safety b) Revenge c) Comfort d) All the above |
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35. The following drugs are in the benzodiazepine family EXCEPT: (p. 38) a) Valium b) Preludin c) Xanax d) Activan |
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36. At low doses, depressants produce the following physical effects EXCET: (p. 38) a) relaxation b) slurred speech c) disinhibition d) impaired impulse control |
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37. Chronic effects of alcohol abuse can include the following EXCEPT: (p. 39) a) loss of memory b) high blood pressure c) sleep deprivation d) fetal alcohol effect (FAE |
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38. The following are categorized as stimulants EXCEPT: (p. 40) a) nicotine b) cocaine c) Ritalin d) Librium |
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b) Drug effects are long lasting |
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39. The following facts describe cocaine EXCEPT: (p. 43) a) The experience of using cocaine mimics peak sexual experience b) Drug effects are long lasting c) Abusing cocaine can cause psychosis d) The unpleasant withdrawal (“crash”) can cause intense craving to return to the peak experience 40. Patients |
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40. Patients may become dependent on the following legally prescribed medications for pain management EXCEPT: a) Vicodin b) Preludin c) Demerol d) Morphine |
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41. Which two drugs are often used to treat alcohol withdrawal? (from presentation) a) Xanax and Preludin b) Activan and Risperdal c) Librium and Activan d) Haldol and Xanax |
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b) Cocaine withdrawal can be lethal |
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42. The following facts describe cocaine EXCEPT: (p. 43) a) Cocaine overdose can be lethal b) Cocaine withdrawal can be lethal c) Crack cocaine is often more powerful in its drug effects d) Freud used cocaine to treat opiate withdrawal |
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43. Which of the two categories of drug could cause lethal overdose but non-lethal withdrawal? a) alcohol and cocaine b) pot and opiate c) alcohol and pot d) cocaine and opiate |
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44. What is the drug often used to treat heroin dependence with the capability of toning down heroin high? (from guest presentation) a) Methadone b) Xanax c) Activan d) Haldol |
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a) The effects of meth does not last as long as cocaine |
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45. The following facts describe meth EXCEPT: (p. 41) a) The effects of meth does not last as long as cocaine b) Meth is often snorted c) Ice (a form of meth) is often smoked d) Meth is easier and cheaper to obtain than cocaine |
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1. Before a person will experience a drug's effect, the drug must get to the brain. (Ch. 2, p. 29) |
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2. How people react to drugs is unpredictable, even in controlled conditions. |
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3. In addition to the drug's pharmacological properties, people experience a drug based on genetic and biological factors, psychological characteristics and social influence. (Ch.2, p. 29) |
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4. Issues such as age, gender, culture, and user’s expectation about the drug play a role in its effect. (Ch. 2, p. 30) |
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5. Drug use is only related by individual factors, not social group influences. (Ch. 2 p. 31) |
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6. Drug use is often related to social group influences. (Ch. 2, p. 31) |
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7. People have developed drug tolerance when they need larger doses to produce an effect that was originally achieved with smaller doses |
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8. At similar weights, a male and female can drink the same amount of alcohol, and the male will likely be more intoxicated due to certain chemical differences. (Ch. 2, p. 31) |
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9. When people mix drugs from the same or similar categories, the drugs can interact to produce stronger effects. |
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10. Less potent drugs can be more dangerous because of the properties and amounts that people consume. (Ch. 2, p. 32) |
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11. Although LSD is the most potent drug, other drugs could pose greater dangers due to the properties and amounts people consume. (Ch. 2, p. 32) |
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12. Next to drinking and swallowing, inhaling and/or smoking drugs is the most common route of administration. (Ch. 2, p. 34) |
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11. Although LSD is the most potent drug, other drugs could pose greater dangers due to the properties and amounts people consume. (Ch. 2, p. 32) |
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12. Next to drinking and swallowing, inhaling and/or smoking drugs is the most common route of administration. Ch. 2, p. 34) |
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13. CNS depressants are the most commonly used drugs. (T) (Ch. 2, pg. 37) |
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14. Cocaine is an amphetamine (F) (Ch. 2, p.40) |
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15. The field of psychology and medicine sees addictions as a mix of external, physiological, and behavioral problems that need to be dealt with by behavioral, cognitive, or medication approaches. (Ch. 2, p. 44) |
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16. Despite the controversy surrounding its use, people do not become dependent on marijuana. (F) (p. 47) |
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17. People are most likely to become dependent on hallucinogens like all other drug categories. (p. 53) |
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18. Currently there is a way to measure cravings for substances accurately. (Anton article, p. 166) |
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19. All researchers and clinicians have an agreement on how to measure drug and alcohol cravings accurately. (Anton article, p. 166) |
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20. Two models for understanding alcohol cravings are conditioning and cognitive models. (Anton, p. 166) |
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21. Benzodiazepine is considered a stimulant. . p38 |
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22. There is no commonly agreed upon definition of the phenomenon or identification of the underlying causes for “cravings”. (Anton article, p. 166) |
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23. Researchers believe that neurotransmitter systems interact and play multiple roles in the generation and maintenance of cravings. (Anton article, p.170) |
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24. The faster a drug gets to the brain, the less intense is its effect. (p. 29). |
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25. Once a person has tried a drug, one can predict how s/he will react to the same drug next time. p. 29 |
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26. Assessing a client’s chosen route of administration for drug(s) often provides clues about the potential seriousness of the drug use. p. 35 |
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27. Substance abuse clients can put themselves in danger of relapse after drinking an over-the-counter cold medication containing alcohol. . p. 38 |
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28. Freud was a user and proponent of cocaine, using cocaine to treat a number of medical illnesses including morphine withdrawal, until he realized its addictive effects later. . p. 40 |
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29. Crack cocaine is a diluted form of cocaine, making it less potent when smoked. p. 41 |
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30. After a drinking binge, it is safer to sleep on an otherwise empty stomach to avoid the threat of asphyxiation. (p. 28) |
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31. The neuroadaptive model of craving proposes that different mechanisms lead to craving during early alcohol withdrawal and during later recovery. (Anton, p. 168). |
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32. Craving often emerges fully only when a person is prevented from access to alcohol/drugs or consciously attempts to quit alcohol/drugs use (Anton, p. 167). |
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33. Craving in different people likely originates from different memories and is triggered and acted on in diverse ways. It is, therefore, important to conduct a thorough assessment and individualize interventions for relapses. (Anton, p. 168). |
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34. Children with conduct disorder are at elevated risk for developing early onset alcoholism (Anton, p. 171) |
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35. Crank is usually the cheapest form of meth. It received the nickname “crank” because it was often smuggled in the crank cases of vehicles. |
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36. For alcoholic clients with brain dysfunctions, the main hope for achieving recovery for people who have reached the advanced stage of alcoholism is complete environmental control of access to alcoholic beverages for protracted periods of time. (Anton, p. 171) |
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37. Naltrexone is an anticraving medication. (Anton, p. 165) |
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38. The partner and family of an addict often play a significant role in the entire addictive cycle. It is therefore important to include them in the treatment if possible. (Waska article) |
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39. There is no known effective treatment for hallucinogens abuse. (guest presentation) |
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40. Psychosis from alcohol withdrawal is often not responsive to treatment with antipsychotic medications. Presentation |
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1. They specific theoretical approach you choose to use as a professional depends on which of the following (Ch. 3, p. 57) a) The graduate school you attend b) Your personal preference c) The agency you work at d) All of the above |
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b) Use a single approach or theory as if it was absolute “truth”* |
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Definition
2. Problems with specialization often occur when mental health professionals: (Ch. 3, p. 59) a) Try to use too many techniques at the same time b) Use a single approach or theory as if it was absolute “truth” c) Use a single approach that doesn’t have enough research yet d) Try to use their own approaches that they have made up |
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3. Elements of the ______ model are pervasive in the US in the form of substance abuse policy, laws, punishments, religious teachings and public opinion. (Ch. 3, p. 62) a) Community Model b) Moral Model c) Biological Model d) Social Learning Theory Model |
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a) Prohibition in the United States |
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Definition
5. The moral model was the foundation for the temperance movement that led to: (Ch. 3, p. 62) a) Prohibition in the United States b) Too much alcohol consumption in the United States c) Too much drug use in the United States d) State-level laws against alcohol and drug use in the United States |
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c) The moral model works with all cultures on the same level |
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Definition
6. Which is not a component of the moral model? (Ch. 3, p. 62) a) Abuse is caused by immoral decision making b) There are different levels of immorality in substance abuse c) The moral model works with all cultures on the same level d) Many religious groups push the moral model further to make connections with sinful behavior |
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7. Which model was the foundation for the temperance movement leading to national prohibition of alcohol consumption in 1919 and has strong elements of this perspective in place today? (Ch. 3, p. 62) a) Community Model b) Moral Model c) Social Learning Theory Model d) Biological Model |
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8. Which model of chemical dependency believes an individual chooses to abuse substances? (Ch. 3, p. 62) a) Biological model b) Social learning theory model c) Moral model d) Disease model |
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9. The Moral Model has been able to sustain validity for so long in American Society due to it's affiliation with which groups? (Ch.3, p. 63) a) Criminal Justice System b) Religious Settings c) Both A and B d) Only B |
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10. Which model suggests that substance abuse and/or chemical dependency flourishes where this is disintegration, disorder, oppression, and inequities at the local, state, or national/ global level? (Ch. 3, p. 66) a) Moral Model b) Community Model c) Biological Model d) Social Learning Theory Model |
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11. A community approach to substance abuse suggests that substance and/or chemical dependency flourishes where there is_____________ at the local, state, or national/global level. (Ch.3, p.66). a) Disintegration b) Disorder c) Inequities d) All the above |
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12. When looking at the community model, it suggested that areas and groups that suffer from ____________ have the highest risk for substance abuse. (Ch. 3, p. 66) a) Violence of oppression b) Discrimination c) Poverty & lack of opportunity d) All of the above |
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13. According to the ________ model chemical dependency stems from physiological or genetic characteristics. (Ch. 3, p. 68) a) Community Model b) Moral Model c) Biological Model d) Social Learning Model |
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14. Which of the below is not a general principal of social learning theory? (Ch. 3, p. 71): a) Vicarious learning b) Unconscious thought c) Reciprocal determinism d) Differential reinforcement |
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15. There are four general principles essential to understanding social learning theory: (Ch. 3, p. 71) a) Differential reinforcement b) Vicarious learning c) Cognitive processes d) All of the above |
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c) Social Learning Theory Model |
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Definition
16. Differential Reinforcement is an essential principle of: (Ch. 3, p. 71) a) Community Model b) Moral Model c) Social Learning Theory Model d) Cognitive-Behavioral Model |
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17. According to the social learning theory model, “modeling” is also known as (Ch. 3, p.72) a) Differential reinforcement b) Vicarious learning c) Cognitive process d) Reciprocal determinism |
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d) Cognitive-Behavioral model |
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18. Which treatment model focuses on changing people’s thought processes and behavior to exclude substance abuse? (Ch. 3, p. 74) a) Moral model b) Community model c) Social Learning model d) Cognitive-Behavioral model |
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19. In Cognitive -behavioral theory what must people respond in life events? (Ch. 3, p. 74) a) Cognitive responses b) Affective responses c) Motivational responses d) All the above * |
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Definition
19. In Cognitive -behavioral theory what must people respond in life events? (Ch. 3, p. 74) a) Cognitive responses b) Affective responses c) Motivational responses d) All the above |
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20. Which model has contributed to many of the derogatory and stereotypical social labels used to characterize substance abusers? (Ch. 3) a) Social Learning Modelb) Community Model c) Biological Model d) Moral Model |
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21. The Cognitive-Behavioral Model is based on the assumption that __________________ are learned behavior that influences which emotions will be experienced and the intensity of these emotions. a) Thoughts b) Beliefs c) Perceptual biases d) All of the above |
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d) Cognitive-Behavioral Model |
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22. Which model believes that addictive behavior represents a pattern of maladaptive coping behaviors? (Ch. 3, p. 75) a) Disease Model b) Biological Model c) Community Model d) Cognitive-Behavioral Model |
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23. Which model believes "chemical dependency has a physical beginning, stemming largely from the physiological or genetic characteristics of an individual"? (p. 68). a. moral model b. community model c. social learning model d. biological model |
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25. In substance abuse treatment, the focus on stress, learned behavior, modeling, cognitive processes and coping mechanisms originated with _____________________ theories. (Ch. 3) a) Biological model b) Cognitive-behavioral model c) Social learning d) All of the above |
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a) Motivational Interviewing* |
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Definition
26. Which of the following substance abuse practice models were NOT discussed in the textbook? (Ch. 3) a) Motivational Interviewing b) Biological c) Cognitive Behavioral d) Moral |
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27. What model is also the primary paradigm for treating other forms of addictive behaviors (such as gambling, sex, and overeating)? (Ch. 3, p. 76) a) Community Model b) Disease Model c) Moral Model d) Cognitive-behavioral Model |
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28. While not more or less correct than other leading theories, the _____________ model is the most commonly held theory in substance abuse practice. (Ch. 3, p. 76 / 84) a) Disease b) Cognitive-Behavioral c) Biological d) Social Learning Theory |
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31. The ___________________ model of chemical dependency states that addiction is a biological, psychological, and spiritual disease that is incurable and progressive. (Ch. 3, p. 78). a) Biopsychosocial b) Cognitive-Behavioral c) Disease d) Moral |
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32. Proponent of the disease model claim that addiction is__________________ (Ch. 3, p. 79) a) Biological, psychological, and spiritual disease. b) Incurable and progressive c) Only A d) A & B |
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33. According to the book, Toneatto et al. found that approximately ________ of drinkers progress through all of the stages of alcohol. (Ch. 3, p. 81) a) 10-15% b) 25-30% c) 40-50% d) 75-80% |
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34. Gateway drug(s) are known as drugs that people normally use first, often as young people. Name the drug or drugs considered to be Gateway drug(s). (Ch. 3, p. 82) a) Marijuana b) Alcohol c) Tobacco d) All of the above* |
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35. The ________ approach is holistic, biopsychosocial in its understanding of the person-inthe- environment and the environment-in-the-person. (Ch. 3, p. 85) a) Systems b) Ecological c) Social learning d) Cognitive-behavioral |
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36. When completing a comprehensive, multisystematic substance abuse assessment, which of the following dimensions should be included: (Ch.3, p. 86) a)Biological and psychological b) Religious and spiritual c) Social and environmental d) All of the above |
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b) Psychological Dimension * |
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Definition
37. Which dimension of the Multi- Systemic Framework for Substance Abuse Practice involves a working knowledge about how elements of the psychological dimension are involved in addictive behavior and how addictive behavior affects the psychology of the client? (Ch. 3, p. 87) a) Biological Dimension b) Psychological Dimension c) Family Dimension d) Social/ Environmental Dimension |
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38. Which models provide keys to understanding the role of the social, political and economic environment in an individual's addictive behavior? (Ch. 3, p. 89) a) Cognitive-behavioral theories b) Communities models c) A and B d) None of the above |
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39. What are the 6 dimensions in a multi-systematic substance abuse assessment? (Ch. 3, p. 90) a) Biological, psychological b) Family, religious c) Social, macro d) All of the above |
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40. What approach to substance abuse practice provides a unifying framework for working with individuals and families experiencing substance abuse problems? (Ch. 3, p. 91) a) Systems b) Ecological c) Social learning d) Multi-systemic |
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41. To explain drinking and its negative consequences as part of the result of a "disease" is not considered humane because ... (Douglas, D. B. article, p. 118): a) It removes accountability b) It removes volition c) It demonstrates loss of control d) All of the above |
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1. There is a treatment model that works best for substance abuse. (Ch. 3, p. 57) |
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Definition
2. While eclecticism is a noble goal, it is easy to find a common thread of consistency. (Ch. 3, p. 60) |
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3. Eclecticism is the view that "we should adopt whatever theories or methodologies are useful in inquiry no matter what their source and without worry about their consistency." (p. 59) |
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Definition
4. The Disease model explains how social and personal competencies develop from the social context in which learning occurs. (Ch. 3) |
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Definition
5. The Cognitive Behavioral Model works best for all people, all the time. (Ch. 3) |
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Definition
7. Proponents of the moral model believe that substance abuse and chemical dependency are best explained in terms of macro and mezzo influences on individuals and families. (Ch. 3, p. 62) |
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Definition
8. The moral model assumes that chemically dependency is caused by "poor" decision making. (Ch. 3, p. 62). |
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Definition
9. Many Religious groups take the moral model further, believing that substance use and abuse is sinful. (Ch. 3, p. 63) |
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Definition
10. Clinical research has uncovered no biochemical or genetic difference that inevitably produces addiction. (Ch. 3, p. 70) |
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Definition
11. Individuals with a genetic predisposition for addiction will become addicted to a substance regardless of environmental factors. (Ch. 3, p. 70) |
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12. Approximately 50 years of research has shown that exposure to dysfunction in early childhood in combination with specific inherited traits results in an individual with an Addictive Personality. (p. 70). |
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13. Some have suggested that addiction rests on a foundation of 30% genetic and 70% environmental factors. (Ch. 3, p.70) |
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14. Those who abuse substances develop a set of addictive core beliefs, such as "I am helpless" or "I need drugs to feel better". This is related to the Disease model. (Ch. 3, p. 75) |
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Definition
15. The cognitive-behavioral model of chemical dependency provides the framework for Alcoholics Anonymous. (Ch. 3, p. 76) |
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Definition
16. “Gateway drugs” refer to the drugs people normally use first, often as young people – alcohol, tobacco, and marijuana. (Ch. 3, p. 82) |
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Definition
17. There is specific and direct evidence showing that addicts always lose control when using substances. (Ch. 3, p. 83) |
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Definition
18. Multi-systemic practice neither accepts any one model fully, nor disregards a model entirely if there is potential for helping a client in a way that is compatible with professional social work values and ethics. (Ch. 3, p. 86) |
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19. Proponents of the disease model believe that chemical dependency is a disease that is caused by, and is the cause of, spiritual and moral bankruptcy among the people it affects. (Ch. 3, p. 88) |
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Definition
20. Community models provide keys to understanding the role of the social, political and economic environment in an individual's addictive behavior. (Ch. 3, p. 89) |
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Definition
21. Some treatment approaches are effective to all people at all times. p. 59 |
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Definition
22. One of the problems about being an “eclectic” practitioner is inconsistency in the therapeutic approach. p. 59 |
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Definition
23. All substance-abusing clients should be referred to a thorough physical examination by a physician to assess the effects of drug use, as well as neglect of nutrition and preventive health care. p. 87 |
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Definition
24. Religious beliefs are personal and private. They are irrelevant to substance abuse assessment or treatment. p. 89. |
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Definition
25. The attachment model suggests the use of the therapist as an attachment figure in the treatment process. |
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Definition
26. The attachment theory can be used to describe the relationship between the addict and his/her substances of choice. |
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Definition
27. The psychodynamic approach is neither relevant nor useful to substance abuse treatment because its theoretical underpinning is out of date. |
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Term
c) To create a situation where clients can respond, discuss and reflect in a dialogue about their lives* |
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Definition
1. What is the goal of client engagement? (Ch. 4, p. 94) a) To create a situation where the client is physically comfortable b) To create a situation where the client isn’t tired c) To create a situation where clients can respond, discuss and reflect in a dialogue about their lives d) To create a situation where clients can have fun |
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Definition
2. Cultural competence begins with learning about different (Johnson, Chapter 4, p. 105) a) Cultures b) Races c) Structural mechanisms of oppression d) All of the above |
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Definition
3. Which of the below is not a common contributor to feelings of hopelessness? (Ch. 4, p. 109): a) Self-defeating self-talk b) General sense of negativity c) Arrogance d) Distorted thinking |
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4. Denial can best be described as_______(p. 115). a) A persistent and pervasive personal defense system. b) Neither pathological in a clinical sense nor reserved exclusively for those who are chemically dependent. c) A way for clients to assert their personal freedom- Normal response based on normal psychological principles. d) All of the Above |
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b) Denial, minimization, rationalization and projection |
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Definition
5. What does the book state in Chapter 4 are special issues involved in engaging substance abuse clients? (Ch.4, p. 115-117) a) Denial, isolation, risk taking and prioritization b) Denial, minimization, rationalization and projection c) Reality testing, idealization, coping mechanisms, and transference d) Empathy, confidentiality, inducing hope, and empowering client change |
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6. This is a psychological defense mechanism comprising at least 3 characteristics: minimization, rationalization, and projection. (Ch. 4, p.116) a) Sight Interpretation b) Relapse c) Denial d) Contemplation |
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b) When substance abusers blames others than themselves* |
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Definition
7. What is "projecting" for a person with substance abuse issues? (p. 117) a) When substance abusers blames themselves b) When substance abusers blames others than themselves c) When substance abusers give excuses for their substance abuse d) None of the above |
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b) Aggressive and antisocial |
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Definition
8. Projection is widely used among what types of clients? (Ch.4, p. 117) a) Remorseful and guilt ridden b) Aggressive and antisocial c) Determined d) Reluctant |
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Definition
9. What is the term used as important component of denial and can be a barrier to the assessment and treatment process. Some examples are “everybody does it” and “I have to stay drunk to live with my husband” (Ch. 4, p 117): A) Protrusion B) Minimization C) Rationalization D) Projection |
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10. What is the first stage of change (p. 118) a) Contemplation b) Determination c) Pre-contemplation d) Relapse |
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11. Which is not a part of the transtheorectical modal (stages of change)? (Ch.4, p.118-121) a) Pre-contemplation b) Prevention c) Maintenance d) Contemplation |
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Definition
12. Substance abusing clients who present with classic denial, and are labeled as resistant or unmotivated would likely fit into which stage of the Transtheoretical Model? (Ch. 4, p. 118) a) Relapse b) Pre-contemplation c) Contemplation d) Action |
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c) Maintenance and Relapse |
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Definition
13. According to the transtheoretical model there are six levels of motivations or stages of change that can be identified during substance abuse practice. The levels of motivation /stages of change are precontemplation, contemplations, determination, action, ________ and ________. (Ch. 4, p. 118)a) Fluid and Meaning b) Addiction and Treatment c) Maintenance and Relapse d) Denial and Discussion |
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14. Which of the six stages of change is characterized by ambivalence? (Johnson, Chapter 4, p.119) a) Contemplation b) Pre-contemplation c) Relapse d) Action |
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15. What stage might you see a client returning for assistance or reinforcement of their sobriety? (Ch. 4, p. 121) a) Action b) Maintenance c) Relapse d) Both B and C |
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16. Which technique is used to engage clients who exhibit personal denial? (Ch. 4, p. 122) a) Indirect confrontation b) Nothing - ignore it c) Dyads d) Direct confrontation |
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17. Substance abuse counselors often make the mistake of overusing____ with clients? (p. 123) a) Confrontation b) Homework assignments c) Meditation d) Active listening |
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1. The key to an engaged relationship with the client is a trusting, but closed relationship (Ch. 4 p 93) |
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2. The goal of client engagement in substance abuse practice is to create a situation in which clients feel free to respond, discuss, and question their lives and personal history. (Ch. 4 p. 94) |
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2. The goal of client engagement in substance abuse practice is to create a situation in which clients feel free to respond, discuss, and question their lives and personal history. (Ch. 4 p. 94) |
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3. Mental health professionals can and should remain completely unbiased toward clients who are culturally different than themselves. (Ch 4., p. 101) |
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F * It’s “cultural competence”, not strength’s perspective. |
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4. Strength’s Perspective is a perspective that focuses on the strengths and abilities of all people to contribute to society. Ch. 4, p. 105) |
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5. Being an effective clinician lies in the personal qualities that you genuinely exhibit in the human relationships. (Ch. 4, p.105) |
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6. Clients with substance abuse are in the precontemplation stage if they are already in treatment. (p. 118) |
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7. People who fit into the category of rebellious precontemplation genuinely do not understand that they have a problem or even need to consider changing. (Ch. 4, p. 118) |
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8. During the contemplation stage of motivation, clients will give several reasons why they should change, but do not. (Ch. 4, p.119) |
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9. Individuals with a history of trauma may be more likely to use substances to manage or cope with distressing symptoms. |
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10. In substance abuse treatment, relapse is a common and normal occurrence. (p.121) |
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11. A client’s level of motivation should be identified throughout substance abuse treatment NOT just in the assessment stage. (Ch. 4, p.121) |
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12. Those who treat substance abuse in the United States often use indirect and gentle confrontation in attempting to overcome denial (Ch. 4, pg. 122). |
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13. Research has shown that in severe cases of denial that harsh confrontation is helpful (Chapter 4. p.123). |
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1. What is included in the definition of family? (Ch. 5, p. 130) a) Nuclear b) Extended c) Single-family d) All of the above |
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2. Family members can assist in the treatment process of a client by: (Ch. 5, p. 130) a) Increasing the client’s awareness of the problem b) Facilitating treatment entry for the client c) Encouraging & supporting the client’s behavioral change d) All of the above |
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b) Between family members |
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3. When assessing roles in a family context it is import to look within and (Ch. 5, p. 131) a) Outside family members b) Between family members c) Inside family members d) None of the above |
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4. Many addicts have been once viewed as ________? (Ch. 5, p. 131) a) Weak-willed b) Prone to poor decision making c) Products of "bad seeds" d) All of the above |
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5. The Alcoholics Anonymous began using the disease concept as the foundation of its twelve step program in what year? (Ch. 5, p. 131) a) 1910 b) 2009 c) 1935 d) 1955 |
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6. A subsystem within a family is made up of _________? (Ch. 5, p. 133) a) Individual family members b) Dyads (couples) c) Larger groups (two or more) d) All of the above |
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7. What are boundaries? (Ch. 5, p.134) a) Invisible barriers that surround subsystems. b) Regulates the amount of contact with others. c) Serves to protect the separateness and autonomy of the family d) All of the above * |
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8. _________ boundaries represent overly close families where lines between subsystems are often blurred or nonexistent (Ch. 5, p. 134): a) Linked b) Enmeshed c) Dispersed d) Disengaged |
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9. The _______ boundary permits little or no contact with other subsystems in the family. (Ch. 5, p. 134) a) Disengaged b) Enmeshed c) Blurred d) Triangular |
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10. The ability of families to draw upon strengths, resources, relationships, and support when necessary in order to overcome or adjust to threats of their integrity is called: (Ch. 5, p. 138). a) Resilience b) Stamina c) Flexibility d) Toughness |
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11. How individual families manage, cope, or thrive during periods of dysfunction is described as? (Ch. 5, p. 138) a) Family function b) Family dysfunction c) Family resilience d) How families adapt to chemical dependence |
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12. Which of the following is true in regard to family resilience? (Ch. 5, p.138) a) It can be described as the ability of families (or individuals) to draw upon strengths, resources, relationships, and support when necessary in order to overcome or adjust to threats to their integrity. b) Even chaotic, disorganized, abusive, a multiproblem families have resources such as intimacy, support, and personal and/or collective family meaning. c) It is a developmental process d) All of the above |
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13. Chemically dependent families are often characterized by problems other than an overwhelming systematic drive for stability. These problems typically include: (Ch. 5, p. 139) a) High degree of conflict b) Unpredictability c) Chaos d) All of the above |
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14. What is a basic theme of chemically dependent families? (Ch. 5, p.140). a) Having significant boundary and hierarchy problems b) Becoming stuck in developmental stages of the family life cycle c) Experiences of high levels of shame, grief, stress, and guilt d) All of the above |
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15. Children from chemically dependent families are at increased risk for adjustment problems, including: (Ch.5, p. 140) a) Poor school performance b) Criminal involvement c) Depression d) All of the above |
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16. This person continues to manage the family while ignoring or denying the troubles caused by chemical dependency. They ensure that the family remains stable, together & functioning.(Ch.5, p. 142) a) Hero b) Family scapegoat c) Chief enabler d) Chemically dependent person |
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17. The role that is responsible for family stability is: (Ch. 5, p. 142) a) Hero b) Family Scapegoat c) Chief Enabler d) Family Mascot |
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c) Family Scapegoat d) The Chemically Dependent Person |
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18. According to Black (1981), this family survival role lives in a world where the system imposes three rules: do not talk, trust, or feel. (Ch. 5, p. 142) a) The Hero b) The Chief Enabler c) Family Scapegoat d) The Chemically Dependent Person |
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19. Regarding family survivor roles, the ___________ is usually the first child, who often high-achieving and industrious, seeking the approval of others (Ch. 5, p. 142-143). a) Chief Enabler b) Hero c) Family Mascot d) Primary Enabler |
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20. Which of the following family survival roles describes the person who “rebels” and distract attention from the real troubles in the family? (Ch. 5, p. 143) a) Chemically dependent person b) Hero c) Family scapegoat d) Chief enabler |
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21. Which "family survival role" does the book mention social workers are closely related to? (Ch.5, p. 143) a) Chemically dependent person b) Hero c) Chief enabler d) Family mascot |
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b) Good decision making skills |
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22. Which of the below is not an issue that the "lost child" family survival role may have? (Chapter 5, page 144): a) Sexual identity problems b) Good decision making skills c) Little zest for life d) Few friends |
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23. The _________ of the family is always clowning, making jokes, and pulling pranks. (Ch. 5, p. 144). a) Lost child b) Family scapegoat c) Family mascot d) Chief enabler |
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23. The _________ of the family is always clowning, making jokes, and pulling pranks. (Ch. 5, p. 144). a) Lost child b) Family scapegoat c) Family mascot* d) Chief enabler |
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24. Common effects of parental substance abuse on older children include? (p.150) a) Emotional abuse b) Sexual abuse c) Domestic violence d) All of the above |
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25. Children who grow up in a chemically dependent family are reported to have a higher prevalence of all of these except: (Ch. 5, p. 151) a) Wealth b) Mental and behavioral disorders c) Family problems d) Becoming an addict themselves |
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26. Families that have chemical dependents in it, tend to favor ______________ over everything else: a) Long term stability b) Resilience c) Periods of functionality d) Short term stability |
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b) Families with school-age children |
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27. What is the stage of the family life cycle that the family has the role of fitting into the community of school-age families and encouraging children’s educational achievement? a) Married couples without children b) Families with school-age children c) Families with teenagers (oldest child 13 to 20 years) |
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b) Families with school-age children |
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27. What is the stage of the family life cycle that the family has the role of fitting into the community of school-age families and encouraging children’s educational achievement? a) Married couples without children b) Families with school-age children c) Families with teenagers (oldest child 13 to 20 years) d) Families launching young adults (first child gone to last child’s leaving) |
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b) Middle-aged parents (empty nest to retirement) |
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28. Which of the below is the Family Life Cycle Stage that matches the developmental task of "rebuilding the marriage and maintaining kin ties between generations"? (Chapter 5, p. 146): a) Married couples without children b) Middle-aged parents (empty nest to retirement) c) Families with teenagers (oldest child 13-20 years) d) Aging family members (retirement to death of spouse and beyond) |
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29. Children from alcoholic families experience difficulties __________. (Crespi & Rueckert article, p. 36) a) Developing flexibility in adult roles b) Negotiating boundaries c) Close relationships with others. d) All the above |
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30. Children in an alcoholic family are at risk developing: (Crespi & Rueckert article, p. 37) a) Behavior disorders b) Conduct disorders c) Learning disorders d) All of the above |
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31. Children from alcoholic families’ experience a variety of problems, of which include: (Crespi & Rueckert article, p. 41-42) a) Deficits in problem-solving b) Problems with professional and personal relationships c) Inflexibility on handling adult roles d) All of the above |
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1. It is estimated that first-generation children of alcoholics are seven times more likely to develop alcoholism, with the risk being particularly high for the sons of alcoholics. (Ch.5, p. 129) |
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2. Unofficial estimates suggest that one-third of all families in the U.S. are affected by chemical dependency and that one out of seven adult Americans has at least one chemically dependent parents. Ch. 5, p. 129) |
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3. Despite the problems that substance-abusing or chemically dependent family members generate, they usually maintain frequent and ongoing contact withparents, siblings, and significant others, regardless of their age or marital status. (Ch. 5, p.129) |
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4. The term ‘family’ includes only the definition of a nuclear family? (Ch. 5, p. 130) |
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5. Each individual is considered a subsystem of a family? (Ch. 5, p. 133) |
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6. When working with a substance-abusing family, it is not important to know how the family has changed to accommodate the substance-abusing member. (Ch. 5, p. 137) |
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7. Resilience can be described as the ability of families (or individuals) to draw upon strengths, resources, relationships, and support when necessary in order to overcome or adjust to threats to their integrity. (Ch. 5, p. 138) |
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8. The types of family structure have an impact on drug use. (Ch. 5, p. 144) |
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9. Developmental tasks for families with preschool children include releasing young adults with appropriate rituals and assistance and maintaining a supportive home base. (Ch. 5, p. 146) |
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10. Regarding families affected by substance abuse, shame often accompanies codependency (Ch. 5, p. 149). |
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11. Sexual abuse of minor children is very uncommon in chemically dependent families. (p. 150) |
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12. In a review of 38 controlled studies of marital & family therapy in alcoholism treatment, even when an alcoholic is unwilling to seek assistance, these therapies are effective in improving relationship functioning. (Crespi & Rueckert, 2006, p. 34) |
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13. Children from alcoholic families experience difficulties developing flexibility in adult roles and in negotiating boundaries and close relationships with others. (Crespi & Rueckert article, p. 36) |
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14. According to Crespi and Rueckert (2006, p. 37), in alcoholic families, detachment causes angry feelings and resentment to be carried over sometimes into adult relationships? |
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15. According to Crespi & Rueckert additional training or specialization in substance use issues in counseling can be invaluable (Crespi & Rueckert article, p.42) |
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b) Controlled social drinking |
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1. Which of the following is not a basic tenet of support groups such as AA and NA? (Ch. 9, p. 257) a) Powerlessness b) Controlled social drinking c) Lifetime abstinence d) Disease model |
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d) For educational purposes* |
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2. Which of the below is not a reason to send a client to a 12-Step program? (Ch. 9, p. 257): a) To gain a minimum foundation of abstinence before starting more intensive treatment b) To help a client who needs support but is not ready for seeking professional help c) To show a client community support regarding their addiction d) For educational purposes |
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a.) A group of substance abuse counselors in Detroit. b.) Two members of the Oxford Group (a Christian businessmen's group)* |
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3. Alcoholics Anonymous was founded in 1935 by ___________ (Ch. 9, p. 258) a.) A group of substance abuse counselors in Detroit. b.) Two members of the Oxford Group (a Christian businessmen's group) c.) MADD d.) The Betty Ford Center |
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4. This is designed to be empowering and help to overcome denial on a daily basis and introduce public accountability. (Ch. 9, p. 258) a) Johnson model of intervention b) Presenting reality c) Empathy d) Self-labeling |
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5. Which steps in the 12 step process are summarized as, "I can't, God can, I think I'll let Him (or Her)." (Ch. 9, p. 258) a) Steps 1, 2, 3 b) Steps 4, 5, 6 c) Steps 7, 8, 9 d) Steps 10, 11, 12 |
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d) We admitted that we were powerless over alcohol- that our lives had become unmanageable.* |
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6. Step 1 in the 12 steps of AA is? (Ch. 9, p. 259) a) Made direct amends to such people wherever possible. b) Humbly asked Him to remove our shortcomings c) Made a searching and fearless moral inventory of ourselves d) We admitted that we were powerless over alcohol- that our lives had become unmanageable.* |
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7. Which steps address confronting and overcoming many personal issues, or 'defects of character'? (Ch. 9, p. 259) a) Steps 1-3 b) Steps 4-9 c) Steps 9-12 d) Both B and C |
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8. Which of the following is not a step in the 12-step process? (Ch. 9, p. 259) a) Humbly ask Him to remove our shortcomings. b) Came to believe that Power greater than ourselves could restore us to sanity. c) Carry the message d) Conduct a meeting |
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b) Taking a moral inventory and eliminating personal character flaws* |
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9. Steps 4-9 of the AA/NA model focus on (Ch. 9, p. 259) a) Avoiding alcohol / substances at all costs b) Taking a moral inventory and eliminating personal character flaws c) Reaching out to others in need d) Building a meaningful support network |
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10. Which is not a part of the 12 step program? (Ch. 9, p. 259) a) Make amends b) Admit powerlessness over addiction c) Make a list of those you have wronged d) Go to church |
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11. The final three steps demand that individuals do what? (Ch. 9, p. 259) a) Build on the foundation of change established earlier by continuing to confront daily shortcomings b) Taking steps to change issues that arise throughout the recovery process c) Grow spiritually as a function of their recovery d) All of the above |
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b) Personal acceptance of one's problem & Recognition of personal limitations* |
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12. The 12 Steps are broken down into 3 segments for theme. What is the theme of the first 3 steps? (Ch. 9, p. 259) a) Remembrance & Restitution b) Personal acceptance of one's problem & Recognition of personal limitations c) Carry the message forward d) Spiritual Awakening |
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13. These set of steps “demand that individuals build on the foundation of change established earlier bycontinuing to confront daily shortcomings and taking steps to change issues that arise throughout the recovery process” (Ch. 9, p. 259): a) Steps 1-3 b) Steps 4-9 c) Steps 10-12 d) All 12 steps |
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14. Besides the 12 steps, what else is the “core” of the AA model? (Ch. 9, p. 260) a) Sponsorship b) The Big Book c) Philosophy d) Spirituality |
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15. Which of the following statements is true in regard to spirituality and the AA program? (Ch. 9, p. 260) a) There is a high priority on spiritual growth. b) Next to the 12 steps, it is the core of the AA model c) AA makes a distinction between spirituality and religion d) All of the above |
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16. In order to be a sponsor you must: (Ch. 9, p. 261) a) Successfully complete the 12 step program b) Acquire several years of sobriety c) Maintain boundaries d) All of the above |
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a) They threaten sobriety to those they sponsor |
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17. Which of the following statement is NOT true about sponsors? (Ch. 9, p. 261) a) They threaten sobriety to those they sponsor b) They have successfully worked through the steps of AA. c) They have acquired several years of sobriety. d) They cannot take responsibility for other’s recovery. |
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d) Matching the sex of the sponsor is not an important aspect to consider |
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18. Which of the following statements is NOT true in regard to sponsorship? (Ch. 9, p. 262) a) In essence, an expression of step 12 where members are asked to "carry the message". b) It is often overlooked by new members and professional helpers c) Typically, they are members who have reached the stage in their recovery where they can maintain boundaries and provide competent assistance to a new member d) Matching the sex of the sponsor is not an important aspect to consider |
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a) A white middle class male |
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19. The steps were formulated in the 1930’s by? (Ch. 9, p. 263) a) A white middle class male b) A black upper class woman c) A Chinese middle class man d) A white lower class Hispanic woman |
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20. The idea of becoming powerless to the disease can be problematic for which group of people? (Ch. 9, p. 263) a) Women b) Men c) Minorities d) A and C |
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a) His last time in the hospital due to drinking and being told he showed signs of DT’s * |
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21. What experience (with Bill) created steps 1 and 2 of the 12 steps? (AA Big Book, p. 13) a) His last time in the hospital due to drinking and being told he showed signs of DT’s b) His willingness to express his problems and deficiencies to his friend c) His wife leaving him d) None of the above |
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22. Alcoholics will do _________ things while drinking. (AA Big Book, p. 21) a) Absurd b) Tragic c) Incredible d) All the above |
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23. According to the Big Book, A real alcoholic may……..(AA Big Book, p. 21) a) Start off as a moderate drinker b) May or may not continue as a hard drinker c) At some point lose all control of his liquor consumption d) All the above |
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24. According to AA, for an alcoholic to have an effective mental defense, it must come from... (AA Big Book, p. 43) a) Sponsor b) Higher Power c) Experience d) Knowledge |
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25. Participation in Alcohol Anonymous meetings changes members’ _________. (Humphreys article, p. 93) a) Values b) Sense of identity c) Spiritual outlook d) All the above |
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26. Major Goals of Twelve Step Facilitation (TSF) therapy include: (Humphreys article, p. 94) a) Acceptanceb) Relapse c) Surrender d) Both a and c |
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27. What is the major factor that has led to clinicians increased interest in 12 step help groups in treatment of substance abuse. (Humphreys article, p. 94) a) AA effectiveness b) Managed Care c) Cost effectiveness d) Spiritual outlook |
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c) TSF (Twelve Step Facilitation) |
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28. In the longitudinal study on effectiveness of therapy types on AA, which treatment was more effect than the others in promoting abstinence? (Humphreys article, p. 95): a) CB b) MET c) TSF (Twelve Step Facilitation) d) EMDR |
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1. The ONLY time it is appropriate to refer clients to twelve step groups is if they are also attending individual or family treatment. (Ch. 9, p. 257) |
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2. The first three steps help people accept the existence of substance abuse problems and surrender to the reality that their addiction is beyond personal control. (Ch. 9, p. 258) |
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3. AA is a direct extension of the political and religious beliefs that fueled the temperance movement. (Ch. 9, p. 258) |
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4. After identifying the issues and stating each publicly, individuals are expected to “make amends” for their actions, unless doing so would cause harm to self or others. (Ch. 9, p. 259) |
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5. God is not really mentioned in AA (Ch. 9, p. 259) |
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6. The AA program places a high priority on spiritual growth and on the spiritual issues and problems experienced by many chemically dependent persons. (Ch. 9, p. 260) |
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7. Research studies have shown that regular attendance in programs such as AA and NA is the single most effective component of a person's recovery . (Ch. 9, p. 262) |
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8. While many substance abuse professionals believe that regular attendance at AA or other twelvestep support groups is the single most effective component of a person’s recovery, formal outcome studies have, on the whole, failed to bear this out. (Ch. 9, p. 262) |
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9. Twelve-step support groups are not equally effective for all people. (Ch. 9, p. 263) |
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10. Alcoholics Anonymous views alcoholism as an illness. (AA BIG Book, p.18) |
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11. According to AA, no real alcoholic ever recovers control over alcohol. (AA Big Book, p. 30) |
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12. According to AA, you are an alcoholic when you honestly want to quit, you cannot quit entirely, or if when drinking, you have little control over the amount you take. (AA Big Book, p. 44) |
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13. Part of the twelve steps is to make direct amends to all people that the alcoholic has harmed even when it may cause injury. (AA Big Book, p. 59) |
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14. Resentment is the number one offender that destroys more alcoholics than anything else. (AA Big Book, p. 64) |
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15. Due to reductions of professional addiction treatment services by managed care, clinicians have begun to see the importance of patient involvement in self-help groups in achieving and maintaining sobriety. (Humphreys article, p. 94) |
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16. According to 12 step facilitation interventions alcohol dependence is a disease with spiritual, emotional and physical components. (Humphreys article, p. 95 |
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17. According to Humphreys, combining CB treatments with AA/NA affiliation may be more helpful to patients than combining 12-step treatment with AA/NA affiliation. (Humphreys article, p. 96) |
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18. To be a sponsor for AA you do not have to make it through all 12 steps, just be in AA for several years. (Ch. 9, p. 261) |
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Name street terms for:
LSD |
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