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Addiction Treatment 4th Edition by Katherine – Test Bank
- Discuss the stages of psychosocial development in terms of the needs and crises of each stage.
- What is the extent of alcohol and other drug use among today’s youth? How does early use of chemicals relate to later use?
- a. What are some of the cultural characteristics of youths who misuse alcohol? b. How does alcohol and tobacco marketing enter the picture?
- Explore the link between early childhood sexual abuse and later development of substance misuse patterns. How does one account for this correlation?
- Account for the link between ADHD and chemical misuse.
- How does weight obsession affect each gender?
- Relate binge drinking in the U. S. with alcohol control policies. How would harm reduction policies differ?
- Discuss the physiology of drinking late in life.
- What are some common pitfalls as outlined by Beechem for the counselor with an elderly clientele?
- Describe the three types of guilt feelings experienced by grief-stricken family members who have a dying spouse/partner or relative.
- The prefrontal cortex of the brain reaches full maturity soon after age
- According to Carol Gilligan, Erikson’s conceptualization for young life was:
- sensitive to gender issues
- too focused on violence
*c. lacking in concern for female developmental issues
- lacking in detail
- Erik Erikson’s stage of development pertaining to adolescence was
*a. identity vs. role confusion
- trust vs. mistrust
- ego integrity vs. despair
- identity vs. responsibility
- According to a study conducted by the European Public Health Alliance (2005), which of the following European countries was the only one with more persons in the 15 -34 year age group using more illicit drugs than the U.S.?
- United Kingdom
*c. Czech Republic
- According to data from the National Survey on Drug Use and Health (2006), in the 18 to 25 age group, which of the following substances had the highest usage?
- Drinking to get drunk is the most common among teens who live in
- the Northeast
*b. the Midwest and West
- the Southeast
- the Southwest
- An exception to the trend in reduced teen drug use is in regard to
*a. use of prescription drugs not prescribed for them
- heroin use
- use of Ecstasy
- cocaine use
- A recent change in emergency room admissions concerns overdoses related to ____ overdoses.
*c. prescription drug misuse
- The following statement is true of drug use rates in school surveys except for this one:
- African Americans and Hispanics have usage rates higher than whites in the junior high grades.
- African Americans and Hispanics have lower rates than whites at higher grade levels.
- Overall, illicit drug use decreased among high school students (in 20).
*d. Minorities have lower rates of illicit drug use than Whites in the lower grades.
- Which racial youth group is more likely to become heavy users of cigarettes among females?
- Middle Eastern
- African American
- According to research on teen smoking, a strong risk factor for smoking is all except:
- having friends who smoke
- dropping out of school
- having a risk-taking personality
*d. sports involvement
- An explanation presented in the text for the link between early sexual abuse and later development of alcoholism is all except
- the development of biochemical abnormalities in the brain associated with trauma.
*b. having older brothers
- the impact of anxiety and stress during adolescence which lead to later self-medication with chemicals
- the sense of shame and self-disgust in the victim which reduces his/her coping skills with later problems
- Boys with ADHD
- have lower rates of substance misuse than other boys
*b. have higher rates of substance misuse than other boys
- have the highest rates of substance misuse when they are medicated with Ritalin
- none of the above
- The male counterpart to female anorexia is
- cutting the skin
*b. muscle dysmorphia
- binge drinking
- BASICS is a program for
- older persons with alcohol problems
- young people with eating disorders
*c. prevention of college binge drinking
- prevention of muscle dysmorphia
- Research from the National Center on Addiction and Substance Abuse at Columbia University reveals that teens who smoke cigarettes are _______ times likelier than nonsmokers to try marijuana and have friends who smoke marijuana.
- 10 times
*b. 14 times
- 22 times
- 50 times
- The text recommends from a harm reduction perspective to control college binge drinking through
- greater enforcement of underage drinking laws
- lowering the legal drinking age to 18 or 16
- restricting the marketing of alcohol products
*d. B and C are correct
- According to the text, principles of motivational intervention are derived from the findings primarily from
*b. social psychology
- abnormal psychology
- behavior modification
- The following statement as of 2012 is true regarding recent combat veterans
- The military no longer allows distribution of cigarettes in veterans’ stores.
*b. The VA has determined that 15% of female veterans have been victims of military sexual trauma at the hands of their fellow soldiers.
- The stress that combat veterans have endured is not of long-term consequence.
- Reports of sexual abuse by female veterans are often false reports.
- According to Beechem, an expert on elderly alcoholism, all except which of the following is true?
- the elderly tend to avoid substance abuse services
- there is often a problem of misdiagnosis
- established criteria for classifying alcohol problems among the aged are inadequate
*d. early onset alcoholism is correlated with fewer health problems than later onset, which tends to be more severe
- According to the text, an intervention with an elderly person in contrast to a standard intervention should
*a. proceed more slowly
- contain a larger number of participants
- proceed more rapidly
- be highly confrontational to break entrenched defenses
- The process of brain maturation is complete at age 18.
- School surveys exaggerate the drinking and drug use rates of minorities in that age group.
- Studies show multiracial adolescents have high rates of smoking and drinking.
- Discuss the impact of strength-based practices on traditional screening and assessment.
- Explain the advantages and disadvantages of screening tools.
- What background knowledge is essential before a counselor can embark on screening and assessment for co-occurring disorder problems?
- How is a formal diagnosis useful?
- Explain why some strength-based practitioners see assessment as a “political activity”.
- The principle advantage of screening tools is to provide
- A method of positively identifying addiction problems
*b. A method of quickly detecting the possibility of addiction problems
- A method of securing third-party payments
- A means of holding clients accountable for their behaviors
- The Lie/Bet questionnaire rules out pathological gambling problems when a client answers “no” to:
*a. One question
- Two questions
- Three questions
- Four questions
- Before using a short screening tool, it is helpful to remove any stigma that surrounds addiction by:
- Assuring clients you don’t care if they answer “yes”
*b. Letting clients know that the screening questions are routine and asked of all clients
- Letting clients know that you suspect they have a problem and need to verify
- Assuring clients that lots of people you see have alcohol, drug, or gambling problems.
- Which of the following is not a screen for alcohol problems?
*d. Twenty questions
- Which of the following is the most sensitive alcohol screen for Black obstetric patients and White Women?
- Which is the only alcohol screening test designed and validated for international use in a wide variety of populations, cultures, and languages?
- In the GA 20 Question Screen, how many questions must a person answer “yes” for a positive screen of compulsive gambler?
- Which internet site is not useful for finding alcohol/drug screening and assessment instruments:
- National Institute of Alcohol and Alcohol Abuse
- Addiction Research Institute, University of Texas
- Institute for Behavioral Research at Texas Christian University
*d. Project Match
- The SASSI differs from other substance abuse assessments because:
*a. Most of the true/false items on one side of the form do not inquire directly about substance abuse
- It can only be administered by physicians
- It also requires a drug test (UA)
- It takes the most time to administer
- Which of the following is not a major level of care in the ASAM classification system?
- Early Intervention
- Medically Managed Intensive Inpatient Treatment
*c. Withdrawal and Detoxification Treatment
- Outpatient Treatment
- In co-occurring disorders, which level of care is not classified by CSAT?
- Basic care
- Intermediate care
- Fully integrated care
*d. Harm reduction care
- Which of the following is essential knowledge a counselor should have before conducting screening and assessment for clients who have co-occurring disorders?
*a. Familiarity with the diagnostic criteria for common mental disorders
- Complete confidence that you are competent in every area
- Access to the “gold standard” screening/assessment instruments for COD
- Skill in detecting whether or not the client is telling the truth.
- Which of the following is the screen that CSAT recommends for use in substance abuse or other settings to help identify clients who may have mental health problems?
- Simple Screening Instrument for Substance Abuse
*c. Mental Health Screening Form-III
- Which of the following has been validated for screening substance abuse problems with older adults?
- Twenty Questions
*c. Geriatric MAST
- Geriatric AUDIT
- Of the following, which statement identifies one of the purposes of formal diagnoses:
*a. Helps clinicians communicate with each other
- Justifies the years of education required by clinicians
- Lets client know that the clinician is an expert in the field
- Adds to the esteem of the profession
- Which of the following is not recommended for building a relationship and finding client strengths?
- Focus on what is happening in the client’s life
- Focus on what the client wants to be different
- Set aside the need to gather specific client information until you find out why they have come to the agency and what they want different
*d. Require clients to fill out intake forms before seeing a counselor.
- Focusing attention on what the client wants to see happen as a result of working together with the clinician accomplishes which goal?
*a. Sets up a collaborative partnership with the clinician
- Establishes the credibility of the clinician’s knowledge
- Helps client understand that they need to stay abstinent
- Allows the clinician a way to tell the client which options they will pursue
- Which of the following does not describe empathy as described by Carl Rogers and William Miller:
- The ability to listen to your clients accurately
- The ability to reflect back to your clients the meaning of what they have said
*c. Repeating back what the client said
- Using your experience to make a responsive statement to what your client said
- Which of the following cautions do not apply to persons who are part of ethnic minority groups or who do not use English as a first language?
- Measurement error
- Different rituals and world-views
- Translation and interpretation errors
*d. Asking questions
- Which of the following is not a limitation of the Diagnostic and Statistical Manual.
- Subject to the political influence of the pharmaceutical industry
*c. Serves as the basis for third-party reimbursement
- Pays little attention to the issues of social injustice that may cause or increase the symptom and problem
- The GA Twenty Questions has high reliability and a high correlation with the DSM-IV.
- The ASAM classification system is not widely used.
- There is no single “gold standard” for COD assessment.
- Asking a lot of questions initially in the first interview with a client can set up the expectation that the agency (counselor) is the expert on the client’s condition.