Quiz questions

Question 1

Elements in an individuals life that increase vulnerability to negative developmental outcomes are ______ factors

Answer 1

Risk

Question 2

Internalizing and externalizing factors that assist youth in guarding against substance abuse are ___ factors

Answer 2

Protective

Question 3

Delinquency, rebelliousness, and sensation-seeking are ___ factors

Answer 3

Individual risk

Question 4

Opportunities and recognition for prosocial involvement are ____ factors

Answer 4

community protective

Question 5

A youth was reported as using drugs. She has a poor attitude toward school but is doing well academically, recently received an award for academic achievement, and has not been caught in any other trouble at school. Based on what you know about risk and protective factors in the school domain, what might you conclude?

Answer 5

You need to find out the context of the poor attitude toward school

Question 6

Ideally, assessments of youths should include information-gathering from the ______.

Answer 6

parent(s)/guardian(s) and from the youth, separately, to provide a broad, clear perspective

Question 7

You find out during an assessment that a youth who has no close friends considers the drug he uses to be his best friend. Which item would be most beneficial for you to include as part of his treatment?

Answer 7

Grief resolution counseling, since the youth is likely to experience a loss when the drug is no longer being used

Question 8

A student who was doing well academically last year is doing poorly this year. He has new friends who use drugs. His single father recently started smoking marijuana in front of him occasionally. His mother died of a drug overdose two years ago. What factors put this student at risk for substance abuse?

Answer 8

Academic failure (school), friends’ attitudes toward and use of substances (peer), parental attitude toward and use/abuse of substances (family)

Question 9

You have a youthful, Mexican-American client with anger issues. She is an alcoholic. Both of her parents support your idea of outpatient treatment. Which option would you say is most appropriate?

Answer 9

A-CRA

Question 10

An adolescent client of yours has attended several AA meetings. He understands its principles. However, he is having trouble surrendering to a higher power because he was raised in an atheistic, humanist tradition. How do you respond?

Answer 10

You say he does not have to surrender to God but needs to place an emphasis on creating a spiritual defense against his alcohol use.

Question 11

What defines “family”.

Answer 11

Nuclear, single-parent, communal, kinship, adoptive, and foster families

Question 12

Two criticisms of family systems theory are its ____ and its ____.

Answer 12

gender bias; non-scientific nature

Question 13

An alcoholic family is one in which ____

Answer 13

alcoholism has become its organizing theme

Question 14

A husband of an alcoholic often alters his behavior to accommodate his wife’s drinking. For example, he cooks and eats breakfast alone while his wife sleeps in, whereas before he woke her with a hug and they breakfasted together. When he realizes that changing his behavior supports his wife’s alcoholism, he ________.

Answer 14

realizes he is enabling his wife’s drinking

Question 15

Paco is an impulsive COA (child of an alcoholic). His mother is an alcoholic. His father drinks socially but not heavily. He heard of a community support group for teens and immediately started attending both sessions offered each week. What measure can be taken to prevent Paco from developing risky behavior for alcohol abuse?

Answer 15

His father can closely monitor his behavior, because his impulsivity is a sign of genetic sensitivity to a risky environment

Question 16

A family you are working with in family treatment has completed the family detoxification stage in Steinglass’ four-stage model. What do you do next?

Answer 16

Address in the most appropriate way the family’s emotional instability, which follows when alcohol is no longer the organizing factor in the family system.

Question 17

During treatment, a family realizes that, through their own behavior, they are rewarding the behavior of their alcoholic parent/spouse. They learn to adjust their behavior such that it decreases the alcoholic’s drinking behaviors. This is an example of ________ therapy.

Answer 17

behavioral

Question 18

____ comprises a painful feeling of regret, and ____ is an acutely painful feeling about one’s self as a person.

Answer 18

Guilt; shame

Question 19

Secrets (hiding the alcoholism and/or hiding neglect or emotional, physical, or sexual abuse) are part of shame-bound systems in that they ________.

Answer 19

maintain the equilibrium of the system by inhibiting family members from changing their behaviors

Question 20

A wife of an alcoholic often alters her behavior to accommodate her partner’s drinking. For example, she takes on more household chores when her partner stops doing them to drink in front of the TV instead. When she realizes that changing her behavior supports her partner’s alcoholism, she ________.

Answer 20

feels toxic shame and low self-worth and realizes she is codependent

Question 21

According to Klatsky and colleagues, the strongest determinants of drinking patterns in a society are ________.

Answer 21

ethnicity and culture

Question 22

A knowledge of a person’s _______ is imperative to therapists developing relevant prevention, assessment, and treatment strategies for that person.

Answer 22

cultural history and values

Question 23

Which statement is true?

Answer 23

There is no convincing evidence that American Indians have a
genetic vulnerability to alcohol

Question 24

A sweat lodge is _____

Answer 24

a purification ritual for spiritual renewal

Question 25

Across ethnic groups, ________ is(are) the strongest indicator(s) of substance abuse in youths.

Answer 25

peer-related variables

Question 26

A friend of yours is a nurse in the emergency room. He tells you about a Navajo woman who has been in three times recently due to what he believes is an abusive, alcoholic husband. The woman admits her husband drinks heavily but says she does not need any help. As a human services professional, what do you do?

Answer 26

You give to your friend your business card and some informational pamphlets on how to get culturally relevant help to share with the woman.

Question 27

During an interview, an African American woman says she works three part-time jobs to take care of her two children while her drug-dependent husband provides no assistance. She says that as much as she has tried, she can no longer endure the pain it is causing and she needs help. How do you respond to this information?

Answer 27

You recall the superwoman myth and congratulate her on her decision to come in and focus on her own needs in addition to those of her family.

Question 28

Why do you think that in 2009 an African American man would be more likely to be incarcerated for a drug-related offense than a white man when the rates of drug disorders among African Americans and whites were about the same?

Answer 28

Because of the disparity in sentencing for crack (more prevalent among African Americans) versus powdered cocaine (more prevalent among whites)

Question 29

After 15 years of marriage, the wife of a Mexican American man left him due, she said, to his heavy drinking. He drank only after a hard day's work and does not think he has an alcohol problem. But since she left, he is thinking twice. What occurred?

Answer 29

His machismo let him feel that he fulfilled obligations by working hard and he deserved to drink without criticism. Now he feels emasculated and powerless.

Question 30

A Jewish American man who was not very religious felt ashamed regarding his heavy drinking. He decided to visit his mother's rabbi for advice. If you were the rabbi, what would you suggest?

Answer 30

Invite him to the synagogue's Twelve Step program and suggest psychotherapy.

Question 31

The modern description of the term homophobia is ________.

Answer 31

the broad range of negative attitudes about gays and lesbians

Question 32

The question, "Do you think of yourself as heterosexual, homosexual, bisexual, or something else?" reflects an interest in a client's _____.

Answer 32

identity

Question 33

________ is an illness; ________ is not.

Answer 33

Substance addiction; homosexuality

Question 34

The ________ to disclose sexual identity varies by situation; the ________ to disclose sexual identity endures over time.

Answer 34

decision; need

Question 35

Which statement is a "Do" for social service practitioners serving LGBT individuals?

Answer 35

Use proper nouns based on the client's self-identity.

Question 36

Suppose you are a gay man. Your therapist seems to discuss your treatment solely in terms of your sexual orientation. However, when you start to discuss your sexual behavior in more detail, he changes the subject. The therapist is exhibiting ________.

Answer 36

signs of homophobia

Question 37

A social services practitioner is treating an adult lesbian client who is addicted to alcohol. The client came out a year ago and lost relationships with several friends and family members. The practitioner should probably ________.

Answer 37

treat the client's alcoholism within the context of the client's life as a lesbian

Question 38

A gay man is assessed for treatment of a recent addiction to methamphetamine . He has been out for ten years, is comfortable with his sexuality, and has family who are supportive of his seven-year relationship with his partner. They are all, however, highly concerned about his addiction. The practitioner should probably ________.

Answer 38

consider including his partner and family in treatment.

Question 39

A lesbian woman comes in for an assessment. She says she is drinking more because her partner is in the hospital with a terminal disease and she is not permitted to stay with her because of state laws. The assessor should probably ________.

Answer 39

assess use/misuse/abuse of alcohol; refer the client to a gay affirmative resource specializing in LGBT issues such as hospital visitation

Question 40

You are treating an Asian American woman who self-identifies as a bisexual alcoholic. She says her sexuality is related to her alcoholism because others in her social network condemn her when she dates women and it makes her want to drink. She tried two different AA groups but feels uncomfortable at both. What do you do?

Answer 40

Validate the client's experience of attraction to both genders and help her develop social networks that support her identity.

Question 41

A disabled individual is _____

Answer 41

Potentially at risk for a co-occurring substance use disorder

Question 42

Substance use disorders (dependence and abuse) are classified as _____ disorders in the DSM-IV

Answer 42

Axis I

Question 43

The order in which co-occurrences of mental disorders and substance use disorders appear ______

Answer 43

Can affect assessment and treatment

Question 44

The general alleviation of dysphoria theory states that ______

Answer 44

People with severe mental illness begin using substances to feel better (eg, escape isolation, boredom, loneliness, despair, and improve peer relations)

Question 45

Suppose you work in a local psychiatric hospital. A woman is admitted for the fourth time this year for experiencing acute psychotic episodes. According to her partner, she has complied with her medication regimen. What do you do?

Answer 45

Ask about her alcohol use or drug use outside of the prescribed medication, since her psychosis might be triggered by their use

Question 46

You work in a hospital with a chemical dependency unit. A new patient in the emergency room shows sign of paranoid schizophrenia, but a toxicology screen indicates that he took cocaine. He is sent to your unit, and one week later, he still seems to show signs of paranoid schizophrenia (but you are not a doctor). What do you do?

Answer 46

Schedule the patient for an assessment with you an evaluation by a mental health professional to determine if a co-occurrence exists

Question 47

You and a mental health professional simultaneously treat a client with co-occurring bipolar disorder and alcoholism. Together you coordinate services and approaches to treatment. This is an example of

Answer 47

Parallel treatment

Question 48

A new client is brought in by a group care facility manager. He is 22 years old, his IQ is 70, and he was recently mugged by patrons of a bar in which he was drinking. He never appears intoxicated, but he frequents a bar almost every night. Your assessment indicates that the client misuses alcohol. What do you recommend?

Answer 48

Regular and repeated psychoeducational interventions on the consequences of substance abuse at your chemical dependence facility

Question 49

A man received a spinal cord injury three years ago in a driving accident while he was intoxicated. He says he did not have a drinking problem then, but he drinks more often and more heavily now. He also thinks he is clinically depressed. He lives alone, is on disability, and has difficulty going out. What do you recommend?

Answer 49

Integrated treatment utilizing community transportation resources, mental health resources, education for independent living, and mutual-help support

Question 50

A woman with a traumatic brain injury starts smoking marijuana regularly. What might occur?

Answer 50

Marijuana use is contraindicated for patients with TBI. She could be endangering her recovery or exacerbating the TBI

Question 51

During an assessment for alcoholism, you learn that a youth has a type 2 diabetes and self-injects insulin twice daily. She does not perceive that drinking alcohol could affect control of her diabetes. What might you recommend?

Answer 51

That she receive information about the added risks alcohol use may pose for her in order to avoid medical emergencies, whether she is alcoholic or not

Question 52

One problem with using traditional screening tools for elderly clients is that ______

Answer 52

Memory loss in some older patients may skew self-reporting responses

Question 53

Individuals classified as having Type II alcohol use disorders (AUDs) develop it ______

Answer 53

After age 45

Question 54

Early-onset AUD is also known as ______ AUD

Answer 54

Type I

Question 55

Which statement does not reflect a diagnosis of alcohol dependence?

Answer 55

A strong desire or compulsion to drink

Question 56

The American Geriatric Society suggests AUD exists in elderly clients who _____

Answer 56

Drink more than one drink per day

Question 57

A 74 year old woman fell and was taken to the emergency room. You need to assess her for an alcohol use disorder. You find out her husband of 40 years died two months ago, and she started drinking. She is up to three or four drinks a day. She is also taking pain medication for arthritis. What do you recommend?

Answer 57

She is at high risk for Type II AUD, probably due to depression; she needs education on AUDs and alcohol-drug interaction

Question 58

You are assessing a 63 year old mean who has smoked marijuana almost daily for 40 years. Throughout his life, he has been drinking alcohol once or twice a month, usually more than five drinks. He says he uses alcohol and marijuana but does not have a substance use problem. What might you recommend?

Answer 58

A physical health examination, awareness education on alcohol and marijuana, and discussions about treatment for his substance use disorders

Question 59

An 80 year old woman has been drinking one alcoholic beverage every day for the last thirty years. She ensures she never drinks more, but she always does. Why?

Answer 59

She is trying to lower her risk for ischemic stroke, cardiovascular disease, and heart failure

Question 60

You are in charge of an outreach program for health care professionals on AUDs in the elderly. What is the most important issue to cover?

Answer 60

Strategies for helping to detect an AUD in elderly patients

Question 61

The top three substances of abuse for women are alcohol, ______ (at time of treatment admission)

Answer 61

opiates, and cocaine

Question 62

The top three substances of abuse for men are alcohol, _______ (at time of treatment admission)

Answer 62

marijuana, and opiates

Question 63

_______ have twice as many substance use disorders as _______ because _______ encounter more barriers, _______ have higher proportions in treatment

Answer 63

men; woman; woman; men

Question 64

______ may progress to abuse or dependence faster than ______. Physical health problems are experienced more often by ______ than by _______.

Answer 64

women; men; women; men

Question 65

What is the telescoping effect?

Answer 65

That women develop AOD problems more rapidly than men

Question 66

An alcoholic woman who is not married enters treatment with you. Comparing the differences between married and unmarried women, what are her chances for recovery?

Answer 66

Higher than a married woman

Question 67

A substance-abusing man who is married enters treatment with you. Comparing the differences between married men and married women, what are his chances for relapse?

Answer 67

Lower than if he were a married woman

Question 68

You are a pediatrician. An adolescent girl presents with a loss of appetite, weight, and interest in school. When asked about substance use, she admits that she has tried marijuana. Without more information, what might you include?

Answer 68

She needs to be assessed for substance abuse

Question 69

You are screening a man and a woman, both substance abusers, for trauma. Results show they both experienced severe abuse. What might you conclude?

Answer 69

Both need trauma-informed treatment from you for their substance abuse

Question 70

An alcoholic man is in gender-specific group therapy for which you are the female facilitator. What issue do you plan to discuss?

Answer 70

Female therapists and male clients

Question 71

The "War on drugs" has been going on for ______ decades

Answer 71

4

Question 72

According to Congress, the aim of the "war on drugs" was a _______

Answer 72

drug-free society by 1995

Question 73

U.S. President Barack Obama has ______ the legalization of drugs

Answer 73

strongly opposed

Question 74

Most money spent in the "war on drugs" is for _______

Answer 74

law enforcement and criminal justice

Question 75

In the age of managed care, insurance companies seem to have decided that substance abuse treatment and mental health treatment _______

Answer 75

are not essential services

Question 76

A youthful heroin addict with a co-occurrence of mental illness visits a primary care doctor within her parent's managed care network. This is an example of _______

Answer 76

an HMO

Question 77

A Chemist invents a new designer drug in a clandestine lab. All ingredients are made of legal substances in legal amounts. What are the implications?

Answer 77

The drug is legal, but may eventually become illegal

Question 78

An opiate addict requires treatment. Based on research that shows evidence of the best outcomes, you decide on a(n) _______

Answer 78

One-year methadone treatment program plus counseling and psychotherapy

Question 79

A fellow chemical dependency professional tells you he used to be addicted to opiates and recovered through spontaneous remission. How would you characterize his recovery?

Answer 79

Resolve to stop using, abstaining, creating an alternative, dealing with craving, becoming ordinary

Question 80

You are working with a low-level drug dealer who became addicted to his own product. He tells you about level of organization involved in his operations and how much money he made before he became addicted. He says the "war on drugs" is like Prohibition and laughs. What does he mean?

Answer 80

Dealers are guaranteed profits like bootleggers, and it is unenforceable