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153 Cards in this Set

  • Front
  • Back

If an individual has no focus or purpose in life and fills the emptiness with drugs and alcohol, what us the model that best explains their abuse?

Spiritual Model

Substance use is considered to be a weakness of character, evidence of sin or "character flaw". This is the premises of which model?

Moral model


_____ theory indicates that drug use is initiated by environmental stressor or by modeling others, then is reinforced by the immediate effects of the drug or the reinforcement of use by role model

Social Learning Model

In 1965, the American Medical Association voted to accept alcoholisk, not as a moral failing by the individual, but as a disease state that expressed itself through habitual heavy use that fell within the purview of medicine. T/F?

True

My wife is such a bitch and she burned dinner again. No wonder I drink it's all because of her.

Projection

I can stop drinking anytime I want

Rationalization

I am so angry with my boss. If I had a different job, u wouldn't need to drink.

Projection

Which drug was commonly used in WWII to fight fatigue and allow military personnel to fight longer?

Amphetamine

The ______ model integrates elements of all of the models.

Biopsycosocial Model

The ________ model explains addiction ad a consequence of "personal choice"

Moral Model

According to the text, body image refers to an individuals personal relationship with their body. T/F?

True

Body Image Disturbance (BID) is strongly associated with all of the eating disorders. T/F?

True

There is no screening and assessment instrument that have been developed to use for someone with a gambling problem. T/F?

False

1. A cornerstone of Jellinek’s model is that theindividual “lacks willpower”.



T/F?

True

Thereis an emerging body of evidence suggesting that individuals with strongspiritual beliefs are less likely to becomeaddicted to a chemical, will live longer, and are more likely to recover shouldthey develop a SUD. T/F?

True

1. _____________________ theory (Partof the PsychoEducational Model) indicates that Substance Abuse is secondary tosome other problem. The primary issue causes emotional pain andsubstance abuse is the self medication.


Psychological

1. How do socio-cultural influences impact an individuals’substance abuse? Click all of the correct answers for thisquestion. (There may be more than one.)


An individual learns torecognize the effects of the compound; they must interpret the effects asdesirable.



An individual must learnthat use of a given compound is socially acceptable


1. I don't drink as much as Charlie. He drinks two sixpacks every night. I only drink one- he's the one with the problem.


Minimization


1. The problems that I am having with my liver can't haveanything to do with my drinking. My doctor is crazy telling me that Ihave to lay off the beer.


Denial


1. My wife is such a bitch and she burned dinneragain. No wonder I drink- it's all because of her.


Projection


"Ican stop drinking anytime I want."
Rationalization

1. I am so angry with my boss. If I had a differentjob, I wouldn't need to drink.


Projection


1. Under Federal law, Marijuana is a Controlled Substance in thesame category as Heroin. What is the Category?


Category 1


1. Which drug was commonly used in World War II to fightfatigue and to allow military personnel to fight longer?


Amphetamines


1. The Club Drug MDMA is strictly a hallucinogenic.


T/F?

False


What opiod is commonly used to treatment Heroin addiction?

Methadone


1. Oxycontin was rated the #1 cause of accidental death inFlorida in 2010.


T/F?

True


1. This type of drug is commonly used to treat symptoms of ADHD.


Amphetamines


1. Which drug is made from ergot and may have been the cause ofthe Salem Witch trials? Timothy Leary was a Harvard professor whopromoted it's use during the 60's.


LSD


1. Match the characteristics with the appropriate Drug or Classof Drugs



- Most commonform of alcohol-containing beverage in the US


- A stimulantused by pilots to stay awake on long flights during WWII


- DepressantUsed as sleep aids and to control seizures


- Commonlyused to treat anxiety, depression, & panic attacks


- Mostcommonly used Club Drug


- Form ofCocaine used for Smoking; named for the sound it makes


- Derived froma plant primarily grown in the high Andes mountain region of South America andonce found as an ingredient in Coca Cola


- Mostcommonly abused illicit substance on the Planet


- ActiveIngredient in Marijuana


- Hallucinogenicderived from a small spineless cactus; used by Native Americans in religiousceremony


- Hallucinogenicfound in mushrooms


- CommonHousehold chemicals that are sniffed or "huffed"


- Higlyaddictive; rots the teeth, sometimes with 30 days of first use


- Family ofDrugs derived from the Poppy Plant


- Form ofMethamphetamine prepared for smoking


- Used totreat Heroin addicts


- Number 1cause of accidental death in Florida; time release form of synthetic opiod


- Chemicalderivative of the Testosterone Molecule


- Can suppressthe cough reflex; 1/5th the potency of morphine


- Manufacturedfrom Lysergic Acid, a substance found in Ergot and used as a hallucinogenic


- Beer

- Amphetamines


- Barbiturates


- Benzodiazepe


- MDMA/Ecstasy


- Crack


- Cocaine


- Marijuana


- THC


- Peyote


- Psilocybin


- Inhalants


- Methamphetamines


- Opoids


- Ice


- Methadone


- Oxycotin


- Anabolic Steroid


- Codeine


- LSD





1. Under the Controlled Substances Act, drugs are classifiedfrom 1 to 5, with 5 being the most dangerous classification.


T/F?

False


1. According to the text, body image refers to an individualspersonal relationship with their body. T/F?


True


1. Body Image Distrubance (BID) is strongly associated with allof the eating disorders, including chronic overeating and binge eating. T/F?


True


Thereare no screening and assessment instruments that havebeen developed to use for someone with a gambling problem

False


1. There are several different "types" ofgambler. One of the types is known as a "heavy socialgambler."


True


1. Gambler's Anonymous is the best known and most widelyutilized source of support for compulsive gamblers. It is based onthe twelve step traditions of alcoholics anonymous.


True


Deathdue to anorexia is about 12 times higher than the annual death rate due to allcauses of death among females aged 15 to 24 in the general population

True


1. There is a significant increase in gambling problems forpeople who have co-occuring disorders.


True


1. Consequences of sex and love addictions can beprofound. The following are all possible consequences EXCEPT:


an increase in self esteem after a successfulencounter.


1. "Other addictions" include eating disorders,compulsive work, Internet abuse, and sex and love addictions.


True


1. Pathological gambling rates are between ____% and ____% forthe general population.


idk

Alcoholismis considered a primarily "female" disease.

False


Prenatalexposure is Not a major health concern because it is difficult for drugs topass through the placenta to affect the infant

False


Childrenliving with an addict may not have stable lives which impacts their schoolperformance and makes them feel less adequate

True


1. Families are dynamic systems that are not influenced bychanges inside and outside of the family context.


False


1. Early prenatal cocaine exposure can cause lower birth weight,preterm birth and neurobehavioral abnormalities.


True


1. One of the Rules of Co-Dependency is "It's not OK for meto have feelings."


True


1. The national "attachment" to partying is not one ofthe reasons that women continue to use alcohol during pregnancy.


False


1. Mary has been married to Ray for 20 years. Shereceives support and sympathy for being the “good” partner because Roy has beenactively drinking for the last 10 years of their marriage. Maryseeks external support to boost her low self esteem. What isMary's role in her family?


Martyr


- Theperson stops caring and emotionally shuts down. ”Silent Sufferer.”



- Devotes his or her life to caretaking of the dysfunctional individual



- Engages inmanipulative behaviors in an attempt to control every aspect of the life of theaddict and the entire family.



- Attempt to deflect attention away from the dysfunctional individual by actingout with humor or clowning around



- Receives supportand sympathy by being the “good” partner. (External support to boost lowself-esteem.)



- Blameseveryone else in the family except the persecutor



- Spends lessand less time at home to avoid conflict caused by the dysfunctionalconflicts.


- Apathetic/Invisible:


- Caretaker/Rescuer/Enabler:


- Controller:


- Family Mascot/Clown:


- Martyr:


- Persecutor:


- Separator:



1. Black Americans account for twice the number of infectionsthan the next closest ethnic group.


True


1. The HIV antibody test does not just detect the presence ofexposure to the virus, it is also positive proof that a person will developAIDS.


False


HIV/AIDSis NOT a disability that is covered under the Americans with Disabilities Act(ADA).

False


1. The HIV virus is transmitted by sneezing and is an airbornevirus. It is not transmitted by sexual contact.


False


1. Violence or the threat of it can prevent the negotiation ofsafe sex practices and can prevent women from sharing the results of HIVpositive tests


True


1. Statistics seem to indicate a connection between alcohol anddrug abuse and domestic violence, but some researchers question thecause-and-effect relationship.


True


1. According to The Safety Zone, there is no evidence to suggestthat alcohol use or dependence is linked to the other forms of coercivebehaviors that are part of the pattern of domestic violence. "Economiccontrol, sexual violence, and intimidation, for example, are often part of abatterer’s™ ongoing pattern of abuse, with little or no identifiable connectionto his use of or dependence on alcohol."


True

1. When an individual chooses to leave a situation involvingdomestic violence, it is critically important to create and follow a safetyplan.


True


1. Domestic violence does not increase the probability thatvictims will use alcohol and drugs to cope with abuse.


False


1. Men who as children witnessed their parents’ domesticviolence were twice as likely to abuse their own wives than sons of nonviolentparents.


True




1. Jamal is an African American man in his 30’s. He and his wife and their two children just moved in withJamal’s mother because he recently lost his job. Although he used to bevery active in the church, lately Jamal has been hanging out in bars and hasbeen drinking heavily. He has come to see you because his mom camehome and found him passed out on his couch when he was supposed to be watchingthe kids. What is the best type of treatment for Jamal?


Inpatient treatment that includes familytherapy and a spiritual component


1. Gerard is a Native American man in hismid-twenties. He was arrested for Driving Under the Influenceand was referred to you for counseling. Gerard tells you that hejust feels empty inside. He was sent to a boarding school outside thereservation and has recently returned to live with his family. He hasnot been able to find work and spends his days drinking beer with hisfriends. Choose the Model of Addiction that would be the “bestfit”.


Spiritual Model


1. Native Americans are still mourning the loss of their landand culture. Which model of addiction would explain their use of alcoholas a result of the losses?


Spiritual Model


1. When treating a member of the Hispanic culture, you musttreat substance issues, but also any underlying issues of shame.


True

1. The elderly population is more at risk for substance abusebecause of medications prescribed, discrimination, and increasing age relateddisabilities.


True


1. Why is it important for a therapist or helper to understandthe differences between cultures?


- Every counselor needs to keep an open mind with regard to thecultural issues impacting drug and alcohol use. Know your own bias, if you haveone. If you are unable to work with a particular population, be prepared torefer the client to someone who has knowledge of the culture and issuesspecific to the client.



- Every culture has traditions and beliefs that can be unique.Remember that it is important to understand and work with these unique issueswhen treating for alcohol and drug abuse.


It is important for counselors to be sensitiveto cultural issues; what may be abnormal drinking behavior in one culture maynot be abnormal in another

1. A Hispanic family protects the individual and demands loyaltywhile stressing respect within the family


True


1. One of the risk factors for an African American is theconcentration of bars & liquor stores in the African Americanneighborhoods.


True


1. In a Native American Family, which of the following arecultural values?


- Individuals are expected to learn fromexperience



- The culture is patriarchal.



- The group takes priority over an individual


Therisk factors for the Hispanic population include

- Tensions involved in acculturation (challengesto traditional family values)



- Problems with language in school and in seekingand gaining employment


1. To communicate effectively with an Asian American, it is importantfor the therapist to confront the client to ensure understanding.


False


1. Who introduced alcohol as a social beverage to the NativeAmericans in the late 1700’s?


Frontiersman, Traders, &Trappers


1. When assessing for substance abuse with a member of theHispanic culture, it is important to determine the extent of the___________________________ within the family


Acculturation


1. The Latino Concept of “Machismo” allows for heavydrinking, but also indicates that it is not necessary for the man to be astrong provider for his family, which makes treatment difficult.


False


1. The following types of therapy have been effective for theAfrican American client:


FaithBased Therapy



FamilyTherapy


1. Research shows Asian American drinking behavioris the lowest among the minority groups


True

1. When working with this population, it isimportant to understand the nature of discrimination, hostility, andoppression.


LGBTQQI Populations (Lesbian, Gay, Bi-Sexual, Transgendered, Queer& Questioning, Individuals)

1. If you determine an individual would benefitfrom treatment, remember to address your suggestions to the father or elder whowill be making the decision for himself or for other familymembers. Which culture is this?


Asian American/Pacific Islander

1. The risk factors for the Hispanic populationinclude


Problems with language in school and in seeking and gaining employment



Tensions involved in acculturation (challenges to traditional family values)

1. Gang affiliations do not contribute to drug usefor the Hispanic population.


False

1. Early stereotyping of Africans and theinstitution of slavery led to:


- Prohibitions against providing liquor to slaves



- Subsequent fears of slave insurrection



- Numerous social measures aimed at controllingthis population


1. Asian/American/Pacific Islanders comprise morethan 10 different racial/ethnic groups and subgroups.


True

1. If you determine an individual would benefitfrom treatment, remember to address your suggestions to the father or elder whowill be making the decision for himself or for other familymembers. Which culture is this?


Asian American/Pacific Islander

1. Family Therapy with a Spiritual component hasbeen shown to be effective for the African American client.


True


1. The Michigan Screening Test is primarily designedto determine the level of drug abuse.


False

1. The assessor must determine if there is asubstance disorder, how severe is it, and


What kind of treatment is appropriate.

1. The CAGE test includes four questions thatinclude:


Have people ever Annoyed you by asking about your drinking?

1. When interviewing a client, it is important toinclude (choose all that apply)


A Legal History



A Family History



A Medical History

1. There are three diagnostic categories for Useof Substance.


False

1. To be diagnosed with substance abuse, anindividual must demonstrate problems in personal, social, family, legal,vocational/educational, or physical areas.


True

1. The four "C"'s of diagnosis include:Compulsion, Control, Cut Down, and


Consequences

1. The stages of the Evaluation process include assessment, screening,and


Diagnosis

1. Substance Dependence is continuing to use inspite of negative consequences


False

1. Marilyn has been arrested 3 times for drivingunder the influence. She claims that she likes to party and that she justhas bad luck because she happened to drive home on nights when thepolice had set up check points. Marilyn meets the criteriafor substance dependence


False

1. Germaine has admitted to usingoxycontin. He has tried to quit but has been unable tostop. He finds that he has physical symptoms when he doesn't havethe drug for a day or two and he has been needing to take an increased amountin order to feel normal. Germaine would be diagnosed as SubstanceDependent.


True

1. Susie has been having persistent interpersonal problems (frequent arguments with her spouse about herdrinking). He is threatening to divorce her if she doesn't stopdrinking. Susie meets the criteria for a diagnosis of Substance Abuse


True

1. Sheldon is a 53 year old. Sheldon isoverweight, has high blood pressure, and is borderline for diabetes. Hecomplains of stress at work and problems at home. Sheldon says he ishaving difficulty sleeping. He reports drinking about 2 six packsof beer every night before bed. You have determined that Sheldonhas been falling asleep on the job and is in danger of being fired. His boss indicates that Sheldon seems fine in the morning, but is trembling andshaky by lunchtime. Sheldon has been coming back from lunchsmelling like alcohol. Sheldon reports that he has tried to stopdrinking but has been unable to do so because he feels so miserable when hetries to quit. You diagnose:


Substance Dependence because of symptoms of withdrawal.

1. Theresa is a 16 year old high schoolsophomore. She is referred to a school counselor by her English teacherafter an angry confrontation between the two over Theresa’s frequent tardiness.Theresa was a “B/C” student in middle school but her grades and attendance havedeteriorated since the last half of her freshman year. Through theassessment process, you discover that Theresa is arguing with her parents,staying out late most nights then sleeping late the next day, which is makingher late for school. She is in danger of not graduating because of herattendance record and deteriorating grades. Theresa tells you thatshe has a boyfriend who is selling cocaine, but that she isn't using. Her parents have indicated that they have found drug paraphernalia in her room. You diagnose


Substance Abuse, based on issues at school and with family

1. School counselors may have the obligation todisclose copies of their notes to parents of a minor child.


True

1. According to the Florida Statutes, there aresome exceptions to client confidentiality, when the therapist or counselor isrequired to disclose information to appropriate authorities. Chooseall that apply.


When a client threatens harm to self or others



When the therapist learns about abuse of a child



When the therapist receives a signed order from a judge

1. Self-Report Inventories are developed to helpassess whether a substance abuse/dependency problem exists. An inventorycan also help to determine how serious the problem might be- in order to helpdetermine the level of treatment. Match the Assessment Instrumentto the description:


This is a simple test that includes questions like: “Have youever been annoyed by someone criticizing your drinking?”
A 10 item questionnaire primarily used inprimary health care settings



This is a 25question inventory, primarily to measure alcohol use. It can be completed by aspouse or someone close to the individual being assessed


-TheC.A.G.E Test:


-TheAudit Test:

-TheMichigan Alcohol Screening Test (MAST):

1. Roll with Resistance meansthat the therapist argues for change to encourage the client.


False

1. Which of the general principles of MotivationalInterviewing actively encourages clients to explore the discrepancy in thoughtand behavior and their values and goals


Develop discrepanecy

1. There are 5 stages of change. Whichone is the most appropriate stage to use motivational interviewing techniques?


Contemplation

1. The four principles of Motivational Interviewing are empathy,develop discrepancies, support self-efficacy, and


roll with resistance,

1. In motivational interviewing. the client'sresistance is evidence that


the counselor has a skill problem

1. Motivational Interviewing ispartially based upon the Client Centered theory of Carl Rogers(person-centered theory).


True

1. One of the principles of MotivationalInterviewing is _____________________ which is to activelyencourage clients to explore the discrepancy in thought and behavior, andtheir values and goals.


Develop discrepancy

1. Motivational Interviewing is included in


The National Registry of Evidence Based Programs and Practices

1. Motivational Interviewing works best when theclient is in a particular Stage of Change. Which stage?


Contemplation

1. The stage of change in which the client isready to act without assistance to bring about change.


Determination

1. Within the FRAMES method of intervention, theresponsibility for change lies with the client.


True

1. The focus of Motivational Interviewing is onpast behavior and thought.


False

1. Within the FRAMES method of intervention, the Fstands for "Feedback" which means that


the Client is given information about use and the risks of his/her use pattern

1. The four principles of Motivational Interviewing are empathy,develop discrepancies, support self-efficacy, and


roll with resistance

1. Maintenance is the stage of change when theclient is ready to act with or without assistance to bring about change


False

1. The statement or question on the left isindicative of a particular stage of change. Choose the appropriatestage of change from the list on the right.



Eric says, "I don't know what all the fuss is about. Idon't have a problem. "


Sarah says, "I guess I should think about not doing somuch partying, but everyone would laugh at me if I stopped."


Michael says, "I need to slow down. I'm using too much.I'm ready to do something about it- but I'm not sure what to do."


Alberto says, "I promised my girlfriend that I wouldstop using. I quit cold turkey and I haven't had a drink in 3 months."


Jamal says, "I was just recognized at the AA meeting forfor 90 days of sobriety."


Caroline says, "I went out with some old friends lastweekend and we got really high. I've been using every day this week. It suremakes me miserable since I haven't done this in at least 6 months.”


Asok says, "I know some guys that have gotten prettystrung out on coke and I don't want to end up like that but I know when tostop."


Mariah says, "I have been clean and sober for 6 weeksnow. My friends want me to go out and party, what should I do?"


Jeremiah says, "I need this medication for my back pain.I'm not addicted.”


Anna says," I really need a change. I can't do thisanymore. Today I stop drinking."



-Precontemplation


-Contemplation


-Determination


-Action


-Maintenance


-Relapse


-Contemplation


-Maintenance


-Precontemplation


-Determination



1. Types of treatment can include both individual and grouptherapy.


True

1. Outpatient treatment is generally for the most serious typesof addiction.


False

1. Types of treatment can include both individual and grouptherapy.


True

1. Some types of addiction, like alcoholism, requiredetoxification before treatment.


True

1. The cognitive behavioral treatment model includes


Social learning theory and skills to avoid relapse

1. The individual’s ability and willingness to participate ispart of the criteria to make a decision about the level of care in treatment.


True

1. The majority of Medical Model treatmentprograms do NOT include any information on the Twelve Step Program developed byAlcoholics Anonymous.


False

1. A treatment plan will include strategies toaccomplish the goals


True

1. The Types of Treatment Levels of Care wasdeveloped by the American Society of Addiction Medicine. Thelevels are ordered based on intensity of treatment. Which of thefollowing would be the most intense?


Medically managed intensive inpatient program

1. DWI schools are generally considered"inpatient" treatment.


False

1. Abstinence from substance use is not arequirement for inpatient treatment.


False

1. There are many common "triggers" thatcan cause an addict to return to use. Which of the following eventswould be considered as "triggers?"


People, places, activities



Stress

1. A relapse is defined as:


The return to uncontrolled Alcohol and /or Drug use following a period of abstinence

1. Primary basis of this theory concerns copingstrategies for “high risk” situations and global lifestyle changes


Cognitive Behavioral Theory

1. "Use" Dreams are NOT relapse triggers


False

1. In recovery, times of high stress in a client'slife that are not properly managed can create triggers for use.


True

1. Cravings are most intense during the first 12weeks of recovery


True

1. Research does not support the protective natureof spirituality and religion and of spiritual/religious interventions.


False

1. Conflict, guilt, and shame experienced after a“slip” is termed the Abstinence Violation Effect (perceived loss of controlthat undermines self-efficacy and increases expectations of continued failure)


True

1. Researchers found rates of compliance withprescribed medications for other chronic illness such as diabetes,hypertension, and asthma to be similar to the relapse rate for addictiondisorders. What is the rate of relapse and compliance?


40%-60%

1. A slip or "lapse" is defined as


An episode of Alcohol and Drug use following a period of abstinence

1. The oldest and largest twelve step supportgroup is known as:


AA

1. AA is generally associated with the diseaseconcept of addiction.


True

1. SMART Recovery is a support group thatemphasizes:


Self reliance through teaching & discussion; discourages use of "labels" like the words "addict" or "alcoholic"

1. AA- Alcoholics Anonymous - includes all of thefollowing principles EXCEPT:


Political Advocacy

1. A Supportgroup that emphasizes, "discovery & empowerment" with a spiritualcomponent but with emphasis on powerfulness & individual choice is called:


Many Roads, One Journey

1. Needle exchange programs, Don't drink and driveprograms, and Penalties for retailers who sell drugs and alcohol to minors arepart of:


the Harm Reduction Model.

1. Manual has no risk factors present and he hasnot engaged in any high risk behaviors. Manual is a member of whichpopulation?


Universal Population

1. An individual who is already demonstratingevidence of use (smoking cigarettes, a DUI arrest, a possession arrest,suspended from school because he/she had drugs on campus) is a member of whichpopulation:


Indicated

1. Sarah has risk factors for substance abusewhich include poor academic performance and a family history ofalcoholism. Sarah is a member of which population?


Selective Population

1. Universal prevention strategy includesscreening to assess or prevent risk.


False

1. Prevention Strategies for a member of anIndicated Population should include Problem Identification and Referral forTreatment as well as Education.


True

1. Universal prevention strategy is a broad basedapproach that is directed toward all possible users within a given populationor geographic area


True

1. What is the "harm reduction" modelfor prevention?


The theory that assumes use cannot be eliminated therefore the goal is to reduce the harm caoused by misuse or abuse.

1. Selective Prevention Strategies are targeted tospecific individuals who have already demonstrated a problem based on theirbehavior


False

1. Montel is already demonstrating problem behavior:smoking cigarettes at a very young age. Montel would be a memberof which population?


Indicated Population