Test Bank for Concepts of Chemical Dependency 10th Edition by Harold Doweiko-1 by ACADEMIAMILL

1. According to your text, use of which of the following substances has remained fairly constant in society, despite widespread knowledge of their dangers and the various types of tolls these drugs can bring? a. Alcohol and tobacco

b. Marijuana and LSD c. Cocaine and heroin d. Anabolic steroids and inhalants ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.01 - Understand why substance misuse and SUDs are legitimate problems for society NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE. 2a - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 2. The direct and indirect cost of substance use disorders totals _______ percent of the average state’s budget. a. 5 b. 10 c. 15 d. 20 ANSWER: c POINTS: 1 REFERENCES: Substance Use Disorders as Unsuspected Influences on Society QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.01 - Understand why substance misuse and SUDs are legitimate problems for society NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE. 1g - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM Copyright Cengage Learning. Powered by Cognero.

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3. Which of the following should be included on a list of the indirect costs of the “war on drugs?” a. the costs of incarcerating those convicted of drug-related offenses. b. providing healthcare for the families of those convicted of drug-related offenses. c. costs associated with prevention and treatment. d. all of these answers are correct. ANSWER: d POINTS: 1 REFERENCES: Substance Use Disorders as Unsuspected Influences on Society QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.01 - Understand why substance misuse and SUDs are legitimate problems for society NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.1g - Skills to analyze and interpret historical data for application in advocacy and social change. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 4. Adults with substance use disorders are more likely to physically abuse and/or neglect their children than their nonabusing peers.

a. True b. False ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

True 1 Substance Use Disorders as Unsuspected Influences on Society True / False False

LEARNING OBJECTIVES: DOWE.COCD.19.01.01 - Understand why substance misuse and SUDs are legitimate problems for society NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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5. According to Leamon, et al. (2008), at least ____ percent of the world’s population has used at least one psychoactive substance at some point in their lives. a. 5

b. 25 c. 50 d. 75 ANSWER: c POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.4i - Utilizing research findings and other information for community education and public relations. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 6. What percent of the entire world population between 15 and 64 years of age has abused an illicit substance at least once in 2014? a. 3%

b. 21% c. 53% d. 74% ANSWER: a POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8A - Research and program evaluation—The importance of research in advancing the counseling profession, including how to critique research to inform counseling practice United States - CSHSE.4i - Utilizing research findings and other information for community education and public relations. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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7. The most commonly used drug in the world is ___________. a. methamphetamine b. marijuana c. nicotine d. alcohol ANSWER: b POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 8. Women are more likely to develop an alcohol abuse disorder than men. a. True b. False ANSWER: False POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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9. Drug use disorders are the _______ leading cause of death in adults around the world. a. thirrd b. fourth c. sixth d. eightth ANSWER: c POINTS: 1 REFERENCES: The Cost of Chemical Misuse and substance use disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.03 - Understand the costs related to alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 10. Each day in the United States, approximately _____ people will try an illicit drug for the first time. a. 2,000 b. 4,000 c. 8,000 d. 10,000 ANSWER: c POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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11. As a hospital administrator, you would expect that ___ percent of admissions to the hospital would be related to alcohol use/misuse. a. 5

b. 15 c. 25 d. 35-40 ANSWER: d POINTS: 1 REFERENCES: Substance Use Disorders as Unsuspected Influences on Society QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 12. What percentage of psychiatric hospital admissions are not associated with drug or alcohol abuse? a. 15-20 % b. 8-10 % c. 25-30 % d. 25-50 % ANSWER: d POINTS: 1 REFERENCES: Substance Use Disorders as Unsuspected Influences on Society QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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13. Estimates suggest that alcohol use disorders cost the world economy about ______ each year. a. $375 billion b. $264 billion c. $600 billion d. 880 million ANSWER: d POINTS: 1 REFERENCES: Substance Use Disorders as Unsuspected Influences on Society QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8A - Research and program evaluation—The importance of research in advancing the counseling profession, including how to critique research to inform counseling practice United States - CSHSE.3f - International and global influences on services delivery. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 14. The annual estimated economic impact of alcohol use disorders in the United States is thought to be a. $98 million per year. b. $$250 billion c. $$1.1 trillion d. $1.5 trillion ANSWER: b POINTS: 1 REFERENCES: The Cost of Chemical Misuse and substance use disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.03 - Understand the costs related to alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.2h - Processes to analyze, interpret, and effect policies and laws at local, state, and national levels that influence services delivery systems. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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15. What percent of physicians in the United States believe they are adequately trained to treat substance abusers? a. 30% b. More than % c. 17% d. Less than 20 % ANSWER: d POINTS: 1 REFERENCES: Who Treats Persons with a substance use disorder? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.04 - Describe those who encounter and treat individuals with SUDs NATIONAL STANDARDS: United States - CACREP.4e - strategies for assessing abilities, interests, values, personality and other factors that contribute to career development United States - CSHSE.8g - Reflection on professional self (e.g., journaling, development of a portfolio, or project demonstrating competency). DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 16. Around the world, heroin accounts for ___ percent of opiate use disorders. a. just over 70 b. right around 50 c. slightly less than 30 d. under 10 ANSWER: a POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8A - Research and program evaluation—The importance of research in advancing the counseling profession, including how to critique research to inform counseling practice United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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17. For most individuals, experimentation with the illicit use of drugs a. occurs only once. b. initiates a slow, but inevitable, advance into addiction. c. runs a course of use that usually lasts 5-10 years. d. lasts for less than a year. ANSWER: d POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 18. The majority of nursing schools required only ________ hours of instruction on alcohol and drug abuse content during students’ entire undergraduate careers. a. 1 go 5

b. 6 to 10 c. 20 d. 40 to 46 ANSWER: a POINTS: 1 REFERENCES: Who Treats Persons with a substance use disorder? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.04 - Describe those who encounter and treat individuals with SUDs NATIONAL STANDARDS: United States - CACREP.4c - processes for identifying and using career, avocational, educational, occupational and labor market information resources, technology, and information systems United States - CSHSE.8g - Reflection on professional self (e.g., journaling, development of a portfolio, or project demonstrating competency). DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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19. The number of people in the United States who use cocaine has ________ in recent years. a. doubled b. gone down c. tripled d. stayed stable ANSWER: b POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 20. Nearly ____ million people in the United States smoke cigarettes. a. 30 b. 45 c. 60 d. 100 ANSWER: a POINTS: 1 REFERENCES: The Scope of the Problem of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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21. In the United States, the number of deaths resulting from illicit drug use are _______ those from legal substance use. a. much higher than b. statistically the same as c. more numerous than d. only a fraction of ANSWER: d POINTS: 1 REFERENCES: The Cost of Chemical Abuse/Addiction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.03 - Understand the costs related to alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 22. Alcohol is thought to contribute to approximately ____ of all motor vehicle accidents. a. 40% b. 60% c. 30% d. 50% ANSWER: a POINTS: 1 REFERENCES: The Cost of Chemical Misuse and substance use disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.03 - Understand the costs related to alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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23. Annually, one in ___ of all deaths in the U.S. can be directly traced to smoking-related illnesses. a. ten b. three c. five d. two ANSWER: c POINTS: 1 REFERENCES: The Cost of Chemical Misuse and substance use disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.03 - Understand the costs related to alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 24. The majority of psychologists surveyed reported ________ regarding the identification or treatment of addictions. a. no formal training b. confidence c. being comfortable d. felt adequately prepared coming out of graduate school ANSWER: POINTS: REFERENCES: QUESTION TYPE:

a 1 Who Treats Persons with a substance use disorder? Multiple Choice

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.04 - Describe those who encounter and treat individuals with SUDs NATIONAL STANDARDS: United States - CACREP.4e - strategies for assessing abilities, interests, values, personality and other factors that contribute to career development United States - CSHSE.8g - Reflection on professional self (e.g., journaling, development of a portfolio, or project demonstrating competency). DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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25. The majority of undergraduate nursing programs require ______ of instruction on alcohol and drug abuse content. a. one semester b. a single course c. several weeks d. 1 to 5 clock hours ANSWER: d POINTS: 1 REFERENCES: Who Treats Persons with a substance use disorder? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.04 - Describe those who encounter and treat individuals with SUDs NATIONAL STANDARDS: United States - CACREP.4c - processes for identifying and using career, avocational, educational, occupational and labor market information resources, technology, and information systems United States - CSHSE.8g - Reflection on professional self (e.g., journaling, development of a portfolio, or project demonstrating competency). DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 26. Discuss the costs of alcohol use/abuse/addiction in general economic terms and in healthcare expenditures, providing information for both the United States and the World.

ANSWER: No answer provided. POINTS: 1 REFERENCES: The Cost of Chemical Misuse and substance use disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.03 - Understand the costs related to alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.2g - Processes to effect social change through advocacy work at all levels of society including community development, community and grassroots organizing, and local and global activism. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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27. Describe some of the shortcomings in the training of various healthcare workers regarding the identification and treatment of substance abuse disorders (substance use disorders).

ANSWER: No answer provided. POINTS: 1 REFERENCES: Who Treats Persons with a substance use disorder? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.04 - Describe those who encounter and treat individuals with SUDs NATIONAL STANDARDS: United States - CACREP.4a - theories and models of career development, counseling, and decision making United States - CSHSE.8g - Reflection on professional self (e.g., journaling, development of a portfolio, or project demonstrating competency). DATE CREATED: DATE MODIFIED:

2/16/2018 5:46 AM 2/23/2018 9:04 AM

28. Contrast the historical patterns seen with alcohol/tobacco use with that of the general patterns of use of illicit substances in the U.S.

ANSWER: No answer provided. POINTS: 1 QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.02 - Identify the scope of the problem of alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.8F - Qualitative, quantitative, and mixed research methods United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 7:06 AM

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29. Describe the tactics politicians use to hide the true cost of the "war" on drugs. ANSWER: No answer provided. POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.01 - Understand why substance misuse and SUDs are legitimate problems for society NATIONAL STANDARDS: United States - CACREP.2B - Social and Cultural Diversity – Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy United States - CSHSE.1f - Exposure to a spectrum of political ideologies. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM 30. How do Substance Use Disorders (substance use disorders) contribute to the rise in healthcare costs? ANSWER: No answer provided. POINTS: 1 REFERENCES: The Cost of Chemical Abuse/Addiction QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.01.03 - Understand the costs related to alcohol and drug misuse and SUDs NATIONAL STANDARDS: United States - CACREP.1h - current labor market information relevant to opportunities for practice within the counseling profession United States - CSHSE.1g - Skills to analyze and interpret historical data for application in advocacy and social change. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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31. Discuss the statistics of how substance use disorders are involved with those who are admitted to hospitals in a given year, focusing on a variety of different substances.

ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 Substance Use Disorders as Unsuspected Influences on Society Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.01.01 - Understand why substance misuse and SUDs are legitimate problems for society NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 2/16/2018 5:46 AM DATE MODIFIED: 2/23/2018 9:04 AM

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1. Which of the following is not one of the reasons that people use drugs or alcohol, according to the textbook? a. To cope with psychological pain b. To express a forbidden impulse c. To experience a feeling of euphoria d. To seek a higher state of spiritual existence ANSWER: d POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.01 - Understand why individuals may use alcohol and/or drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 2. Samantha learned that someone had given her LSD without her knowledge. Before the effects of the drug set in, Samantha was scared of how she was going to experience the drug because she had a terrifying experience in the past. Samantha’s __________ will have an impact on her physical experience of the drug. a. social learning

b. reward potential c. blindness to the drug’s effects d. individual expectations ANSWER: d POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.7a - Clarifying expectations. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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3. There is one widely accepted, universal definition of the terms problematic use, abuse, and addiction. a. True b. False ANSWER: POINTS: REFERENCES:

False 1 What Do We Mean When We Say That Somebody Is "Addicted" to a Chemical?

QUESTION TYPE: True / False HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 4. Tolerance is defined as a. needing to use more of a drug to achieve the desired effect previously achieved at a lower dose. b. continued drug abuse by an individual despite significantly negative consequences. c. the negative physical effects the user experiences when the drug is no longer in their system. d. when an individual uses a compound that is not medically necessary. ANSWER: a POINTS: 1 REFERENCES: Definitions of Terms Used in This Text QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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5. Current research has been able to identify specific mechanisms for distinguishing between social alcohol users who will go on to develop an alcohol-related problem and those who will not.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Unanswered Questions QUESTION TYPE: True / False HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP3d - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation United States - CSHSE.4i - Utilizing research findings and other information for community education and public relations. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 6. According to your text, rare to social use of a chemical a. is clearly inconsistent with the expectations of the person’s cultural group. b. has an inverse relationship with the person’s state of health. c. usually involves a period of intense substance abuse that is not acceptable to the leaders of the social group. d. involves experimental use at a level that does not exceed social norms. ANSWER: d POINTS: 1 REFERENCES: Definitions of Terms Used in This Text QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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7. One factor that is frequently overlooked in the initiation or maintenance of substance use is ________. a. availability b. choice c. genetics d. age ANSWER: b POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 8. The basic laws of behavioral psychology hold that the main motivating force for humans is the a. increase in pleasure or decrease in discomfort. b. pleasure principle. c. disapproval of fringe social groups. d. intrusive nature of sensory experiences deemed unacceptable to that person’s social group. ANSWER: a POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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9. Cultural and social influences on an individual’s substance use behaviors a. are hardly relevant to the individual’s choice of drugs of abuse. b. push individuals towards alcohol but not drug abuse. c. help to shape the individual’s decision to engage in substance use. d. are negative influences on the individual’s life goals. ANSWER: c POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 10. Which of the following statements is supported by research cited in your text? a. The term substance abuse has been clearly defined. b. There is little agreement about how to define use, abuse, and addiction. c. The limits of normal use have been defined, but abuse and addiction are still ill-defined. d. The limits of both use and abuse have been clearly defined, but the term addiction is still poorly defined. ANSWER: b POINTS: 1 REFERENCES: What Do We Mean When We Say That Somebody Is "Addicted" to a Chemical? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.8i - analysis and use of data in counseling United States - CSHSE.4i - Utilizing research findings and other information for community education and public relations. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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11. Which of the following is one of the diagnostic criteria for the diagnosis of a substance use disorder, according to your text? a. Impaired control over substance use

b. No avoidance of activities not centered on substance use c. Enhancement of normal functioning d. Adherence to religious dictates against substance use ANSWER: a POINTS: 1 REFERENCES: What Do We Mean When We Say That Somebody Is "Addicted" to a Chemical? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.4a - Obtaining information through interviewing, active listening, consultation with others, library or other research, and the observation of clients and systems. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 12. The withdrawal syndrome seen when a compound ________ characteristic of physical dependence on that compound. a. is discontinued is a

b. is discontinued is not a c. is not used in excess is a d. is used with decreasing frequency is not a ANSWER: a POINTS: 1 REFERENCES: Definitions of Terms Used in This Text QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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13. Tolerance to a compound is seen when a. the individual cannot predict in advance how much of that compound will be used. b. the compound induces a state of well-being when used. c. the individual is motivated to avoid compounds similar to that usually abused. d. the individual must use more of a compound to achieve the effects once achieved at a lower dose. ANSWER: d POINTS: 1 REFERENCES: Definitions of Terms Used in This Text QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.03 - Understand the terminology used in the field and in this text NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 14. Much of what we "know" about SUBSTANCE ABUSE DISORDERs is based upon which of the following? a. complete data sets b. clinical case studies c. investigative reporting d. incomplete data ANSWER: d POINTS: 1 REFERENCES: Unanswered Questions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.04 - Consider the questions that remain unknown regarding SUDs NATIONAL STANDARDS: United States - CACREP.8F - Qualitative, quantitative, and mixed research methods United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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15. The set of symptoms experienced when a user stops or curtails the intake of a substance is called a. psychological dependence. b. withdrawal syndrome. c. loss of control. d. addiction. ANSWER: b POINTS: 1 REFERENCES: Definitions of Terms Used in This Text QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.03 - Understand the terminology used in the field and in this text NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 16. The abuse of a substance over a specified period of time is known as a. short-term abuse. b. activation phase. c. period prevalence. d. lifetime prevalence. ANSWER: c POINTS: 1 REFERENCES: Unanswered Questions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.04 - Consider the questions that remain unknown regarding SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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17. Which of the following is the phase used to describe a period where the abuse of a certain compound is infrequent within a society, although more prevalent in certain small subgroups in that society? a. Decline

b. Expansion c. Plateau d. Incubation ANSWER: d POINTS: 1 REFERENCES: Drug Use/Misuse Cycles QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 18. Paul considers himself a typical drinker. He may occasionally exceed the legal limits, but he doesn't display symptoms of alcoholism. He has never been diagnosed with an alcohol use problem in the past. He could be considered a(n) a. "at risk" drinker.

b. teetotaler. c. "normal" drinker. d. low level alcoholic. ANSWER: a POINTS: 1 REFERENCES: The Continuum of Chemical Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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19. An alcohol user's position on the continuum of chemical use a. may rise or fall depending on their current situation. b. is legally reset when they are admitted to rehabilitation. c. begins with the onset of the user's first legal problem. d. can, by design, only move upwards, with periods of reduced drinking merely halting the movement on the scale.

ANSWER: a POINTS: 1 REFERENCES: The Continuum of Chemical Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 20. Approximately ________ of all adults will demonstrate at least one sign of an alcohol use disorder (AUD). a. 5-10 % b. 50 % c. 30-45 % d. 25 % ANSWER: c POINTS: 1 REFERENCES: Unanswered Questions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.04 - Consider the questions that remain unknown regarding SUDs NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.4i - Utilizing research findings and other information for community education and public relations. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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21. According to your text, which of the following rationales is NOT associated with substance use or abuse? a. The person’s love relationships at the moment b. To provide an excuse for the expression of forbidden impulses c. To allow the person to explore hidden realities (or at least what they interpret as hidden realities) d. To help the user cope with physical and emotional pain ANSWER: a POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.7a - Clarifying expectations. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 22. The person who has a substance abuse disorder will always have that disorder. Which of the following reactions is most appropriate, according to your text? a. Not true! Once the person stops using the substance the condition is no longer diagnosable.

b. True, but only if the person stops abusing the chemical before the age of 25, when s/he becomes an adult with full neurological capacity.

c. This issue has not been resolved yet. d. Possibly, although this is only true for alcoholism and not illicit drugs. ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 7:30 AM

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23. Drugs that have the highest pharmacological reward potential for abuse tend to have a a. rapid onset of action. b. slow onset of action. c. strong social learning component. d. low probability of being addictive. ANSWER: a POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.01 - Understand why individuals may use alcohol and/or drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 24. Tammy says drinking alcohol makes her "feel" better, even though many of her close friends see a general deterioration in her ability to take care of various aspects of her life. Her decision to begin and continue to use alcohol is possibly being influenced by a. social learning.

b. blindness to the chemical's effects. c. cultural/social influences. d. alcohol's reward potential. ANSWER: b POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.01 - Understand why individuals may use alcohol and/or drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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25. Humans seem to be the only animals with a propensity towards using mind-altering substances. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.01 - Understand why individuals may use alcohol and/or drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 26. Discuss some of the similarities between the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Statistical Classification of Diseases and Related Health Problems (ICD-10).

ANSWER: No answer provided. POINTS: 1 REFERENCES: What Do We Mean When We Say That Somebody Is "Addicted" to a Chemical? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.4a - theories and models of career development, counseling, and decision making United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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27. Discuss some of the influences that may affect the decision to initiate and continue substance abuse. ANSWER: No answer provided. POINTS: 1 REFERENCES: Why Do People Choose to Use Drugs or Alcohol? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.01 - Understand why individuals may use alcohol and/or drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM 28. List and describe the five levels or stages of substance use behaviors that progress to addiction issues. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Continuum of Chemical Use QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED:

2/23/2018 9:06 AM

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29. Describe the term behavioral "addictions." How might these differ from substance abuse or dependence? What have experts achieved in their goal to produce a universal definition of these terms?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Behavioral/Process "Addictions" QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.03 - Understand the terminology used in the field and in this text NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED:

2/23/2018 9:06 AM

30. Describe the idea of a "drug abuse cycle" with phases analogous to those seen in epidemics of infectious diseases. ANSWER: No answer provided. POINTS: 1 REFERENCES: Drug Use/Misuse Cycles QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.02.02 - Describe the cycle of drug misuse and the continuum on which individuals may fall NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 6:03 AM DATE MODIFIED: 2/23/2018 9:06 AM

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1. Drugs that are abused comprise a special class of chemicals that are different from drugs that are used pharmaceutically.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: A Basic Misconception QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.01 - Understand the impact substances can have on the body NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM 2. The ______ effect of a drug is the desired effect. a. compound b. placebo c. secondary d. prime ANSWER: d POINTS: 1 REFERENCES: The Prime Effect and Side Effect of Chemicals QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.02 - Distinguish prime effects from side effects NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM

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3. The ______ effect of a drug is an unwanted side effect. a. compound b. placebo c. secondary d. prime ANSWER: c POINTS: 1 REFERENCES: The Prime Effect and Side Effect of Chemicals QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.02 - Distinguish prime effects from side effects NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM 4. The term “skin popping” used by some drug addicts refers to the ___________ route of drug administration. a. subcutaneous b. intravenous c. transdermal d. enteral ANSWER: a POINTS: 1 REFERENCES: The Method by Which a Compound Is Administered QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.03 - Describe the forms of administration of substances NATIONAL STANDARDS: United States - CACREP3d. - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM

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5. Which process is affected by factors such as the individual’s sex, state of hydration, genetic heritage, general health, and muscle/adipose tissue ratio? a. Peak effect

b. Drug interaction c. Diffusion d. Distribution ANSWER: d POINTS: 1 REFERENCES: Bioavailability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.04 - Understand the factors that impact the bioavailability of substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM 6. A drug that has a narrow therapeutic window would a. be easy to overdose. b. be difficult to overdose. c. never reach its peak effect. d. reach its peak effect slowly. ANSWER: a POINTS: 1 REFERENCES: The Lethal Dose and Therapeutic Index QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM

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7. Which process helps explains how a drug leads to a change in the brain, thus shortening the duration of drug effects after repeated administration? a. Neuroadaptation

b. Reuptake c. Co-transmission d. Down regulation ANSWER: a POINTS: 1 REFERENCES: The Receptor Site QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM

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8. Isabel had been taking Valium, a benzodiazepine, for a few years to calm her nerves and help her sleep. She had her dosage increased by her doctor because her previous dosage wasn’t helping her sleep at night anymore. One night, she went out with her husband for his company’s annual Christmas party. She had never been much of a drinker, but that evening she wanted to enjoy a few cocktails. She was very careful not to mix her Valium with alcohol, as her doctor had warned her. Towards the end of the evening, Isabel realized that she had had at least 5 cocktails and didn’t feel drunk at all. Which term may best describe why this happened? a. Cross dependence

b. Cross tolerance c. Up-regulation d. Co-transmission ANSWER: b POINTS: 1 REFERENCES: The Receptor Site QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM

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9. Jared is experiencing an overdose of heroin. He is rushed to the hospital and given another drug that blocks his opioid receptor sites, thus preventing the effects of the overdose from stopping his respiration. Jared was most likely given a. Naltraxone.

b. Disulfiram c. Narcan. d. Buspirone. ANSWER: c POINTS: 1 REFERENCES: The Receptor Site QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM 10. Virtually all drugs of abuse known at this time a. either once were or now are being investigated as potential pharmaceutical agents. b. are not very different in chemical structure from earlier generations of recreational chemicals. c. tend to enhance the function of the central nervous system. d. are found to have their main effects outside of the central nervous system. ANSWER: a POINTS: 1 REFERENCES: A Basic Misconception QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.01 - Understand the impact substances can have on the body NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3d - Economic and social class systems including systemic causes of poverty. DATE CREATED: 2/16/2018 7:23 AM DATE MODIFIED: 2/23/2018 9:07 AM

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11. The way in which the passage of time impacts the way a drug moves through the body is referred to as a. cross-tolerance b. pharmacokinetics c. distribution d. pharmacodynamics ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.01 - Understand the impact substances can have on the body NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 12. For most of the psychoactive pharmaceuticals as well as various other drugs that are misused, the site of action a. is neurons in the central nervous system. b. is on the contralateral side of the body from where it was administered. c. involves the kidneys during the biotransformation process. d. depends on how the substance was administered. ANSWER: a POINTS: 1 REFERENCES: The Site of Action QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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13. The subcutaneous method of drug administration a. results in a more rapid onset of action than other methods of drug administration. b. involves the injection of the compound just under the skin. c. is the most common method by which narcotic analgesics are abused. d. results in a more rapid response to the compound being injected than intramuscular injections. ANSWER: b POINTS: 1 REFERENCES: The Method by Which a Compound Is Administered QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.03 - Describe the forms of administration of substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 14. All of the following are involved in the process of removing compounds from the body EXCEPT: a. intravenous administration. b. absorption. c. distribution. d. biotransformation ANSWER: a POINTS: 1 REFERENCES: The Method by Which a Compound Is Administered QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.03 - Describe the forms of administration of substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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15. Which of the following statements is true concerning the bioavailability of chemical compounds related to drug misuse and abuse? a. There is little known about drug distribution patterns in overdose situations.

b. The main site of biotransformation is the pancreas. c. The effects of any compound are the same in animals as in humans. d. The method of administration for a compound does not matter in pharmacokinetics. ANSWER: a POINTS: 1 REFERENCES: Bioavailability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.04 - Understand the factors that impact the bioavailability of substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 16. Which of the following is most accurate in regards to bioavailability? a. It is concerned with the biotransformation process after a compound is administered into the human body. b. It forces the body to absorb a compound more rapidly. c. It is only 1/100,000th of an inch from drug molecules and the circulatory system. d. It reflects the concentration of unchanged chemical at the site of action. ANSWER: d POINTS: 1 REFERENCES: Bioavailability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.04 - Understand the factors that impact the bioavailability of substances NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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17. A compound that is 98 % lipid-bound means a. 98 % of that compound’s molecules absorbed into circulation are bound to blood lipids. b. 98 % of that compound’s molecules are available for the body to use immediately. c. 98 % of the molecules for that compound are subject to elimination more rapidly because of being in this state. d. 2 % of the drug molecules are not available to have any biological effect. ANSWER: a POINTS: 1 REFERENCES: Bioavailability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.04 - Understand the factors that impact the bioavailability of substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 18. The biotransformation process for pharmaceuticals was once called a. drug metabolism. b. vascularization. c. absorption. d. distribution. ANSWER: a POINTS: 1 REFERENCES: Bioavailability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.04 - Understand the factors that impact the bioavailability of substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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19. If 95 % of test subjects have the desired response to medication “X” at a dosage level of 15 mg, this would be called the a. LD95.

b. ED95. c. minimal effective dose. d. therapeutic half-life of that compound at the 95th %ile. ANSWER: b POINTS: 1 REFERENCES: The Effective Dose QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.8F - Qualitative, quantitative, and mixed research methods United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 20. The dosage level that would kill 5 % of those people who took an overdose of medication “X” (medication from last question) is 400 mg. This would mean that a. this compound has a large therapeutic window.

b. this compound has a narrow therapeutic window. c. the compound is highly toxic. d. the elimination of medication “X” from their body at this dosage level will be difficult for most people. ANSWER: a POINTS: 1 REFERENCES: The Effective Dose QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.8F - Qualitative, quantitative, and mixed research methods United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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21. An advantage of administering a drug parenterally is a. the drug is not delayed by the stomach emptying process. b. it avoids the danger of the drug being mixed with food in the GI tract. c. the drug is not exposed to gastric juices. d. all of these answers. ANSWER: d POINTS: 1 REFERENCES: The Method by Which a Compound Is Administered QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.03 - Describe the forms of administration of substances NATIONAL STANDARDS: United States - CACREP3d. - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 22. According to your text, drugs of abuse and pharmaceuticals both a. destroy emerging potentials within the body. b. cause a disruption in protein absorption for most persons. c. destroy most of the essential enzymes found in the brain. d. modify a potential that already exists in the body or brain. ANSWER: d POINTS: 1 REFERENCES: A Basic Misconception QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.01 - Understand the impact substances can have on the body NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3d - Economic and social class systems including systemic causes of poverty. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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23. Which of the following is true regarding drugs of abuse? a. The speed at which the compound begins to take effect varies as a result of the drug-specific site of action. b. The heart and cardiovascular system are of minimal importance to the process of biotransformation. c. The site of action is the central nervous system. d. Rectal administration is quite common, although it is relatively inefficient. ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

c 1 The Site of Action Multiple Choice False

LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 24. If 99 percent of test subjects have the desired response to the same medication identified in the last question at a dosage level of 20 mg, this would be called: a. the LD99.

b. the ED99. c. the minimal effective dose. d. the therapeutic half-life of that compound at the 99th percentile. ANSWER: b POINTS: 1 REFERENCES: The Effective Dose QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.8F - Qualitative, quantitative, and mixed research methods United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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25. Which of the following is NOT part of the absorption process of drug molecules in the human body? a. Detoxification b. Cellular transport mechanisms c. Method of administration d. Molecular binding characteristics of that compound ANSWER: a POINTS: 1 REFERENCES: Bioavailability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.04 - Understand the factors that impact the bioavailability of substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 26. Describe the process of biotransformation. ANSWER: No answer provided. POINTS: 1 REFERENCES: Bioavailability QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.04 - Understand the factors that impact the bioavailability of substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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27. Describe the term distribution half-life, including its two subforms. ANSWER: No answer provided. POINTS: 1 REFERENCES: Drug Half-life QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.05 - Distinguish between the different types of half-lives for substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 28. Define the terms effective dose and lethal dose. Explain how these might be used to calculate the therapeutic index of a drug.

ANSWER: No answer provided. POINTS: 1 REFERENCES: The Lethal Dose and Therapeutic index QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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29. Describe the actions and effects of agonists and antagonists on a receptor sites. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Receptor Site QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM 30. Describe the processes of neurotransmitter reuptake and destruction, noting where these processes take place. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Process of Neurotransmission QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.03.06 - Describe the difference between effective dose and lethal dose NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 7:24 AM DATE MODIFIED: 2/23/2018 9:07 AM

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1. Although controversial, the earliest written record of wine-making is found in _______ and dates back over 18,000 years. a. Sumeria

b. Rome c. Egypt d. Greece ANSWER: c POINTS: 1 REFERENCES: A Brief History of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.01 - Understand the history of alcohol NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM 2. In the United States, wine usually has an alcohol content of between ________ %, though light wines have appreciable lower alcohol levels. a. 10 and 25

b. 22 and 40 c. 8 and 17 d. 3 and 8 ANSWER: c POINTS: 1 REFERENCES: Alcohol Today QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.02 - Understand the use of alcohol in present times NATIONAL STANDARDS: United States - CACREP.2B - Social and Cultural Diversity – Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM

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3. Jamal will have an occasional glass of wine with dinner, does not require daily use of alcohol to function, has never had any negative consequences due to his drinking, and does not use alcohol for continuous periods of time. Jamal would most likely be considered a. someone with an alcohol addiction.

b. someone with an alcohol abuse problem. c. a binge drinker. d. a rare or social drinker. ANSWER: d POINTS: 1 REFERENCES: A Working Definition of Social Drinking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.02 - Understand the use of alcohol in present times NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM 4. In general, peak blood alcohol levels after the ingestion of single alcoholic drink are achieved in __________ minutes. a. 5-10

b. 15-25 c. 30-60 d. 70-90 ANSWER: c POINTS: 1 REFERENCES: Blood Alcohol Level (BAL) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 10:29 AM

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5. Currently, scientists believe that alcohol is a “dirty” compound. This means a. it shows a preference for a specific receptor site. b. it decreases the effects of GABA. c. it gets contaminated during the fermentation process. d. it alters the action of various neurotransmitters and interferes with the action of messenger molecules within the neuron itself.

ANSWER: d POINTS: 1 REFERENCES: The Pharmacology of Ethyl Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM 6. Which of the following drugs are dangerous to mix with alcohol? a. Antihistamines b. Benzodiazepines c. Anticoagulant medications d. All of these answers are correct ANSWER: d POINTS: 1 REFERENCES: Medical Complications of Alcohol Use for the Individual Who Drinks Socially QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.05 - Comprehend the medical complications of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM

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7. According to your text, many historians believe a. alcohol was the cause of the Protestant reformation in Europe. b. alcohol was one reason for the expansion of the Roman empire. c. alcohol has been an important factor in lubricating social interactions throughout different eras. d. the brewing of alcohol resulted in the widespread application of the new science of biochemistry that emerged during the mid-13th century.

ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.01 - Understand the history of alcohol NATIONAL STANDARDS: United States - CACREP.2B - Social and Cultural Diversity – Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM 8. Laura is at a bar with some friends, and has had a couple of drinks. She sees her anthropology professor across the bar, and decides it would be a good idea to walk up to him and tell him how cute he is. Laura’s poor decision-making may be a result of the ________ effect of alcohol. a. disinhibition

b. 1synnergistic c. cross-tolerance d. social learning ANSWER: POINTS: REFERENCES:

a 1 Subjective Effects of Alcohol on the Individual Who Drinks Socially at Normal Doses QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM

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9. The first step in the biotransformation occurs when the stomach produces an enzyme called ________. This production is hindered when the individual takes aspirin. a. alcohol dehydrogenase

b. aldehyde dehydrogenase c. alcohol detranscriptase d. aldehyde detranscriptase ANSWER: a POINTS: 1 REFERENCES: Alcohol Today QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.02 - Understand the use of alcohol in present times NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM 10. One major consequence of distillation is a. many of the vitamins and minerals found in the original wine are lost. b. you cannot achieve an alcohol level higher than 30 %. c. the flavor is enhanced, but only for products made from certain species of grapes. d. it is necessary to warm the resulting fluid to body temperature to serve it. ANSWER: a POINTS: 1 REFERENCES: How Alcoholic Beverages Are Produced Today QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.02 - Understand the use of alcohol in present times NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM

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11. According to your text, all of the following are methods by which alcohol has been introduced into the body EXCEPT a. orally. b. transdermal administration. c. rectally. d. intravenously. ANSWER: b POINTS: 1 REFERENCES: The Pharmacology of Ethyl Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM 12. As a general rule, the __________ can biotransform alcohol at the rate of one 12-ounce can of beer, four ounces of wine, or one standard mixed drink per hour. a. duodenum

b. pancreas c. liver d. glutamate ANSWER: c POINTS: 1 REFERENCES: The Biotransformation of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM

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13. All of the following are end products of the alcohol biotransformation process EXCEPT a. aldehyde dehydrogenase. b. fatty acids. c. carbon dioxide. d. water. ANSWER: a POINTS: 1 REFERENCES: The Biotransformation of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM 14. Which of the following is a good summary of the Mellanby effect, according to your text? a. A person feels more intoxicated when the alcohol levels are falling, after the neurons have been affected by the alcohol molecules.

b. A person feels more intoxicated as the blood alcohol level is rising c. The alcohol ingested causes the body to become stimulated. d. The alcohol ingested causes the release of opioid peptides in the peripheral regions of the body. ANSWER: b POINTS: 1 REFERENCES: The Blood Alcohol Level (BAL) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM

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15. The sense of euphoria and well-being that many drinkers report is the result of a. the release of opioid peptides in the peripheral regions of the body, which eventually reach the brain’s pleasure center and accounts for alcohol’s slow onset of action.

b. alcohol’s ability to stimulate the release of alcohol dehydrogenase in the stomach. c. alcohol’s ability to stimulate the brain’s reward system. d. the release of glucose by the liver, directly causing the reward cascade in the brain. ANSWER: c POINTS: 1 REFERENCES: The Biotransformation of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:53 AM DATE MODIFIED: 2/23/2018 9:09 AM 16. A friend of yours is a rare drinker, perhaps drinking one or two mixed drinks a month when out for dinner. You know this will a. increase that person’s risk of a stroke.

b. improve muscle coordination as the alcohol removes doubts and inhibitions. c. improve respiration, allowing more oxygenated blood to reach the muscles and brain. d. improve visual peripheral field perception, allowing the person to see and then anticipate tactics used by defensive players.

ANSWER: a POINTS: 1 REFERENCES: Medical Complications of Alcohol Use for the Individual Who Drinks Socially QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.05 - Comprehend the medical complications of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: DATE MODIFIED:

2/23/2018 7:53 AM 2/23/2018 9:09 AM

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17. The disinhibition effect induced by alcohol is caused by its effects on the activity of the _________ region of the drinker’s brain that is associated with inhibition of certain behaviors. a. hippocampus

b. reticular activating system (RAS) c. cortex d. occipital ANSWER: POINTS: REFERENCES:

c 1 Subjective Effects of Alcohol on the Individual Who Drinks Socially at Normal Doses QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM 18. According to your text, which of the following individuals would you normally expect to have the lowest blood alcohol level? a. A 160-pound man who consumed 14 standard drinks over a 3 hour span of time

b. A 160-pound man who consumed 8 stand drinks over a 3 hour span of time c. A 160-pound man who consumed 4 standard drinks over a 3 hour span of time. d. A 180-pound man who consumed 16 standard drinks over a 3 hour span of time. ANSWER: c POINTS: 1 REFERENCES: The Blood Alcohol Level (BAL) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM

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19. There are no significant long-term neurocognitive effects from alcohol because a. it improves blood flow to the cortex of the brain. b. it decreases endorphin release in the cortex of the brain. c. it improves blood oxygenation levels and stimulates the production of free radicals in the brain. d. none of these are correct. ANSWER: d POINTS: 1 REFERENCES: Medical Complications of Alcohol Use for the Individual Who Drinks Socially QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.05 - Comprehend the medical complications of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM 20. As a physician on duty in the emergency room, you could expect a. alcohol ingestion would make drinkers so relaxed that they would suffer fewer head injuries than nondrinkers in similar automobile accidents.

b. about half of the patients you see who have a traumatic injury will have been drinking immediately prior to the incident.

c. improved survival rates for drinkers, who would be more likely to be thrown from a vehicle during an accident. d. no relationship between the individual’s alcohol use status and his or her having suffered a traumatic injury of some kind.

ANSWER: b POINTS: 1 REFERENCES: Medical Complications of Alcohol Use for the Individual Who Drinks Socially QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.05 - Comprehend the medical complications of social use of alcohol NATIONAL STANDARDS: United States - CACREP.5C - Counseling and Helping Relationships – Theories, models, and strategies for understanding and practicing consultation. United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM

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21. Evidence suggests that beer made from ingredients other than fermented honey might date back to a. 3,000 B.C.E. b. 5,000 B.C.E. c. 7,000 B.C.E. d. 9,000 B.C.E. ANSWER: d POINTS: 1 REFERENCES: A Brief History of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.01 - Understand the history of alcohol NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM 22. Prohibition in the United States could be described as a ______ social experiment. a. failed b. successful c. primitive d. neutral ANSWER: a POINTS: 1 REFERENCES: A Brief History of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.01 - Understand the history of alcohol NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM

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23. The most popular alcohol-containing beverage in the United States is a. beer. b. wine. c. whiskey. d. rum. ANSWER:

POINTS: 1 REFERENCES: Alcohol Today QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.02 - Understand the use of alcohol in present times NATIONAL STANDARDS: United States - CACREP.2B - Social and Cultural Diversity – Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM 24. Historical evidence suggests that the process of distillation emerged a. in 800 A.D. b. in 8,000 B.C.E. c. 800 years ago. d. 1,800 years ago. ANSWER: a POINTS: 1 REFERENCES: A Brief History of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.01 - Understand the history of alcohol NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM

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25. According to your text, the alcohol-related “hangover” a. is sufficient to cause the drinker’s death. b. is self-limiting for those drinkers who ingested less than 8 cans of beer or mixed drinks. c. can be avoided if the drinker ingests food prior to drinking. d. is generally self-limiting, although very unpleasant. ANSWER: d POINTS: 1 REFERENCES: Medical Complications of Alcohol Use for the Individual Who Drinks Socially QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.05 - Comprehend the medical complications of social use of alcohol NATIONAL STANDARDS: United States - CACREP.5C - Counseling and Helping Relationships – Theories, models, and strategies for understanding and practicing consultation. United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM 26. What are some of the reasons why people consume alcohol, according to the text? ANSWER: No answer provided. POINTS: 1 REFERENCES: Why Do People Consume Alcohol? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.01 - Understand the history of alcohol NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED:

2/23/2018 9:09 AM

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27. Explain what is meant when alcohol is described as a "dirty" compound. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Pharmacology of Ethyl Alcohol QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM 28. What are some of the factors that may affect the blood alcohol level (BAL)? ANSWER: No answer provided. POINTS: 1 REFERENCES: The Blood Alcohol Level (BAL) QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.04 - Describe the pharmacology, including subjective effects, of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM

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29. Describe the rates of alcohol use in the world today, citing several statistics that provide information about the scope of this issue.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Scope of Alcohol Use in the World Today QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.03 - Identify the scope of alcohol use in the United States today NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.3f - International and global influences on services delivery. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM 30. Distinguish between the two primary categories of alcohol-related disorders that are relevant to this chapter. ANSWER: POINTS: REFERENCES:

No answer provided.

1 Alcohol Use and the Diagnostic and Statistical Manual of Mental Disorders (5th Edition) QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.04.05 - Comprehend the medical complications of social use of alcohol NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/23/2018 7:54 AM DATE MODIFIED: 2/23/2018 9:09 AM

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1. Health care professionals generally accept that ________12-ounce cans of beer would need to be consumed daily for 2-3 weeks to produce a physical dependency. a. 5 to 7

b. 11 to 15 c. 17 to 20 d. 22 to 25 ANSWER: b POINTS: 1 REFERENCES: A Working Definition of the Alcohol Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.01 - Understand what constitutes an AUD and who might be the typical individual with an AUD NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 2. People who are alcohol-dependent are thought to lose about ______ of potential life as a result of their drinking. a. 6 months b. 2 years c. 7 years d. 15 years ANSWER: d POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.01 - Understand what constitutes an AUD and who might be the typical individual with an AUD NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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3. All chronic drinkers will need to continue increasing the amount of alcohol consumed in order to reach a given level of intoxication throughout their lifetime.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Physical Dependence, Tolerance, and "Craving" QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 4. Wernicke-Korsakoff’s disease is a potentially fatal a. neurological disorder. b. cardiovascular disorder. c. gastrointestinal disorder. d. side effect of cirrhosis of the liver. ANSWER: a POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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5. _________ are thought to be the most effective treatment for patients suffering from alcohol withdrawal seizures. a. Opioid antagonists b. Benzodiazepines c. Anti-convulsants d. Small amounts of alcohol ANSWER: b POINTS: 1 REFERENCES: The Alcohol Withdrawal Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.04 - Describe the alcohol withdrawal syndrome NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 6. Globally, alcohol-related illnesses or injuries are thought to cause a. twice as many deaths as tobacco. b. the same number of deaths as does tobacco. c. 3.3 million deaths per year. d. 5.8 million deaths per year. ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.01 - Understand what constitutes an AUD and who might be the typical individual with an AUD NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.3f - International and global influences on services delivery. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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7. According to your text, which continent has the %distinction of being the heaviest drinkers in the world? a. South America b. Asia c. Australia d. Europe ANSWER: d POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.01 - Understand what constitutes an AUD and who might be the typical individual with an AUD NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2g - Processes to effect social change through advocacy work at all levels of society including community development, community and grassroots organizing, and local and global activism. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 8. Your text suggests that about _______ % of the U.S. adult population drank to the point of intoxication in the past month. a. 6%

b. 27% c. 38% d. 90 %61 ANSWER: b POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.01 - Understand what constitutes an AUD and who might be the typical individual with an AUD NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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9. Between 80 and 90 % of persons with an alcohol use disorder will have evidence of a. development of intestinal problem. b. a “fatty” liver. c. development of hypotension. d. development of diverticulitis. ANSWER: b POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE. 3b - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 10. Of those individuals who develop liver steatosis, what %age go on to develop alcohol-related hepatitis? a. 50-60 % b. 45-50 % c. 5-20 % d. 35-40 % ANSWER: d POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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11. The first time a person with an alcohol use disorder can typically be expected to experience psychosocial or medical problems because of their drinking is in their a. early to middle 30s.

b. late 50s to mid 60s. c. early 40s. d. late 20s to early 30s. ANSWER: d POINTS: 1 REFERENCES: Who Is the Typical Person with an Alcohol Use Disorder? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.02 - Comprehend the complications of the chronic use of alcohol NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 12. Under normal conditions, what would you expect from a person with a blood alcohol level of 0.15, according to your text? a. Stupor, lethargy bordering on loss of consciousness

b. Mild ataxia, a sense of euphoria or well being c. Coma, possible respiratory arrest d. Death ANSWER: b POINTS: 1 REFERENCES: Physical Dependence, Tolerance, and "Craving" QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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13. In the U.S., alcohol is thought to cause (or at least be a factor in) the loss of _____ year of potential life each year a. 150-175 thousand b. 85-90 thousand c. 35-50 thousand d. approximately 2.5 million ANSWER: d POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 14. According to your text, which of the following is NOT an anticipated consequence of the chronic use of alcohol? a. Nutritional deficiencies b. Diarrhea c. Inflammation of the pancreas d. Enhanced bone formation by osteoblasts in the body ANSWER: d POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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15. The formation of ___________ during alcohol biotransformation are thought to contribute to the destruction of liver tissue in chronic drinkers which leads to cirrhosis. a. free radicals

b. neurotoxins c. glutathione d. c-reactive proteins ANSWER: a POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 16. Some persons with an AUD have been known to obtain up to _______ % of their daily caloric requirement from their drinking. a. 50%

b. 35% c. 15% d. 40% ANSWER: a POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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17. All of the following are true of chronic, heavy, alcohol use EXCEPT a. it increases the individual’s risk of cardiovascular disease. b. it enhances the cardioprotective effects first seen with moderate alcohol use. c. it increases the drinker’s risk of death from a stroke. d. alcohol is a cardiotoxic compound. ANSWER: b POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 18. The heavy, chronic use of alcohol will a. aid in weight loss in women only, although the reason for this is not known at present. b. alter the normal pattern of bacterial growth in the mouth, increasing the drinker's risk for a condition called glossitis.

c. reduce the effects of sleep apnea as it causes the muscles of the trachea to become more relaxed and less tense.

d. increase the effectiveness of the immune system through the manner in which glucose derived from alcohol biotransformation becomes a source of energy for the white blood cells.

ANSWER: b POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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19. Which of the following is NOT true of the alcohol withdrawal syndrome? a. Brain damage during this stage is partly dependent on the duration and intensity of the individual’s alcohol use. b. The alcohol withdrawal syndrome is potentially life threatening. c. About one-third of those who experience an alcohol seizure will go on to develop delirium tremens (DTs). d. Tremor is often one of the first manifestations of this condition. ANSWER: a POINTS: 1 REFERENCES: The Alcohol Withdrawal Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.04 - Describe the alcohol withdrawal syndrome NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 20. Coffee consumption may decrease an individual’s risk of developing cirrhosis of the liver. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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21. Rita has grown aware of the fact that her alcohol use is contributing to problems with her health, her work, and her marriage. She has attempted to cut back on her drinking because of this, but cannot seem to reduce her alcohol intake. Rita most likely a. is a social drinker.

b. has no problem with her drinking. c. has some sort of alcohol use disorder (AUD). d. has none of these. ANSWER: c POINTS: 1 REFERENCES: A Working Definition of the Alcohol Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.01 - Understand what constitutes an AUD and who might be the typical individual with an AUD NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 22. Helga has developed avitaminosis from years of heavy drinking. This means a. she is vitamin deficient. b. her body has been absorbing too many vitamins at a toxic level. c. she has an inflamed stomach. d. she has a dangerously low glutathione level. ANSWER: a POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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23. The typical “skid row” person with an alcohol use disorder represents ________ of the total number of persons with such a disorder. a. 40 percent

b. 11 percent c. 5 percent d. 3 percent ANSWER: c POINTS: 1 REFERENCES: Who Is the Typical Person with an Alcohol Use Disorder? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.01 - Understand what constitutes an AUD and who might be the typical individual with an AUD NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE. 3b - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 24. According to your text, the average heavy drinker can expect to lose _____ years of potential life to drinking-related diseases or health problems. a. 18-20

b. approximately 12 c. 14-15 d. up to 25 ANSWER: d POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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25. The chronic use of alcohol is the ___________ cause of liver disease in the U.S. a. least likely b. second most common c. most common d. third most common ANSWER: c POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 26. Describe the subtypes of people who suffer from an alcohol use disorder, noting several characteristics of each category.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Who Is the Typical Person with an Alcohol Use Disorder? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.01 - Understand what constitutes an AUD and who might be the typical individual with an AUD NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE. 3b - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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27. What are the effects of chronic alcohol use on the liver? ANSWER: No answer provided. POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM 28. Describe some of the symptoms associated with Wernicke-Korsakoff's Disease. ANSWER: No answer provided. POINTS: 1 REFERENCES: Complications of Chronic Alcohol Use QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.03 - Understand the differences between chronic use of alcohol and social drinking NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: DATE MODIFIED:

2/16/2018 8:56 AM 2/23/2018 9:10 AM

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29. Describe the potential symptoms experienced by patients undergoing alcohol withdrawal. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Alcohol Withdrawal Syndrome QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.04 - Describe the alcohol withdrawal syndrome NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED:

2/23/2018 9:10 AM

30. Describe the standard treatment for alcohol withdrawal syndrome. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Alcohol Withdrawal Syndrome QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.05.04 - Describe the alcohol withdrawal syndrome NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/16/2018 8:56 AM DATE MODIFIED: 2/23/2018 9:10 AM

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1. The dose-dependent effect of the early anxiolytic/hypnotic drugs means they could produce __________ in the user. a. sedation b. sleep c. death d. all of these ANSWER: d POINTS: 1 REFERENCES: Early Medical Treatment of Anxiety and Insomnia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 2. Bromide salts are no longer available for human use in the United States, but they continue to be used in veterinary medicine.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Early Medical Treatment of Anxiety and Insomnia QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 3. Barbiturates are used as part of the lethal injection for the death penalty. a. True b. False ANSWER: True POINTS: 1 REFERENCES: History and Current Medical Uses of Barbiturates QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM

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4. When barbiturate molecules are circulated throughout the body, the highest concentrations are found in the _______. a. kidney and stomach b. pancreas and duodenum c. spleen and gall bladder d. liver and brain ANSWER: d POINTS: 1 REFERENCES: Pharmacology of the Barbiturates QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 5. The use of barbiturates is discouraged because of ________. a. their narrow therapeutic window b. their inefficacy as a sedative or a hypnotic drug c. their high lethality in overdose situations d. their narrow therapeutic window and high lethality in overdose situations ANSWER: d POINTS: 1 REFERENCES: Pharmacology of the Barbiturates QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 6. Jorge has just discontinued use of barbiturates that he was using regularly to help him sleep. He is likely to experience _____. a. deeper sleep than ever before

b. REM rebound c. a lack of dreams during his sleep d. decreased anxiety ANSWER: b POINTS: 1 REFERENCES: Complications of Barbiturate Use at Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM Copyright Cengage Learning. Powered by Cognero.

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7. Individuals with problems with their ________ are especially at risk of experiencing “barbiturate hangovers.” a. liver b. kidney c. heart d. lungs ANSWER: a POINTS: 1 REFERENCES: Complications of Barbiturate Use at Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 8. Barbiturates are helpful to people with ADHD. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Complications of Barbiturate Use at Normal Dosage Levels QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 9. Barbiturates should not be mixed with ______. a. alcohol b. MAO inhibitors c. antihistamines d. all of these answers are correct ANSWER: d POINTS: 1 REFERENCES: Complications of Barbiturate Use at Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM

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10. When an individual overdoses on a barbiturate, they will most likely experience _____. a. a stroke b. respiratory depression c. a manic episode d. a seizure ANSWER: b POINTS: 1 REFERENCES: Effects of the Barbiturates at Above-Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 11. Barbiturate withdrawal is potentially life threatening and should only be attempted under the care of a physician. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Neuroadaptation, Tolerance, and Physical Dependence on Barbiturates QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 12. Which of the following statements is most accurate of the anxiety disorders? a. They are collectively the most common form of psychiatric diagnosis. b. They are the third most common form of psychiatric diagnosis after depression and psychotic disorders. c. They have no relationship to the sufferers’ lifestyles. d. They are always reflected in obsessive-compulsive disorders. ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM

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13. Each year in the U.S., approximately __________ of the population will experience at least transitory symptoms of insomnia. a. 33 percent

b. 10 percent c. 50 percent d. 25 percent ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 14. According to your text, the first use of chloral hydrate was as ________. a. pain control b. a hypnotic agent c. treatment for insomnia d. a recreational drug ANSWER: b POINTS: 1 REFERENCES: Early Medical Treatment of Anxiety and Insomnia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 15. Which of the following is one of the major disadvantages of paraldehyde? a. Cardio-suppressant effects b. Noxious taste and odor on breath c. Staining properties on the user’s teeth d. Addictive effects (about half those of) alcohol ANSWER: b POINTS: 1 REFERENCES: Early Medical Treatment of Anxiety and Insomnia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM Copyright Cengage Learning. Powered by Cognero.

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16. The bromide salts were initially introduced as a __________. a. treatment for insomnia, and later, when it was discovered they also have antiseizure effects, as an anticonvulsant

b. treatment for epilepsy, and later as a sedative and hypnotic c. treatment for gastric distress caused by impure water, until it was discovered they had antiseizure effects d. method of self-discovery by Elizabethan drug abusers ANSWER: b POINTS: 1 REFERENCES: Early Medical Treatment of Anxiety and Insomnia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 17. When used at higher than recommended doses, diphenhydramine can induce a state of ________ in older adults. a. impaired hearing b. tardive dyskinesia c. delirium d. anemia ANSWER: c POINTS: 1 REFERENCES: Early Medical Treatment of Anxiety and Insomnia QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 18. Barbituric acid has been found to be _________. a. a potent hallucinogenic b. twice as strong as diazepam as an anxiolytic compound c. difficult to digest when consumed with foods that are highly acidic d. biologically inactive ANSWER: d POINTS: 1 REFERENCES: History and Current Medical Uses of Barbiturates QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM Copyright Cengage Learning. Powered by Cognero.

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19. At the height of their popularity _________. a. more than one million pounds of barbiturate compounds were manufactured in the United States each year b. more than one million pounds of barbiturate compounds were manufactured globally c. barbiturates were only a laboratory curiosity for chemists, without medical application d. barbiturates were never rejected as an agent for lethal injection ANSWER: a POINTS: 1 REFERENCES: History and Current Medical Uses of Barbiturates QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 20. Which of the following statements is most true? a. Barbiturates continue to be a relatively popular drug of abuse. b. Some physicians are now starting to prescribe barbiturates to avoid the paperwork associated with the prescription of other controlled compounds.

c. Barbiturates are frequently abused by professional football players for the drug’s ability to control the stress that they experience in major games.

d. Barbiturates are a minor ingredient of “energy drinks” to counteract the effects of the caffeine that are their main component.

ANSWER: POINTS: REFERENCES:

b 1 History and Current Medical Uses of Barbiturates

QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM

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21. According to your text, the barbiturates _________. a. have a very limited role in modern medicine b. typically exacerbate seizure disorders in patients predisposed to such conditions c. are not contraindicated for commercial or civilian pilots d. are the drug of choice for the aggressive treatment of GABA/NMDA inhibition disorders ANSWER: a POINTS: 1 REFERENCES: History and Current Medical Uses of Barbiturates QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 22. Following medical convention, your text groups the barbiturates together on the basis of their ________. a. degree of NMDA antagonistic action b. ability to force the GABAa ion channel to remain open c. ability to enhance the effects of GABAa at the receptor site d. duration of action ANSWER: d POINTS: 1 REFERENCES: Pharmacology of the Barbiturates QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 23. A(n) _______________ is occasionally encountered after a patient takes a barbiturate, even at recommended doses. a. increase in heart rate to possibly dangerous levels

b. paradoxical increase in theta wave activity on the EEG while the patient is awake c. increase in respiration to possibly fatal levels d. paradoxical rage reaction ANSWER: d POINTS: 1 REFERENCES: Complications of Barbiturate Use at Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM Copyright Cengage Learning. Powered by Cognero.

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24. Barbiturates can _____________ when used as a hypnotic. a. cause a paradoxical increase in theta wave activity on the EEG while the patient is asleep b. cause an increase in “spindles” and “spikes” seen on the EEG during stage 2 sleep c. help the user pass from stage 1 to stage 2 sleep more easily d. suppress the duration of normal REM sleep ANSWER: d POINTS: 1 REFERENCES: Complications of Barbiturate Use at Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 25. Barbiturates can _________. a. induce an amphetamine-like state of mania b. induce respiration arrest at high dosage levels c. increase respiration to the point at which it triggers an anxiety attack in persons with ADHD d. not induce tolerance ANSWER: b POINTS: 1 REFERENCES: Effects of the Barbiturates at Above-Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 26. Discuss the historical and current medical uses of barbiturates. Include a review of the misuse potential of these drugs.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Historical and Current Medical Uses of Barbiturates QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM

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27. Compare and contrast the different classifications of barbiturates and note the primary criterion that distinguishes one group from another.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Pharmacology of the Barbiturates QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 28. Discuss some of the subjective effects of barbiturates at normal dosage levels. ANSWER: No answer provided. POINTS: 1 REFERENCES: Subjective Effects of Barbiturates at Normal Dosage Levels QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 29. What are some of the potential drug interactions involving barbiturates? ANSWER: POINTS:

No answer provided.

REFERENCES: Complications of Barbiturate Use at Normal Dosage Levels QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM 30. Describe some of the barbiturate-like drugs that have developed since the 1950s. Why were they developed? ANSWER: No answer provided. POINTS: 1 REFERENCES: The Barbiturate-Like Drugs QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 2/21/2018 1:34 PM DATE MODIFIED: 2/21/2018 1:37 PM

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1. Barbiturates are far safer for use than benzodiazepines. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Subjective Effects of Benzodiazepines at Normal Dosage Levels QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 2. Benzodiazepines are rarely injected into muscle tissue due to their erratic absorption. One exception to this is when a patient is experiencing a. a heart attack.

b. an overdose of heroin. c. delirium tremors. d. a seizure. ANSWER: d POINTS: 1 REFERENCES: The Pharmacology of the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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3. The effects of which neurotransmitter are enhanced by the use of benzodiazepines? of a. glutamate. b. GABA. c. norepinephrine. d. endorphins. ANSWER: b POINTS: 1 REFERENCES: The Pharmacology of the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED:

2/23/2018 8:34 AM

4. The medical community collectively uses benzodiazepines for the treatment of chronic, or long-term, anxiety. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Side-Effects of the Benzodiazepines When Used At Normal Dosage Levels QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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5. The Royal College of Psychiatrists in Great Britain recommends that benzodiazepines be used on a continual basis for no longer than ________. a. 4 weeks

b. 8 weeks c. 6 months d. 12 months ANSWER: a POINTS: 1 REFERENCES: Neuroadaptation to, Abuse of, and Addiction to the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.04 - Describe neuroadaptation to benzodiazepines NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 6. A common form of benzodiazepine abuse is when they are mixed with _______ to produce a sense of euphoria. a. anabolic steroids b. barbiturates c. methadone d. marijuana ANSWER: c POINTS: 1 REFERENCES: Neuroadaptation to, Abuse of, and Addiction to the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.04 - Describe neuroadaptation to benzodiazepines NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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7. It is potentially dangerous to mix benzodiazepines with many prescription and over-the-counter drugs or herbal supplements.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Neuroadaptation to, Abuse of, and Addiction to the Benzodiazepines QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.04 - Describe neuroadaptation to benzodiazepines NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 8. Which hypnotic drug works by binding with the melatonin receptor in the brain? a. Zolpidem b. Buspirone c. Ramelteon d. Rohypnol ANSWER: c POINTS: 1 REFERENCES: The Benzodiazepine Receptor Antagonists (Z-Compounds or BRAs) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.05 - Describe the benzodiazepine receptor antagonists NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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9. The benzodiazepines are said to a. artificially simulate the effects of GABA at the receptor site. b. block the effects of GABA at the receptor. c. make the receptor site more sensitive to GABA molecules. d. activate production of more GABA molecules. ANSWER: c POINTS: 1 REFERENCES: The Pharmacology of the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 10. The variations in chemical structure between different benzodiazepines a. affects the duration of action. b. affects their binding site within the brain. c. determines the production costs for that specific benzodiazepine. d. eliminates or facilitates the process of lipid binding for that chemical. ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE. 3c - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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11. To date, researchers have identified _______ subtypes of the GABA receptor, and the exact function of each __________. a. more than 20; is still being explored

b. more than 20; has been identified c. between 12 and 15; has been genetically isolated d. less than 20; is still being explored ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 12. The benzodiazepines are thought to exert their primary effect in the a. GABAf receptor site. b. GABAa receptor site. c. GABAc receptors in the descending fibers of the mesocortical system. d. GABAb receptor sites in the optic lobe. ANSWER: b POINTS: 1 REFERENCES: The Pharmacology of the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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13. Persons taking diazepam have been found to have a 500% increased chance of a. optic neuritis. b. shortened reaction time. c. motor vehicle accidents. d. increased visual perception in dim light situations. ANSWER: c POINTS: 1 REFERENCES: Side-Effects of the Benzodiazepines When Used At Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE. 3c - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 14. A friend started taking a prescribed benzodiazepine for anxiety and begins to demonstrate symptoms of depression and suicidal thinking. Which of the following statements is most true? a. His benzodiazepine use might have “unmasked” a hypomanic state.

b. These symptoms possibly could reflect a rare side effect of this class of medications. c. He has developed a tolerance for this medication and its effects. d. These symptoms are a common side effect with this class of medications. ANSWER: b POINTS: 1 REFERENCES: Subjective Effects of Benzodiazepines at Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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15. When used at normal doses, which of the following is NOT a potential side effect of the benzodiazepines? a. Enhanced neurocognitive function b. Anterograde amnesia c. Paradoxical rage reactions d. rebound insomnia ANSWER: a POINTS: 1 REFERENCES: Side Effects of the Benzodiazepines When Used At Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3d - Economic and social class systems including systemic causes of poverty. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 16. Benzodiazepines have been found to ____________ in some users. a. increase stage 1 and 2 sleep when started b. decrease stage 1 and 2 sleep when started c. cause rebound insomnia when discontinued d. increase REM sleep time ANSWER: c POINTS: 1 REFERENCES: Side Effects of the Benzodiazepines When Used At Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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17. Heroin abusers will most commonly use large doses of a benzodiazepine to a. enjoy the effects of heroin for a longer period of time as they grow older. b. mitigate withdrawal effects from alcohol during the workday. c. treat muscle sprains. d. distract themselves from boring, routine tasks such as long distance driving. ANSWER: b POINTS: 1 REFERENCES: Neuroadaptation to, Abuse of, and Addiction to the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.04 - Describe neuroadaptation to benzodiazepines NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 18. According to your text, flunitrazepam (Rohypnol ®) is about a. 10 times as potent as diazepam. b. half as potent as diazepam unless mixed with alcohol. c. three times as potent as diazepam. d. 100 times as potent as diazepam. ANSWER: a POINTS: 1 REFERENCES: The Benzodiazepine Receptor Antagonists (Z-Compounds or BRAs) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.05 - Describe the benzodiazepine receptor antagonists NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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19. The patient who is prescribed buspirone should not expect to a. avoid drinking grapefruit juice. b. experience the peak effects in 2.5 hours. c. be able to dose just once daily. d. have to take a dose 3 times a day. ANSWER: c POINTS: 1 REFERENCES: The Benzodiazepine Receptor Antagonists (Z-Compounds or BRAs) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.05 - Describe the benzodiazepine receptor antagonists NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 20. The peak effects of zaleplon appear a. in the last 3 hours of the night’s sleep. b. in the first 4 hours after ingestion. c. in the increased time spent asleep. d. during REM sleep. ANSWER: b POINTS: 1 REFERENCES: The Benzodiazepine Receptor Antagonists (Z-Compounds or BRAs) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.05 - Describe the benzodiazepine receptor antagonists NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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21. Benzodiazepine can interfere with a. sexual function. b. sleep. c. memory. d. all of these answers. ANSWER: d POINTS: 1 REFERENCES: Side Effects of the Benzodiazepines When Used At Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3d - Economic and social class systems including systemic causes of poverty. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 22. All of the following describe benzodiazepines EXCEPT a. they have a large therapeutic window. b. all are proven to assist in seizure control. c. they require GABA molecules to be at receptor site to be effective. d. they are occasionally used as adjunct to treatment of anxiety. ANSWER: b POINTS: 1 REFERENCES: The Pharmacology of the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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23. Benzodiazepine over-sedation usually is a. not commonly encountered when the person starts to take one of these medications. b. commonly encountered when the person starts to take one of these medications. c. a measure of the individual’s vulnerability to the development of physical addiction to one of these compounds. d. a sure sign of cross tolerance to other CNS depressants such as alcohol orantihistamines. ANSWER:

POINTS: 1 REFERENCES: Subjective Effects of Benzodiazepines at Normal Dosage Levels QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 24. The brain constantly attempts to adjust to environmental demands through a number of compensatory mechanisms, including a. maintenance of consistent blood supplies to all parts of the amygdala.

b. maintenance of neurotransmitter site responsiveness for NMDA. c. neural-definitation. d. neuroadaptation. ANSWER: d POINTS: 1 REFERENCES: Neuroadaptation to, Abuse of, and Addiction to the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.04 - Describe neuroadaptation to benzodiazepines NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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25. The benzodiazepine withdrawal syndrome a. is uncomfortable but tolerable and not dangerous. b. holds the potential to be life threatening. c. usually can be carried out in 6-12 days, at most. d. does not usually involve the use of a gradual “taper” from the patient’s prior dose. ANSWER: b POINTS: 1 REFERENCES: Neuroadaptation to, Abuse of, and Addiction to the Benzodiazepines QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.04 - Describe neuroadaptation to benzodiazepines NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 26. Describe the nature of the debate regarding the long-term efficacy of benzodiazepines as anxiolytics. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Pharmacology of the Benzodiazepines QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.02 - Understand the pharmacology, subjective effects, and complications of benzodiazepines at appropriate prescribed levels NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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27. Discuss several medical uses of benzodiazepines. ANSWER: No answer provided. POINTS: 1 REFERENCES: Medical Uses of Benzodiazepines QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.01 - Understand the history of benzodiazepines NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM 28. What are some of the long-term consequences of chronic benzodiazepine use? ANSWER: No answer provided. POINTS: 1 REFERENCES: Neuroadaptation to, Abuse of, and Addiction to the Benzodiazepines QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.04 - Describe neuroadaptation to benzodiazepines NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: DATE MODIFIED:

2/21/2018 1:47 PM 2/23/2018 8:34 AM

29. Describe the serotonin syndrome, one of the more serious adverse effects of buspirone. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Benzodiazepine Receptor Antagonists (Z-Compounds or BRAs) QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.07.05 - Describe the benzodiazepine receptor antagonists NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM Copyright Cengage Learning. Powered by Cognero.

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30. Describe some of the more common side effects of the newer hypnotics. ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 The Benzodiazepine Receptor Antagonists (Z-Compounds or BRAs) Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.07.05 - Describe the benzodiazepine receptor antagonists NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:47 PM DATE MODIFIED: 2/23/2018 8:34 AM

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1. Currently the most-used prescription medication for the treatment of attention deficit hyperactivity disorder (ADHD) is:

a. methamphetamine b. modafinil c. methylphenidate d. atomoxetine hydrochloride ANSWER: c POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE. 6a - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 2. Historical evidence strongly suggests that which of the following figures may have been addicted to amphetamines? a. Sigmund Freud b. George Washington c. Adolf Hitler d. Winston Churchill ANSWER: c POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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3. Amphetamines were originally thought to be a safe substitute for cocaine. a. True b. False ANSWER: True POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 4. Mounting evidence suggests that _________ may be the superior form of treatment for ADHD. a. psychosocial interventions b. amphetamine compounds c. Strattera d. Modafinil ANSWER:

POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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5. The vast majority of methamphetamine abusers in the world reside in a. the United States. b. South America. c. Europe. d. Asia or Southeast Asia. ANSWER: d POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 6. While at a party, Kyle notices that his friend Frankie is not looking very well. Frankie complains of a headache and nausea, is shaking and confused, and begins describing what Kyle thinks are hallucinations no one else is experiencing. Frankie has no history of mental illness. Kyle should suspect that Frankie might be abusing which of the following drugs? a. Atomoxetine hydrochloride

b. Modafinil c. Amphetamines d. Benzodiazepines ANSWER: c POINTS: 1 REFERENCES: CNS Stimulant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.03 - Comprehend the current misuse of stimulants, including the methods of use and the effects NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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7. Scientists have found evidence that the ephedra plant was used in burial sites in Europe ___________ years ago. a. 10,000 b. 60,000 c. 150,000 d. 250,000 ANSWER: b POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 10:52 AM 8. Ephedrine’s use as an agent for cardiac care in health care settings has a. been restricted because of government concerns that it might be diverted for illicit purposes. b. continued for some conditions, but also is rarely used in the treatment of some other conditions as new pharmaceuticals become available.

c. been eliminated entirely because the demand has outstripped supply and so physicians have not been forced to use other compounds.

d. been totally eliminated in response to federal and state laws prohibiting its use. ANSWER: b POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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9. The main mechanism by which ephedrine helps in the treatment of asthma is that it a. causes the smooth muscles surrounding bronchial passages to relax. b. increases tension in the smooth muscles surrounding bronchial passages, thus increasing responsiveness of these muscles to demand.

c. increases the blood flow from the heart to the lungs by stimulating release of norepinephrine. d. decreases heart rate and the force with which it pumps. ANSWER: a POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE. 2a - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 10. The peak blood level of ephedrine is a. reached between 1 and 3 hours after a single dose. b. reached 24 hours after a single dose. c. not reached in a timeframe currently known to scientists. d. lasts for between 8 and 36 hours, depending on the user’s metabolism. ANSWER: a POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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11. The estimated therapeutic window for methylphenidate is a. 1:10. b. 1:1,000. c. 1:50. d. 1:100. ANSWER: d POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 10:52 AM 12. Within the brain, methylphenidate’s prime effects are thought to be caused by its ability to a. stimulate the molecular serotonin reuptake pump in the neuron. b. block the dopamine reuptake pump in the neuron. c. stimulate the molecular norepinephrine reuptake pump in the neuron. d. stimulate the release of dopamine stores in the neuron. ANSWER: b POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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13. After a single dose of an oral amphetamine compound has been ingested, it will usually begin to take effect in a. 2-3 hours. b. 20-30 minutes. c. 5-10 minutes. d. 1 hour. ANSWER: b POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 14. The use of CNS stimulants in World War II a. was proven to result in significant improvement in battlefield performance for the soldiers taking them. b. was proven to be most effective in nighttime operations for servicemen. c. interfered with decision making by submarine commanders, who were thus instructed not to take these medications unless absolutely necessary.

d. was in the absence of data suggesting the stimulants were any more effective than caffeine. ANSWER: d POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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15. The use of amphetamine compounds in weight loss programs was found to a. be about as effective as simple diet and exercise over time. b. be more effective than diet and exercise in 90 % of the research studies cited by your text. c. result in permanent loss of weight by the patient, even after s/he stopped taking the medication. d. require that the patients continue to take the medication for the rest of their lives to prevent dietary “rebound” weight gain.

ANSWER: a POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 16. During World War II, an epidemic of amphetamine misuse in Japan led researchers to determine that amphetamine psychosis can take up to _____ years to clear in 15% of cases. a. 2

b. 5 c. 8 d. 12 ANSWER: b POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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17. Which of the following amphetamine variants is the most lipid soluble? a. Levoamphetamine sulfate b. Dextroamphetamine sulfate c. Methamphetamine d. This has not been studied in detail ANSWER: d POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 18. About 10 % of patients who start taking an amphetamine compound a. are safe unless they begin taking 10 times the recommended therapeutic dose. b. are safe unless they begin taking twice the therapeutic dose. c. experience some degree of drug-induced tachycardia. d. are polydrug abusers. ANSWER: c POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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19. According to your text, amphetamines are least likely to be used for their a. stimulant effect. b. analgesic effect. c. control of ADHD symptoms. d. ability to enhance effects of certain narcotic analgesics. ANSWER: b POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE. 3c - ethical and culturally relevant strategies for conducting, interpreting, and reporting the results of research and/or program evaluation DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 20. According to your textbook, amphetamines are the second most common category of illicit drugs used in the United States, behind a. marijuana

b. heroin c. ecstasy d. alcohol ANSWER: a POINTS: 1 REFERENCES: CNS Stimulant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.04 - Describe the consequences of amphetamine misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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21. Which of the following is NOT one of the ways ephedrine is currently used medically? a. In some forms of nasal surgery b. In some forms of surgery where low blood pressure is a problem c. To treat symptoms of shock d. To decrease nasal congestion ANSWER: d POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 22. Which of the following is NOT one of the side effects of methylphenidate? a. Anemia b. Low blood pressure c. Anorexia d. Insomnia ANSWER: b POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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23. Historical evidence that the ephedra plant was used for medicinal properties dates back only _________ years. a. 10,000 b. 8,000 c. 5,000 d. 3,000 ANSWER: POINTS: REFERENCES: QUESTION TYPE:

c 1 CNS Stimulants as Used in Medical Practice Multiple Choice

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 24. The distribution pattern of ephedrine within the body a. has been discovered to be dependent on the dopamine D2 receptor site distribution within the body. b. reflects the effect of this compound on the pancreas. c. is not well understood at this time. d. varies according to method of administration. ANSWER: c POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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25. Which of the following about methylphenidate is NOT supported by research data? a. A drug-induced state of depression is possible when this compound is used. b. There is evidence of a possible relationship between methylphenidate use in childhood and affective disorders in adulthood.

c. The use of this compound stimulates bone growth in children. d. Some children demonstrate symptoms of obsessive-compulsive disorder while taking this CNS stimulant. ANSWER: c POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 26. Discuss several symptoms of stimulant (CNS) use disorder as identified by DSM-5. Also identify at least two other CNS stimulant abuse related diagnoses.

ANSWER: POINTS: REFERENCES:

No answer provided.

1 CNS Stimulant Misuse and the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.05 - Understand the DSM criteria for stimulant-related disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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27. Describe some of the current medical uses of the amphetamines. ANSWER: No answer provided. POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.01 - Understand the current medical use of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM 28. Discuss the controversy surrounding methylphenidate, noting its history in the treatment of psychiatric disorders. ANSWER: No answer provided. POINTS: 1 REFERENCES: CNS Stimulants as Used in Medical Practice QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.02 - Understand the pharmacology and subjective effects of stimulants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: DATE MODIFIED:

2/21/2018 1:56 PM 2/23/2018 8:46 AM

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29. Describe some of the possible physical consequences of long term amphetamine abuse. ANSWER: No answer provided. POINTS: 1 REFERENCES: CNS Stimulant Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.03 - Comprehend the current misuse of stimulants, including the methods of use and the effects NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED:

2/23/2018 8:46 AM

30. Describe the pattern of abuse of "ice" in the United States. ANSWER: No answer provided. POINTS: 1 REFERENCES: CNS Stimulant Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.08.04 - Describe the consequences of amphetamine misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 1:56 PM DATE MODIFIED: 2/23/2018 8:46 AM

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1. How are coca leaves typically used in many parts of the world? a. Crushed into capsules b. Injected c. Snorted d. Chewed ANSWER: d POINTS: 1 REFERENCES: A Brief History of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.3f - International and global influences on services delivery. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 2. Which of the follow acts prohibited the use of cocaine for non-medical reasons? a. The Pure Food and Drug Act of 1906 b. The Harrison Narcotic Act of 1914 c. The Omnibus Drug Act of 1921 d. The Comprehensive Drug Abuse & Prevention Control Act of 1928 ANSWER: b POINTS: 1 REFERENCES: A Brief History of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.1c - Historical and current legislation affecting services delivery. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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3. During the most recent resurgence of cocaine misuse in the United States, what year did cocaine misuse peak? a. 1969 b. 1974 c. 1986 d. 1991 ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.4b - approaches for conceptualizing the interrelationships among and between work, mental well-being, relationships, and other life roles and factors United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 4. What professionals still use cocaine medically? a. Otolaryngologists b. Psychiatrists c. Neuroopthalmologists d. Orthopedic surgeons ANSWER: a POINTS: 1 REFERENCES: Current Medical Uses of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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5. About ______ % of people who try cocaine will ultimately become addicted, although more become “regular users.” a. 15 b. 25 c. 50 d. 75 ANSWER: a POINTS: 1 REFERENCES: Scope of the Problem of the Cocaine Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.02 - Describe the scope of the problem of cocaine use and misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 6. According to your text, taking cocaine with ________ increases the user’s risk of sudden cardiac death 18 fold compared to taking cocaine alone. a. marijuana

b. heroin c. methamphetamine d. alcohol ANSWER: d POINTS: 1 REFERENCES: Pharmacology of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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7. According to a study cited in your text, ______ % of heart attacks in people ages 18-45 may be cocaine-related. a. 5 b. 15 c. 25 d. 50 ANSWER: c POINTS: 1 REFERENCES: Complications of Cocaine Misuse and Cocaine Use Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.05 - Understand the complications of cocaine misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 8. To avoid the bitter taste when chewing the leaves of the coca plant, indigenous people also a. chew calcium obtained from sea shells. b. chew lime obtained from sea shells. c. mix sea salt with the leaves of certain trees and chew the wad for a while. d. soak coca leaves with seaweed in a vat filled with water and slowly heat the vat until it begins to boil, let it cool, and then chew the coca leaves.

ANSWER: b POINTS: 1 REFERENCES: A Brief History of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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9. Coca-Cola, which was introduced as a ____________, contained small amounts of cocaine and was developed because ______________. a. treatment for delusional thinking; it helped to calm the patient

b. depressant; alcohol use was banned on Sundays and cocaine’s depressant effects could replace those of alcohol

c. temperance drink; alcohol use was banned on Sundays d. substitute for water; local water was considered impure for consumption ANSWER: c POINTS: 1 REFERENCES: A Brief History of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 10. The Pure Food and Drug Act of 1906 a. merely required that manufacturers of a product list the ingredients of that product on a label. b. was essentially the same as alcohol prohibition, but for cocaine. c. backfired, as it led to a 3-fold increase in cocaine usage in the United States. d. created a system by which the United States government now regulated and taxed the sale of cocaine, a system that ended within 3 years due to public outcry.

ANSWER: a POINTS: 1 REFERENCES: A Brief History of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.1c - Historical and current legislation affecting services delivery. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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11. When misused, cocaine’s effects seem to be strongest when a. the blood levels are stable. b. the blood levels are rising. c. the blood levels are falling. d. none of the above. ANSWER: b POINTS: 1 REFERENCES: Pharmacology of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 12. According to your text, cocaine’s pleasurable effects are thought to reflect its ability to _________ in the brain. a. force the release of dopamine from neurons in the reward system b. force the release of acetylcholine from neurons involved in the reward cascade c. block the reabsorption of acetylcholine in the limbic system after release d. produce metabolites with psychoactive effects ANSWER: a POINTS: 1 REFERENCES: Pharmacology of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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13. The half-life of injected or snorted cocaine is thought to be a. 4-5 hours. b. 30-90 minutes. c. 20 minutes. d. dependent on the method by which it is administered. ANSWER: b POINTS: 1 REFERENCES: Pharmacology of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 14. When injected into a blood vessel, the misuser will begin to feel cocaine’s effects a. in 45-60 seconds. b. in 15 seconds. c. in 2-3 minutes. d. almost instantly. ANSWER: d POINTS: 1 REFERENCES: Pharmacology of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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15. According to your text, the current theory is that cocaine’s rewarding effects reflect its ability to influence the _______ receptor site in the brain. a. Serotonin 5-HT3

b. Dopamine D2 c. Dopamine D1 d. Dopamine D18 ANSWER: c POINTS: 1 REFERENCES: Pharmacology of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED:

2/23/2018 8:53 AM

16. Research evidence also suggests that cocaine is able to indirectly activate the __________ receptor sites in the brain. a. opioid mu and kappa

b. opioid mu and delta c. opioid sigma and epsilon d. lambda and mu ANSWER: a POINTS: 1 REFERENCES: Pharmacology of Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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17. “Insufflation” is a technical term for the process of a. causing the price of illicit cocaine to go up. b. causing the heart rate to go up after cocaine is injected. c. “snorting” cocaine powder, or intranasal ingestion. d. mixing cocaine with water for intravenous injection. ANSWER: c POINTS: 1 REFERENCES: Methods of Cocaine Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 18. Following the “flash” or “rush” experience, intravenous cocaine misusers will then experience___________ lasting for 10-15 minutes. a. a sense of excitation or euphoria

b. introversion with new psychological insights c. extroversion and intense desire to be around others d. extreme vulnerability ANSWER: a POINTS: 1 REFERENCES: Subjective Effects of Misused Cocaine QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.04 - Describe the subjective effects of cocaine use NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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19. Cocaine is a factor in between __________ % of all deaths that result from illicit drug use, according to your text. a. 10 and 20 b. 30 and 40 c. 40 and 50 d. 60 and 70 ANSWER: c POINTS: 1 REFERENCES: Complications of Cocaine Misuse and Cocaine Use Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.05 - Understand the complications of cocaine misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 20. Chronic bronchiolitis is also known as a. cotton fever. b. crack lung. c. dermal infiltration. d. acute pericarditis. ANSWER: b POINTS: 1 REFERENCES: Complications of Cocaine Misuse and Cocaine Use Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.05 - Understand the complications of cocaine misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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21. Those who misuse cocaine are at an increased risk for a cardiovascular complication called sudden aortic dissection. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Complications of Cocaine Misuse and Cocaine Use Disorder QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.05 - Understand the complications of cocaine misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 22. A cocaine misuser’s risk of suffering a stroke might be as much as 50 times higher than that of a nonmisuser. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Complications of Cocaine Misuse and Cocaine Use Disorder QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.05 - Understand the complications of cocaine misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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23. Cocaine induced cardiac problems follow a rather predictable pattern that is easily identified, and this leads to effective intervention if the issues are caught early enough.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Complications of Cocaine Misuse and Cocaine Use Disorder QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.05 - Understand the complications of cocaine misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 24. The pattern of cocaine misuse in the United States has been cyclical. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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25. It is impossible to use crack intravenously. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Methods of Cocaine Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 26. Discuss the three distinct cocaine "epidemics"that have occurred in the United States. ANSWER: POINTS: REFERENCES: QUESTION TYPE:

No answer provided.

1 Introduction Essay

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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27. Discuss the history of cocaine use, in terms of its early use for various medication conditions. How, if at all, is cocaine used today for the treatment of medical ailments?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Current Medical Uses of Cocaine QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.01 - Understand the history of cocaine NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 28. Describe the various methods of cocaine misuse. ANSWER: No answer provided. POINTS: 1 REFERENCES: Methods of Cocaine Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.03 - Comprehend the pharmacology and methods of use of cocaine NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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29. Discuss the relationship between cocaine misuse and central nervous system damage. ANSWER: No answer provided. POINTS: 1 REFERENCES: Complications of Cocaine Misuse and Cocaine Use Disorder QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.05 - Understand the complications of cocaine misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM 30. Discuss the effects of cocaine abuse on emotions and perceptions. ANSWER: No answer provided. POINTS: 1 REFERENCES: Complications of Cocaine Misuse and Cocaine Use Disorder QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.09.05 - Understand the complications of cocaine misuse DATE CREATED: 2/21/2018 2:05 PM DATE MODIFIED: 2/23/2018 8:53 AM

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1. Which of the following conditions do some physicians believe may benefit from marijuana use? a. Epilepsy b. Anorexia c. Asthma d. All of these answers are correct ANSWER: d POINTS: 1 REFERENCES: A History of Marijuana Use/Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.01 - Understand the history of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 2. ________ is the main psychoactive compound in marijuana. a. Psilocybin b. Endocannabinoid c. Delta-9-tetrahydro-cannabinol (THC) d. Anandamide ANSWER: c POINTS: 1 REFERENCES: The Pharmacology of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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3. Marijuana has been found to be associated with certain types of sexual dysfunctions in men. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 4. Jed has just smoked some marijuana and Bill has just eaten some marijuana brownies. Who is more likely to experience marijuana-induced anxiety? a. Jed

b. Bill c. Neither d. They will both experience equal amounts of anxiety. ANSWER: b POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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5. Chronic marijuana smokers experience an increase in a. the size of their hippocampus and amygdala. b. their REM sleep. c. their risk of developing some types of cancer. d. their immune system’s effectiveness. ANSWER: c POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 6. The practice of smoking marijuana can be traced back as much as ______ years. a. 5,000 b. 2,500 c. 1,000 d. 2,000 ANSWER: a POINTS: 1 REFERENCES: Methods of Marijuana Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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7. Which of the following individuals is known to have harvested marijuana as a commercial crop? a. Benjamin Franklin b. George Washington c. Napoleon d. Mussolini ANSWER: b POINTS: 1 REFERENCES: Chapter Summary QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.06 - Understand the DSM criteria for cannabis-related disorders NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 8. Marijuana contains ____________ compounds that are psychoactive. a. at most 15 b. 79 known c. 61 or more d. less than 50 ANSWER: c POINTS: 1 REFERENCES: The Pharmacology of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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9. According to your text, infrequent uses of marijuana will have metabolites of THC in their urine for _________ after their last use of the substance. a. 72-96 hours

b. 30 days c. 6 months d. 18 days ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 10. In the short time since it was isolated, scientists have concluded that anandamide is involved in the process of all of the following EXCEPT a. specification of new neurons known as pyramidal cells and axon growth.

b. regulation of the body’s immune system. c. activation of memory development processes in the brain. d. body temperature regulation. ANSWER: c POINTS: 1 REFERENCES: The Pharmacology of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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11. The analgesic potential of marijuana was once thought to be ________, although there is research exploring the adaptation of a compound found in marijuana as a separate analgesic. a. twice that of morphine.

b. twice that of heroin. c. half that of codeine. d. about the same as codeine. ANSWER: d POINTS: 1 REFERENCES: The Pharmacology of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 12. According to one study cited in your text, _________ when marijuana is smoked. a. 5-24 % is lost in “sidestream” smoke b. the smoker’s body absorbs only 4-12 % of available THC c. 30-80 % of available THC is destroyed d. effects depend on the individual’s lung capacity ANSWER: c POINTS: 1 REFERENCES: Methods of Marijuana Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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13. According to your text, marijuana-induced hallucinations a. are relatively uncommon in the U.S. b. are as frequent in the U.S. as they are in countries where higher potency marijuana is used. c. tend to be situation-specific, which is to say consistent with the context in which the marijuana is used. d. are usually seen in the first 30-60 minutes after the individual smokes marijuana. ANSWER: a POINTS: 1 REFERENCES: Methods of Marijuana Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 14. According to your text, marijuana-induced psychotic reactions a. is seen only in persons with pre-existing schizophrenia. b. tends to be short-lived and clears up in a few hours or days. c. tends to only be seen in abusers who also experience synesthesia after they smoke marijuana. d. is a side effect of oral marijuana ingestion but not of smoking. ANSWER: b POINTS: 1 REFERENCES: Subjective Effects of Marijuana Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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15. The anaphylactic reactions seen occasionally when marijuana is abused a. might be induced by adulterants mixed with illicitly sold marijuana when it is smoked. b. are a known reaction to the THC in marijuana. c. tend to be less intense when marijuana is ingested orally than when it is smoked. d. are most commonly seen in first-time or inexperienced users. ANSWER: a POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 16. According to your text, marijuana-related cardiac arrhythmias a. are possible, as are the chances of myocardial infarction and atrial fibrillation. b. tend to be less severe in persons with cardiovascular disease since they are already taking appropriate medications.

c. reflect marijuana-induced anxiety. d. respond well to gentle reassurance that it will pass. ANSWER: a POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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17. If a marijuana abuser has already suffered a heart attack, he or she would __________, according to your text. a. be more likely to survive a second heart attack b. be less likely to survive a second heart attack c. be protected from a second heart attack d. not experience any effect on a possible second heart attack ANSWER: b POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 18. By selectively breeding strains of cannabis to provide plants with higher levels of THC, breeders have also accidentally introduced strains with a. lower levels of CBD, which has an anorexic effect.

b. higher levels of CBD, which results in the amotivational syndrome. c. lower levels of CBD, which may contribute to the development of psychosis. d. higher levels of CBD, which enhance marijuana’s euphoric effects. ANSWER: c POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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19. There has been research suggesting that men who smoke marijuana a. experience improved testicular function. b. have a higher incidence of prostate cancer. c. have a higher incidence of bladder cancer. d. have a higher incidence of testicular cancer. ANSWER: d POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 20. In spite of claims to the contrary, __________ of abusers become physically addicted to marijuana, according to your text. a. 10-20 %

b. 3-5 % c. 1% d. 2% ANSWER: a POINTS: 1 REFERENCES: Adverse Effects of Marijuana Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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21. The Marijuana Tax Act of 1937 made the possession of marijuana illegal in the United States. a. True b. False ANSWER: False POINTS: 1 REFERENCES: A History of Marijuana Use/Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.01 - Understand the history of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 22. Which of the following statements about marijuana is true? a. Marijuana meets the criteria for being an addictive substance. b. Tolerance for marijuana does not develop in users. c. Marijuana abuse can trigger episodes of violence. d. Marijuana seems to increase the strength of cardiac muscle contractions. ANSWER: a POINTS: 1 REFERENCES: Methods of Marijuana Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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23. There is _________ that the settlers in Jamestown, VA, grew varieties of the Cannabis sativa family of plants for __________ in 1611. a. evidence; recreational purposes

b. no evidence; its fiber c. evidence; its fiber d. little evidence; any reason at all ANSWER: c POINTS: 1 REFERENCES: A History of Marijuana Use/Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.01 - Understand the history of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 24. The combined effects of simultaneous marijuana and cocaine use on the cardiovascular system a. are not known. b. are not dangerous. c. decreases the risk of cocaine-related heart problems. d. increases the heart rate only 10 beats per minute. ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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25. Research into the effects of all known compounds in marijuana on the user’s brain a. has consistently failed to show any adverse effect. b. generally shows only short term damage to the hippocampus region of the brain, which resolves with abstinence.

c. reveals long term cognitive impairment for short term or social users. d. is relatively rare and very limited in scope. ANSWER: d POINTS: 1 REFERENCES: The Pharmacology of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 26. Distinguish between marijuana, hashish, and hash oil. Also explain what is meant by the statement that marijuana is not a drug.

ANSWER: No answer provided. POINTS: 1 REFERENCES: A Technical Point QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.02 - Describe the issues related to potency of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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27. Is the marijuana consumed today the same as that used in the past? How has it changed? ANSWER: No answer provided. POINTS: 1 REFERENCES: A Question of Potency QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.02 - Describe the issues related to potency of marijuana NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 28. Discuss the economic impact of cultivating marijuana annually. ANSWER: No answer provided. POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.03 - Describe the scope of the problem of marijuana use and misuse DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM 29. Describe the various methods of marijuana abuse. ANSWER: No answer provided. POINTS: 1 REFERENCES: Methods of Marijuana Use QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.10.04 - Comprehend the pharmacology, methods of use, and subjective effects of marijuana NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3d - Economic and social class systems including systemic causes of poverty. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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30. Discuss the conflicting views regarding the possibility of an "amotivational syndrome." ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 Adverse Effects of Marijuana Misuse Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.10.05 - Describe the adverse effects and consequences of chronic marijuana misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 2/21/2018 2:15 PM DATE MODIFIED: 2/23/2018 9:01 AM

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1. According to your text, as many as _________ % of patients in moderate to severe pain receive less than adequate doses of prescription narcotic analgesics because of physicians’ fear of an iatrogenic substance use disorder. a. 25

b. 51 c. 65 d. 73 ANSWER: d POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.01 - Understand the history of natural and synthetic opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3e - Political and ideological aspects of human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 2. Besides controlling pain, opium can also a. control diarrhea. b. decrease cholesterol. c. increase concentration. d. decrease congestion. ANSWER: a POINTS: 1 REFERENCES: A Short History of the Natural and Synthetic Opioids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.01 - Understand the history of natural and synthetic opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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3. The invention of ___________ by Alexander Wood made it possible to rapidly and painlessly introduce morphine directly into the body. a. the capsule

b. codeine c. the hypodermic needle d. the nasal aspirator ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

c 1 A Short History of the Natural and Synthetic Opioids Multiple Choice False

LEARNING OBJECTIVES: DOWE.COCD.19.11.01 - Understand the history of natural and synthetic opioids NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 4. By the year 1900, more than ________ of all Americans were thought to be addicted to narcotics. a. 0.30% b. 4% c. 3% d. 1% ANSWER: b POINTS: 1 REFERENCES: A Short History of the Natural and Synthetic Opioids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.01 - Understand the history of natural and synthetic opioids NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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5. The active ingredient in opium, named morphine after the Greek god of dreams, was first isolated by chemist Friedrich Serturner in a. 1861

b. 1906 c. 1914 d. 1806 ANSWER: d POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.02 - Understand the medical uses of opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 6. In research, volunteers who are not in pain but are given a therapeutic dose of narcotic analgesics usually report feeling a. dysphoria.

b. euphoria. c. mania. d. pain. ANSWER: a POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.02 - Understand the medical uses of opioids NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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7. The methadone molecule is structurally similar to the ________ molecule and is about as potent as that specific chemical. a. codeine

b. sigma c. morphine d. heroin ANSWER: c POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.02 - Understand the medical uses of opioids NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 8. Which of the following narcotic analgesics was developed for long-term pain management? a. Codeine b. Oxycodone c. Morphine d. Fentanyl ANSWER: b POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.03 - Comprehend the complications of opioid use when used medically NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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9. Which of the following is a symptom of heroin abuse? a. Ataxia b. Emotional liability c. Slurred speech d. Nodding off ANSWER: d POINTS: 1 REFERENCES: Opiates as Drugs of Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.04 - Describe the consequences of opioid misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 10. Chronic opioid abuse often results in significant __________ for the user. a. pain b. “flashes” c. constipation d. insomnia ANSWER: c POINTS: 1 REFERENCES: Opiates as Drugs of Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.05 - Comprehend the scope of the problem of opioid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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11. Which of the following is an accurate statement about the science of pain control? a. There is no way to objectively measure the intensity of pain. b. The AST blood test provides a way to measure the average level of pain the individual has experienced in the past week, but cannot be more accurate than this.

c. Similar levels of acute trauma will cause the exact same level of pain for different individuals. d. Chronic pain is more easily assessed than is acute pain. ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.01 - Understand the history of natural and synthetic opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3e - Political and ideological aspects of human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 12. The English word “opium” can be traced to __________ and means “poppy juice.” a. Latin b. Greek c. Arabic d. India ANSWER: b POINTS: 1 REFERENCES: A Short History of the Natural and Synthetic Opioids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.01 - Understand the history of natural and synthetic opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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13. Current theory suggests that narcotic analgesics relieve pain by their ability to a. mimic the actions of endogenous opioid peptides. b. counter the effects of the opioid peptides. c. activate the release of serotonin in the amygdala. d. activate the release of massive amounts of acetylcholine in the basal ganglia. ANSWER: a POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.03 - Comprehend the complications of opioid use when used medically NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 14. Narcotic analgesics currently in use tend to preferentially activate the _____ receptor site in the brain. a. mu b. epsilon c. sigma d. delta ANSWER: a POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.03 - Comprehend the complications of opioid use when used medically NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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15. Which of the following analgesic compounds has the longest elimination half-life? a. Morphine b. Demerol c. Methadone d. Codeine ANSWER: c POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.02 - Understand the medical uses of opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 16. The danger of iatrogenic addiction is a. estimated to be about 1 in every 14,000 cases when the narcotic analgesic is used for short term control of acute pain.

b. estimated to be about 1 in every 1,000 cases when the narcotic analgesic is used for short term control of chronic pain.

c. estimated to be about 1 in every 1,400 cases when the narcotic analgesic is used for short term control of insipient pain.

d. determined in part by the patient’s age and sex. ANSWER: a POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.03 - Comprehend the complications of opioid use when used medically NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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17. A person with a long-term opioid addiction a. will rarely experience constipation since the opioids do not influence the muscle (meiotic) movements of the gastrointestinal tract.

b. will become totally tolerant to the respiratory depressant effects of their drug of choice. c. will achieve the “rush” or “flash” experience by switching to another class of drugs. d. is prone to constipation due to the effects of narcotics in the gastrointestinal tract. ANSWER: d POINTS: 1 REFERENCES: Opiates as Drugs of Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.04 - Describe the consequences of opioid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 18. Addiction to a narcotic a. can develop after just a few days of continuous use. b. requires at least 6 months of continuous use before it develops. c. is seen only in cases of intravenous drug abuse. d. is most often seen in heroin addiction. ANSWER: a POINTS: 1 REFERENCES: Opiates as Drugs of Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.05 - Comprehend the scope of the problem of opioid misuse NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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19. According to your text, one-quarter to one-third of those who briefly abuse opioid drugs will a. develop cardiomyopathy. b. become addicted. c. develop classic pinpoint pupils. d. call for early refills of prescribed medications to support their addiction. ANSWER: b POINTS: 1 REFERENCES: Opiates as Drugs of Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.05 - Comprehend the scope of the problem of opioid misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 20. The typical symptoms of withdrawal distress for a person with an opioid addiction a. are usually fatal unless supervised by a physician. b. usually are no more uncomfortable than a bad case of the flu. c. raise the individual’s risk for viral infections such as influenza. d. are more intense in oral abusers of narcotics. ANSWER: b POINTS: 1 REFERENCES: Opiates as Drugs of Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.06 - Understand the complications caused by misuse of opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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21. The _________ region of the brain has a large number of opioid receptor sites. a. hippocampus b. frontal cortex c. medulla d. amygdalae ANSWER: d POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.03 - Comprehend the complications of opioid use when used medically NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 22. What is a “chipper?” a. An occasional heroin user b. A methadone addict c. A recovered heroin addict d. Someone who crushes Oxycontin capsules to disengage their time-release effects ANSWER: a POINTS: 1 REFERENCES: Opiates as Drugs of Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.05 - Comprehend the scope of the problem of opioid misuse NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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23. Which of the following statements is true? a. The legal definition of “narcotic” is based on the pharmacological characteristics of that compound. b. The legal definition of “narcotic” is not based on the pharmacological characteristics of that compound. c. There is no legal term “narcotic;” the correct legal term is “a compound that produces morphine-like effects.” d. The legal term for “narcotic” applies to every compound that alters the individual’s sense of consciousness. ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.01 - Understand the history of natural and synthetic opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3e - Political and ideological aspects of human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 24. According to your text, research has demonstrated a. 73 % of patients report adequate levels of pain control when asked. b. 56 % of patients experiencing pain achieve adequate levels of analgesia using oral medications alone. c. 73 % of patients in mild to moderate pain do not receive adequate analgesia. d. the public understands how to control pain better than do physicians. ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.01 - Understand the history of natural and synthetic opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3e - Political and ideological aspects of human services. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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25. One function of endogenous opioid molecules released in the amygdala is the a. suppression of the “fight or flight” response. b. initiation of a pleasure response when we do something right. c. suppression of the pleasure response. d. increase in respiration so we will remember what we did more clearly. ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.03 - Comprehend the complications of opioid use when used medically NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 26. Describe the current medical uses for narcotic analgesics. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.02 - Understand the medical uses of opioids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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27. Explain how the distribution of opioid receptors across the brain results in the wide range of effects. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.03 - Comprehend the complications of opioid use when used medically NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM 28. Discuss the reasons behind and the need for developing synthetic opioid narcotics. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.02 - Understand the medical uses of opioids NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3f - International and global influences on services delivery. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED:

3/22/2018 3:21 AM

29. Describe the different theoretical mechanisms by which narcotic drugs provide pain relief. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Medical Applications of Narcotic Analgesics QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.11.03 - Comprehend the complications of opioid use when used medically NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM Copyright Cengage Learning. Powered by Cognero.

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30. Why is heroin considered more potent than morphine, from which it is derived? ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 Opiates as Drugs of Misuse Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.11.04 - Describe the consequences of opioid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/22/2018 3:14 AM DATE MODIFIED: 3/22/2018 3:21 AM

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1. The compound found in certain mushrooms used for their hallucinogenic effect is ____________. a. phencyclidine b. psilocybin c. peyote d. ergot ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 2. In 1943, scientist Albert Hoffman discovered LSD when he accidentally ingested some particles from __________. a. fenfluramine b. the belladonna plant c. a mushroom d. a rye fungus ANSWER: d POINTS: 1 REFERENCES: A Short History of Hallucinogens QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 3. Case reports suggest that using LSD with ________ might bring on LSD-related “flashbacks.” a. benzodiazepines b. barbiturates c. SSRIs d. aspirin ANSWER: c POINTS: 1 REFERENCES: The Subjective Effects of LSD QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM

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4. Rodney occasionally uses hallucinogens. At a party one night, he tells you he is feeling immense power and that his arms are no longer connected to his body. Later that night, he seems extremely irritable and gets into a fight with some of the other partygoers. Rodney is most likely using which of the following hallucinogens? a. Phencyclidine

b. “Magic mushrooms” c. MDMA d. LSD ANSWER: a POINTS: 1 REFERENCES: Phencyclidine (PCP) QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 5. Gemma is at a party and tells you she is experiencing a profound sense of euphoria, extreme closeness to every other human and animal on the planet, and increased energy. She tells you she’s never felt so good about herself in her life. You notice that she is sucking on a baby pacifier. Gemma is most likely using which of the following hallucinogens? a. Phencyclidine

b. “Magic mushrooms” c. MDMA d. LSD ANSWER: c POINTS: 1 REFERENCES: Subjective and Objective Effects of MDMA Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM

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6. The most common route of administration of MDMA is _________. a. inhaling b. intranasally c. orally d. intravenously ANSWER: c POINTS: 1 REFERENCES: Ecstasy (MDMA) QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 7. There is controversy regarding whether MDMA causes long-term __________. a. dehydration b. heart disease c. hypothermia d. neurological impairment ANSWER: d POINTS: 1 REFERENCES: Complications of MDMA Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 8. According to your text, one plant with psychoactive effects not often thought of as falling into this category is __________. a. coca plants

b. tobacco plants c. Aspen tree bark d. wild corn stalks ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM Copyright Cengage Learning. Powered by Cognero.

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9. The “consent for participation in experiment” forms that the U.S. Army had test subjects sign prior to their involvement in experiments involving hallucinogens in the 1950s _______. a. were lost in the fires that resulted from the September 11 attack on the Pentagon

b. did not ever exist c. were not specific to research involving chemical warfare agents; therefore, the recruits were entitled to monetary settlement after a class action lawsuit

d. were filled out and filed with the CIA, not the Army, and the CIA retains custody of these forms ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 10. LSD-induced hallucinations most commonly begin ______ after the compound is ingested by the user. a. 30–60 minutes b. within 4 hours c. about 12 hours d. as soon as 3–6 seconds ANSWER: a POINTS: 1 REFERENCES: The Subjective Effects of LSD QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 11. The lethal dosage level of LSD is _______. a. not known b. approximately 150 times the effective dose c. approximately 2,000 times the effective dose d. approximately 8,000 micrograms per kilogram of body weight ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of LSD QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM Copyright Cengage Learning. Powered by Cognero.

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12. According to your textbook, which of the following is NOT a likely consequence of PCP abuse? a. Period of weight gain after recovery from the drug’s effects b. Suicidal depression following PCP abuse c. Assaultiveness during the acute phase of PCP’s effects d. Psychotic reaction ANSWER: a POINTS: 1 REFERENCES: Complications of PCP Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 13. According to your text, phencyclidine tends to accumulate in __________. a. tissue with a high lipid concentration b. pancreatic tissues c. bone marrow d. blood vessel walls ANSWER: a POINTS: 1 REFERENCES: Phencyclidine (PCP) QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 14. Which of the following is NOT one of the negative effects one could expect to experience in the first phase of the LSD “trip”? a. Increased body temperature

b. Gastric distress c. Exaggerated muscle reflexes d. Hypersomnia ANSWER: d POINTS: 1 REFERENCES: The Subjective Effects of LSD QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM Copyright Cengage Learning. Powered by Cognero.

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15. You know a friend recently ingested LSD. Your friend suddenly starts to cry uncontrollably. Based on your reading, you would assume that your friend is in the ___ phase of the LSD experience. a. third

b. first c. second d. fourth ANSWER: POINTS:

b 1

REFERENCES: The Subjective Effects of LSD QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 16. Oral doses of phencyclidine produce their first effects in ________ minutes. a. 20–30 b. 2–5 c. 60–75 d. 90–120 ANSWER: a POINTS: 1 REFERENCES: Phencyclidine (PCP) QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 17. A distorted sense of time is usually associated with a _______ of phencyclidine. a. high dose of PCP (10 mg or higher) b. oral dose c. low dose of PCP (1–5 mg) d. intermediate-level dose (5–10 mg) ANSWER: c POINTS: 1 REFERENCES: Complications of PCP Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM Copyright Cengage Learning. Powered by Cognero.

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18. The effects of a single dose of MDMA are usually experienced within __________. a. 20–60 minutes b. 2 hours c. 90 minutes d. 3–4 minutes ANSWER: a POINTS: 1 REFERENCES: Subjective and Objective Effects of MDMA Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 19. Since the time of its introduction, scientists have discovered that MDMA is a __________. a. mood stabilizer b. selective serotonin neurotoxin c. appetite suppressant d. compound useful in enhancing memory ANSWER: b POINTS: 1 REFERENCES: Complications of MDMA Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 20. MDMA ______________. a. has a narrow “therapeutic” window, so the normal dose is close to the toxic dosage level b. has no effect on sleep apnea, and might even improve sleep respiration c. induces better interpersonal boundaries d. has no effect on the individual’s perception of external reality ANSWER: a POINTS: 1 REFERENCES: Complications of MDMA Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM

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21. Describe some of the various ways hallucinogenic compounds have been used across time. ANSWER: No answer provided. POINTS: 1 REFERENCES: A Short History of Hallucinogens QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 22. Describe the different phases/stages of an LSD trip. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Subjective Effects of LSD QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 23. Discuss the complications associated with PCP abuse, including how it can be an indirect cause of death. ANSWER: No answer provided. POINTS: 1 REFERENCES: Complications of PCP Use QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM 24. Discuss the recent increase in use of Salvia divinorum in the United States, including a discussion of the mechanism by which this drug works.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Salvia divinorum QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM

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25. Describe the history of the development of MDMA. Explain how it became popular as a recreational, though illicit, drug.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Ecstasy (MDMA) QUESTION TYPE: Essay HAS VARIABLES: False DATE CREATED: 3/27/2018 4:01 PM DATE MODIFIED: 3/27/2018 4:03 PM

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1. According to your text, inhalant abuse is used for what purpose in many poor, “third world” countries? a. To help children stay awake so they can work longer hours b. To help dull the awareness of hunger and stimulate euphoria c. For recreation d. To decrease illness ANSWER: b POINTS: 1 REFERENCES: A Brief History of Inhalant Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.01 - Understand the history of inhalant misuse NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 2. What is one of the main advantages of the simple, carbon-based inhalants most commonly used? a. They do not produce any side effects for the user. b. They are legal. c. They are able to cross the blood-brain barrier quite rapidly. d. Their effects last less than 5 minutes, providing a rapid but brief high. ANSWER: c POINTS: 1 REFERENCES: The Pharmacology of the Inhalants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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3. The effects of inhalant abuse are particularly dangerous because they can accentuate the effects of to what drug category? a. Stimulants

b. CNS depressants c. Hallucinogens d. Marijuana ANSWER: b POINTS: 1 REFERENCES: The Pharmacology of the Inhalants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 4. The majority of inhalant abusers will go on to develop other drug problems. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Scope of the Problem of Inhalant Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.02 - Understand the scope of the problem of inhalant misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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5. Rafael has poured lighter fluid onto a cloth and places the cloth over his mouth and nose. What type of inhalant abuse is he engaging in? a. Bagging

b. Sniffing c. Ragging d. Huffing ANSWER: d POINTS: 1 REFERENCES: Methods of Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 6. According to your text, the ratio of male-to-female inhalant abusers is a. 10 boys for every 1 girl. b. 1 boy for every 3 girls. c. 15 boys for every 4 girls. d. unclear, as there is mixed evidence reported. ANSWER: d POINTS: 1 REFERENCES: Scope of the Problem of Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.02 - Understand the scope of the problem of inhalant misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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7. Which of the following is a potential health consequence of inhalant abuse? a. Brain damage b. Kidney damage c. Bone marrow damage d. All of these answers ANSWER: d POINTS: 1 REFERENCES: Complications Induced by Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 8. In many areas, how is butyl nitrite sold? a. In felt-tipped pens b. As a “room deodorizer” c. In whipped cream cans d. In model airplane glue ANSWER: b POINTS: 1 REFERENCES: The Misuse of Nitrites QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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9. According to your text, although there were isolated episodes of inhalant abuse prior to the turn of the last century, it a. gradually evolved into a phenomenon that involved inhaling the fumes of toluene exclusively. b. became more popular in the 1900s when industrial solvents became available for abuse. c. tended to be ignored by the mainstream media until the late 1990s. d. has not continued to be a social problem since other drugs are available to people who would have formerly abused solvents alone.

ANSWER: b POINTS: 1 REFERENCES: A Brief History of Inhalant Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.01 - Understand the history of inhalant misuse NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 10. Which of the following categories of compounds is NOT classified as an inhalant? a. Cocaine b. Fuel fumes c. Spray can propellants d. Solvents ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of the Inhalants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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11. Those who misuse inhalants a. may even abuse agents that are flammable. b. do not try to heat any compound to cause it to release any fumes that can be abused through inhalation. c. are also exclusively intravenous drug abusers. d. face no risk of death from their abuse of these compounds, since they are so commonly found around the house.

ANSWER: a POINTS: 1 REFERENCES: Methods of Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 12. Inhalant-related death a. usually involves persons who chronically abuse inhalants. b. can occur even with the first episode of inhalant abuse. c. rarely involves cardiac arrhythmias. d. is the result of kidney failure caused by the effects of inhaled compounds. ANSWER: b POINTS: 1 REFERENCES: Complications Induced by Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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13. According to your text, inhalant-related seizures are a. a sign of impending inhalant-related death. b. usually time-limited and of no significant consequence. c. are a central nervous system related symptom of inhalant use. d. only found in those who suffer cardiac arrhythmias. ANSWER: c POINTS: 1 REFERENCES: Complications Induced by Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 14. Aspiration of material vomited is a. only seen in those who abuse alcohol and an inhalant simultaneously. b. only seen in those who suffer inhalant-related stomach damage. c. can relate in death if the user is unconscious. d. an impossibility since the inhalants do not influence the gastrointestinal system. ANSWER: c POINTS: 1 REFERENCES: Complications Induced by Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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15. Which of the following is true for most inhalant abusers according to your text? a. The abuse of these compounds locks them into a cycle of abuse and abstinence that will last for years. b. The adverse consequences of inhalant abuse are such that most abusers just quit to avoid the risks associated with the abuse of these compounds.

c. The abuser will move from compounds that induce a less intense “high” to those that induce more intense feelings of euphoria over time.

d. The abuse of these compounds is a phase that lasts only 1-2 years and is then discontinued. ANSWER: d POINTS: 1 REFERENCES: Chapter Summary QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.05 - Understand the DSM criteria for inhalant-related disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 16. An interesting example of inhalant use from history is a. the Oracle at Delphi. b. Songs of Solomon. c. the inspiration for the author of Frankenstein. d. Homer's description of inhalant use in the Iliad. ANSWER: a POINTS: 1 REFERENCES: A Brief History of Inhalant Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.01 - Understand the history of inhalant misuse NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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17. Which of the following is NOT one of the subforms of inhalant-related disorders listed in the DSM-5? a. Inhalant use disorder b. Inhalant use ataxia c. Inhalant intoxication d. Unspecified inhalant-related disorder ANSWER: POINTS: REFERENCES:

b 1 Inhalant Abuse and the Diagnostic and Statistical Manual of Mental Disorders (5th ed) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.05 - Understand the DSM criteria for inhalant-related disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 18. Nitrous oxide abusers run the risk of death through a. heart attack. b. heat exhaustion. c. hypoxia. d. stroke. ANSWER: c POINTS: 1 REFERENCES: Anesthetic Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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19. Some nitrate compounds are used medicinally to treat a. asthma. b. kidney-related disorders. c. skin rashes. d. heart conditions. ANSWER: d POINTS: 1 REFERENCES: The Misuse of Nitrites QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 20. The risk for suicide increases with the increase of inhalant abuse, particularly in those who suffer from depression. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Complications Induced by Inhalant Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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21. Inhalant abuse, especially volatile solvent abuse, is difficult to control mostly because a. the users are young. b. the laws that outlaw inhalant abuse are not strong enough. c. there are very few symptoms of the abuse. d. the substances are nearly everywhere. ANSWER: d POINTS: 1 REFERENCES: The Pharmacology of the Inhalants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 22. Inhalants a. are a class of nontraditional compounds of abuse that, when abused, might alter the individual’s sense of reality.

b. tend to involve only agents found in the typical home. c. tend to involve only agents found in industrial solvents. d. hold little potential for physical harm since they are eliminated from the body so rapidly. ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.01 - Understand the history of inhalant misuse NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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23. Inhalant abusers a. generally keep to the level of exposure limits suggested by the Occupational Health and Safety regulations proposed by the government.

b. tend to inhale their compounds of choice at levels far above those seen when the compound is used as directed.

c. expose themselves to potentially lethal levels of radioactive compounds, which is the main reason inhalant abusers die.

d. are not very adept at finding new substances to abuse as inhalants. ANSWER: POINTS:

b 1

REFERENCES: The Pharmacology of the Inhalants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 24. For inhalant abusers __________ is a common side effect of their abuse of this class of compounds. a. hair loss b. organic brain damage c. euphoria d. reduction in blood cholesterol levels ANSWER: b POINTS: 1 REFERENCES: Complications Induced by Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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25. The debate concerning whether inhalant abuse may serve as a "gateway" drug is a. still ongoing. b. largely dismissed, the same as is the case with marijuana. c. much better supported in the research than the idea of marijuana as a "gateway" drug. d. dependent on whether the abuse also smokes tobacco. ANSWER: a POINTS: 1 REFERENCES: Scope of the Problem of Inhalant Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.02 - Understand the scope of the problem of inhalant misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 26. List and describe the four patterns of inhalant abuse. ANSWER: No answer provided. POINTS: 1 REFERENCES: Scope of the Problem of Inhalant Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.02 - Understand the scope of the problem of inhalant misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED:

3/29/2018 3:27 AM

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27. Describe the various methods used in abusing inhalants. ANSWER: No answer provided. POINTS: 1 REFERENCES: Methods of Inhalant Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM 28. Identify at least three symptoms associated with inhalant misuse from each of the following three categories: Cardiopulmonary, central nervous system, psychiatric, and “other” complications.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Complications Induced by Inhalant Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED:

3/29/2018 3:27 AM

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29. Describe the nature of inhalants and why they have not been categorically made illegal by the government. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Pharmacology of the Inhalants QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.03 - Comprehend the pharmacology, methods of use, and subjective effects of inhalants NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED:

3/29/2018 3:27 AM

30. Describe how common items are used in The Misuse of Nitrites. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Misuse of Nitrites QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.13.04 - Describe the consequences of inhalant use NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/27/2018 4:12 PM DATE MODIFIED: 3/29/2018 3:27 AM

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1. The term “anabolic” refers to _______, and the term “androgenic” refers to ______. a. growth and repair; femininizing qualities b. growth and repair; masculinizing qualities c. femininizing qualities; muscle stimulating d. masculinizing qualities; muscle stimulating ANSWER: b POINTS: 1 REFERENCES: An Introduction to the Anabolic-Androgenic Steroids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.01 - Understand the medical uses of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 2. Steroid misusers include a. law enforcement and security officers. b. amateur and professional athletes. c. adolescent girls hoping to lose body fat and get more “toned” or attractive d. all of these answers. ANSWER: d POINTS: 1 REFERENCES: Why Steroids are Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.01 - Understand the medical uses of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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3. Which of the following is one of the typical routes of administration for steroids? a. Intranasally b. Sublingual c. Intramuscular d. Anal ANSWER:

POINTS: 1 REFERENCES: Pharmacology of Anabolic-Androgenic Steroids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 4. It is hypothesized that steroids affect the __________ receptor in the brain, which is involved with aggression, anxiety and reproduction. a. glucocorticoid

b. Serotonin c. GABAa d. testosterone ANSWER: c POINTS: 1 REFERENCES: Pharmacology of Anabolic-Androgenic Steroids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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5. Which of the following does NOT seem to be a source for misusers to obtain steroids? a. Internet pharmacies b. Over-the-counter steroids c. Steroids intended for veterinary use d. Steroids smuggled into the U.S. from other countries ANSWER: b POINTS: 1 REFERENCES: Sources and Methods of Steroid Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 6. Which of the following symptoms of steroid misuse is only seen in males? a. Priapism b. Unnatural hair growth or loss c. Infertility or sterility d. Acne ANSWER: a POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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7. The incidence of sudden cardiac death for steroid misusers is _____ times higher than that of non-users. a. 1.5 b. 2-3 c. 4-6 d. 8-10 ANSWER: c POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 8. Which of the following is NOT one of the psychiatric symptoms of steroids misuse? a. Aggression b. Depression c. Suicidal impulses d. Hyperactivity ANSWER: d POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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9. Which of the following is a reproductive symptom of steroid misuse seen in males? a. increased sperm production b. decreased frequency in the need to urinate c. enlargement of the testicles and penis d. enlargement of the breasts ANSWER: d POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 10. The anabolic steroids are similar in structure to a. testosterone, the primary male sex hormone. b. inhibitory neurotransmitters found in the body to terminate muscle movements. c. the tumor suppression factor produced by the body. d. toxins produced when muscle tissue is overworked. ANSWER: a POINTS: 1 REFERENCES: An Introduction to the Anabolic-Androgenic Steroids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.01 - Understand the medical uses of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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11. In the United States, anabolic steroids have been categorized as a Category III controlled substance since ________. a. 1981

b. 1990 c. 1997 d. 2004 ANSWER: b POINTS: 1 REFERENCES: The Legal Status of Anabolic Steroids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.01 - Understand the medical uses of anabolic steroids NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 12. The median age for anabolic steroid use is ___, according to your text. a. 27 b. 13 c. 18 d. 22 ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem of Steroid Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.02 - Understand the scope of the problem of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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13. Which of the following complications of steroid misuse may NOT automatically reverse after use is discontinued? a. Enhanced fertility in male misusers b. Infertility in women c. Cessation of bone growth d. Blood flow patterns within the hypothalamus in the brain ANSWER: b POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 14. According to your text, one unwanted side-effect of anabolic steroid misuse is the a. decrease in low density lipoproteins. b. alteration of the body’s ability to form blood clots in an emergency. c. increase in low density lipoproteins. d. increased blood flow to the dermal regions of the body. ANSWER: c POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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15. There are more than __________ known derivatives of the testosterone molecule. a. 5,000 b. 50 c. 900 d. 1,000 ANSWER: d POINTS: 1 REFERENCES: Pharmacology of Anabolic-Androgenic Steroids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 16. The compound THG a. appears to have been developed to avoid detection in the standard urine tests used in athletics. b. was suppressed by the German government because of its unwanted side effects. c. was later found to detract from athletic performance. d. is only effective if co-administered with huge doses of vitamin B compounds. ANSWER: POINTS:

a 1

REFERENCES: Sources and Methods of Steroid Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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17. The process of “blending” steroids refers to the a. practice of taking steroids on an inconsistent basis. b. taking only steroids intended for oral administration. c. intermixing steroids intended for both oral and injected administration. d. mixing drug-free holidays with periods of active substance misuse. ANSWER: c POINTS: 1 REFERENCES: Sources and Methods of Steroid Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 18. Steroids are derivatives of the testosterone molecule, which is found in adolescent boys, men, and (to a lesser degree) in adolescent girls and women. Which of the following statements is also true? a. Steroid misuse has no effect on the reproductive system when misused.

b. Steroid misuse can cause decreased fertility in both male and female misusers. c. Steroid misuse can contribute to suppression of abnormal liver tissue in misusers of either sex. d. Steroid misuse affects the reproductive functioning of men, but not women. ANSWER: b POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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19. Some girls misuse steroids because of the belief that they will help to a. lower cholesterol levels. b. increase hair growth. c. lower body fat levels. d. increase musculature. ANSWER: c POINTS: 1 REFERENCES: An Introduction to the Anabolic-Androgenic Steroids QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.01 - Understand the medical uses of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 20. Anabolic steroid users are at risk for experiencing a drug-induced psychosis referred to as a. "freak out." b. "ripping anger." c. "formication." d. "roid rage." ANSWER: d POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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21. Anabolic Steroids are classified as a Category 1 Controlled Substance a. True b. False ANSWER: False POINTS: 1 REFERENCES: The Legal Status of Anabolic Steroids QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.01 - Understand the medical uses of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 22. The most recent research suggests adolescent girls’ use of anabolic steroids is probably lower than that of adolescent boys.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Scope of the Problem of Steroid Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.02 - Understand the scope of the problem of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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23. One steroid-related effect is the development of foul breath. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 24. Roiling is a practice seen in some steroid misusers of steadily increasing their dose to a highpoint in the middle of their training regimen.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Sources and Methods of Steroid Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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25. Steroid misusers do not experience withdrawal when they discontinue use. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Are Anabolic Steroids Addictive? QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 26. What are some of the accepted medical uses of anabolic steroids? ANSWER: No answer provided. POINTS: 1 REFERENCES: Medical Uses of Anabolic Steroids QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: DATE MODIFIED:

3/28/2018 2:15 AM 3/29/2018 3:25 AM

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27. Identify some groups of individuals who might misuse steroids, along with the reasons for such misuse in each group. ANSWER: No answer provided. POINTS: 1 REFERENCES: Why Steroids are Misused QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.01 - Understand the medical uses of anabolic steroids NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM 28. What are some of the mechanisms through which anabolic steroids may exert their effects? ANSWER: No answer provided. POINTS: 1 REFERENCES: Sources and Methods of Steroid Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: DATE MODIFIED:

3/28/2018 2:15 AM 3/29/2018 3:25 AM

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29. Explain how users are still able to obtain steroids for illegal use even though they are strictly controlled. ANSWER: No answer provided. POINTS: 1 REFERENCES: Sources and Methods of Steroid Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.03 - Comprehend the pharmacology and methods of use of anabolic steroids NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3e - Political and ideological aspects of human services. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED:

3/29/2018 3:25 AM

30. Describe the known adverse effects of anabolic steroids on the reproductive systems of both males and females. ANSWER: No answer provided. POINTS: 1 REFERENCES: Known Adverse Effects of Anabolic Steroids When Misused QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.14.04 - Describe the hazards of anabolic steroid misuse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:15 AM DATE MODIFIED: 3/29/2018 3:25 AM

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1. Nicotine molecules bind to ________ receptors in the brain, stimulating the release of vasopressin, GABA, glutamate, beta endorphins, and epinephrine when the individual inhales the smoke. a. serotonin.

b. norepinephrine. c. dopamine. d. acetylcholine. ANSWER: d POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM 2. Which of the following statements best explains why the first cigarette of the day for regular smokers has such a strong effect on them? a. Some tolerance to nicotine develops during the day, but it is rapidly lost at night while the smoker sleeps (and doesn’t smoke).

b. Smokers build tolerance to nicotine depending on specific dietary components. c. Smokers develop reverse tolerance for nicotine the more cigarettes they smoke during the day. d. Cigarettes help calm the smoker down after having bad dreams. ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM

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3. Of those who smoke, an estimated____ % are addicted to nicotine. a. 25 b. 50 c. 66 d. 95 ANSWER: c POINTS: 1 REFERENCES: The Effects of Nicotine on the Body QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM 4. The most common form of death associated with cigarette smoking in the United States (leading to nearly 400,000 deaths annually) is a. heart disease.

b. cancer. c. respiratory disease. d. stroke. ANSWER: c POINTS: 1 REFERENCES: Complications of Long-Term Use of Tobacco Products QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.04 - Describe the complications of long-term use of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM

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5. In the U.S., between __________ nonsmokers die each year from cancer induced by secondhand smoke. a. 250-400 b. 500-1,000 c. 1,500-2,000 d. 3,000-8,000 ANSWER: d POINTS: 1 REFERENCES: Complications of Long-Term Use of Tobacco Products QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.04 - Describe the complications of long-term use of tobacco NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM 6. The average smoker requires ____ serious attempts to quit smoking before reaching success. a. 1-2 b. 3-4 c. 5-10 d. 15-20 ANSWER: c POINTS: 1 REFERENCES: Smoking Cessation QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.06 - Explain the benefits of smoking cessation NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:38 PM

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7. When tobacco smoking was first introduced in Europe, it was deemed a crime that could be punishable by the ________ in Germany. a. castration of the smoker

b. death of the smoker c. death of those who supplied tobacco to smokers d. loss of title to the family estates ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.01 - Understand the history of tobacco use in the United States NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM 8. Evidence now exists suggesting that tobacco was actively cultivated as a crop in Peru and Ecuador as early as a. 4,000 years ago. b. 7,000 years ago. c. the year 8,000 B.C.E. d. 6,000 years ago. ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.01 - Understand the history of tobacco use in the United States NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM

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9. Unlike strains of tobacco currently in use, the original strains of tobacco used in the New World a. may have caused hallucinations. b. had analgesic properties, thus prompting physicians in Europe to recommend their use. c. did not contain nicotine at all. d. had higher levels of nicotine than found in strains used today. ANSWER: a POINTS: 1 REFERENCES: A Very Short History of Tobacco Use in the United States QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.01 - Understand the history of tobacco use in the United States NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM 10. Up to _______ % of the typical cigarette is made up of leftover stems, scraps and dust. a. 40 b. 14 c. 24 d. 64 ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:24 AM DATE MODIFIED: 3/29/2018 3:24 AM

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11. The typical profit margin for a pack of cigarettes sold in the U.S. is ____ %. a. 19 b. 55 c. 44 d. 32 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/28/2018 2:28 AM 12. Smokers of “light” cigarette brands ________ when compared with smokers of regular tobacco brands. a. have half the coronary artery risk b. have twice the coronary artery risk c. have about the same coronary artery risk d. experience less of a “high” from the nicotine ANSWER: c POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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13. In spite of its widespread popularity as a product for smoking, the tobacco plant actually serves as a(n) a. way to attract bees for pollination in the spring. b. way to kill off neighboring plants so the tobacco plant has better access to sunshine. c. stimulant to the reproductive cycle of the tobacco plant. d. natural insecticide. ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.01 - Understand the history of tobacco use in the United States NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2d - An introduction to the organizational structures of communities. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM 14. There is good evidence that companies that produce the major brands of cigarettes have ____________ nicotine found in cigarettes. a. increased the level of

b. decreased the level of c. maintained the level of d. introduced compounds to counteract the effects of ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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15. Nicotine reduces the effects of monoamine oxidase ___, which normally breaks down dopamine after it has been released. a. A

b. ß c. I d. monoamine Ù ANSWER: b POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM 16. The lethal dose of nicotine for the average adult is a. 20-25 mg. b. 10-15 mg. c. 50-100 mg. d. 40-60 mg. ANSWER: d POINTS: 1 REFERENCES: The Effects of Nicotine on the Body QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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17. The biological half-life of nicotine is approximately a. 2 hours b. 24 hours c. 30 minutes. d. 2 minutes. ANSWER: a POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM 18. It has been discovered that about ______ of those who are dependent on alcohol also smoke, possibly because the nicotine is more reinforcing for them than it is for those who do not drink. a. one-quarter

b. one-third c. half d. two-thirds ANSWER: d POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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19. What percentage of all cases of lung cancer are thought to be smoking-related? a. 18% b. 28% c. 55% d. 87% ANSWER: d POINTS: 1 REFERENCES: Complications of Long-Term Use of Tobacco Products QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.04 - Describe the complications of long-term use of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM 20. It is estimated that the global per capita consumption of cigarettes is ________ for every man, woman, and child on the planet each year. a. 10

b. 250 c. 1000 d. 2500 ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem of Tobacco Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.02 - Understand the scope of the problem of tobacco use NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3f - International and global influences on services delivery. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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21. Secondhand cigarette smoke has been found to increase atherosclerotic plaque formation by 20 %. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False NATIONAL STANDARDS: United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/28/2018 2:28 AM 22. It is estimated that approximately 85% of infants who die after discharge from the hospital are found to have been exposed to secondhand cigarette smoke.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Secondhand Smoke QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.05 - Describe the concerns regarding secondhand smoke NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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23. Establishment of the first European colonies in the New World was partially fueled by demand for tobacco. a. True b. False ANSWER: True POINTS: 1 REFERENCES: A Very Short History of Tobacco Use in the United States QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.01 - Understand the history of tobacco use in the United States NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM 24. "Light" cigarettes expose the user to fewer toxins than regular cigarettes. a. True b. False ANSWER: False POINTS: 1 REFERENCES: The Pharmacology of Cigarette Smoking QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.03 - Comprehend the pharmacology, methods of use, and subjective effects of tobacco NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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25. People who use smokeless tobacco are at a lower risk for a fatal myocardial infarction than cigarette smokers. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Complications of Long-Term Use of Tobacco Products QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.04 - Describe the complications of long-term use of tobacco NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM 26. Describe the begrudging acceptance on the part of Europe to tobacco. ANSWER: No answer provided. POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.01 - Understand the history of tobacco use in the United States NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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27. Describe the time course and symptoms experienced with nicotine withdrawal. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Effects of Nicotine on the Body QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.05 - Describe the concerns regarding secondhand smoke NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM 28. List the DSM-5 diagnoses that are related to tobacco use, and comment on the presence of comorbid disorders in people who have tobacco-related diagnoses.

ANSWER: POINTS: REFERENCES:

No answer provided.

DATE CREATED: DATE MODIFIED:

3/28/2018 2:25 AM 3/29/2018 3:24 AM

1 Tobacco Use and the Diagnostic and Statistical Manual of Mental Disorders (5th Edition) QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.07 - Understand the DSM criteria for tobacco-related disorders NATIONAL STANDARDS: United States - CACREP. - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings

29. Explain why smokeless tobacco is not a safe alternative to smoking. ANSWER: No answer provided. POINTS: 1 REFERENCES: Complications of Long-Term Use of Tobacco Products QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.15.04 - Describe the complications of long-term use of tobacco NATIONAL STANDARDS: United States - CACREP.5G - Counseling and Helping Relationships – Essential interviewing, counseling, and case conceptualization skills United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM Copyright Cengage Learning. Powered by Cognero.

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30. List several medical conditions that can be improved by the discontinuation of cigarette use, noting the specific benefit of each condition.

ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 Smoking Cessation Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.15.06 - Explain the benefits of smoking cessation NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 2:25 AM DATE MODIFIED: 3/29/2018 3:24 AM

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1. What is the most frequently used medicinal compound in the world? a. Antihistamine b. Acetaminophen c. Ibuprofen d. Aspirin ANSWER: d POINTS: 1 REFERENCES: A Short History of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.01 - Understand the history of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 2. There is evidence that regular low-dose aspirin use is associated with possible prevention of all of the following EXCEPT ________. a. cataracts

b. Crohn’s disease c. diabetic retinopathy d. esophageal and ovarian cancer ANSWER: b POINTS: 1 REFERENCES: Medical Uses of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.02 - Understand the medical uses of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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3. Scientists have discovered that low doses of ________ are effective as an adjunctive treatment for transient ischemic attacks (TIAs). a. naproxen

b. aspirin c. acetaminophen d. morphine ANSWER: b POINTS: 1 REFERENCES: Medical Uses of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.02 - Understand the medical uses of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 4. Which of the following does NOT have anti-inflammatory action? a. Acetaminophen b. Aspirin c. Ibuprofen d. Naproxen ANSWER: a POINTS: 1 REFERENCES: Medical Uses of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.02 - Understand the medical uses of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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5. Aspirin, in rare cases, can contribute to all but which of the following? a. Depression b. Cataracts c. Reye’s syndrome d. Hepatotoxicity ANSWER: b POINTS: 1 REFERENCES: Complications Caused by OTC Analgesic Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 6. What over-the-counter analgesic is usually suggested for people with hypertension? a. Acetaminophen b. Aspirin c. Ibuprofen d. Naproxen ANSWER: a POINTS: 1 REFERENCES: Complications Caused by OTC Analgesic Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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7. Which of the following analgesics are NOT advised for use by patients with a history of any of the symptoms of the “aspirin triad,” unless under the supervision of a physician? a. Acetaminophen

b. Lithium c. Ibuprofen d. Naproxen ANSWER: d POINTS: 1 REFERENCES: Complications Caused by OTC Analgesic Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 8. Which of the following over-the-counter analgesics are responsible for more than 100,000 overdoses each year, the majority being unintentional? a. Acetaminophen

b. Aspirin c. Ibuprofen d. Naproxen ANSWER: a POINTS: 1 REFERENCES: OTC Overdoses QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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9. Salicin _____________. a. shares the unpleasant gastric side effects of its chemical cousin, salicylic acid b. is less irritating to the stomach than acetylsalicylic acid c. is about as irritating to the stomach than acetylsalicylic acid d. was introduced in 1898 as an analgesic by Bayer Pharmaceuticals ANSWER: a POINTS: 1 REFERENCES: A Short History of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.01 - Understand the history of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 10. It has been estimated that the annual worldwide production of aspirin is about ______ doses each year, a quarter of which is consumed in the United States. a. 500 million

b. 100 billion c. 500 billion d. 700 million ANSWER: b POINTS: 1 REFERENCES: A Short History of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.01 - Understand the history of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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11. The most commonly used agent for the control of fever around the world is ______. a. naproxen b. ibuprofen c. aspirin d. acetaminophen ANSWER: d POINTS: 1 REFERENCES: A Short History of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.01 - Understand the history of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 12. The use of aspirin in the treatment of myocardial infarction is most effective ______. a. if consumed in high doses b. if consumed in low doses c. when used with a diuretic agent d. when initiated in the first 48 hours of the attack ANSWER: b POINTS: 1 REFERENCES: Medical Uses of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.02 - Understand the medical uses of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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13. A single dose of two 325 aspirin tablets provides the same level of analgesia as ________. a. 5 milligrams of Demerol® b. 15 milligrams of Demerol® c. 100 mg of codeine d. 50 milligrams of meperidine ANSWER: POINTS:

d 1

REFERENCES: Normal Dosage Levels of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.03 - Describe the normal dosages and effects of over-thecounter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 14. Acetaminophen’s analgesic potential is approximately ___________. a. twice that of aspirin b. equal to that of aspirin c. a quarter that of aspirin d. 50% higher than that of aspirin ANSWER: b POINTS: 1 REFERENCES: Normal Dosage Levels of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.03 - Describe the normal dosages and effects of over-thecounter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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15. At the dosage levels suggested for ibuprofen as an over-the-counter agent (325–650 mg every 4 hours), this compound’s analgesic effects are __________. a. twice that of aspirin

b. equal to that of aspirin c. a quarter that of aspirin d. 50% higher than aspirin’s analgesic potential ANSWER: b POINTS: 1 REFERENCES: Normal Dosage Levels of the OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.03 - Describe the normal dosages and effects of over-thecounter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 16. Which form of cyclooxygenase is involved in normal cellular maintenance, particularly in the stomach and kidneys? a. COX-1 b. COX-2 c. COX-3 d. COX-4 ANSWER: a POINTS: 1 REFERENCES: Pharmacology of OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.04 - Comprehend the pharmacology of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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17. Acetaminophen is as potent as aspirin, but can be toxic to the liver. As such, doses greater than ________ are not recommended except when under the care of a physician. a. 2,000 mg for 3 days

b. 6,000 mg for 5 days c. 4,000 mg for 10 days d. 1,000 mg for 1 week ANSWER: c POINTS: 1 REFERENCES: Pharmacology of OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.04 - Comprehend the pharmacology of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 18. The full anti-inflammatory effects of ibuprofen ___________. a. appear just as rapidly as those of aspirin b. are more rapidly achieved than those of aspirin c. require 3 days to begin to appear d. require 2–4 weeks of use to appear ANSWER: d POINTS: 1 REFERENCES: Pharmacology of OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.04 - Comprehend the pharmacology of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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19. Naproxen’s value in treating heart attacks ________. a. is apparently very limited b. is slower to appear than are the effects of aspirin c. is about the same as aspirin’s d. requires co-administration of morphine ANSWER: a POINTS: 1 REFERENCES: Pharmacology of OTC Analgesics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.04 - Comprehend the pharmacology of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 20. Aspirin doses as low as ______ mg a day can significantly increase the user’s risk for ulcers or bleeding in the gastrointestinal tract. a. 25

b. 50 c. 75 d. 100 ANSWER: c POINTS: 1 REFERENCES: Complications Caused by OTC Analgesic Use QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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21. Cumulative dose toxicity from acetaminophen can develop after just 10 days of use at recommended dosage levels. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Complications Caused by OTC Analgesic Use QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 22. To be fully effective in an acetaminophen overdose, N-acetylcysteine must be administered within 3 hours of the time the overdose was ingested.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: OTC Overdoses QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 23. The perception that over-the counter drugs are safe can potentially result in serious consequences. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.01 - Understand the history of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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24. Like the NSAIDs, acetaminophen interferes with blood clotting. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Medical Uses of the OTC Analgesics QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.02 - Understand the medical uses of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 25. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) lists four different diagnoses related to the misuse of OTC analgesic medications.

a. True b. False ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

False 1 Over-the-Counter Analgesic Use and the Diagnostic and Statistical Manual of Mental Disorders (5th Edition) True / False False

LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM 26. Trace the development of aspirin from the earlier discovery of salicin, noting some of the problematic effects of the various compounds that emerged on the way to the discovery of aspirin.

ANSWER: No answer provided. POINTS: 1 REFERENCES: A Short History of the OTC Analgesics QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.01 - Understand the history of over-the-counter analgesics DATE CREATED: 3/28/2018 2:37 AM DATE MODIFIED: 3/29/2018 3:21 AM

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27. How can aspirin be both good and bad for the circulatory system? ANSWER: No answer provided. POINTS: 1 REFERENCES: Medical Uses of the OTC Analgesics QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.02 - Understand the medical uses of over-the-counter analgesics DATE CREATED: 3/28/2018 2:38 AM DATE MODIFIED: 3/29/2018 3:21 AM 28. How does aspirin differ for narcotic analgesics in treating pain? ANSWER: POINTS:

No answer provided.

REFERENCES: Pharmacology of OTC Analgesics QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.04 - Comprehend the pharmacology of over-the-counter analgesics DATE CREATED: 3/28/2018 2:38 AM DATE MODIFIED: 3/29/2018 3:21 AM 29. Describe some of the potential complications seen with OTC analgesic use. ANSWER: No answer provided. POINTS: 1 REFERENCES: Complications Caused by OTC Analgesic Use QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:38 AM DATE MODIFIED: 3/29/2018 3:21 AM

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30. Discuss the possible effects of an overdose of acetaminophen. ANSWER: POINTS:

No answer provided.

REFERENCES: OTC Overdoses QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.16.05 - Understand the concern with over-the-counter analgesic overdoses DATE CREATED: 3/28/2018 2:38 AM DATE MODIFIED: 3/29/2018 3:21 AM

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1. What percentage of pregnant women answered positively when asked if they had used alcohol in the past 30 days in a study cited by your text? a. 4.5%

b. 5.1% c. 8.7% d. 7.6% ANSWER: d POINTS: 1 REFERENCES: Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.02 - Identify the concerns with alcohol use during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:44 PM 2. The effects of toxins on a fetus, especially during the first trimester, are _________. a. insignificant b. only concerning if the mother has a substance addiction c. magnified d. only concerning if more than one drug is ingested ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.01 - Understand the scope of the problem of substance misuse during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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3. According to your text, which of the following statements is true? a. There is a relationship between maternal substance use, depression, and attempted suicide following birth. b. Scientists have been able to clearly identify a specific pattern in children born to drug-abusing mothers. c. Unless a child develops fetal alcohol spectrum disorder, children born to drug-abusing mothers are not at a higher risk developmentally than children born to non-drug-abusing mothers.

d. Most women of childbearing age with substance abuse disorders get the appropriate treatment needed. ANSWER: a POINTS: 1 REFERENCES: Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.02 - Identify the concerns with alcohol use during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 4. According to your text, what percentage of women consumed alcohol on a regular basis while pregnant? a. 1.5% b. 25% c. 10.8% d. 8.1% ANSWER: c POINTS: 1 REFERENCES: Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.02 - Identify the concerns with alcohol use during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:45 PM

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5. Which of the following is NOT one of the consequences of prenatal exposure to amphetamines? a. Higher levels of emotional reactivity at ages 3 and 5 b. Facial abnormalities c. Increased risk of being small for gestational age d. Congenital brain lesions ANSWER: b POINTS: 1 REFERENCES: Use of Amphetamines and Amphetamine-Like Compounds During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 6. Inhalant misuse during pregnancy seems to be connected to which of the following outcomes? a. Growth retardation in utero b. Developmental abnormalities c. Neurodevelopmental problems d. All of these answers are correct. ANSWER: d POINTS: 1 REFERENCES: Inhalant Misuse During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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7. The concentration of THC, the active ingredient in marijuana, is found to be ____ times higher in the mother’s breast milk than in the mother’s blood level. a. 1.5

b. 3 c. 4.5 d. 6 ANSWER: d POINTS: 1 REFERENCES: Marijuana Use During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 8. One reason why neonatal exposure to alcohol or the drugs of abuse in the first trimester is potentially dangerous is because ___________. a. this is a time of organ differentiation and rapid growth of these immature organs, making them especially vulnerable to toxins in the fetal circulation

b. although the neonate’s liver is fully developed, it is too small to cope with the doses of alcohol or illicit drugs used by an adult

c. the fetus’ liver can biotransform these compounds faster than maternal circulation can accept them for transport to the kidneys, forcing them to back up in the fetal circulation

d. these compounds all increase maternal blood flow rates so much that the fetal circulation is overwhelmed and fetal blood pressure rises

ANSWER: a POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.01 - Understand the scope of the problem of substance misuse during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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9. When a pregnant woman ingests alcohol, the blood alcohol level of the fetus will _________. a. reach twice that of the mother’s blood alcohol level within 30 minutes b. reach approximately the same level as the mother’s in 15 minutes c. reach the same level as the mother’s blood, but be biotransformed more rapidly by the fetus’ liver and then eliminated from the fetal circulation

d. only reach 15% of the maternal blood level ANSWER: b POINTS: 1 REFERENCES: Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.02 - Identify the concerns with alcohol use during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 10. According to your text, _________ meet diagnostic criteria for admission to a substance-use rehabilitation facility. a. 25% of all women b. 10% of all women of childbearing age c. 5% of women who are pregnant d. 85% of all women of childbearing age ANSWER: b POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.01 - Understand the scope of the problem of substance misuse during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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11. A danger of disulfiram use during pregnancy is that it might __________. a. result in higher levels of lead in the fetal circulation, resulting in hepatotoxicity b. result in higher levels of lead in the fetal circulation, resulting in disrupted neurological growth c. result in higher levels of ganglioside inhibition in the brain d. have no effect at all, as the lead in the maternal circulation is unable to cross the placental barrier ANSWER: b POINTS: 1 REFERENCES: Use of Amphetamines and Amphetamine-Like Compounds During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 12. Which is the most accurate statement regarding the use of amphetamines during pregnancy? a. Most suggests that these compounds result in a baby that will be addicted to amphetamines following birth. b. The majority indicates that these compounds make the concurrent use of opioids by the mother less likely. c. There is surprisingly little research on this topic in the clinical literature. d. It primarily suggests that the long-term effects for the fetus are about the same as maternal opioid addiction during pregnancy.

ANSWER: c POINTS: 1 REFERENCES: Use of Amphetamines and Amphetamine-Like Compounds During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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13. Premature birth ___________ of maternal amphetamine use during pregnancy. a. is a possible consequence b. is usually seen in cases c. is never seen in cases d. is seen in about 50% of the cases ANSWER: POINTS: REFERENCES: QUESTION TYPE:

a 1 Use of Amphetamines and Amphetamine-Like Compounds During Pregnancy Multiple Choice

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 14. It has been estimated that as many as _____ of the women who give birth each year in the United States smoke cigarettes, and did so during pregnancy. a. 5.7%

b. 28.6% c. 17.4% d. 41% ANSWER: b POINTS: 1 REFERENCES: Cigarette Smoking During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:46 PM

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15. Maternal cigarette smoking during pregnancy is thought to account for ________. a. 90% of the problem of low birth weight in the United States b. 35% of the problem of perinatal death each year in the United States c. 15% of the problem of maternal malnutrition during pregnancy in the United States d. 5% of the problem of perinatal death each year in the United States ANSWER: d POINTS: 1 REFERENCES: Cigarette Smoking During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 16. It is difficult to identify the effects of maternal cocaine misuse on pregnancy because _________. a. the last wave of cocaine abuse peaked in the late 1990s, leaving little motivation for foundations to fund research in this area

b. most pregnant cocaine misusers also abuse other compounds known to affect fetal growth and development c. the infants tend to suffer from sleep apnea following birth, which alters cognitive function d. the close association between maternal cocaine misuse and sudden infant death syndrome makes it impossible to conduct such research

ANSWER: b POINTS: 1 REFERENCES: Cocaine Use During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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17. The abuse of Salvia divinorum by a woman prior to and during pregnancy _________. a. is not recommended b. has been proven to have no effect on the fetus c. has about the same impact on fetal growth and development as does the abuse of cocaine d. is twice as dangerous to the fetus as the abuse of cocaine during pregnancy ANSWER: a POINTS: 1 REFERENCES: Hallucinogen Use During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 18. Marijuana use by a woman who is pregnant ________. a. might possibly interfere with normal endocannabinoid function in the fetal brain b. has been shown to have no effect on fetal endocannabinoid function c. might possibly interfere with fetal cardiac development d. has been shown to interfere with the development of the inner ear structures of the fetus ANSWER: a POINTS: 1 REFERENCES: Marijuana Use During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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19. The symptoms of early opiate withdrawal are __________. a. so distinct from those of narcotics addiction/withdrawal that most physicians can tell the difference immediately

b. extremely similar to the symptoms of early pregnancy c. usually very different for a pregnant woman addicted to narcotics than for a woman of the same age who is pregnant but not addicted to narcotics

d. more intense for the pregnant woman who is addicted to narcotics than for a woman of the same age who is pregnant but not addicted to narcotics

ANSWER: b POINTS: 1 REFERENCES: Narcotic Analgesic Use During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 20. The concentration of narcotic analgesics such as methadone in breast milk is between _______, which suggests that breastfeeding during the first days following birth might help to relieve the distress of an infant going through opiate withdrawal. a. 1 and 3%

b. 4 and 6% c. 8 and 12% d. 14 and 18% ANSWER: a POINTS: 1 REFERENCES: Narcotic Analgesic Use During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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21. Aspirin use during pregnancy is safe, because aspirin cannot cross the placenta. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Over-the-Counter Analgesic Use During Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 22. Preliminary research suggests that the use of MDMA during pregnancy is associated with impaired coordination and motor skills at 4 months and 1 year of age.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Hallucinogen Use During Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 23. Early in pregnancy, nicotine, alcohol, marijuana, opiates, cocaine, and methamphetamines have all been found to have teratogenic effects.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: True / False HAS VARIABLES: False DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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24. Alcohol does not pass into a mother's breast milk. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Alcohol QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.02 - Identify the concerns with alcohol use during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 25. The authors do not recommend nicotine replacement therapy as a way to help pregnant smokers quit. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Cigarette Smoking During Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 26. Discuss some of the general issues involving pregnancy and drug/alcohol use. ANSWER: No answer provided. POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.01 - Understand the scope of the problem of substance misuse during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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27. Distinguish between fetal alcohol spectrum disorder (FASD)/fetal alcohol syndrome (FAS) and fetal alcohol effects (FAE)

ANSWER: No answer provided. POINTS: 1 REFERENCES: Alcohol QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.02 - Identify the concerns with alcohol use during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 28. Discuss the possible effects of smoking during pregnancy. ANSWER: POINTS:

Answer not provided.

REFERENCES: Cigarette Smoking During Pregnancy QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM 29. Discuss the potential problems associated with cocaine use during pregnancy, noting the number of infants who were exposed to cocaine in utero each year.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Cocaine Use During Pregnancy QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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30. What are the effects associated with marijuana use during pregnancy? ANSWER: POINTS:

No answer provided.

REFERENCES: Marijuana Use During Pregnancy QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.17.03 - Identify the concerns with various drugs if used during pregnancy DATE CREATED: 3/28/2018 2:45 AM DATE MODIFIED: 3/29/2018 3:18 AM

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1. Data suggest that ________ of men and ______ of women struggle with a substance use disorder (SUD). a. 8.1%; 2.4% b. 14.5%; 11.3% c. 10.2%; 5.5% d. 21%; 14.9% ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM 2. According to research, women with a substance misuse disorder are ______ more likely to die as a result of their SUD when compared to women of the same age who do not misuse chemicals. a. 5–10%

b. 12–20% c. 25–45% d. 50–100% ANSWER: d POINTS: 1 REFERENCES: Gender and Addiction: The Lessons of History QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM

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3. Women who have an alcohol misuse disorder are seven times as likely to suffer from ________ as men with an AUD. a. anxiety

b. depression c. another substance use disorder d. schizophrenia ANSWER: b POINTS: 1 REFERENCES: Does Gender Affect the Rehabilitation Process? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.02 - Describe the impact of gender on the rehabilitation process DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM 4. Which of the following statements about women, employment, and substance misuse is most accurate? a. Women are more likely to work in low-status, high-frustration positions than men. b. Women are more likely to gain notice from employers about unacceptable job performance due to substance misuse than men.

c. Women are more likely to have access to Employee Assistance Programs than men. d. Women in the workplace are more likely than men to have a substance use disorder overlooked by their employers.

ANSWER: a POINTS: 1 REFERENCES: Does Gender Affect the Rehabilitation Process? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.02 - Describe the impact of gender on the rehabilitation process DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM

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5. It has been suggested that Alcoholics Anonymous (AA) groups may not be as helpful for women as they are for men. One factor that may play a role in this, according to your text, is that women tend to experience higher levels of _______ than men. a. motivation

b. pride c. shame d. social support ANSWER: c POINTS: 1 REFERENCES: Alcohol Use Disorders in Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM 6. Which of the following statements is true about nicotine replacement therapy and gender? a. Nicotine replacement therapy is more effective for women than for men. b. Nicotine replacement therapy is more effective for men than for women. c. Nicotine replacement therapy is equally as effective for men and women. d. The effectiveness of nicotine replacement therapy does not seem to be influenced by gender. ANSWER: b POINTS: 1 REFERENCES: Nicotine Misuse by Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM

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7. When historians review the phenomenon of “patent” medicines, an often overlooked fact is that ___________. a. women who became addicted to these compounds tended to live in urban areas where access to such compounds was easy

b. 10% of those who were addicted to these “medicines” were children c. only 18% of the compounds were not harmful to the user d. one-third of those addicted to these compounds were men ANSWER: d POINTS: 1 REFERENCES: Gender and Addiction: The Lessons of History QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM 8. A woman who has an alcohol use disorder is ____ times as likely to commit suicide as a woman who does not drink, or who drinks socially. a. 20

b. 23 c. 19 d. 40 ANSWER: b POINTS: 1 REFERENCES: Gender and Addiction: The Lessons of History QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM

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9. Currently, advertisers have turned to ___________. a. women as an untapped market of future alcohol consumers b. more intensive advertising for older drinkers c. advertising less expensive brands of liquor for consumers d. older, more traditional brands of beer for consumers to help them regain their market share from liquor ANSWER: a POINTS: 1 REFERENCES: Gender and Addiction: The Lessons of History QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM 10. The age distribution for women with substance use disorders suggests that the largest percentage of these women are found in the ________. a. 50 and above age bracket, reflecting the influence of the “hippie” generation on substance-use patterns

b. 35–49 age bracket as middle-aged women adjust to the stress of being in the job market or the “empty nest” syndrome

c. 12–18 age bracket, since most adolescents “mature out” of their substance-use problems before they become legal adults

d. 18–25 age bracket ANSWER: d POINTS: 1 REFERENCES: Gender and Addiction: The Lessons of History QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM

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11. Women who engage in the misuse of substances frequently report that they ______. a. have more physical handicaps than men with similar substance-use issues b. were introduced to the drug(s) of misuse by their partners c. were the one who introduced their partners to the drug(s) of misuse d. were able to support their substance use disorder without the need to use family funds (grocery money, etc.) ANSWER: b POINTS: 1 REFERENCES: Does Gender Affect the Rehabilitation Process? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.02 - Describe the impact of gender on the rehabilitation process DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM 12. An often unrecognized source of drugs of misuse for women with SUDs are __________. a. physicians prescribing a medication in good faith b. friends who might also have their own substance use disorders c. illicit drug dealers who cater to women as clients d. college students who seek to supplement meager earnings by selling drugs to select clients ANSWER: a POINTS: 1 REFERENCES: Does Gender Affect the Rehabilitation Process? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.02 - Describe the impact of gender on the rehabilitation process DATE CREATED: 3/28/2018 3:02 AM DATE MODIFIED: 3/29/2018 3:17 AM

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13. Women who misuse cocaine appear to _________. a. enter treatment at an older age than men b. begin to misuse cocaine at about the same age as men c. maintain nonproblematic cocaine use for longer than men d. begin to misuse cocaine at an earlier age than men ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

d 1 Cocaine Misuse by Women Multiple Choice False

LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 14. As a general rule, women who drink will need to consume ____ less alcohol as a man to achieve the same blood alcohol level. a. 25%

b. 75% c. 60% d. 40% ANSWER: d POINTS: 1 REFERENCES: Alcohol Use Disorders in Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM

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15. Women are more likely to be __________ as compared to men who drink. a. solitary drinkers b. group drinkers c. found engaging in disruptive behaviors more often d. involved with the legal system more often ANSWER: a POINTS: 1 REFERENCES: Alcohol Use Disorders in Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 16. Women with concurrent alcohol use disorders and hepatitis C infections tend to _______. a. live 10 years longer than men with both conditions b. live 10 years less than men with both conditions c. be more vulnerable to amenorrhea d. require just as long to develop cirrhosis as a man with both conditions ANSWER: b POINTS: 1 REFERENCES: Alcohol Use Disorders in Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM

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17. Women using birth control _______. a. have a lower rate of alcohol biotransformation than a woman who had ingested the same amount of alcohol but was not using such birth control

b. have the same rate of alcohol biotransformation as a woman who had ingested the same amount of alcohol but was not using hormone-based birth control

c. have a higher rate of alcohol biotransformation than a woman who had ingested the same amount of alcohol but was not using hormone-based birth control

d. tend to feel less discomfort during alcohol withdrawal, which is to say they are less likely to experience a “hangover” the next day

ANSWER: a POINTS: 1 REFERENCES: Alcohol Use Disorders in Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 18. The ratio of male-to-female methamphetamine misusers is nearly _________. a. 1:1 b. 2:1 c. 1:2 d. 1:1 for younger age groups, but more disproportionate in older age cohorts ANSWER: a POINTS: 1 REFERENCES: Amphetamine Use Disorders in Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:48 PM

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19. Women who misuse methamphetamine ______. a. have preexisting depression in one half of cases b. have preexisting anxiety in about one-third of cases c. virtually always report anxiety problems after starting methamphetamine misuse d. misuse it for its euphoric effects more than anything else ANSWER: b POINTS: 1 REFERENCES: Amphetamine Use Disorders in Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 20. Women who misuse cocaine who then become pregnant find that they _________. a. require less cocaine to achieve a certain degree of euphoria than they did before becoming pregnant b. require about as much cocaine as before to achieve the same degree of euphoria c. require more cocaine than they needed before becoming pregnant to achieve the same degree of euphoria d. are able to achieve the same degree of euphoria as before only if they also misuse alcohol concurrently ANSWER: c POINTS: 1 REFERENCES: Cocaine Misuse by Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM

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21. Men tend to start to misuse marijuana at a younger age than women. a. True b. False ANSWER:

True

POINTS: 1 REFERENCES: Marijuana Misuse by Women QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 22. Chronic obstructive pulmonary disease (COPD) is less likely in women who smoke as compared with men. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nicotine Misuse by Women QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 23. There is evidence to suggest that women who misuse MDMA are more vulnerable to MDMA-induced neurological damage than men.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Hallucinogen Misuse by Women QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM

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24. Historically, women with substance misuse problems have faced greater social condemnation than men. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Gender and Addiction: The Lessons of History QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 25. The average male with an AUD who enters treatment will have more severe medical problems than the average female with an AUD entering treatment.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Alcohol Use Disorders in Women QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: DATE MODIFIED:

3/28/2018 3:03 AM 3/29/2018 3:17 AM

26. Describe the gender differences in drug-use rates and how these have been adjusting over the years. ANSWER: No answer provided. POINTS: 1 REFERENCES: Gender and Addiction: The Lessons of History QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM

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27. What is the “convergence” theory? What are the implications of it? ANSWER: No answer provided. POINTS: 1 REFERENCES: Gender and Addiction: The Lessons of History QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.01 - Understand the lessons from history regarding gender similarities and differences for alcohol and drugs DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 28. Discuss some of the special considerations that need to be taken into account as far as gender differences in the rehabilitation process is concerned.

ANSWER: POINTS:

No answer provided.

REFERENCES: Does Gender Affect the Rehabilitation Process? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.02 - Describe the impact of gender on the rehabilitation process DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM 29. Discuss the phenomenon of telescoping and how it relates to the manner in which substance-related disorders develop.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Alcohol Use Disorders in Women QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM

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30. Use amphetamine misuse to explore how the genders often differ in finding ways to secure/support their SUD. ANSWER: POINTS:

No answer provided.

REFERENCES: Amphetamine Use Disorders in Women QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.18.03 - Understand the different effects of various compounds on women as opposed to men DATE CREATED: 3/28/2018 3:03 AM DATE MODIFIED: 3/29/2018 3:17 AM

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1. Some of the barriers to treatment of homeless individuals with SUDs include a. difficulty obtaining prescription medications. b. difficulty keeping appointments. c. attending 12-step group meetings. d. All of these answers are correct. ANSWER: d POINTS: 1 REFERENCES: Substance Use Disorders and the Homeless QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.01 - Understand the impact of substance use disorders on those who are homeless NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 2. For those in the military, how many positive substance use urine tests result(s) in a dishonorable discharge from service? a. One

b. Two c. Three d. Four ANSWER: b POINTS: 1 REFERENCES: Substance Use Disorders in the Military QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.02 - Identify the impact of substance use disorders on those in the military NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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3. The most common form of disability affecting individuals in the United States, creating a problem for about 6.6% of the population, is a(n) ________ disability. a. ambulatory

b. learning c. hearing d. cognitive ANSWER: a POINTS: 1 REFERENCES: Substance Misuse and Individuals with a Disability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.04 - Describe the impact of SUDs on those who have a disability NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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4. Which of the following likely contributes to higher rates of SUDs within the gay, lesbian, bisexual, and transgender communities? a. Use of drugs for arousal and disinhibition effects

b. Increased negative feedback and stress experienced by members of the GLBT community c. Living on the “fringes” of society as a sexual minority d. All of these answers are correct ANSWER: POINTS: REFERENCES:

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5. Research has found that most substance misuse professionals have received a. adequate training to work with people with disabilities and SUDs. b. inadequate training to work with people with disabilities and SUDs. c. adequate training to work with people with traumatic brain injuries, but not other types of disabilities and SUDs.

d. adequate training to work with people with personality disorders, but not traumatic brain injury and SUDs. ANSWER: b POINTS: 1 REFERENCES: Substance Misuse and Individuals with a Disability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.04 - Describe the impact of SUDs on those who have a disability NATIONAL STANDARDS: United States - CACREP.4c - processes for identifying and using career, avocational, educational, occupational and labor market information resources, technology, and information systems United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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6. Which of the following statements is NOT true? a. African American women are 10 times as likely to be involved in the court system for a substance-related problem as are Caucasian women.

b. African American males with AUDs are more likely to initiate heavy drinking earlier in life than Caucasian males.

c. African American males are more likely to experience physical complications from alcohol use earlier in life than Caucasian males.

d. African Americans are more likely to be discharged from treatment before successful completion of the program.

ANSWER: b POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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7. It has been estimated that there are more than _____ homeless individuals in the United States. a. half a million b. 2 million c. 6 million d. 11 million ANSWER: a POINTS: 1 REFERENCES: Substance Use Disorders and the Homeless QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.01 - Understand the impact of substance use disorders on those who are homeless NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 8. Typically, the incidence of substance use disorders __________ after a person becomes homeless. a. does increase b. does not increase c. very slowly increases d. remains stable ANSWER: b POINTS: 1 REFERENCES: Substance Use Disorders and the Homeless QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.01 - Understand the impact of substance use disorders on those who are homeless NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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9. Which of the following was not identified as a direct cause of homelessness by your text? a. Lack of affordable housing b. Poverty c. Chronic unemployment/underemployment d. Substance use disorders ANSWER: d POINTS: 1 REFERENCES: Substance Use Disorders and the Homeless QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.01 - Understand the impact of substance use disorders on those who are homeless NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 10. Which of the following statements about substance use disorders and sexual minorities is NOT true, per your text? a. The topic of bisexual women who also misuse recreational drugs or alcohol is the focus of much research. b. The topic of men whose sole preference is sex with other men and who also misuse chemicals has been ignored by researchers.

c. The topic of bisexual men who also misuse chemicals is often ignored by researchers. d. Women whose sexual preference is exclusively other women are a minority of women. ANSWER: POINTS: REFERENCES:

b 1 Substance Use Disorders in the Lesbian, Gay, Bisexual, and Transgender Communities QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.03 - Understand the substance use disorders within the LGBT community NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM Copyright Cengage Learning. Powered by Cognero.

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11. It has been estimated that _______ of the population are members of a sexual minority group. a. 3–4% b. 7–8% c. 13–15% d. 2–9% ANSWER: POINTS: REFERENCES:

d 1 Substance Use Disorders in the Lesbian, Gay, Bisexual, and Transgender Communities QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.03 - Understand the substance use disorders within the LGBT community NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 12. It has been estimated that _____ of individuals with a disability also suffer from an alcohol use disorder. a. 12% b. 31% c. 47% d. 62% ANSWER: d POINTS: 1 REFERENCES: Substance Misuse and Individuals with a Disability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.04 - Describe the impact of SUDs on those who have a disability NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM Copyright Cengage Learning. Powered by Cognero.

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13. Persons living with the aftereffects of a traumatic brain injury a. usually avoid alcohol and illicit drugs because of the exaggerated effects such compounds have on their ability to cope with life.

b. tend to use alcohol or illicit drugs to self-medicate their frustration over their inability to function at their former level.

c. tend to also have a concurrent diagnosis of a form of mental illness. d. tend to respond well to treatment. ANSWER: b POINTS: 1 REFERENCES: Substance Misuse and Individuals with a Disability QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.04 - Describe the impact of SUDs on those who have a disability NATIONAL STANDARDS: United States - CACREP.3g - effects of crisis, disasters, and trauma on diverse individuals across the lifespan United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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14. In addition to social differences between members of an ethnic minority group and the mainstream culture, a. there are age-specific differences in recreational drugs of choice. b. there is a tendency for older members of that ethnic group to turn to chemicals as a way to cope with their frustration at being unable to understand the culture of their new home.

c. younger members of that ethnic group tend to identify more with the ideals of the dominant culture, weakening traditional prohibitions against drug misuse.

d. younger members of that culture tend to view their elders with disrespect, and alcohol or illicit drug use is a way to express this disrespect.

ANSWER: c POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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15. Although the vast majority of those who identify as Native Americans come from a similar tribe, a. this means nothing, as each Native American tribal unit is different from the others. b. they serve as the prototype for substance misuse rehabilitation programs for working with the Native Americans.

c. they tend to dominate planning for treatment allocation resources for substance misuse rehabilitation programs. d. they tend to have a more unified culture as compared with the other tribal units found in the United States. ANSWER: a POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 16. The reasons why Native Americans, who do not live on reservations, develop substance use disorders a. closely parallel those of the dominant culture. b. may be different for those persons who live on identified reservations. c. depend on differing access to drugs of misuse. d. do not account for their increased risk of premature death. ANSWER: b POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM Copyright Cengage Learning. Powered by Cognero.

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17. Treatment modalities for members of Native American tribal units are a. difficult to identify due to a lack of adequate research. b. clearly defined for the majority of tribal units, but not for all. c. clearly defined for those persons who live in urban areas, but not for those who live on reservation lands. d. the same as those used for members of the dominant culture. ANSWER: a POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 18. It has been estimated that as of 2015, ________ of the population of the United States identifies as Hispanic. a. 8.9% b. 12.3% c. 16.7% d. 21% ANSWER: c POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2c - multicultural counseling competencies United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:50 PM

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19. The Hispanic culture is from a. Mexico. b. Puerto Rico. c. Dominican Republic. d. None of these answers are correct. There is no single Hispanic culture. ANSWER: d POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2c - multicultural counseling competencies United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 20. Approximately ______ of Latino persons who ended their lives were legally intoxicated at the time of their deaths. a. 29% b. 25% c. 39% d. 19% ANSWER: a POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2d - the impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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21. It is more difficult for members of the GLBT community who live in rural areas to find appropriate treatment for SUDs specifically targeted to them than for those members who live in bigger cities.

a. True b. False ANSWER: POINTS: REFERENCES:

True 1 Substance Use Disorders in the Lesbian, Gay, Bisexual, and Transgender Communities QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.03 - Understand the substance use disorders within the LGBT community NATIONAL STANDARDS: United States - CACREP. - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 22. Hearing impaired individuals and others with disabilities are often targeted by drug dealers, who may go as far as taking such steps as learning sign language to communicate with potential customers.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Substance Misuse and Individuals with a Disability QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.04 - Describe the impact of SUDs on those who have a disability NATIONAL STANDARDS: United States - CACREP.3H - A general framework for understanding differing abilities and strategies for differentiated interventions United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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23. Substance misuse treatment programs appear to be as effective for ethnic minorities, irrespective of their individual minority status, as they are for the majority population.

a. True b. False ANSWER: POINTS: REFERENCES: QUESTION TYPE:

False 1 Ethnic Minorities and Substance Use Disorders True / False

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2c - multicultural counseling competencies United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 24. All people who identify as Asian American share a common background and ethnic ancestry. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2c - multicultural counseling competencies United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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25. Of families who become homeless, the majority of them are single-parent families headed by a man. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Substance Use Disorders and the Homeless QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.01 - Understand the impact of substance use disorders on those who are homeless NATIONAL STANDARDS: United States - CACREP.2c - multicultural counseling competencies United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 26. Discuss several important clinical considerations that should be attended to by those who provide treatment for gay, lesbian, bisexual, and transgender individuals who misuse substances.

ANSWER: POINTS: REFERENCES:

No answer provided.

1 Substance Use Disorders in the Lesbian, Gay, Bisexual, and Transgender Communities QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.03 - Understand the substance use disorders within the LGBT community NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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27. The problem of substance misuse in the homeless has been traced to six different causes. List and briefly discuss four of them.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Substance Use Disorders and the Homeless QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.01 - Understand the impact of substance use disorders on those who are homeless NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 28. Select one of the major categories of ethnic minorities discussed in the textbook and note the unique substancerelated difficulties that affect that group. Comment on why this particular set of struggles is salient to this specific group of people.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Ethnic Minorities and Substance Use Disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.05 - Understand the impact of substance use disorders within ethnic minorities NATIONAL STANDARDS: United States - CACREP.2c - multicultural counseling competencies United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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29. Explain how social attitudes and lack of adequate training might hamper health care professionals from identifying and treating a person with a disability.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Substance Misuse and Individuals with a Disability QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.04 - Describe the impact of SUDs on those who have a disability NATIONAL STANDARDS: United States - CACREP.4a - theories and models of career development, counseling, and decision making United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM 30. Discuss the reasons why combat veterans are at risk for SUDs. ANSWER: No answer provided. POINTS: 1 REFERENCES: Combat Veterans and Substance Use Disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.19.02 - Identify the impact of substance use disorders on those in the military NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:12 AM DATE MODIFIED: 3/29/2018 3:16 AM

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1. Which of the following statements is NOT true, according to your text? a. Many clinicians believe that any substance use during childhood and adolescence is a sign of a serious problem.

b. Clinicians are able to rely on clear definitions of “childhood” and “adulthood.” c. Some clinicians believe that experimental drug use is a regular aspect of adolescence. d. Adolescence in industrialized countries seems to have been extended. ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 2. Adolescents tend to experience _____ sedation from a given dose of alcohol compared to adult drinkers. a. less b. more c. the same levels of d. varying levels of ANSWER: a POINTS: 1 REFERENCES: Why Worry About Substance Use Disorders in Childhood and Adolescence? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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3. Which of the following may best explain why substance misuse in early adolescence raises the individual’s lifetime risk for SUD? a. Adolescents are more likely to use marijuana than adults, which acts as a “gateway” to lifelong drug misuse.

b. The amygdala region in the brain is not yet developed in adolescence. c. Adolescents use the prefrontal cortex to make decisions more than adults do. d. Memories associated with strong emotions are stronger and more deeply entrenched in adolescence than adulthood.

ANSWER: d POINTS: 1 REFERENCES: Why Worry About Substance Use Disorders in Childhood and Adolescence? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 4. According to your text, children who have _______ with their parents are more likely to resist the urge to engage in substance use. a. conflicted relationships

b. strong attachment bonds c. strong friendships d. many similarities ANSWER: b POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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5. Children have at least a rudimentary knowledge of alcohol and its effects _____, according to your text. a. by the time of entry into third grade b. by the time they graduate from grade school c. depending on whether they have older siblings or not d. by preschool ANSWER: POINTS: REFERENCES:

d 1 The Problem of Substance Use and Substance Use Disorders in Childhood and Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 6. Among high school seniors who misuse drugs, the most common illicit substance of choice is a. alcohol. b. cocaine. c. marijuana. d. MDMA (“Ecstasy”). ANSWER: POINTS: REFERENCES:

c 1 Scope of The Problem of Substance Use and Substance Use Disorders in Childhood and Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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7. Research has found that adolescents who smoke are _____ more likely to develop an alcohol use disorder later in life. a. 12%

b. 25% c. 33% d. 50% ANSWER: d POINTS: 1 REFERENCES: Why Worry About Substance Use Disorders in Childhood and Adolescence? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 8. It has been found that _____ of adolescents being assessed for chest pain have ephedrine in their urine, in spite of strident denials to the contrary. a. 12%

b. 17% c. 21% d. 25% ANSWER: b POINTS: 1 REFERENCES: Why Worry About Substance Use Disorders in Childhood and Adolescence? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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9. Cumulatively, the estimated financial cost of alcohol-related rape, homicide, assault, larceny, burglary, motor vehicle theft, loss of employment, and medical care for underage drinkers is about _______ per mixed drink. a. $1.50

b. $3.00 c. $4.12 d. $6.00 ANSWER: b POINTS: 1 REFERENCES: Why Worry About Substance Use Disorders in Childhood and Adolescence? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 10. Children and adolescents are thought to be at ________ vulnerability to the negative effects of alcohol or drugs. a. an increased level of b. a decreased level of c. the same level of d. an unknown level of ANSWER: a POINTS: 1 REFERENCES: Why Worry About Substance Use Disorders in Childhood and Adolescence? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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11. The “gateway” theory of substance misuse a. has been accepted as proven fact. b. has been challenged but has survived these challenges to be accepted by most mental health professionals. c. has not been successfully resolved and is open to ongoing debate. d. applies only to children under the age of 14. ANSWER: c POINTS: 1 REFERENCES: Why Worry About Substance Use Disorders in Childhood and Adolescence? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 12. It has been suggested that adolescent cigarette smoking is possibly an expression of a. repressed anger. b. rebellion against parental authority. c. the attempt to use nicotine’s stimulant effects to stay awake in school. d. a desire to self-medicate adolescent angst. ANSWER: b POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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13. Parents tend to _______ their ability to influence the decisions that their children and adolescents make. a. dismiss b. not question c. overly rely on d. accept ANSWER: a POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 14. By the age of 17, _____ of adolescents will have seen one or both of their parents intoxicated. a. 11% b. 24% c. 32% d. 51% ANSWER: d POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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15. In considering the issue of substance use among children and adolescents, one frequently overlooked area of these developmental periods is the a. quality of the attachment bond children have with their parents.

b. level of psychopathology demonstrated by instructors or other parent surrogates. c. child’s educational level and whether the child is functioning at age-specific expectations. d. child’s interpretation of the drug’s effects on their ability to cope. ANSWER: a POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 16. Parental _______ has been found to strongly influence substance use behaviors by children and adolescents. a. emotional dependency b. degree of differentiation c. style of punishment d. control ANSWER: d POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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17. Research finds that the critical issues with regard to adolescent substance use include all but which of the following? a. Which compounds are used b. How often the drugs are used c. Whether alcohol or illicit drugs are used at all d. What quantities of drugs are used ANSWER: c POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 18. The average adolescent spends approximately _________ listening to music. a. 1 hour per day b. 3 hours per day c. 2 hours per week d. 2 hours per day ANSWER: d POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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19. In assessing the adolescent who uses substances, the assessor can count upon the a. firm boundaries between misuse and substance use. b. fact that since they are illicit chemicals, any use equals misuse. c. fact that there are no firm boundaries between experimental use, substance misuse, and substance use disorders.

d. parents as an unbiased source of information. ANSWER: c POINTS: 1 REFERENCES: Substance Use: How Much and When Does It Become Too Much? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.03 - Understand the levels of concern for adolescent substance misuse NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 20. Which of the following was NOT a reason pediatricians frequently fail to inquire about substance misuse in their patients? a. Lack of awareness of available screening tools

b. The tendency of parents to remain in the treatment room c. Presence of competing medical issues that require treatment d. Lack of interest ANSWER: a POINTS: 1 REFERENCES: Substance Use: How Much and When Does It Become Too Much? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.03 - Understand the levels of concern for adolescent substance misuse NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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21. Approximately 50–80% of those adolescents diagnosed with a conduct disorder will develop a substance use disorder at some point in their lives.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 22. Two-thirds of substance rehabilitation programs surveyed had specialized components for adolescents with SUDs. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Adolescent Rehabilitation Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.07 - Understand rehabilitation options for adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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23. Despite common misperception, adolescents who are affiliated with a structured religion are just as likely to develop a substance use problem as those who are not.

a. True b. False ANSWER: POINTS: REFERENCES: QUESTION TYPE:

False 1 Why Do Children and Adolescents Use Chemicals? True / False

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 24. Rhonda reached puberty at age 10. According to your text, she is at a higher risk of developing an SUD than Judy, who reached puberty at age 13.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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25. Adolescents who spend more time working than studying are less likely to engage in alcohol and tobacco use than their peers who study more than they work.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 26. What is the gateway theory of adolescent drug use? What has research found regarding this explanation for such problems?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Why Worry About Substance Use Disorders in Childhood and Adolescence? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.01 - Understand the concerns regarding the impact of SUDs in children and adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED:

3/29/2018 3:15 AM

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27. Describe some of the reasons why children and adolescents misuse chemicals. ANSWER: No answer provided. POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 28. Explain how conduct disorder/oppositional defiant order might affect substance use in children and adolescents. ANSWER: No answer provided. POINTS: 1 REFERENCES: Why Do Children and Adolescents Use Chemicals? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.02 - Identify why children and adolescents may misuse substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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29. What are some of the special needs of adolescence in substance misuse rehabilitation programs? ANSWER: No answer provided. POINTS: 1 REFERENCES: Adolescent Rehabilitation Programs QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.07 - Understand rehabilitation options for adolescents NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM 30. Discuss the reasons why physicians may struggle to accurately diagnose substance use disorders in children and adolescents. What solutions can you suggest to help counter these barriers?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Substance Use: How Much and When Does It Become Too Much? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.20.03 - Understand the levels of concern for adolescent substance misuse NATIONAL STANDARDS: United States - CACREP.4e - strategies for assessing abilities, interests, values, personality and other factors that contribute to career development United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 3:21 AM DATE MODIFIED: 3/29/2018 3:15 AM

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1. Research has found that ______ of college undergraduates engage in heavy episodic drinking at least once every 2 weeks. a. 10%

b. 25% c. 40% d. 65% ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 2. Which of the following is NOT one of the reasons described in your text that may contribute to why college students living in sororities and fraternities binge drink at higher rates than students not living in sororities and fraternities? a. Students living in sororities and fraternities are more likely to be student athletes.

b. Students attracted to living in sororities and fraternities may be more likely to engage in abusive drinking. c. Students living in sororities and fraternities are surrounded by others who engage in binge drinking. d. Students living in sororities and fraternities may view binge drinking as a rite of passage. ANSWER: a POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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3. Which of the following statements is true about the so-called “party” schools? a. The rate of alcohol use by students at these colleges is similar to students at colleges that are not considered “party” schools.

b. The rate of alcohol use by students at these colleges is less than rates at colleges not considered “party” schools.

c. The rate of alcohol use by students at these colleges is higher than rates at colleges not considered “party” schools.

d. Efforts to reduce drinking at “party” schools between 1993 and 2005 were very successful. ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.4a - Obtaining information through interviewing, active listening, consultation with others, library or other research, and the observation of clients and systems. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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4. Which of the following terms does the author use to describe the phenomenon of college students feeling protected against all but the most severe repercussions of their alcohol use? a. Group isolation

b. Group insulation c. Social norms d. Social insulation ANSWER: POINTS: REFERENCES: QUESTION TYPE:

b 1 Why Worry About College Substance Use? Multiple Choice

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 5. The adolescent brain is thought to be __________ times more vulnerable to alcohol-induced brain damage than the adult brain. a. 1.5–2

b. 2.5–3.5 c. 4–5 d. 6–7.5 ANSWER: c POINTS: 1 REFERENCES: Consequences of Substance Use Disorders in the College Population QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.03 - Review the consequences of SUDs in this age group for various substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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6. Researchers found that college students who had consumed “energy drinks” while drinking were ______ more likely to drive home despite being heavily intoxicated when compared to students who had not consumed “energy drinks” while drinking that evening. a. 50%

b. 100% c. 300% d. 400% ANSWER: d POINTS: 1 REFERENCES: Consequences of Substance Use Disorders in the College Population QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.03 - Review the consequences of SUDs in this age group for various substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 7. What percentage of medical students meet the criteria for diagnosis of a mild alcohol use disorder? a. 11% b. 18% c. 25% d. 32% ANSWER: b POINTS: 1 REFERENCES: Post-Graduation and Graduate School QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.03 - Review the consequences of SUDs in this age group for various substances NATIONAL STANDARDS: United States - CACREP. - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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8. Although most college students cannot legally purchase alcohol until the age of 21, research suggests that ____ of college students view drinking as a central part of their social lives. a. 17–22%

b. 35–38% c. 47–50% d. just under 90% ANSWER: d POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 9. As a group, college students tend to _______ their peers’ acceptance of drunken behavior as well as the number of their peers who engage in heavy alcohol use. a. be unwilling to join

b. overestimate c. be fairly accurate about d. underestimate ANSWER: b POINTS: 1 REFERENCES: Why Worry About College Substance Abuse? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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10. Alcohol use causes substance-related academic problems for what percentage of college students? a. 30% b. 10% c. 25% d. 17% ANSWER: c POINTS: 1 REFERENCES: Why Worry About College Substance Abuse? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 11. There is a(n) ___________ between student levels of alcohol use and academic performance. a. inverse relationship b. positive correlation c. neutral relationship d. static ANSWER: a POINTS: 1 REFERENCES: A Special Environment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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12. It has been estimated that around ______ million students entered college in the United States in the fall of 2016. a. 10 b. 15.5 c. 20.5 d. 26 ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 13. It has been found that ______ of fraternity members reported engaging in binge drinking episodes. a. 75% b. 86% c. 90% d. 68% ANSWER: b POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2b - Small groups: 1. Overview of how small groups are used in human services settings, 2. Theories of group dynamics, and 3. Group facilitation skills. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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14. Among non-college students between 18 and 29 years of age, approximately ___ of those polled admitted to using illicit drugs at least once in their lives between 2010 and 2014, a rate that was surprisingly consistent from year to year. a. 15%

b. 30% c. 45% d. 60% ANSWER: d POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 15. Students who utilize performance-enhancing compounds tend to a. engage in other forms of substance use as well. b. be more likely to excel in their studies. c. have troubled interpersonal relationships. d. be better athletes. ANSWER: a POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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16. It has been estimated that _________ students per year are the victims of alcohol-related sexual assault, or “date rape” experiences while in college. a. 54,000

b. 68,000 c. 82,000 d. 97,000 ANSWER: d POINTS: 1 REFERENCES: Why Worry About College Substance Abuse? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2b - Small groups: 1. Overview of how small groups are used in human services settings, 2. Theories of group dynamics, and 3. Group facilitation skills. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED:

3/28/2018 3:14 PM

17. As a group, college students tend to _________ the frequency and severity of peers’ drinking behaviors. a. underestimate b. overestimate c. accurately assess d. be impressed by ANSWER: b POINTS: 1 REFERENCES: Why Worry About College Substance Abuse? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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18. One of the indirect dangers from consuming energy drinks is that those who do are ______ more likely than peers who had not had an energy drink to leave a bar intoxicated. a. 300%

b. 400% c. 50% d. 100% ANSWER: a POINTS: 1 REFERENCES: Consequences of Substance Use Disorders in the College Population QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.03 - Review the consequences of SUDs in this age group for various substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 19. Tobacco use rates a. are similar regardless of education level. b. actually trend up with higher education. c. go down with undergrad education but trend back up with attending post-graduation and graduate school. d. continue to decline with more education. ANSWER: d POINTS: 1 REFERENCES: Consequences of Substance Use Disorders in the College Population QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.03 - Review the consequences of SUDs in this age group for various substances NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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20. The period called “young adulthood” by experts in human development is universally defined as “the period falling between 25 and 45 years of age.”

a. True b. False ANSWER: False POINTS: 1 REFERENCES: A Special Environment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 21. Drinking patterns of college students are similar to drinking patterns of young adults who do not enter college right after high school.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Why Worry About College Substance Abuse? QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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22. College students who celebrate their 21st birthday by consuming 21 drinks are at risk for toxic, potentially fatal, blood alcohol levels.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Consequences of Substance Use Disorders in the College Population QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.03 - Review the consequences of SUDs in this age group for various substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 23. Research finds that the frequency of binge drinking episodes in college populations is about the same for those who are or who are not in a fraternity or a sorority.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2b - Small groups: 1. Overview of how small groups are used in human services settings, 2. Theories of group dynamics, and 3. Group facilitation skills. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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24. College students tend to underestimate their peers’ acceptance of drunken behavior, and they also underestimate the number of their peers who are engaging in heavy alcohol use.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Consequences of Substance Use Disorders in the College Population QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.03 - Review the consequences of SUDs in this age group for various substances NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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26. What is unique about the environment of attending college regarding the transition into adulthood? ANSWER: No answer provided. POINTS: 1 REFERENCES: A Special Environment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2b - Small groups: 1. Overview of how small groups are used in human services settings, 2. Theories of group dynamics, and 3. Group facilitation skills. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 27. Explain how the selection of peer relationships might influence drug/alcohol use during college. ANSWER: No answer provided. POINTS: 1 REFERENCES: A Special Environment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP. - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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28. Describe the factors that may influence drinking patterns in those who attend college. ANSWER: No answer provided. POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.01 - Understand the scope of the problem of substance use and misuse in college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2b - Small groups: 1. Overview of how small groups are used in human services settings, 2. Theories of group dynamics, and 3. Group facilitation skills. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM 29. Describe the differences between college students and their non-college-bound peers with regard to the use of drugs, both legal and illicit.

ANSWER:

No answer provided.

POINTS: 1 REFERENCES: Why Worry About College Substance Abuse? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.02 - Understand the level of concern for substance use and misuse for college students NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2b - Small groups: 1. Overview of how small groups are used in human services settings, 2. Theories of group dynamics, and 3. Group facilitation skills. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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30. Discuss some of the benefits that students in graduate school might perceive regarding the use of alcohol and drugs in those settings.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Post-Graduation and Graduate School QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.21.03 - Review the consequences of SUDs in this age group for various substances NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2b - Small groups: 1. Overview of how small groups are used in human services settings, 2. Theories of group dynamics, and 3. Group facilitation skills. DATE CREATED: 3/28/2018 3:03 PM DATE MODIFIED: 3/28/2018 3:14 PM

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1. Hazardous use of alcohol is defined for the elderly as more than __ drinks in one sitting. a. two b. three c. four d. five ANSWER: b POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 2. Which of the following subsets make up two-thirds of the older population with AUDs? a. Early onset alcoholism b. Late onset alcoholism c. Late onset exacerbation alcoholism d. Middle onset alcoholism ANSWER: a POINTS: 1 REFERENCES: Different Patterns of Alcohol/Drug Misuse in the Older Adult QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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3. In an interesting social experiment, 75 million “baby boomers” are now reaching retirement age, and __________, according to your text. a. it is not clear whether they will want to immediately retire

b. it is not clear whether they will continue to push for the legalization of marijuana c. estimates suggest that the alcohol use disorders are the third most common psychiatric diagnosis for this age cohort

d. it is not clear whether they will remain liberal in their voting patterns or become more conservative as they age ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.2B - Social and Cultural Diversity – Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 4. The most common medication misuse in older persons is a. overutilization for euphoric effects. b. failure to adequately understand side effects. c. intentional underutilization for financial reasons. d. obtaining multiple prescriptions for the same compound from multiple providers. ANSWER: c POINTS: 1 REFERENCES: Prescription Drug Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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5. A person who is considered a social drinker has no more than ____ drink(s) per day and does not show symptoms of an alcohol use disorder. a. one

b. two c. three d. four ANSWER: a POINTS: 1 REFERENCES: Different Patterns of Alcohol/Drug Misuse in the Older Adult QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 6. When Bensalom was a younger adult in his 20s and 30s, he had intermittent problems with alcohol but was never diagnosed with an alcohol use disorder. Now in his 70s, the problem has returned to the point of a diagnosis and a need for treatment. Bensalom belongs to the subgroup of those with an alcohol use disorder called ________. a. late-onset alcoholism

b. late-onset exacerbation c. insipient diagnosis of AUD d. early-onset alcoholism ANSWER: b POINTS: 1 REFERENCES: Different Patterns of Alcohol/Drug Misuse in the Older Adult QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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7. Which of the following is NOT a characteristic that is typically seen in those with early-onset alcoholism? a. They often come from lower socioeconomic levels. b. They tend to have less education. c. They are less likely to smoke. d. They come from single, divorced, or estranged families. ANSWER: c POINTS: 1 REFERENCES: Different Patterns of Alcohol/Drug Misuse in the Older Adult QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 8. What is meant by the statement “it was once thought that substance use disorders were self-limiting?” a. That there were limited treatment options for people with an SUD b. That only recreational drugs could be attached to a diagnoses of an SUD c. That it is very easy to diagnose an SUD because there are few specific symptoms d. That those with an SUD would have a shorter-than-average lifespan ANSWER: d POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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9. Why are older individuals generally not screened for substance use disorders? a. They take many prescription medications, so if they had an SUD, they would be taking their lives into their own hands.

b. SUDs are so uncommon in older adults that screening them for the condition is not financially realistic. c. Many physicians are not trained to screen for SUDs in older individuals. d. Insurance companies regard older adults as being immune to the effects of SUDs. ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 10. Those who were born between 1945 and 1965 are frequently referred to as ________. a. generation X b. “baby boomers” c. the “lost” generation d. generation Y ANSWER: b POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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11. Almost half of men and slightly more than ________ of women over the age of 60 use alcohol. a. one-quarter b. one-tenth c. one-half d. one-third ANSWER: d POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 12. Jonah is a 59-year-old man who regularly uses an illicit substance. If he is like most of the adults in this age bracket who use such compounds, what is most likely his drug of choice? a. Marijuana

b. Heroin c. PCP d. LSD ANSWER: a POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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13. Of those older adults over the age of 65 who take a prescription medication that interacts with alcohol, _____ of them acknowledge that they continue to drink. a. 10%

b. 25% c. 50% d. 75% ANSWER: d POINTS: 1 REFERENCES: What Are the Consequences of an SUD in the Older Adult? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.02 - Understand the consequences of SUDs for older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 14. Patrick has just celebrated his 65th birthday. Given the information in your textbook, you can assume that he has already experienced a reduction in ________ of about 10–20%. a. muscle mass

b. bone density c. cerebral blood flow d. lung volume ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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15. Which physical process is known to play a role in the dementia or pseudo-dementia symptoms of those with an SUD? a. Vitamin deficiency problems b. Deoxygenation of areas in the brain c. Endocrinergic compromise d. Autonomic neuropathy ANSWER: a POINTS: 1 REFERENCES: What Are the Consequences of an SUD in the Older Adult? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.02 - Understand the consequences of SUDs for older adults NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 16. Those who are over the age of ______ are considered the oldest of the older adults. a. 70 b. 80 c. 90 d. 100 ANSWER: b POINTS: 1 REFERENCES: Adults over 80 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: DATE MODIFIED:

3/28/2018 3:25 PM 3/28/2018 3:28 PM

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17. Which of the following does your book note as a problem with the way in which health care workers view substance use in older adults? a. They believe that they have a better understanding of an older adult’s substance use than that adult does.

b. Some believe that older adults deserve to drink alcohol as a reward for a lifetime of hard work. c. They do not tend to believe that older adults engage in substance use, and thus will not take that issue seriously.

d. They believe that all adults use drugs illicitly, and thus give up trying to do anything about the problem. ANSWER: b POINTS: 1 REFERENCES: Why Is the Detection of SUDs in Older Adults So Difficult? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 18. What is “BRITE?” a. An intervention strategy that involves five specific treatment steps b. A state-sponsored team of professionals who can go to an older adult’s home to hold an intervention regarding substance use problems

c. A hospitalization sequence for older adults whose substance use is exacerbating life-threatening physical illnesses

d. A screening and treatment tool for older adults ANSWER: d POINTS: 1 REFERENCES: Why Is the Detection of SUDs in Older Adults So Difficult? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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19. How does your textbook define an “abstainer” from alcohol use? a. They have never had a drink of alcohol. b. They have had fewer than two drinks in the last month. c. They drink fewer than one or two drinks in a year. d. They have recovered from an AUD and now do not drink at all. ANSWER: c POINTS: 1 REFERENCES: Different Patterns of Alcohol/Drug Misuse in the Older Adult QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 20. Keandrea drinks more than the recommended amount of alcohol but has had few health or social consequences related to this behavior. She is considered a(n) ________ drinker. a. at-risk

b. borderline c. social d. abusive ANSWER: a POINTS: 1 REFERENCES: Different Patterns of Alcohol/Drug Misuse in the Older Adult QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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21. Approximately 20% of older adults pooled revealed that they take medications for which they are currently not prescribed.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Prescription Drug Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 22. Benzodiazepines are very rarely prescribed to those over 65 years of age; in fact, less than 1% of this population is prescribed this category of drug.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Prescription Drug Misuse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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23. The most prominent sign of alcohol withdrawal in older individuals who drink heavily is confusion. a. True b. False ANSWER: True POINTS: 1 REFERENCES: What Are the Consequences of an SUD in the Older Adult? QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.02 - Understand the consequences of SUDs for older adults NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 24. Aspirin is as advantageous and safe for use in the elderly as it is for younger and middle-aged adults. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Adults over 80 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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25. “Moderate” alcohol use in those over 65 years of age is defined as one standard drink or can of beer in a 24-hour period.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 26. Discuss some of the challenges of diagnosing and treating substance use disorders in older adults that come from problems with the health care professionals charged with their care.

ANSWER: No answer provided. POINTS: 1 REFERENCES: The Treatment of Older Patients with SUDs. QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED:

3/28/2018 3:28 PM

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27. Prescription misuse is a particularly problematic issue for the elderly. Discuss how this topic is important in the discussion of SUDs in older adults.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Prescription Drug Misuse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM 28. Review some of the complications associated with the diagnosis of an alcohol or substance use disorder in the elderly. ANSWER: No answer provided. POINTS: 1 REFERENCES: Why Is the Detection of SUDs in Older Adults So Difficult? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: DATE MODIFIED:

3/28/2018 3:25 PM 3/28/2018 3:28 PM

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29. Discuss the patterns of alcohol and/or drug misuse in the elderly. ANSWER: No answer provided. POINTS: 1 REFERENCES: Different Patterns of Alcohol/Drug Misuse in the Older Adult QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: DATE MODIFIED:

3/28/2018 3:25 PM 3/28/2018 3:28 PM

30. How does the body’s ability to handle alcohol change as one ages? ANSWER: No answer provided. POINTS: 1 REFERENCES: What Are the Consequences of an SUD in the Older Adult? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.02 - Understand the consequences of SUDs for older adults NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:25 PM DATE MODIFIED: 3/28/2018 3:28 PM

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1. What is the term used to describe the process by which attachments to parents change as a child matures? a. Codependency b. Differentiation c. Parentification d. Stabilization ANSWER: b POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 2. Which of the following is NOT one of the “rules” commonly enforced in families with SUDs? a. Do not trust anybody. b. Do not have your own thoughts or feelings about the problem. c. Do not feel responsible for the abuser. d. Do not talk about the problem. ANSWER: c POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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3. Which of the following is described as a “weapon” commonly used in families with SUDs as a way to try to control other members? a. Enmeshment

b. Differentiation c. Conditional love d. Individuation ANSWER: c POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 4. Which of the following interventions helps family members learn to deal effectively with an addicted family member? a. Rational relationship training b. Tough love training c. Cognitive behavioral training d. Coping skills training ANSWER: d POINTS: 1 REFERENCES: Interventions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.03 - Describe interventions that may be helpful with families impacted by SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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5. What term is used to describe the notion that most people are incapable of dealing with adversity without the help of a professional therapist? a. Freudism

b. Differentiation c. Therapism d. Cognitivism ANSWER: c POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.4a - theories and models of career development, counseling, and decision making United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 6. Which of the following is NOT a characteristic of adult children of alcoholics purported by the ACOA movement? a. Adult children are loyal to no one. b. Adult children judge themselves harshly. c. Adult children have trouble relaxing and having fun. d. Adult children tend to be loyal to others, even when that loyalty is misplaced. ANSWER: a POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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7. It has been estimated that __________ million children in the United States live in a home where at least one parent has an active substance use disorder. a. 7

b. 10.3 c. 9.6 d. 11.8 ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.01 - Understand the ways in which SUDs impact the family NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 8. According to your text, the lowest level of intimacy between partners is when a. only one partner has an active alcohol use disorder. b. both partners have similar levels of alcohol abuse. c. there are children younger than 5 in the home. d. the marital partners have different shifts to work. ANSWER: b POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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9. The role a person’s substance use plays in his or her choice of marital partners is a. exaggerated by most textbooks. b. considerable. c. counteracted by the influence of each spouse’s extended family. d. normally not a factor in spouse selection. ANSWER: b POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 10. During courtship and the first year of marriage, a. many alcoholic individuals strive to reduce their level of alcohol use. b. the nonalcoholic spouse is too enamored to notice the warning signs of an impending alcohol use disorder. c. the nonalcoholic spouse is so focused on building a good home that he or she does not notice the other person’s alcohol use pattern has increased to dangerous or unhealthy levels.

d. the nonalcoholic spouse is so focused on finding a job that will accommodate his or her new lifestyle that he or she overlooks the warning signs of an alcohol use disorder.

ANSWER: a POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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11. In support of the pseudo-stability found in homes where one parent has a substance use disorder, a. important roles within the family are strongly adhered to. b. the excitement of never knowing how the addicted person will behave becomes a source of entertainment for the family members.

c. parental roles are often left unfulfilled, unless others assume those tasks. d. both parents must still assume responsibility for providing for the safety of their children. ANSWER: c POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 12. Family members who break the “no talk/no trust” rule, even years after they leave the home, a. can be emotionally “expelled” from the family. b. are reinitiated into the position they used to hold in the family, even if it is to the exclusion of their own parental roles and duties.

c. become objects of ridicule within the extended family. d. are encouraged to do so by other, emotionally weaker family members. ANSWER: a POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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13. Extremes of either abuse or parental neglect might predispose the child to all of the following later in life EXCEPT a. depression. b. anxiety states. c. improved self-concept. d. suicidal gestures. ANSWER: c POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 14. Coping skills training a. aids in the process of confronting the dysfunctional person. b. helps interpret the meaning of the dysfunctional person’s behavior to the family. c. helps family members learn how to cope with the dysfunctional person and his or her behavior. d. encourages the formation of alternative addictions that are less destructive to the family, providing a means for family members to cope with stress.

ANSWER: c POINTS: 1 REFERENCES: Interventions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.03 - Describe interventions that may be helpful with families impacted by SUDs NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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15. The “adult children of alcoholics” parent model postulates that a. it is the only accurate formulation of how parental alcoholism affects the child’s growth. b. the dysfunctional family member frequently attends sessions to learn how others have suffered from their parents’ alcoholism, thus allowing them to learn by example.

c. many children learn to cope by becoming “overly” responsible. d. politicians need to better understand the overlooked problem of parental alcoholism. ANSWER: c POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 16. It is thought that, at one point in the last quarter-century, ________ of the adults in this country were involved in a 12-step support group. a. 10%

b. 19% c. 40% d. 30% ANSWER: c POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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17. The damage model holds each of the following assumptions EXCEPT a. dysfunctional homes automatically result in childhood trauma. b. there are certain characteristics of healthy homes. c. the child is permanently scarred for life because of trauma in childhood. d. resilience never is the result of childhood trauma. ANSWER: b POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 18. It has been suggested that the “adult children” movement a. allows the “baby boomer” generation to retain a portion of their own childhoods. b. encourages the victims of dysfunctional homes to seek professional assistance. c. takes into account the fact that thousands of generations of children have been raised in dysfunctional homes, and identifies how each generation suffered.

d. will continue to meet needs of those who suffered in childhood from being raised in an unhealthy home well into the 21st century.

ANSWER: a POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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19. Proponents of the “adult children” movement suggest that _______ of the adults in this country were raised in “dysfunctional” homes, without ________. a. 80%; listing the relative impact of each form of trauma

b. 99%; an explanation of the foundation for this claim c. 96%; an explanation of this claim’s basis d. 79%; telling us how to deal with this problem ANSWER: c POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 20. A child’s natural tendency to develop adaptive systems that may help them resist the damaging effects of their environment is called a. resilience.

b. hardiness. c. temperament. d. coping. ANSWER: a POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.01 - Understand the ways in which SUDs impact the family NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

Page 10

21. For a child, one of the main developmental goals is to emotionally separate from one’s parents. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 22. Emotional withdrawal, a tactic commonly used by spouses of people with SUDs, is reported to be an effective way for them to control their partner’s substance abuse.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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23. A child raised in a home with an SUD may be protected from the full impact of the SUD if there are healthy parental alternatives in the child’s life.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 24. In spite of protests to the contrary, it has never been proven that growing up in a home where there is parental alcoholism is sufficient to cause psychosocial problems for a child.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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25. ACOA is the modern name of “Alcoholics Anonymous,” whose name was changed after founders realized that family members should be welcome at the same meetings.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 26. List the three “parental rules” used to maintain a sense of pseudo-stability. Discuss the potential benefits and drawbacks of these three rules.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED:

3/28/2018 3:36 PM

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27. Discuss the effective therapeutic interventions available to family members of a person with a SUD. ANSWER: No answer provided. POINTS: 1 REFERENCES: Interventions QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.03 - Describe interventions that may be helpful with families impacted by SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 28. Use the family systems perspective to discuss how the state of the family, whether healthy or dysfunctional, may affect the process of differentiation in a child.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Addiction and the Family Unit QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.02 - Consider the multiple influences that impact how SUDs are managed in families NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED:

3/28/2018 3:36 PM

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29. Discuss the philosophy and development of the adult children of alcoholics (ACOA) movement. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Movement QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM 30. Discuss the “damage model” of alcoholism as it relates to the family unit, and how it is related to criticisms of the ACOA model.

ANSWER: No answer provided. POINTS: 1 REFERENCES: The Adult Children of Alcoholics (ACOA) Moveme\nt QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.23.04 - Review the history and criticisms of the Adult Children of Alcoholics movement NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:33 PM DATE MODIFIED: 3/28/2018 3:36 PM

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1. Enabling behaviors might be motivated by which of the following factors? a. Pathological interdependency b. Social pressure to be a “good” spouse c. Being overly protective of one’s partner d. All of these answers are correct ANSWER: d POINTS: 1 REFERENCES: Enabling QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 2. The tendency of a codependent person to have poor boundaries and to be over-involved in the life of another (or several others) is called a. enmeshment.

b. triangulation. c. reaction formation. d. projection. ANSWER: a POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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3. One of the important cornerstones of recovering from codependency is a. gaining control over the addict person’s behavior. b. detachment from the addicted person’s dysfunctional behavior. c. protecting the addicted person from the consequences of his or her behavior. d. removing the addicted person from one’s life. ANSWER: POINTS: REFERENCES: QUESTION TYPE:

b 1 Codependency Multiple Choice

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 4. According to Freud’s “repetition compulsion,” once the addict stops his or her dysfunctional behaviors, the codependent individual will a. be cured.

b. begin to set appropriate boundaries. c. give up control of the ex-addict’s behaviors. d. attempt to find someone else who is dysfunctional. ANSWER: d POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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5. Janis has been married to Paul, who struggles with alcoholism, for 34 years. Her role in her circle of friends is to help other wives of other alcoholic individuals and giving them empathy and support, while also telling regular stories of what Paul did that week due to his alcoholism and how she dealt with it. Her friends frequently tell her what a good, devoted wife she is. Janis is most likely utilizing which of the following coping styles described in your text? a. Caretaker

b. Apathetic partner c. Martyr d. Approval seeker ANSWER: c POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 6. Critics of the concept of codependency argue that viewing codependency as a ________ absolves the individual from any personal responsibility. a. construct

b. model for healthy relationships c. disease d. model for entire communities ANSWER: c POINTS: 1 REFERENCES: Reactions to the Concept of Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.3d - Economic and social class systems including systemic causes of poverty. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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7. According to your text, “codependency” and “enabling” are a. constructs to help professionals categorize behavior more effectively. b. frighteningly real concepts that ruin people’s lives. c. only seen in dysfunctional homes. d. less common now than in the 1980s. ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.4a - Obtaining information through interviewing, active listening, consultation with others, library or other research, and the observation of clients and systems. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 8. According to your text, to “enable” another person is to a. provide financial support to help tide him or her over in rough times, money that is in turn used to buy alcohol or drugs.

b. knowingly behave in a manner that makes it possible for another to misuse chemicals or to avoid consequences of such activities.

c. forcefully confront the person’s substance use behaviors so he or she will seek professional help. d. allow him or her to suffer the natural consequences for their behavior. ANSWER: b POINTS: 1 REFERENCES: Enabling QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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9. Codependency a. is more commonly encountered in homes with an alcohol use disorder rather than a drug use disorder. b. is more commonly encountered in homes with younger adults, such as those recently married. c. is a construct that is useful for professionals who work with those struggling with substance use behaviors. d. will be an accepted diagnostic category in the next edition of the Diagnostic and Statistical Manual of Mental Disorders.

ANSWER: c POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 10. Codependency is characterized by a. preoccupation with “escape” behaviors to avoid blame for another person’s SUD. b. a consensus about how to spell the word by mental health professionals. c. over-involvement with another person’s behavior and attempting to control that person’s substance use. d. insensitivity to another person’s behavior. ANSWER: c POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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11. Which of the following is NOT seen in codependency? a. Measuring self-worth on the basis of how another person behaves b. Leaving/ending the dysfunctional relationship c. Making personal sacrifices to protect the dysfunctional person from the consequences of his or her behavior d. Attempting to avoid confronting the reality of another person’s addiction ANSWER: b POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 12. Codependency and enabling a. have continued to be popular topics for researchers. b. are very nondistinct concepts that are defined differently by different people. c. are as well accepted as real phenomenon as coronary artery disease. d. have never been called addictive behaviors. ANSWER: b POINTS: 1 REFERENCES: Reactions to the Concept of Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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13. Essentially, codependency might be viewed as a. an exaggerated form of a normal relationship pattern. b. an independent pattern of relating that exists outside of normal relationships. c. a way for all involved to focus their attention on matters outside of the family. d. an excuse for one person to remain in a dysfunctional relationship. ANSWER: a POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 14. By learning how to “let go” of their attempts to control a dysfunctional person’s behavior, the codependent person is expressing a. contempt for that person.

b. anger toward that person. c. detachment from that person. d. over-involvement with the dysfunctional person. ANSWER: c POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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15. Codependent persons are often taught a. it is okay to express my anger toward the dysfunctional person’s behavior. b. it is not okay for me to have problems of my own. c. I am always capable of dealing with an emergency. d. it is possible to negotiate boundaries as I grow older and mature emotionally. ANSWER: b POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 16. Communication in codependent relationships is a. limited to “safe” topics that avoid anger outburst or conflict. b. expansive and addresses virtually every topic imaginable. c. difficult to understand because of the different maturity levels of the various persons involved. d. focused on individuation. ANSWER: a POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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17. Which of the following is NOT true of codependent persons? a. They believe they are not as good as others. b. They must accept responsibility for problems well beyond their control. c. Codependent persons are born that way. d. Codependent people have learned to be codependent. ANSWER: d POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 18. One of the challenges to the concept of codependency is that a. it frees family members from responsibility for their behavior. b. people who have the problem have a difficult time seeing the behaviors as problematic. c. it makes the dysfunctional person fully responsible for their behavior. d. it is an either/or condition. ANSWER: b POINTS: 1 REFERENCES: Reactions to the Concept of Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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19. One criticism of the concept of codependency is that it rests upon a. the unproven “family disease model” used in family therapy. b. behavior modification approaches used to shape successive approximations to healthy behavior in marital counseling.

c. an unproven theory that codependents have a genetic predisposition toward such relationships. d. the theory that the codependent is unconsciously angry at his or her partner and wants the partner to suffer for as long as possible. This is the motivation for his or her overly protective behaviors.

ANSWER: a POINTS: 1 REFERENCES: Reactions to the Concept of Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2c - Changing family structures and roles. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 20. The concept of codependency a. forces offenders to take full responsibility for their behavior. b. is based on the theories of personality put forward by Alfred Adler. c. is an outgrowth of the concept of the co-addict popular in the 1950s. d. is based on the personality theory of Otto Rank, presented in the 1930s. ANSWER: c POINTS: 1 REFERENCES: Reactions to the Concept of Codependency QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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21. One of the reasons why the concept of codependency has been challenged is because it turns the focus of blame to the family.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Reactions to the Concept of Codependency QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 22. An important reason mental health professionals are uncomfortable with the concept of codependency is that it gives too much power to the individual and removes the need to address family issues in counseling.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Reactions to the Concept of Codependency QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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23. It is important to only use the term “codependency” when referring to family members, and avoid the terms “enabler” or “enabling.”

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Codependency QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 24. The person who acts as a “persecutor” in a codependent relationship blames everyone but the dysfunctional member for problems in the family.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Codependency QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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25. A health care professional may behave in an enabling way by opting not to add an SUD diagnosis to a patient’s profile.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Enabling QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 26. Define the term “enabling.” What are some of the theoretical explanations for it? ANSWER: No answer provided. POINTS: 1 REFERENCES: Enabling QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.01 - Understand the scope of the problem of substance use and misuse in older adults NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: DATE MODIFIED:

3/28/2018 3:42 PM 3/28/2018 3:45 PM

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27. Discuss the “rules” of codependency and how they may reflect the dynamics within a dysfunctional family. ANSWER: No answer provided. POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM 28. Describe the cycle of codependency. ANSWER: No answer provided. POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.2e - An understanding of the capacities, limitations, and resiliency of human systems. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED:

3/28/2018 3:45 PM

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29. The textbook discusses 11 different coping styles of a family member who is codependent. They are the apathetic partner, the approval seeker, the caretaker, the coconspirator, the controller, the family mascot/clown, the martyr, the messiah, the protector, the persecutor, and the separator. Choose six of these roles and discuss the goal of this coping style. Which of those six do you think is the healthiest or most useful for the person who is addicted to a substance?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Codependency QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.03 - Consider the challenges in detecting SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: DATE MODIFIED:

3/28/2018 3:42 PM 3/28/2018 3:45 PM

30. The construct of “codependency” is controversial. What are some of the criticisms? ANSWER: No answer provided. POINTS: 1 REFERENCES: Reactions to the Concept of Codependency QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.22.04 - Review the treatment of SUDs in older adults NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:42 PM DATE MODIFIED: 3/28/2018 3:45 PM

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1. What is described as being essential if a clinician is to accurately distinguish between substance-induced versus actual psychiatric problems? a. Thorough clinical history

b. Performing the “CAGE” assessment c. Detoxification medication d. Significant levels of shame in the patient ANSWER: a POINTS: 1 REFERENCES: Clients with Co-Occurring Disorders: A Diagnostic Challenge QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.03 - Consider the diagnostic challenges of determining accurate diagnoses when co-occurring disorders are present NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 2. Which of the following statements is NOT true about clients with co-occurring disorders? a. They have higher rates of suicide. b. They tend to have stronger support networks. c. They have increased risk of being homeless. d. They are less able to handle personal finances. ANSWER: b POINTS: 1 REFERENCES: Clients with Co-Occurring Disorders: A Diagnostic Challenge QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.03 - Consider the diagnostic challenges of determining accurate diagnoses when co-occurring disorders are present NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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3. Which of the following serves as a powerful “relapse trigger” for dual diagnosis clients trying to quit abusing substances? a. Untreated psychiatric symptoms

b. Going to jail c. Being with friends d. Walking by familiar drinking establishments or places where they formerly used substances ANSWER: a POINTS: 1 REFERENCES: Why Worry about Clients with Co-Occurring Disorders? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.03 - Consider the diagnostic challenges of determining accurate diagnoses when co-occurring disorders are present NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 4. It is believed that _______ of people with co-occurring disorders received treatment for both conditions in the past year. a. 2%

b. 5% c. 8% d. 11% ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.04 - Understand the scope of the problem of co-occurring disorders NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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5. According to your text, which of the following mental illnesses seems to have the highest lifetime prevalence rate with SUDs? a. Bipolar affective disorder

b. Schizophrenia c. Posttraumatic stress disorder d. Antisocial personality disorder ANSWER: d POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 6. Which of the following statements is NOT true about the treatment of bipolar disorder and SUDs? a. Manic symptoms can be easily mistaken as “progress” by rehabilitation staff, leading to increased rate of premature release from treatment.

b. It is hypothesized that bipolar patients might use CNS stimulants to simulate the manic phase of their disorder. c. The alcohol-dependent patient with bipolar disorder is more likely to use alcohol during the manic phase of the disorder.

d. Symptoms of bipolar disorder can be exacerbated by the abuse of many compounds. ANSWER: c POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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7. Which of the following statements is true about the relationship between borderline personality disorder (BPD) and SUDs? a. People with BPD tend to use drugs or alcohol to intensify their emotions.

b. Substance abuse treatment for people with BPD is quite straightforward. c. It is estimated that around 30–50% of people with a SUD will also have BPD. d. Relaxation training seems to be the most effective form of treatment for individuals with BPD and SUD. ANSWER: c POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 8. The term “dual diagnosis” refers to individuals who have a. an addiction to two or more chemicals at the same time. b. a person with both a mental health disorder and a substance use disorder at the same time. c. a person who had a substance use disorder, recovered from that condition, and then developed a mental health disorder.

d. a clearly defined psychiatric condition with proven treatment modalities. ANSWER: b POINTS: 1 REFERENCES: Definitions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.01 - Understand and explain what constitutes co-occurring disorders of SUDs and other mental illnesses NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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9. Although the abuse of a chemical might not have caused the development of a mental illness, a. it might be intertwined with the mental illness. b. it will not influence the course of that disorder, either. c. it will easily be identified as a separate disorder from the mental illness. d. the mental illness will always resolve once the substance use disorder is treated. ANSWER: a POINTS: 1 REFERENCES: Definitions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.01 - Understand and explain what constitutes co-occurring disorders of SUDs and other mental illnesses NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 10. The theory that the SUD reflects another primary, psychiatric disorder that will resolve once the mental illness is effectively treated a. has few adherents at this time, though it has been a model that many accepted in the past.

b. is the assumption on which most treatment for patients with co-occurring disorders is based at this time. c. tends to be true only for criminal offenders, but not for the majority of mentally ill substance abusers. d. helps the client better understand his or her plight. ANSWER: a POINTS: 1 REFERENCES: Definitions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.01 - Understand and explain what constitutes co-occurring disorders of SUDs and other mental illnesses NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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11. The majority of individuals who would have been referred to a state hospital in the mid-1900s would, at the start of the 21st century, have been a. able to be referred to community treatment centers.

b. able to call upon large numbers of social support agencies in the community following treatment. c. more likely to be homeless or incarcerated. d. able to budget their funds without help from representative payees. ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.04 - Understand the scope of the problem of co-occurring disorders NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 12. The more serious the individual’s mental illness, the more a. likely he or she is to fear losing entitlement payments such as Social Security. b. receptive he or she will be to an opportunity to supplement his or her income from entitlement payments by working “under the table.”

c. difficult it will be to abstain from alcohol or illicit drugs. d. likely it is that he or she will be able to return to society and resume his or her role as a productive citizen. ANSWER: c POINTS: 1 REFERENCES: Scope of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.04 - Understand the scope of the problem of co-occurring disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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13. For years it has wrongly been assumed that clients with co-occurring disorders a. who are addicted share the same motivational traits as persons without a psychiatric problem who are addicted.

b. who abuse chemicals have the same motivational traits as persons who are addicted to chemicals. c. who have a job are less motivated to quit than those without a job, since their stress level is higher. d. do not abuse chemicals for the same reason(s) over the years. ANSWER: b POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 14. Available evidence would suggest which of the following about persons with ADHD? a. If their ADHD symptoms are well controlled, they are at a lower risk for CNS stimulant misuse. b. They are less prone to alcohol-related disinhibition than normal persons. c. The issue of impulsiveness and ADHD are entirely separate conditions and cannot be assumed to be connected.

d. They tend to remain intoxicated for a longer period of time after consuming a given amount of alcohol when compared with a normal person.

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15. Which of the following is NOT true of clients with co-occurring disorders? a. They appear to experience a different cocaine withdrawal syndrome than other people. b. Cocaine abusing patients with schizophrenia are at higher risk for the development of a movement disorder known as tardive dyskinesia.

c. Illicit substance use is associated with a later onset of the symptoms of schizophrenia. d. They use drugs to offset the side-effects of their prescription medications. ANSWER: c POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 16. Which class of pharmaceuticals are now viewed as the most appropriate agents to treat anxiety disorders? a. Adderall b. Benzodiazepines c. Selective serotonin reuptake inhibitors d. Monoamine oxidase inhibitors ANSWER: c POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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17. Which of the following statements about persons who suffer from obsessive-compulsive disorder (OCD) is most true? a. They apparently have no preference for a specific compound.

b. They tend to prefer CNS depressants such as the benzodiazepines. c. They tend to prefer CNS stimulants such as methylphenidate or ephedrine. d. They tend not to abuse chemicals at all because they fear the loss of control that substance abuse might bring, and persons with OCD are heavily invested in control.

ANSWER: a POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 18. Persons with a bipolar disorder tend to abuse drugs (except alcohol) during a. the depressed phase of their disorder. b. the period of stability before the next phase of their disorder. c. the manic phase of their disorder. d. all phases of their disorder equally. ANSWER: c POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.7K - Use of symptom checklists, and personality and psychological testing United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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19. Twenty-one percent of those persons who are depressed also meet the criteria for having had a ____________ in the past 12 months. a. amphetamine use disorder

b. hallucinogen use disorder c. benzodiazepine use disorder d. alcohol use disorder ANSWER: d POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.7J - Use of environmental assessments and systematic behavioral observations United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 20. Adolescent girls with an eating disorder might use a. alcohol to suppress their appetites. b. CNS depressants to allow them to avoid becoming manic from the lack of adequate caloric intake. c. alcohol to maintain a minimal degree of caloric intake to avoid loss of consciousness from lack of eating. d. marijuana to stimulate their appetites. ANSWER: a POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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21. The most commonly encountered personality disorder found in persons with an SUD is borderline personality disorder.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.7K - Use of symptom checklists, and personality and psychological testing United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 22. Emergency room physicians commonly attribute symptoms in patients with co-occurring disorders to their SUDs with the exclusion of psychiatric disorders.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Clients with Co-Occurring Disorders: A Diagnostic Challenge QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.04 - Understand the scope of the problem of co-occurring disorders NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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23. Clear relationships have been found between specific forms of mental illness and a correlating drug of choice. a. True b. False ANSWER: POINTS: REFERENCES: QUESTION TYPE:

False 1 Etiology of Co-Occurring Disorders True / False

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.02 - Identify the causal considerations for co-occurring disorders NATIONAL STANDARDS: United States - CACREP.7I - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 24. The “common factors” model of explaining clients with co-occurring disorders suggest that substance use disorders and mental health conditions result from the same risk factors.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Etiology of Co-Occurring Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.02 - Identify the causal considerations for co-occurring disorders NATIONAL STANDARDS: United States - CACREP.7K - Use of symptom checklists, and personality and psychological testing United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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25. It has been estimated that the suicide risk in those with co-occurring disorders is 200–300 times higher than the general population.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Why Worry About Clients with Co-Occurring Disorders? QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.03 - Consider the diagnostic challenges of determining accurate diagnoses when co-occurring disorders are present NATIONAL STANDARDS: United States - CACREP.7K - Use of symptom checklists, and personality and psychological testing United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 26. Discuss how the presence of a traumatic brain injury can complicate the diagnosis and treatment of a client with a substance abuse disorder as well as another mental health condition.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Problems in Working with the Client with Co-Occurring Disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.06 - Review the struggles that may be encountered in working with clients with co-occurring disorders NATIONAL STANDARDS: United States - CACREP.5M - Crisis intervention, trauma-informed, and community-based strategies, such as Psychological First Aid United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED:

3/28/2018 3:52 PM

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27. Describe the theoretical models attempting to explain clients with co-occurring disorders. ANSWER: No answer provided. POINTS: 1 REFERENCES: Etiology of Co-Occurring Disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.02 - Identify the causal considerations for co-occurring disorders NATIONAL STANDARDS: United States - CACREP.6A - Group Counseling and Group Work – Theoretical foundations of group counseling and group work. United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 28. Describe the reasons why clinicians once believed a relationship existed between a patient’s disorder and his or her drug of choice.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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29. Describe the complicated relationship between schizophrenia and SUDs regarding clients with co-occurring disorders. ANSWER: No answer provided. POINTS: 1 REFERENCES: Psychopathology and Drug of Choice QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.05 - Consider the relationship between drug of choice and psychiatric diagnosis NATIONAL STANDARDS: United States - CACREP.7K - Use of symptom checklists, and personality and psychological testing United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM 30. Describe the stages of treatment when working with a client with a dual diagnosis that includes a SUD. ANSWER: No answer provided. POINTS: 1 REFERENCES: Treatment Approaches with Clients with Co-Occurring Disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.25.07 - Identify current treatment approaches to working with those with co-occurring disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:49 PM DATE MODIFIED: 3/28/2018 3:52 PM

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1. Greta feels anxious and frustrated. She is beginning to see that if she has a number of alcoholic drinks, she feels relief from her anxiety symptoms. Greta is most likely in which stage of alcohol addiction? a. Pre-alcoholic stage

b. Prodromal stage c. Physical dependency stage d. Chronic stage ANSWER: a POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 2. Norm has always been a risk taker. He has gotten into some trouble with the law and developed an AUD in his early 20s. Based on this information, Norm is most likely a a. Type I drinker.

b. Type II alcohol-dependent person. c. Type III drinker. d. Type IV alcohol-dependent person. ANSWER: b POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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3. Which of the following theories/hypotheses purports that the brain’s neural pathways and structures rewire themselves on a permanent basis in response to the use of recreational drugs? a. Biological vulnerability hypothesis

b. Individual responsibility theory c. Dopamine D2 receptor site hypothesis d. Theory of neuroplasticity ANSWER: d POINTS: 1 REFERENCES: Reactions Against the Biological Component of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 4. A cornerstone of the medical, or “disease,” model is that disease states are a reflection of a. biological dysfunction at the cellular or molecular level. b. a corruption of “free will.” c. a disruption in the balance of the four humors of the body. d. the unavoidable consequence of commerce, which has brought us things such as the bubonic plague in the 1300s, when flea-infested rats were carried from areas where the plague was endemic to areas where it had never been seen before.

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5. Which of the following is most true about E. M. Jellinek? a. He argued that alcoholism is a disease in a manner similar to cancer or pneumonia. b. He agreed with many of his critics that alcoholism reflected moral failings on the part of the patient in certain ways, but at its core it was a disease.

c. He argued that the disease model of alcoholism allowed the person to focus on recovery without having to defend himself or herself from criticism that he or she lacked moral fiber.

d. He argued that the substance use disorders presented many patterns of symptoms that progressed through predictable stages, and might possibly end in the individual’s death.

ANSWER: a POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 6. A cornerstone of the Jellinek model of alcoholism is that the individual a. has a physical disease rather than a moral failing. b. is frightened by signs of a loss of control, causing him or her to seek help. c. must show none of the designated symptoms to be worthy of a diagnosis of alcoholism. d. will follow one of multiple paths to an alcohol use disorder. ANSWER: a POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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7. Characteristics of Type II alcohol dependency include a. submission to rules and behavioral demands. b. involvement in high risk-taking behaviors. c. minimal involvement in antisocial behaviors in young adulthood. d. virtually never developing an AUD prior to age 25. ANSWER: b POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 8. The dopamine D2 hypothesis suggests this receptor subtype a. is involved in the termination of drug-induced euphoria. b. is found mainly in regions of the brain involved in planning and risk assessment, but not in the reward cascade. c. is found mainly in regions of the brain involved in the reward cascade. d. was once considered a possible contributor to the development of SUDs, but this theory has since been proven false.

ANSWER: c POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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9. An uninspiring outcome of the Jellinek model is that a. in spite of expectations, it fails to accurately predict alcohol use patterns of the course of an individual’s life. b. the original survey returns have been lost and are thus unavailable to researchers. c. it does identify which drinkers will or will not be able to abstain from further alcohol use, but only during the first 5 years following treatment.

d. it clearly identifies the mechanism by which loss of control takes place. ANSWER: a POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 10. When a female bee hatches but is not fed the “royal jelly,” it a. becomes a queen and will eventually have to fight for the right to be queen by killing the current queen bee. b. becomes a sterile worker bee. c. starves while still in the egg and never hatches. d. starves to death while it is still a larva. ANSWER: b POINTS: 1 REFERENCES: Reactions Against the Biological Component of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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11. The belief that addictions are viewed as a weakness in character of the addict reflects the _______ model. a. Medical b. Psychosocial c. Moral d. Personality Predisposition ANSWER: c POINTS: 1 REFERENCES: The Psychological Components of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 12. Reina, a woman who is addicted to heroin, states, “I only started using because of my boyfriend.” Reina is most likely engaging in the defense mechanism of a. denial.

b. projection. c. rationalization. d. minimization. ANSWER: b POINTS: 1 REFERENCES: The Psychological Components of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.03 - Review the typical applications for the separate components of the biopsychosocial model NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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13. One of the challenges to the defense mechanism theory is that research has found that a. clients with a substance abuse disorder do not use denial more frequently than other groups. b. most clients with a substance use disorder do not engage in defense mechanisms. c. only patients in rehabilitation programs utilize the defense of denial. d. clients with a substance abuse disorder actually use defenses that have never been studied before. ANSWER: b POINTS: 1 REFERENCES: Reactions Against the Psychological Models of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 14. Dr. Benjamin Rush defined a “disease” as a. the result of a bacterial or viral infection or the result of trauma. b. anything that could cause an imbalance in the nervous system. c. a condition that held the potential to cause the individual’s death. d. a condition that resulted from evil spirits. ANSWER: b POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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15. Defense mechanisms are thought to protect the individual from immediate awareness of internal conflict, but they do so

a. at the cost of long-term adjustment. b. by helping parental interjects take root. c. by limiting the individual’s awareness of somatic perception. d. by helping the ego engage in counterphobic behaviors. ANSWER: a POINTS: 1 REFERENCES: The Psychological Components of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 16. It has been suggested that therapists tend to a. overlook cases that do not fit their preconceptions. b. selectively remember cases that fit their preconceptions. c. review theoretical models to determine which model fits which client but are unable to use that information as a guide to treatment because of managed care constraints.

d. have an unbiased recall of all cases they have worked with. ANSWER: b POINTS: 1 REFERENCES: Applications of the Psychological Component of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.03 - Review the typical applications for the separate components of the biopsychosocial model NATIONAL STANDARDS: United States - CACREP.4a - theories and models of career development, counseling, and decision making DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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17. One flaw in the “addictive personality” theory is that a. psychoanalytic theory played too dominant a role in the development of this theory. b. it was based only on personality characteristics of those people who failed to successfully complete a rehabilitation program.

c. it was based almost exclusively on research samples drawn from people in a rehabilitation facility of some kind.

d. researchers have yet to find substantial flaws in this theory. ANSWER: c POINTS: 1 REFERENCES: Applications of the Psychological Component of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.03 - Review the typical applications for the separate components of the biopsychosocial model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 18. According to the behavioral theory, humans and other animals work to a. increase pleasure and decrease discomfort. b. decrease pleasure and increase discomfort. c. control sources of disruption and focus exclusively on their discomfort. d. use personality and increase discomfort. ANSWER: a POINTS: 1 REFERENCES: The Psychological Components of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.03 - Review the typical applications for the separate components of the biopsychosocial model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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19. It has been suggested that the concept of the “alcoholic personality” a. is well supported by clinical literature for men who drink, but not for women. b. is well supported by clinical literature for women who drink, but not for men. c. might reflect the illusion of correlation. d. only emerged from clinical research conducted in the 1990s. ANSWER: c POINTS: 1 REFERENCES: Reactions Against the Psychological Models of the Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 20. Areas of increased brain activity are not isolated events by themselves, but a. a reflection of an integrated whole brain pattern of activity. b. can be isolated by proper physiological imaging techniques. c. are best seen on fMRI images. d. can be identified through EEG tracings. ANSWER: a POINTS: 1 REFERENCES: Reactions Against the Biological Component of the Bio/Psycho/Social Model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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21. Type I alcoholism has been found to have higher heritability than Type II alcoholism. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 22. Brain scans have provided researchers with a reliable way to prove that SUDs are brain diseases. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Reactions Against the Biological Component of the Bio/Psycho/Social Model QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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23. Physicians often claim that, because of “neuroplasticity,” addictions are brain diseases. In reality, we do not yet know enough about neuroplasticity to claim that it is a factor in the SUDs.

a. True b. False ANSWER: POINTS:

True 1

REFERENCES: Reactions Against the Biological Component of the Bio/Psycho/Social Model QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 24. The neural activity within various regions of the brain transpires within minutes, but fMRI scan images require hours for data collection.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Reactions Against the Biological Component of the Bio/Psycho/Social Model QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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25. The DARE program is usually led by a police officer and is carried out in a classroom setting. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Psycho-Educational Intervention Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.05 - Consider the reactions to the biopsychosocial model as a whole NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.2d - An introduction to the organizational structures of communities. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 26. Describe the factors E. M. Jellinek used to support his argument that alcoholism was a disease. Describe the stages of untreated alcoholism according to him.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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27. Discuss the evidence in support of the dopamine D2 hypothesis. ANSWER: No answer provided. POINTS: 1 REFERENCES: Biology: The "Bio" Part of the Bio/Psycho/Social Model QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 28. Discuss some of the flaws critics attribute to the bio/psycho/social model in general. ANSWER: No answer provided. POINTS: 1 REFERENCES: Reactions Against the Biological Component of the Bio/Psycho/Social Model QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.04 - Describe the reactions against the separate components of the model NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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29. Describe the learning theory model of the development of SUDs. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Psychological Components of the Bio/Psycho/Social Model QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.02 - Describe the biopsychosocial model and the separate components of this model NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM 30. Discuss the popular Drug Abuse Resistance Education (DARE) program, including some of the criticisms of such psycho-educational programs.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Psycho-Educational Intervention Programs QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.26.05 - Consider the reactions to the biopsychosocial model as a whole NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 3:55 PM DATE MODIFIED: 3/28/2018 3:58 PM

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1. Siegel (2008) postulated that a. we define who we are by the relationships we enter into. b. substances offer a direct means through which to learn about the “self.” c. meditation is the best way to learn about the “self” for most people. d. relationships help to shape the flow of energy both within and between people. ANSWER: d POINTS: 1 REFERENCES: Diseases of the Spirit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP.2d - the impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 2. Although individual self-awareness offers the chance for self-determination, it also brings a. knowledge that life is only fulfilled by what we desire, and that pleasure is the ultimate goal in life. b. responsibility for choices that we make. c. the knowledge that life is an unending series of struggles that prepare us for the next level as we climb the wheel of life.

d. the knowledge that there are 10 levels of awareness as outlined in the Kabballah. ANSWER: b POINTS: 1 REFERENCES: Spirituality QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.02 - Identify the elements that are related to spirituality NATIONAL STANDARDS: United States - CACREP.3H - A general framework for understanding differing abilities and strategies for differentiated interventions United States - CSHSE.10a - Conscious use of self. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM

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3. According to Martin Buber, we a. define our “self” by our relationships and the manner in which we approach them. b. are entitled to escape from unpleasant stimuli by any means possible. c. should wait until the path of ultimate truth is made clear and then follow it. d. can always avoid or escape the need to define the “self” as young adults, but find this more difficult in middle adulthood and beyond.

ANSWER: a POINTS: 1 REFERENCES: Diseases of the Spirit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP.3H - A general framework for understanding differing abilities and strategies for differentiated interventions United States - CSHSE.10a - Conscious use of self. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 4. In your text, ____________ is viewed as a disorder of the spirit. a. spiritual striving b. false pride c. giving of the “self” to another, knowing that we are only able to do so imperfectly but with determination d. introversion ANSWER: b POINTS: 1 REFERENCES: Diseases of the Spirit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM

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5. The antithesis of false pride is _______, per your text. a. the intense striving to share with others as you desire b. denial of pain in the service of self-love c. humility d. pride in your accomplishments, even if they stand on the wreckage of the lives of others ANSWER: POINTS: REFERENCES: QUESTION TYPE:

c 1 Diseases of the Spirit Multiple Choice

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 6. The term ________ has roots in words that translate into life force. a. “spirituality” b. “cosmic” c. “religion” d. “transcendental” ANSWER: a POINTS: 1 REFERENCES: The Individual: The Starting Point QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.01 - Understand the difference between spirituality and religion NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM

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7. According to Eric Fromm, a major distinction between human beings and nonhuman animals is that human beings possess a. the ability to engage in social relationships.

b. the capacity for empathy and sympathy. c. self-awareness. d. the ability to experience guilt and shame. ANSWER: c POINTS: 1 REFERENCES: The Individual: The Starting Point QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.01 - Understand the difference between spirituality and religion NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.10a - Conscious use of self. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 8. What is the main reason why it is difficult to assess spirituality in a scientific manner? a. People do not want their spiritual beliefs examined, so they tend to refuse to participate in such research. b. Spirituality is no different than religion, which is immune to scientific examination. c. There are too many forms of spirituality to examine. d. There is no standard definition of what spirituality means. ANSWER: d POINTS: 1 REFERENCES: Spirituality QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.02 - Identify the elements that are related to spirituality NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM

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9. One of the tools that has helped human beings conquer the planet, a tool that is also very important in spirituality, is ________. a. communication

b. socialization c. technology d. globalization ANSWER: a POINTS: 1 REFERENCES: Spirituality QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.02 - Identify the elements that are related to spirituality NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.9b - Client self-determination. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 10. ________ is an organized set of beliefs that are often described in certain texts and shared by groups of people. a. Spirituality b. Religion c. Cosmology d. Epistemology ANSWER: b POINTS: 1 REFERENCES: Spirituality QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.02 - Identify the elements that are related to spirituality NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.2d - An introduction to the organizational structures of communities. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM

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11. According to the text, an honest understanding of who we are at a given moment is the definition of_________. a. congruence b. epiphany c. humility d. spirituality ANSWER: c POINTS: 1 REFERENCES: Spirituality QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.02 - Identify the elements that are related to spirituality NATIONAL STANDARDS: United States - CACREP.2F - Help-seeking behaviors of diverse clients United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 12. One expression of false pride is ________, which manifests as the expectation that we will receive specific treatment or special considerations to which others have no claim. a. humility

b. narcissism c. histrionics d. entitlement ANSWER: d POINTS: 1 REFERENCES: Diseases of the Spirit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP. - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM

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13. A famous song by a country band includes the lyrics, “We cuss on them Mondays, and pray on them Sundays.” The implication is that the singers demonstrate the spirituality of ________, in which their spiritual beliefs are only followed when it suits them to do so. a. convenience

b. circumstances c. context d. the moment ANSWER: a POINTS: 1 REFERENCES: Diseases of the Spirit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP.3H - A general framework for understanding differing abilities and strategies for differentiated interventions United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 14. Which of the following is an example of what your textbook calls denial of responsibility as it relates to spirituality? a. When things do not go my way, it is because the universe is punishing me. b. Everyone else was doing it, but I was the only one to get caught. c. I know my own limitations, but I do not want to accept them. d. It is not necessary for me to be honest when honesty is not in my own best interest. ANSWER: b POINTS: 1 REFERENCES: Diseases of the Spirit QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM Copyright Cengage Learning. Powered by Cognero.

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15. The textbook notes that the primary benefit of spirituality is a. social connections. b. avoidance of health-defeating behaviors. c. inner peace. d. psychological health. ANSWER: c POINTS: 1 REFERENCES: The Benefits of Spirituality QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.04 - Describe the benefits that may come from spirituality NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.2f - Emphasis on context and the role of diversity (including, but not limited to ethnicity, culture, gender, sexual orientation, learning styles, ability, and socio-economic status) in determining and meeting human needs. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 16. Explain the idea behind “false pride” and how it manifests and is involved in the process of recovery. ANSWER: No answer provided. POINTS: 1 REFERENCES: Diseases of the Spirit QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED:

3/28/2018 4:07 PM

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17. How would you distinguish between spirituality and religion? What are the benefits of both? ANSWER: No answer provided. POINTS: 1 REFERENCES: The Individual: The Starting Point QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.01 - Understand the difference between spirituality and religion NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM 18. Discuss how denial of responsibility and open dishonesty exist as spiritual blockages that can contribute to a substance use disorder.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Diseases of the Spirit QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.27.03 - Understand how diseases of the spirit can block spiritual growth NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/28/2018 4:04 PM DATE MODIFIED: 3/28/2018 4:07 PM

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1. According to your text, which of the following is NOT one of the roles the assessment process plays? a. Forms the foundation of the rehabilitation process b. Helps put the drug abuser in jail c. Helps identify those individuals who require professional assistance with their SUDs d. Serves as gatekeeper, providing justification for the proper level of treatment and identifying the individual’s strengths and weaknesses

ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.01 - Understand the theory behind substance use assessments NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 2. The core of the assessment process is a. having the client complete the SASSI. b. asking the CAGE questions. c. a clinical interview. d. performing the TWEAK. ANSWER: c POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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3. Which of the following is NOT an example of collateral information that may be important to collect during a client assessment? a. Information from family members

b. Past treatment records c. Court documents d. A client’s answers in a clinical interview ANSWER: d POINTS: 1 REFERENCES: The Assessment Format QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.05 - Describe a potential format for writing an assessment report NATIONAL STANDARDS: United States - CACREP.7F - Basic concepts of standardized and nonstandardized testing, norm-referenced and criterion United States - CSHSE.4a - Obtaining information through interviewing, active listening, consultation with others, library or other research, and the observation of clients and systems. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 4. Jerry is a substance abuse counselor working with a client, Ned. Through completing a thorough assessment, Jerry has discovered that Ned has developed tolerance to cocaine, is preoccupied with using cocaine, has come to work high on cocaine, and continues to use cocaine despite his desire to quit, often to ward off symptoms of withdrawal. Based on this information, Jerry a. has sufficient information to diagnosis Ned with an SUD.

b. should perform a drug test on Ned. c. should perform the DAST screening on Ned. d. should immediately get Ned into inpatient drug treatment. ANSWER: a POINTS: 1 REFERENCES: Diagnosis: The Outcome of the Assessment Process QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.06 - Understand the purpose of diagnosis NATIONAL STANDARDS: United States - CACREP.7L - Use of assessment results to diagnose developmental, behavioral, and mental disorders United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM Copyright Cengage Learning. Powered by Cognero.

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5. After Jerry, a substance abuse counselor, has diagnosed his client Ned with a substance use disorder that centers on cocaine misuse, what additional information might Jerry want to get to inform the treatment plan? a. Where Ned gets his cocaine

b. The current level of cocaine in Ned’s system c. Ned’s motivation for seeking an assessment d. Whether Ned is going to pay for treatment or if he has insurance ANSWER: c POINTS: 1 REFERENCES: The Theory Behind Substance Use Assessments QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.01 - Understand the theory behind substance use assessments NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.9b - Client self-determination. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 6. A person who has been found to have a “dirty” urine toxicology test for the first time ________ a substance addiction. a. possibly has

b. definitely has c. cannot possibly have (since it is only his or her first time) d. and has a high blood alcohol level has ANSWER: a POINTS: 1 REFERENCES: Other Sources of Information: Medical Test Data QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.06 - Understand the purpose of diagnosis NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.5c - Evaluation of the outcomes of the plan and the impact on the client or client group. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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7. The assessor, while functioning as a “gatekeeper” for the admissions process, a. must identify which insurance company benefit package will pay for treatment. b. gathers the information to justify a specific level of treatment interventions. c. essentially operates on the assumption that everybody has an SUD until proven otherwise. d. works as an extension of the law enforcement agencies, helping to identify those likely to drive under the influence of chemicals in the future.

ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.01 - Understand the theory behind substance use assessments NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 8. A business owner calls you about an employee who failed a worksite urine drug toxicology test. The person is addicted to drugs and the employer wants the employee to be sent to a rehabilitation center. Your most appropriate response would be to a. help them find a rehabilitation center close to where the employee lives.

b. assume the employee is addicted. c. suggest the need for a complete substance use assessment. d. refer the individual to an outpatient drug and alcohol counselor you know. ANSWER: c POINTS: 1 REFERENCES: The Theory Behind Substance Use Assessments QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.01 - Understand the theory behind substance use assessments NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM Copyright Cengage Learning. Powered by Cognero.

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9. The term “addiction” a. is clearly defined in the current edition of the Diagnostic and Statistical Manual of Mental Disorders. b. is still not clearly defined. c. is applied only to substance use disorders. d. automatically indicates the need for rehabilitation. ANSWER: b POINTS: 1 REFERENCES: The Theory Behind Substance Use Assessments QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.01 - Understand the theory behind substance use assessments NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 10. The CAGE tends to be best for identifying which group of people with an alcohol use disorder? a. Children b. Women c. Men d. Minorities ANSWER: c POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.03 - Review various ways to screen for substance use disorders NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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11. One major disadvantage of self-report screening inventories is that these are a. expensive and labor intensive. b. inexpensive but labor intensive. c. vulnerable to attempts at deception. d. more threatening to the client than face-to-face interviews. ANSWER: c POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.03 - Review various ways to screen for substance use disorders NATIONAL STANDARDS: United States - CACREP.7H - Reliability and validity in the use of assessments United States - CSHSE.5d - Program design. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 12. According to your text, the two-question screening instrument designed by Brown and colleagues (1997) a. is at best able to identify 80% or more of substance abusers. b. is able to identify substance abusers with 95% accuracy if the client answers honestly. c. avoids the problem of confusion over binge substance use and addiction. d. identifies those people who have a compulsion to use chemicals. ANSWER: a POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.03 - Review various ways to screen for substance use disorders NATIONAL STANDARDS: United States - CACREP.7g - statistical concepts, including scales of measurement, measures of central tendency, indices of variability, shapes and types of distributions, and correlations United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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13. You are an addictions counselor in private practice. You have referred a client to an intensive treatment program based on his history of binge drinking, as a person with an alcohol dependence problem. The client’s pastor calls to challenge your recommendation on the grounds that the individual in question had a low score on the Michigan Alcoholism Screening Test (MAST). Your best response would be a. the pastor has no right to become involved in a substance use assessment.

b. the MAST is relatively insensitive to binge drinking patterns. c. the client probably has been honest with the pastor about his or her drinking pattern, so the pastor’s concerns are well placed.

d. the pastor should complete a separate, comprehensive, substance use assessment. ANSWER: b POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.7H - Reliability and validity in the use of assessments United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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14. The Alcohol Use Disorders Identification Test (AUDIT) is _______ effective in identifying people with an alcohol use disorder. a. 70%

b. 100% c. 50% d. 90% ANSWER: d POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.03 - Review various ways to screen for substance use disorders NATIONAL STANDARDS: United States - CACREP.7H - Reliability and validity in the use of assessments United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 15. One drawback of the AUDIT is that it a. was normed on a representative sample of individuals only in the United States. b. is relatively insensitive to active drinkers over the age of 65. c. tends to have a high number of “false positive” cases in persons over the age of 65. d. was designed mainly to be used to screen individuals over the age of 65. ANSWER: b POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.03 - Review various ways to screen for substance use disorders NATIONAL STANDARDS: United States - CACREP.7H - Reliability and validity in the use of assessments United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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16. One of the problems of the SASSI-3 is that it a. provides a detailed list of substances that the individual has abused in the past. b. does not identify binge drinking in young adult males. c. does not identify which substances are possibly being abused. d. focuses more on drugs of abuse rather than alcohol use disorders. ANSWER: c POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.03 - Review various ways to screen for substance use disorders NATIONAL STANDARDS: United States - CACREP.7H - Reliability and validity in the use of assessments United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 17. A score of five points on the DAST would a. be below the cut-off score necessary to suggest a substance use disorder on this instrument. b. be sufficiently high to suggest a substance use disorder on this instrument. c. suggest substance abuse, but not substance dependence. d. reflect extreme denial on this instrument since a score of five points has been engineered to be a lie detection score suggestive of attempts at deception.

ANSWER:

POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.03 - Review various ways to screen for substance use disorders NATIONAL STANDARDS: United States - CACREP.7g - statistical concepts, including scales of measurement, measures of central tendency, indices of variability, shapes and types of distributions, and correlations United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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18. In contrast to the screening phase, during the assessment phase the individual conducting the assessment is attempting to a. assign responsibility for the individual’s substance use disorder on to those who hurt the client emotionally.

b. identify the severity of the client’s SUD. c. identify socioeconomic forces that contributed to the development of the client’s SUD. d. develop a time sequence for the victimization of the substance abusing individual. ANSWER: b POINTS: 1 REFERENCES: Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 19. A client reports spending “only $100” a week on alcohol, but becomes indignant when you report that this is over $5,000 a year for alcohol. This is an example of a. disengagement.

b. denial. c. attempt to rationalize. d. mindfulness. ANSWER: b POINTS: 1 REFERENCES: Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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20. The MacAndrew Alcoholism Scale of the Minnesota Multiphasic Personality Inventory could best be described as a. being a useful, if rather lengthy, screening tool. b. best able to identify personality patterns commonly associated with substance use disorders. c. being 95% accurate in its ability to identify persons with an SUD if they answer the questions honestly. d. being able to identify introverted persons as having a greater chance of having an SUD. ANSWER: b POINTS: 1 REFERENCES: Screening QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.03 - Review various ways to screen for substance use disorders NATIONAL STANDARDS: United States - CACREP.3C - Human Growth and Development – Theories of normal and abnormal personality development. United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 21. A client presents after conviction for his or her second “drunk driving” conviction. During the assessment process, he or she also reveals he or she had a disciplinary action while in the military for driving a vehicle on base while intoxicated. This would not be counted as a third “drunk driving” conviction because it did not appear on his or her civilian driving record.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: The Assessment Format QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.05 - Describe a potential format for writing an assessment report NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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22. One way for many substance abusers to avoid acknowledging that their substance use patterns are interfering with their ability to hold a regular job is to remain self-employed.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: The Assessment Format QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.05 - Describe a potential format for writing an assessment report NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 23. When making a diagnosis of a substance use disorder, the client’s motivation for seeking treatment services is considered irrelevant and inconsequential.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Diagnostic Rules QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.06 - Understand the purpose of diagnosis NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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24. It is important to diagnose an individual based solely on the results of his or her SUDs screening to eliminate any potential influence of assessor bias.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Screening QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 25. An important rule for assessing and diagnosing an individual is to always assume deception unless proven otherwise. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Assessment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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26. Describe the various roles the process of assessment plays regarding SUDs. ANSWER: No answer provided. POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.01 - Understand the theory behind substance use assessments NATIONAL STANDARDS: United States - CACREP. - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 27. Discuss the advantages and disadvantages of paper-and-pencil screening instruments. ANSWER: POINTS:

No answer provided.

REFERENCES: Screening QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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28. What are the types of “response sets” that might distort the assessor’s opinions of the client’s SUD? What are ways to mitigate these?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Assessment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM 29. Select two standardized tests discussed in your text and describe their characteristics. ANSWER: No answer provided. POINTS: 1 REFERENCES: Assessment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.28.02 - Distinguish between screening for and assessment of substance use disorders NATIONAL STANDARDS: United States - CACREP.7g - statistical concepts, including scales of measurement, measures of central tendency, indices of variability, shapes and types of distributions, and correlations United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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30. What are some of the pitfalls that may influence an inexperienced clinician in his or her process of conducting a screening, assessment, and diagnosis of a client’s potential substance use disorder?

ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 The Assessment Format Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.28.05 - Describe a potential format for writing an assessment report NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 4:11 PM DATE MODIFIED: 3/28/2018 4:14 PM

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1. Which of the following statements is NOT true, according to the definition of intervention in your text? a. Interventions are often supervised by a trained professional. b. Interventions are organized by people in the addicted individual’s life. c. Interventions are meant to break down the walls of denial in the addicted person. d. Interventions focus on whether or not the person with a substance use disorder will go into treatment. ANSWER: d POINTS: 1 REFERENCES: A Definition of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.01 - Understand the concept of intervention NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 2. Vernon Johnson believed an addicted person a. needed to hit bottom before an intervention could be effective. b. did not need to hit bottom before agreeing to go to treatment. c. would never be able to understand the reality of his or her addiction. d. must be made to promise to never use again. ANSWER: b POINTS: 1 REFERENCES: A Definition of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.01 - Understand the concept of intervention NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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3. Participants need to have clear, specific ________ ready should the addicted person refuse to enter treatment after the intervention. a. confrontations

b. apologies c. sanctions d. threats ANSWER: c POINTS: 1 REFERENCES: The Mechanics of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.04 - Describe the mechanics of intervention NATIONAL STANDARDS: United States - CACREP.5M - Crisis intervention, trauma-informed, and community-based strategies, such as Psychological First Aid United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 4. The original form of intervention—often portrayed in movies, books, articles, and television programs—is called the _______ model. a. Peterson

b. ARISE c. contingency management d. Johnson ANSWER: d POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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5. Drug court programs need to a. assess for the individual’s need for treatment. b. monitor client adherence to treatment through therapist reports. c. provide a reduction in legal charges if the individual successfully completes the program. d. All of these answers are correct. ANSWER: d POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 6. According to Brink (2004), employees with an AUD are ___ times more likely to file a worker’s compensation claim than nondrinkers. a. Three

b. Five c. Seven d. Eleven ANSWER: b POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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7. The standard definition of “intervention” is a. a hard-hitting, choreographed, confrontation of the client’s denial about his or her substance use in an attempt to get him or her to cut back on the amount consumed.

b. the threat of divorce by a spouse who has reached his or her limit after the partner’s repeated periods of substance use.

c. multiple arrests for substance-related crimes. d. undeveloped in a clear and singular manner. ANSWER: d POINTS: 1 REFERENCES: A Definition of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.01 - Understand the concept of intervention NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 8. Following treatment, the average medical cost for a substance abuser/addict has been found to fall from $750 a month to a. $300.

b. $500. c. $150. d. $200. ANSWER: d POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.01 - Understand the concept of intervention NATIONAL STANDARDS: United States - CACREP.7g - statistical concepts, including scales of measurement, measures of central tendency, indices of variability, shapes and types of distributions, and correlations United States - CSHSE.9e - Belief that individuals, services systems, and society can change. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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9. It used to be thought that the addicted person had to ________ before he or she would see the need to change his or her substance use behavior. a. be allowed to fail to control substance use

b. hit bottom c. discover the varieties of substance use disorders d. lose a spouse or job ANSWER: b POINTS: 1 REFERENCES: A Brief History of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.02 - Review the history of the intervention movement NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 10. Even if the individual does enter into a rehabilitation program, __________ is a problem from both a medical and a legal perspective. a. transportation

b. appropriate medical care c. noncompliance d. intrusiveness into family matters ANSWER: c POINTS: 1 REFERENCES: The Mechanics of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.04 - Describe the mechanics of intervention NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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11. The assessment that an individual needs an intervention project a. is often highly speculative. b. requires that the individual meet a set of rigidly defined criteria. c. requires that the individual have threatened to harm self or others. d. also requires the individual’s guardian to agree before it can be carried out. ANSWER: a POINTS: 1 REFERENCES: The Mechanics of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.04 - Describe the mechanics of intervention NATIONAL STANDARDS: United States - CACREP.7A - Assess Individuals, Families, Groups, Organizations, and Communities – Collect and organize data, and apply critical thinking to interpret information from clients and constituencies. United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 12. You are a substance abuse rehabilitation counselor working for a treatment center. You are asked to coordinate an intervention project, which you agree to do. When the individual agrees to enter rehabilitation, you inform him or her that a bed has been held for him or her at the treatment center where you work. This is possibly a. evidence of internal job security.

b. fraudulent activity. c. an act that intrudes on the individual’s freedom of choice. d. a conflict of interest. ANSWER: d POINTS: 1 REFERENCES: The Ethics of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.05 - Describe ethical considerations in relation to interventions NATIONAL STANDARDS: United States - CACREP.7M - Ethical and culturally relevant strategies for selecting, administering, and interpreting assessment United States - CSHSE.9g - Appropriate professional boundaries. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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13. The family intervention project as designed and summarized by Johnson a. is more common than intervention through the legal system. b. is less popular than the ARISE model. c. is the only effective way to carry out an intervention project. d. holds the potential for damage to familial relationships. ANSWER: d POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.7b - methods of effectively preparing for and conducting initial assessment meetings United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 14. Which of the following is true of a formal family intervention project? a. That the client’s verbal consent is necessary in advance b. That the client’s written consent is necessary in advance c. That there be no retribution by any of the participants d. That its goal is to be carried out in a nonjudgmental manner without malice ANSWER: d POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.7M - Ethical and culturally relevant strategies for selecting, administering, and interpreting assessment United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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15. The client who is offered the opportunity to complete treatment in lieu of jail by the court a. is assumed to have no legal right to say “no” to this recommendation. b. rarely views this as an opportunity for growth. c. is assumed to be motivated to stop abusing chemicals. d. is assumed to be less likely to benefit from treatment than those who arrive through other venues. ANSWER: b POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.9b - Client self-determination. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 16. According to the law, a. in some states insurance companies are allowed to refuse to pay for court-mandated treatment. b. most insurance companies have provisions for sharing the cost of treatment with the courts. c. the client is automatically not responsible for the cost of rehabilitation if he or she should successfully complete the program.

d. the cost of court-mandated treatment is paid for through fines imposed on the client “invited” to be in treatment.

ANSWER: a POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.1C - Professional Counseling Orientation and Ethical Practice – Counselors’ roles and responsibilities as members of interdisciplinary community outreach and emergency management response teams United States - CSHSE.3f - International and global influences on services delivery. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED:

3/28/2018 4:23 PM

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17. The “drug court” client who is most likely to benefit from this program is a. a nonviolent recidivist with a substance-related conviction. b. a first-time offender who wants to avoid the pattern of repeating offenses. c. repeat offenders whose crimes also involve those not substance related. d. those offenders who are under the age of 25. ANSWER: b POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 18. Court-mandated treatment might be viewed as a form of a. external motivation for the client, particularly during the early treatment period. b. dumping an expensive program on taxpayers by calling it something good. c. minimally invasive intervention. d. overtaxing the judicial system with cases involving minor offenses. ANSWER: a POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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19. Involuntary commitment to treatment a. is legal in more than 30 states. b. is a violation of the client’s second amendment rights under the constitution. c. is illegal in all states. d. is about as effective as other forms of court-mandated treatment. ANSWER: a POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 20. Surprisingly, in light of the enthusiasm with which the concept of intervention has been embraced, a. there is little evidence of its effectiveness. b. it is all too often over-utilized, reducing its effectiveness. c. most professionals are well trained in such procedures, but have little time to help organize and coordinate the intervention process.

d. it appears to work only with older persons. ANSWER: a POINTS: 1 REFERENCES: Reactions Against the Concept of Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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21. Research has found that a brief physician-based intervention is not more effective than handing the patient a leaflet on the dangers of drinking.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: The Mechanics of Intervention QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.04 - Describe the mechanics of intervention NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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23. The ARISE model is a five-stage intervention process in which the pressure applied to the person with the substance use disorder is reduced as he or she “graduates” to each successive stage.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 24. Health care professionals have a single, clear definition of what an intervention is with substance abusing clients. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.01 - Understand the concept of intervention NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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25. The confrontations during interventions need to include specific examples of how the participants have been impacted by the addicted person’s behaviors.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Characteristics of the Intervention Process QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.03 - Understand the characteristics of the intervention process NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 26. Provide a working definition of the term “intervention” based on your text. ANSWER: No answer provided. POINTS: 1 REFERENCES: A Brief History of Intervention QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.02 - Review the history of the intervention movement NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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27. Discuss some of the ethical concerns that should be considered when contemplating an intervention. ANSWER: POINTS:

No answer provided.

REFERENCES: The Ethics of Intervention QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.05 - Describe ethical considerations in relation to interventions NATIONAL STANDARDS: United States - CACREP.1I - Professional Counseling Orientation and Ethical Practice – Ethical standards of professional counseling organizations and credentialing bodies, and applications of ethical and legal considerations in professional counseling. United States - CSHSE.9h - Integration of the ethical standards outlined by the National Organization for Human Services (NOHS) and the Council for Standards in Human Service Education (available on the NOHS website). DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 28. Compare and contrast the Johnson and ARISE models of intervention. ANSWER: No answer provided. POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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29. Describe some of the ways individuals end up participating in court-mandated treatments. ANSWER: No answer provided. POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM 30. While interventions are regularly portrayed as a positive and constructive process, there are several potential drawbacks. Your textbook refers to it as a potential “emotional powder keg” of possible complications. Discuss these complications, along with ideas for how to reduce the likelihood that they will occur.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Some Common Forms of Intervention QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.29.06 - Review some common forms of intervention NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/28/2018 4:20 PM DATE MODIFIED: 3/28/2018 4:23 PM

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1. Which of the following is NOT a component of outpatient treatment? a. Individual and group therapy b. Marriage counseling c. Hospitalization d. Vocational training ANSWER: c POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5G - Counseling and Helping Relationships – Essential interviewing, counseling, and case conceptualization skills United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:37 PM DATE MODIFIED: 3/28/2018 4:40 PM 2. _________ is not only expected but often is a prerequisite for continued participation in an outpatient treatment. a. Prepayment b. Employment c. Involvement of family d. Abstinence from or reduction in the level of illicit drugs and/or alcohol use ANSWER: d POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:37 PM DATE MODIFIED: 3/28/2018 4:40 PM

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3. One downfall of keeping the client in the community while he or she participates in outpatient treatment is that a. the fees charged for outpatient treatment are much more than for inpatient treatment. b. the individual is still exposed to drug-use cues that can trigger a relapse. c. the individual still has to go to work. d. the individual has to reorient himself or herself every day after treatment. ANSWER: b POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:37 PM DATE MODIFIED: 3/28/2018 4:40 PM 4. Raheed is undergoing outpatient treatment for his AUD. He is attending individual therapy once a week, group therapy once a week, and he is expected to go to an AA meeting at least once a week. He also has a case manager with whom he meets regularly to check his progress. He is going to be in this program for 2 months. Raheed is most likely participating in which type of outpatient treatment program? a. DWI class

b. Short term c. Intensive short term d. Intensive long term ANSWER: b POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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5. One disadvantage of inpatient/residential treatment is that a. there is not much structure provided to the client. b. the quality of treatment is less intense than that of outpatient treatment. c. the client has to refrain from routine life for a period of time. d. there is no way to help a client “detox.” ANSWER: c POINTS: 1 REFERENCES: Is There a Legitimate Need for Inpatient Treatment? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.04 - Understand the advantages and disadvantages of inpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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6. Greg is involved in a type of treatment he is planning on doing for at least one year. He lives with a group of people with SUDs who are working on changing their deviant substance abuse behaviors, becoming more mature, and improving their lives without the need for substances. His program is highly structured with activities scheduled from early morning until late in the evening. He is confronted daily about his behaviors and his coping strategies, but Greg feels like he can take the confrontations because he feels supported. Greg is most likely participating in what type of treatment? a. Intensive long-term outpatient

b. Hospital-based residential treatment c. Detox program d. Therapeutic community ANSWER: d POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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7. Of those who begin participation in a therapeutic community program, about _______ are graduates. a. 5–7% b. 10–15% c. 20–26% d. 45–50% ANSWER: b POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 8. According to Willebring (2010), approximately ________ of those people with an alcohol use disorder reduce or stop drinking entirely without professional treatment or participation in a 12-step group. a. one-fourth

b. one-half c. two-thirds d. three-fourths ANSWER: d POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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9. Janie is about to successfully graduate from residential treatment. She lacks a stable support system at home and is worried about her ability to live independently, but she is motivated to remain abstinent and get back on her feet. Which of the following might be the best option for Janie? a. A halfway house

b. Partial hospitalization c. Therapeutic community d. Remaining in residential treatment ANSWER: a POINTS: 1 REFERENCES: Aftercare Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.05 - Define and identify various types of aftercare programs NATIONAL STANDARDS: United States - CACREP.5K - Counseling and helping relationships—Strategies to promote client understanding of and access to a variety of community-based resources United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 10. An important guiding philosophy for treatment is a. that not all people with a substance use disorder need the same level of treatment. b. that clients need to follow insurance company funding policies. c. the determination of bed availability at various rehabilitation facilities so that treatment referrals can be spread evenly around the regional centers to avoid charges of favoritism on the part of the referral agency.

d. the level of confrontation necessary to assist the individual in accepting his or her SUD. ANSWER: a POINTS: 1 REFERENCES: Chapter Summary QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.05 - Define and identify various types of aftercare programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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11. Approximately ___ of those who enter into a substance rehabilitation program will begin an outpatient treatment program. a. 85%

b. 30% c. 70% d. 55% ANSWER: a POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 12. For many persons, outpatient therapy is a(n) a. unnecessary financial drain. b. transitional step between residential treatment and self-directed recovery. c. way to please the insurance company representatives, who demand the individual have failed at outpatient treatment before permitting admission to an inpatient recovery program.

d. form of treatment with major differences in treatment philosophies as compared with residential treatment programs.

ANSWER: b POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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13. Most outpatient treatment programs follow a(n) ___________ format for helping people achieve recovery. a. rational emotive b. family systems c. 12-step-centered d. alternative medicine ANSWER: c POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 14. In the early stages of treatment, a formal _________ is developed. a. contract with the client not to abuse certain chemicals b. treatment plan c. genealogy d. cost-benefit analysis of the person’s substance use history ANSWER: b POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5C - Counseling and Helping Relationships – Theories, models, and strategies for understanding and practicing consultation. United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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15. Early therapeutic communities a. usually utilized a harsh “ego stripping” technique. b. made extensive use of trained mental health professionals in providing services to the clients. c. were all designed so the person would return to independent living within a year. d. had provisions for working with women who have children or persons with AIDS. ANSWER: a POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 16. Which of the following statements is true? a. Although residential programs are less expensive, reduced insurance company reimbursement rates result in such programs costing almost as much as outpatient rehabilitation programs.

b. Residential treatment programs have better treatment outcomes even if the person is in the program for a shorter period of time.

c. Although outpatient rehabilitation programs are inherently less expensive, the insurance company reimbursement policies might make it more expensive to the individual than residential treatment.

d. The weekly cost of either inpatient or outpatient treatment is approximately the same since the program still has to pay staff salaries, equipment, room for the treatment program, etc.

ANSWER: c POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.1F - Professional counseling organizations, including membership benefits, activities, services to members, and current issues United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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17. The process of reorientating the client to post-treatment life is a. reduced when outpatient program formats are used. b. about the same as when residential treatment programs are utilized in the person’s treatment. c. more intense than when residential treatment programs are utilized. d. far more complicated for those completing outpatient treatment as compared with those completing residential treatment.

ANSWER: a POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 18. There is _____ standard definition of inpatient/residential substance abuse treatment. a. an accepted b. no c. an internationally approved d. a shared (in the United States and the United Kingdom only) ANSWER: b POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.03 - Define and identify various types of inpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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19. Clients in a therapeutic community are viewed as passing through three phases of change: compliance, _______, and making a personal commitment to change. a. maintenance of hidden drug-use thoughts

b. fear of the treatment process c. conformity d. denial in the service of the ego ANSWER: c POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 20. The main vehicle of personality change in the TC environment is thought to be the a. revamping of the family environment. b. expression of hidden feelings. c. affirmations received for work well done. d. peer support and appropriate confrontation. ANSWER: d POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.03 - Define and identify various types of inpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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21. Currently, the participants in therapeutic communities are under the supervision of probation or parole agents in twothirds of the cases.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.04 - Understand the advantages and disadvantages of inpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5H - Counseling and helping relationships— Developmentally relevant counseling treatment or intervention plans United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 22. It has been estimated that 90% of new admissions to a therapeutic community will drop out in the first 30 days. a. True b. False ANSWER: False POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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23. The purpose of the “aftercare” program is the maintenance of the gains made in treatment. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Aftercare Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.05 - Define and identify various types of aftercare programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 24. In its original conception, therapeutic communities began with a 24-hour “marathon session” that included a “hot seat” experience where the person receiving treatment endured others telling them about their personality flaws.

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25. The “living clean house” is a variant of the halfway house that serves as a transitional step between more intensive treatment and independent living.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Aftercare Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.05 - Define and identify various types of aftercare programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 26. Describe the components of outpatient treatment programs. ANSWER: No answer provided. POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: DATE MODIFIED:

3/28/2018 4:38 PM 3/28/2018 4:40 PM

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27. Discuss the original process of the treatment community, and note how it has changed to its modern format. ANSWER: No answer provided. POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM 28. What are some of the advantages and disadvantages of outpatient treatment programs? ANSWER: No answer provided. POINTS: 1 REFERENCES: An Introduction to Outpatient Treatment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.01 - Define and identify various types of outpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED:

3/28/2018 4:40 PM

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29. What are some of the advantages and disadvantages of inpatient/residential treatment programs? ANSWER: No answer provided. POINTS: 1 REFERENCES: Is There a Legitimate Need for Inpatient Treatment? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.04 - Understand the advantages and disadvantages of inpatient rehabilitation programs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED:

3/28/2018 4:40 PM

30. Explain the idea behind aftercare programs and describe some of the variants. ANSWER: No answer provided. POINTS: 1 REFERENCES: Aftercare Programs QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.30.05 - Define and identify various types of aftercare programs NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/28/2018 4:38 PM DATE MODIFIED: 3/28/2018 4:40 PM

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1. Which of the following is regarded as a factor that facilitates, rather than inhibits, change for clients receiving substance use treatment? a. Empowerment

b. Confrontation c. Giving the client a passive role d. Allowing the client to avoid responsibility for change ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.9d - The worth and uniqueness of the individual including culture, ethnicity, race, class, gender, religion, ability, sexual orientation, and other expressions of diversity DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 2. It is through ________ that healing takes place when dealing with a substance use disorder. a. the treatment model used b. the therapeutic relationship c. the time spent in treatment d. the medications used to reduce withdrawal symptoms ANSWER: b POINTS: 1 REFERENCES: Characteristics of the Substance Rehabilitation Professional QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.5F - Counselor characteristics and behaviors that influence the counseling process United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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3. The Minnesota model relies heavily on a. religious guidance. b. scientific data of best practices. c. the AA model. d. court-ordered patients. ANSWER: c POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 4. According to your text, the Minnesota model a. needs more research demonstrating its effectiveness. b. centers around religion and spirituality as guiding principles for recovery. c. makes up the majority of treatment programs, yet is not covered by insurance companies. d. is empirically shown to be effective with drug misusers regardless of the substance being taken. ANSWER: a POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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5. Which of the following is true about detoxification? a. It is sufficient treatment for an SUD/AUD. b. The majority of alcohol-dependent patients require hospitalization for detox. c. The decision to use inpatient or outpatient detox formats rests with the decision of a properly trained physician. d. Further treatment for the SUD/AUD is usually necessary. ANSWER: c POINTS: 1 REFERENCES: Other Treatment Formats for Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 6. The best-known and most common form of marital and family therapy is the ________ model of substance use treatment. a. behavioral

b. family disease c. structural d. family systems ANSWER: b POINTS: 1 REFERENCES: Other Treatment Formats for Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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7. Which of the following is the most common treatment modality used to create psychosocial change for an individual with an SUD/AUD? a. Group therapy

b. Individual therapy c. Acupuncture d. Biofeedback training ANSWER: a POINTS: 1 REFERENCES: Other Treatment Formats for Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 8. Desmond is participating in a street outreach needle exchange program. He is attempting to only use clean needles when injecting heroin until he gets to a place in his life when he feels ready to try to quit. Desmond appears to be involved in which of the following types of treatment? a. Hypnosis

b. Minnesota model c. Harm reduction d. Self-confrontation ANSWER: c POINTS: 1 REFERENCES: Other Treatment Formats for Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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9. Which part of the treatment plan emphasizes the steps that a client needs to take in order to achieve and maintain long-term recovery? a. Treatment goal

b. Treatment methodology c. Aftercare d. Discharge summary ANSWER: c POINTS: 1 REFERENCES: The Treatment Plan QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.03 - Understand the purpose of treatment plans NATIONAL STANDARDS: United States - CACREP.5I - Counseling and helping relationships—Development of measurable outcomes for clients United States - CSHSE.5b - Development of goals, design, and implementation of a plan of action. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 10. Although rehabilitation centers for substance use disorders abound in the United States, a. many of the least effective techniques are used in these centers. b. the profit margin is very large, which makes such rehabilitation centers a very good investment on the part of the owners.

c. there are no sufficient assessors to assess all substance abusers and make appropriate referrals. d. they tend to cater to those who abuse illicit drugs more than they do those with alcohol use disorders. ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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11. It has been suggested that individuals who learn to abstain from alcohol a. benefit most when they avoid involvement with community-based support groups. b. seem to do so in spite of treatment, not because of it. c. identify the treatment program as the most significant component of their recovery. d. are often unimpressed with ancillary services but benefit most from psychoeducational components such as lectures.

ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 12. As opposed to confrontation, empathy is a(n) ___________ in substance abuse rehabilitation. a. irrelevant component b. intrusive element c. appropriate component when used properly d. confusing intrusive complication ANSWER: c POINTS: 1 REFERENCES: Characteristics of the Substance Rehabilitation Professional QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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13. A substance abuse rehabilitation counselor must be adept in a. guiding clients toward recovery. b. ordering clients toward recovery. c. slowing clients in their journeys toward recovery. d. focusing only on the addiction and letting other components of the person’s life sort themselves out. ANSWER: a POINTS: 1 REFERENCES: Characteristics of the Substance Rehabilitation Professional QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.1B - Professional Counseling Orientation and Ethical Practice – The multiple professional roles and functions of counselors across specialty areas, and their relationships with human service and integrated behavioral health care systems, including interagency and interorganizational collaboration and consultation United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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14. A therapist should serve as a(n) a. guide and confidant, helping the client change behaviors and achieve self-efficacy. b. neutral mirror against which the “self” can be projected. c. example because the therapist has “been there” by being in recovery themselves. d. drill-instructor-like person helping the client toward recovery. ANSWER: a POINTS: 1 REFERENCES: Characteristics of the Substance Rehabilitation Professional QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.1B - Professional Counseling Orientation and Ethical Practice – The multiple professional roles and functions of counselors across specialty areas, and their relationships with human service and integrated behavioral health care systems, including interagency and interorganizational collaboration and consultation United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 15. Which of the following is NOT a part of recovery programs according to George Vaillant? a. Increased spirituality and religiosity b. Compulsory supervision c. Pharmacotherapy (treatment of a specified disorder with medications) d. New love relationships ANSWER: c POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM Copyright Cengage Learning. Powered by Cognero.

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16. The strength of the Minnesota model was that it a. mandated 28 days in the rehabilitation setting. b. drew on the training and skills of a range of specialists. c. isolated the client from outside influences of all kinds. d. was found to work with the “worst of the worst” (chronic drinkers). ANSWER: b POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED:

3/29/2018 1:47 AM

17. Treatment goals are to be a. focused exclusively on individual’s expectations and hopes. b. imposed on the individual by treatment staff, who are after all those trained in various professions. c. stated in achievable and measurable terms. d. stated vaguely so the client cannot help but accomplish them. ANSWER: c POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5H - Counseling and helping relationships— Developmentally relevant counseling treatment or intervention plans United States - CSHSE.5b - Development of goals, design, and implementation of a plan of action. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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18. There is little evidence suggesting that a. formats other than the Minnesota model are at all effective. b. the Minnesota model can be applied to illicit drug abuse. c. it is necessary to include a 12-step group as part of the treatment process. d. 28 days is long enough to make a meaningful change in personality. ANSWER: b POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5C - Counseling and Helping Relationships – Theories, models, and strategies for understanding and practicing consultation. United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 19. The Minnesota model has been a. widely accepted and studied as a proven method to treat addicted persons. b. unable to generate evidence of its effectiveness. c. able to support what were previously just “therapeutic myths.” d. able to support the long-held belief that 28 days is a therapeutic threshold beyond which change is inevitable. ANSWER: b POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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20. The majority of persons who go through a “detox” sequence a. will not have substance use problems in the future. b. are no longer in danger from long-term medical complications from their substance use. c. will usually return to substance abuse without further treatment. d. believe that it can be considered a form of treatment in its own right. ANSWER: c POINTS: 1 REFERENCES: Other Treatment Formats for Substance Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.3d - Economic and social class systems including systemic causes of poverty. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 21. Acupuncture has been consistently found to be superior to placebos in research examining the treatment of substance use disorders.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Other Treatment Formats for Substance Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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22. The individual therapy approach involves the use of various schools of therapy, depending on the individual’s needs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Other Treatment Formats for Substance Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 23. Group therapy formats in substance rehabilitation programs have been found to be significantly more effective with women than with men.

a. True b. False ANSWER: POINTS: REFERENCES:

False 1 Other Treatment Formats for Substance Use Disorders

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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24. One example of a form of the harm reduction approach is the use of nicotine replacement treatments. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Other Treatment Formats for Substance Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 25. It is preferred that clinicians who are working in the substance abuse treatment field are also currently dealing with their own substance use/abuse issues.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.4e - strategies for assessing abilities, interests, values, personality and other factors that contribute to career development United States - CSHSE.10a - Conscious use of self. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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26. Discuss some of the many misperceptions about substance abuse treatment and what may contribute to it being effective.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 27. Describe some of the characteristics shared by many substance abuse rehabilitation professionals. ANSWER: No answer provided. POINTS: 1 REFERENCES: Characteristics of the Substance Rehabilitation Professional QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.01 - Identify effective characteristics of a clinician working with substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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28. Discuss the development of the Minnesota model of substance use treatment and its basic methodology. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM 29. What are the four factors that were common to all forms of substance rehabilitation programs identified by George Vaillant (2000)?

ANSWER: No answer provided. POINTS: 1 REFERENCES: The Minnesota Model of Substance Use Treatment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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30. The HARM reduction (HR) model takes a very different approach to most of the ways of treating substance abuse. Provide some examples and explain how it treats such issues.

ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 Other Treatment Formats for Substance Use Disorders Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.31.02 - Describe the different treatment modalities that may be implemented to address substance use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:54 AM DATE MODIFIED: 3/29/2018 1:47 AM

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1. The process of recovery from an SUD seems to parallel the process of a. harm reduction. b. surgically removing a tumor. c. disease management for chronic medical conditions. d. recovering from a broken arm. ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1b - The creation of the human services profession. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 2. The second stage of Nowinski’s model of substance misuse recovery is called ________. a. acceptance b. formulation c. surrender d. resolution ANSWER: c POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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3. Which of the following approaches has been found to enhance abstinence in the early stages of recovery? a. Motivational interviewing b. Voucher-based reinforcement c. Cognitive-behavioral approaches d. Psychodynamic approaches ANSWER: b POINTS: 1 REFERENCES: Methods of Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.03 - Consider whether abstinence should be the goal of treatment NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED:

3/29/2018 1:06 AM

4. Rosalita is currently participating in group therapy to stop using cocaine. She is also doing marital counseling with her husband so he can support her overcoming her addiction. Which stage of treatment is Rosalita most likely in, according to Prochaska’s model of treatment? a. Precontemplation

b. Action c. Contemplation d. Maintenance ANSWER: b POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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5. Suma is working with a client, Jin, who is questioning whether he should work on stopping his SUD. Suma and Jin are weighing the pros and cons of Jin’s SUD. Jin is most likely in which stage of change, according to Prochaska’s model? a. Precontemplation

b. Maintenance c. Action d. Contemplation ANSWER: d POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 6. Jose, a substance abuse rehabilitation counselor, is working with Melynda, who has an SUD. They are currently coming up with a continuing plan to support Melynda’s desire to work toward recovery. She is currently attending weekly group therapy, going to three AA meetings per week, as well as meeting with Jose every week. She is proud that she has been sober for 2 weeks. Melynda is most likely in which stage of change, according to Prochaska’s model? a. Precontemplation

b. Maintenance c. Action d. Contemplation ANSWER: c POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM Copyright Cengage Learning. Powered by Cognero.

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7. According to Heyman, the individuals who enter SUD rehabilitation may be the ________ to discontinue their substance use. a. least able

b. most able c. ones with the most motivation d. ones with the least motivation ANSWER: a POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 8. Which of the following seems to be foundational in the client’s ability to recover? a. The severity of the SUD b. The client’s interpersonal relationships c. The client’s expectations and self-evaluation d. All of these answers ANSWER: d POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.3I - Ethical and culturally relevant strategies for promoting resilience and optimum development and wellness across the lifespan United States - CSHSE.9d - The worth and uniqueness of the individual including culture, ethnicity, race, class, gender, religion, ability, sexual orientation, and other expressions of diversity DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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9. Of the following individuals with an SUD, who is the LEAST likely to accept abstinence as a goal? a. Raul, who is 41 b. Aisha, who is 27 c. Hank, who is 23 d. Yung-Sun, who is 54 ANSWER: c POINTS: 1 REFERENCES: Methods of Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.03 - Consider whether abstinence should be the goal of treatment NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 10. A major problem that can contribute to relapse of alcohol and other drug misuse is a. the illusion of control. b. not knowing how to use in moderation. c. not knowing where to go to detox. d. not knowing when the maintenance stage has turned into termination. ANSWER: a POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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11. Perhaps, the best way to view substance misuse rehabilitation work is as a form of a. crisis management. b. disease management. c. disaster intervention. d. collaborative medicine. ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 12. The person who enters a substance abuse rehabilitation program tends to a. be more impaired than those who can abstain without formal treatment. b. have a great number of family members who have similar substance use problems. c. avoid legal consequences for his or her behavior. d. do so because of the financial cost of continued substance use. ANSWER: a POINTS: 1 REFERENCES: The Decision to Seek Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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13. One of the goals of cognitive-behavioral approaches to SUDs is to a. help the client identify and correct irrational thought patterns that support continued use of chemicals. b. confront areas of conflict long buried by the superego. c. look at the client’s disruptive behaviors, what motivated him or her, and the unconscious conflict that these issues have caused over the years.

d. focus on ego states that cause such emotional stress for the person. ANSWER: a POINTS: 1 REFERENCES: Methods of Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 14. The treatment approach in which a client is awarded points for continued abstinence (or loss of points for proven substance use), which he or she can later trade in for items is the a. motivational contingency approach.

b. vertical achievement approach. c. voucherbased treatment. d. anticipatory contingency approach. ANSWER: c POINTS: 1 REFERENCES: Methods of Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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15. During the action phase of the Prochaska’s model, the therapist’s goals are to do all of the following, EXCEPT a. planning for concrete steps that are then taken to modify behavior. b. being alert for signs of problems. c. assisting the client to address issues that contribute to or exacerbate the SUD. d. assisting in individual growth. ANSWER: c POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 16. It is important that substance rehabilitation professionals avoid focusing on behavioral change during the ________ stage of recovery. a. preparation/determination

b. action c. contemplation d. precontemplation ANSWER: POINTS: REFERENCES: QUESTION TYPE:

d 1 The Stages of Recovery Multiple Choice

HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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17. A person in recovery is especially vulnerable to which of the following categories of “cues” to continued substance use? a. Internal and external

b. Internalized conflict over past abuse situations c. Home conflicts or work conflicts d. Concurrent medical cues ANSWER: a POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 18. Nowinski’s model suggests that the first step in recovery is the a. acceptance phase. b. declarative phase. c. decision to work toward natural recovery. d. surrender phase. ANSWER: a POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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19. The person going through the process of recovering from an SUD either in the Prochaska’s or the Nowinski’s model is thought to a. encourage himself or herself to learn how to enter environments in which chemical abuse previously occurred.

b. demonstrate maladaptive thoughts into the latter parts of the first phase. c. demonstrate individual variations in progress. d. experience less and less resistance as he or she reaches the latter stages of recovery. ANSWER: c POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 20. The steps identified in stage models of recovery from SUDs a. are rigid and sequential; you have to do each step in turn. b. are based on the “average” pattern of a client’s progress, based upon observations of many clients. c. create confusion in the profession over which stage model is truly the appropriate model. d. are age-dependent, with older clients moving more rapidly to more advanced stages than younger persons. ANSWER: b POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5G - Counseling and Helping Relationships – Essential interviewing, counseling, and case conceptualization skills United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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21. Clinical research has demonstrated that 80% of those assessed as having an SUD did not demonstrate even one symptom of the disorder in the past 12 months by the age of 24.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.7E - Assessment and testing—Use of assessments for diagnostic and intervention planning purposes United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 22. Part of the challenge for substance rehabilitation professionals working with people addicted to alcohol is to help clients identify the consequences of their alcohol use disorder.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Specific Points to Address in Substance Rehabilitation QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.04 - Outline specific points that should be addressed in relation to particular substances when treating SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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23. During the preparation stage, the client is ready to change his or her attitude and behavior within a specific time frame, usually within the next month.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.5B - Counseling and helping relationships—A systems approach to conceptualizing clients United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 24. Approximately 90% of those who are dependent on opioids and only complete a detox program return to the abuse of chemicals within 6 months.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Specific Points to Address in Substance Rehabilitation QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.04 - Outline specific points that should be addressed in relation to particular substances when treating SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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25. Virtually every program of substance misuse treatment emphasizes that only through abstinence can a person achieve recovery.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Specific Points to Address in Substance Rehabilitation QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.04 - Outline specific points that should be addressed in relation to particular substances when treating SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 26. Discuss the factors that may surround the decision to seek treatment for a person with an SUD. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Decision to Seek Treatment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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27. Describe the voucher-based reinforcement treatment programs. ANSWER: No answer provided. POINTS: 1 REFERENCES: Methods of Treatment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM 28. What are the challenges for the substance abuse rehabilitation professional when dealing with a client in the precontemplation stage of recovery?

ANSWER: No answer provided. POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.02 - Identify the stages of recovery from SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: DATE MODIFIED:

3/29/2018 12:57 AM 3/29/2018 1:06 AM

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29. What are some of the factors that may become the foundation upon which a client’s recovery might be established? ANSWER: No answer provided. POINTS: 1 REFERENCES: Methods of Treatment QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED:

3/29/2018 1:06 AM

30. Compare and contrast the Prochaska and Nowinski stage models of substance misuse recovery. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Stages of Recovery QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.32.01 - Understand the process of treatment for SUDs NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 12:57 AM DATE MODIFIED: 3/29/2018 1:06 AM

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1. An advantage of using the anticonvulsant carbamazepine over benzodiazepines for the treatment of alcohol withdrawal is that it a. is not addictive.

b. reduces seizure potential. c. creates nausea in the user. d. is much cheaper. ANSWER: b POINTS: 1 REFERENCES: Pharmacological Treatment of Alcohol Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.02 - Identify the commonly used pharmacological treatments for alcohol use disorders NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 2. Only about _______ of those prescribed disulfiram for the treatment of alcohol use disorder take it as prescribed. a. 7% b. 15% c. 20% d. 45% ANSWER: c POINTS: 1 REFERENCES: Pharmacological Treatment of Alcohol Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.02 - Identify the commonly used pharmacological treatments for alcohol use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM Copyright Cengage Learning. Powered by Cognero.

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3. Research has found that _________ of individuals with AUDs prescribed naltrexone relapsed within the first 12 weeks of treatment. a. 10%

b. 22% c. 37% d. 50% ANSWER: d POINTS: 1 REFERENCES: Pharmacological Treatment of Alcohol Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.02 - Identify the commonly used pharmacological treatments for alcohol use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 4. Ondansetron appears to help in the treatment of AUDs by a. making the user sick when mixed with alcohol. b. decreasing cravings. c. blocking the subjective pleasurable experience of alcohol. d. creating hallucinations in response to even minimal alcohol ingestion. ANSWER: c POINTS: 1 REFERENCES: Pharmacological Treatment of Alcohol Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.02 - Identify the commonly used pharmacological treatments for alcohol use disorders NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED:

3/29/2018 3:05 AM

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5. Immunological therapies are being studied for the treatment of ____________ addiction by examining whether the immune system can be “trained” to attack molecules of this drug. a. cocaine

b. benzodiazepines c. alcohol d. heroin ANSWER: a POINTS: 1 REFERENCES: Pharmacological Interventions for Cocaine Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.04 - Identify the commonly used pharmacological treatments for cocaine use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 6. In addition to treatment for heroin, animal research is being conducted to see if methadone may also be effective in treating ___________ dependence. a. nicotine

b. cocaine c. alcohol d. marijuana ANSWER: b POINTS: 1 REFERENCES: Pharmacological Interventions for Cocaine Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.04 - Identify the commonly used pharmacological treatments for cocaine use disorders NATIONAL STANDARDS: United States - CACREP.1K - Professional Counseling Orientation and Ethical Practice – Strategies for personal and professional self-evaluation and implications for practice. United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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7. Amber has overdosed on heroin and has just been rushed to the hospital. She has been given the drug Narcan to help stop the potentially fatal symptoms of the overdose. Amber has been administered this drug a. intravenously.

b. orally. c. intramuscularly. d. intrathecally. ANSWER: a POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 8. Your client informs you that he or she is currently taking Suboxone. You know that this is used in the treatment of ________ use disorder. a. methamphetamine

b. alcohol c. opiate d. nicotine ANSWER: c POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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9. The most successful pharmacological treatment for nicotine dependence at this time seems to be a. nicotine patches. b. Chantix (varenicline). c. Wellbutrin (bupropion). d. Inversine (mecamylamine). ANSWER: b POINTS: 1 REFERENCES: Pharmacological Treatment of the Tobacco Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.06 - Identify the commonly used pharmacological treatments for tobacco use disorders NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 10. The development of pharmaceuticals specific to substance use disorders has been delayed because a. those regions of the brain involved in the addictions are so widespread that no single pharmaceutical, or combination of pharmaceuticals, can work on every one.

b. pharmaceutical companies view the demand as too limited to make the development of such medications worthwhile.

c. the current generation of medications is sufficient to treat conditions associated with substance use disorders. d. there are new medications under development, which should revolutionize the treatment of substance use disorders.

ANSWER: b POINTS: 1 REFERENCES: Chapter Summary QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.01 - Understand the theory behind the use of pharmacotherapy for SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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11. A danger when using a pharmaceutical as an adjunct to the treatment of an addiction to drugs is that the a. physician prescribing the drug must guess at the effective dose. b. patient may view the use of medications as an extension of his or her addictive behavior. c. synergistic effect between pharmaceuticals prescribed is rarely taken into account. d. psychopharmaceuticals utilized might work at cross-purposes with the treatment staff’s goals. ANSWER: b POINTS: 1 REFERENCES: The Theory Behind Pharmacotherapy of SUDs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.01 - Understand the theory behind the use of pharmacotherapy for SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 12. The medications considered the treatment of choice for the alcohol withdrawal syndrome are the a. CNS stimulants like methylphenidate. b. hallucinogens like the peyote cactus. c. benzodiazepines. d. antidepressants. ANSWER: c POINTS: 1 REFERENCES: Pharmacological Treatment of Alcohol Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.02 - Identify the commonly used pharmacological treatments for alcohol use disorders NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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13. The alcohol/disulfiram reaction a. begins 3–5 hours after the alcohol has been ingested. b. can be fatal under certain conditions. c. results in abnormally slow respiration. d. can cause sensory disturbances such as hallucinations. ANSWER: b POINTS: 1 REFERENCES: Pharmacological Treatment of Alcohol Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.02 - Identify the commonly used pharmacological treatments for alcohol use disorders NATIONAL STANDARDS: United States - CACREP.5H - Counseling and helping relationships— Developmentally relevant counseling treatment or intervention plans United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 14. The most effective pharmacological treatment for stimulant use disorders is a. topiramate. b. modafinil. c. naltrexone. d. yet to be discovered. ANSWER: d POINTS: 1 REFERENCES: Pharmacological Treatment of Stimulant Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.03 - Identify the commonly used pharmacological treatments for stimulant use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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15. Nineteen different pharmaceuticals have been tried in experimental trials as possible pharmacological treatments for cocaine use disorders. According to your text, which of the following is true? a. Only one has proven effective.

b. None of those have been identified as being consistently effective, as yet. c. Electroconvulsive therapy (ECT) appears promising at this time. d. Desipramine has proven effective. ANSWER: b POINTS: 1 REFERENCES: Pharmacological Interventions for Cocaine Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.04 - Identify the commonly used pharmacological treatments for cocaine use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 16. In the event of an opiate overdose, the best treatment appears to be _______ administered under a physician’s supervision. a. Narcan

b. Aripiprazole c. Naltrexone d. Haldol ANSWER: a POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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17. All of the following have been found to be true about “ultra-rapid” methods of opiate withdrawal, EXCEPT that a. it exposes patients to the risk of drug-induced coma. b. patients receive opiate antagonists after coma is induced. c. it is more effective in helping the client achieve long-term abstinence than traditional methadone-assisted withdrawal.

d. it is no more effective in helping the client achieve long-term abstinence than traditional methods of opioid detoxification.

ANSWER: d POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 18. One major problem with the use of clonidine in opioid withdrawal is that it a. can induce hypertension. b. reduces the risk of other compounds being abused. c. increases the risk of drop in blood pressure (increasing risk of patient falls). d. is prone to induce psychotic episodes. ANSWER: c POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.5C - Counseling and Helping Relationships – Theories, models, and strategies for understanding and practicing consultation. United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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19. Methadone was originally used as a(n) a. synthetic narcotic analgesic developed for use in World War II. b. way to interrogate captured prisoners, which is to say a truth serum. c. compound to enhance the effects of the amphetamines being administered to German combat soldiers in World War II.

d. experimental narcotic analgesic that was found to be more dangerous than morphine. ANSWER: a POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 20. Methadone is thought to be effective because it a. blocks just 25–35% of opioid receptor sites, enough to create a corrective but not curative effect. b. binds to narcotic analgesic molecules in the blood, preventing them from forming chemical bonds with blood proteins and thus being more easily removed from the circulation.

c. is able to block 50% of the mu receptor sites without activating them. d. activates only the kappa opioid receptor sites, causing dysphoria should the individual abuse opioids. ANSWER: a POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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21. The minimum effective dose of methadone has been found to be 50 milligrams per day. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 22. Research has suggested that for every $1 invested in a methadone maintenance program, the return to society is about $38 in terms of reduced hospitalization, crime, etc.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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23. Buprenorphine is thought to be as much as 200 times as potent as morphine. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 24. Naltrexone will block the euphoric effects of a narcotic analgesic for up to 3 days after it has been ingested. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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25. Among the side effects caused by Chantix (varenicline), one of the most frequently reported side effects is extended period of sleep without dreams.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Pharmacological Treatment of the Tobacco Use Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.06 - Identify the commonly used pharmacological treatments for tobacco use disorders NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 26. Discuss the “development” of pharmaceutical agents used in the treatment of SUDs, including the issue of “off-label” applications.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.01 - Understand the theory behind the use of pharmacotherapy for SUDs NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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27. Discus the subgroups of medications that might be utilized as adjunctive treatments for SUDs. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Theory Behind Pharmacotherapy of SUDs QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.01 - Understand the theory behind the use of pharmacotherapy for SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 28. Why might an opioid antagonist like naltrexone be used in the treatment of AUDs? ANSWER: No answer provided. POINTS: 1 REFERENCES: Pharmacological Treatment of Alcohol Use Disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.02 - Identify the commonly used pharmacological treatments for alcohol use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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29. Describe the three subcategories of medications used in the treatment of opioid use disorders (OUDs). ANSWER: No answer provided. POINTS: 1 REFERENCES: Pharmacological Treatment of Opioid Use Disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.05 - Identify the commonly used pharmacological treatments for opioid use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM 30. Discuss some of the various nicotine replacement systems used in treating tobacco use disorders. What is the most effective pharmacological treatment of tobacco use disorder?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Pharmacological Treatment of the Tobacco Use Disorders QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.33.06 - Identify the commonly used pharmacological treatments for tobacco use disorders NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 1:51 AM DATE MODIFIED: 3/29/2018 3:05 AM

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1. The stance that substance abuse rehabilitation must be effective the first time and that individuals must not ever relapse again a. identifies those clients who lack commitment to the treatment process.

b. is consistent with the “medical model” that dominates substance abuse rehabilitation programs. c. tends to force individuals to wait until they are ready to renounce substance abuse before seeking treatment. d. demonstrates a double standard for substance abuse rehabilitation programs as opposed to other disease treatment programs.

ANSWER: d POINTS: 1 REFERENCES: Common Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.02 - Review the concerns related to treatment noncompliance NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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2. Moderate drinkers are _____ to have a prescription for antihypertensive and lipid control agents filled when compared to nondrinkers being treated for the same condition. a. less likely

b. about as likely c. more likely d. one-third as likely ANSWER: a POINTS: 1 REFERENCES: Common Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.02 - Review the concerns related to treatment noncompliance NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 3. Surprisingly, treatment noncompliance is a. very common for the treatment of most medical conditions. b. common for some medical conditions. c. rare for most conditions, but there are exceptions. d. most common in the treatment of addiction. ANSWER: POINTS: REFERENCES:

a 1 Common Problems

QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.02 - Review the concerns related to treatment noncompliance NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM Copyright Cengage Learning. Powered by Cognero.

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4. According to Bowen et al. (2014), up to ___% of those who complete a treatment program for a substance use disorder relapse within the first year. a. 20

b. 40 c. 60 d. 80 ANSWER: c POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 5. Using the medical or disease model as a template, the addictions a. can be arrested, but never cured. b. can only be cured if the person does not relapse in the first 5 years of the recovery program. c. can only be considered resolved if the person has not developed any concurrent medical problems before starting abstinence.

d. and their resolution depend on the assessment of those around the individual. ANSWER: a POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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6. One factor that has been identified as predictive of the probability of an individual’s ability to achieve long-term abstinence is a. his or her coping skills at the time of the individual’s first lapse.

b. his or her past legal history, as measured by both misdemeanor and felony offenses. c. whether he or she is facing current legal charges for a violent crime. d. the amount of money spent in pursuit of alcohol or drugs prior to the individual’s admission to a rehabilitation facility.

ANSWER: a POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.5J - Counseling and helping relationships—Evidencebased counseling strategies and techniques for prevention and intervention United States - CSHSE.6b - Skills to facilitate appropriate direct services and interventions related to specific client or client group goals. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 7. Willpower is best thought of as a. a fixed commodity. b. something that only exists in adults. c. an endless supply. d. nonexistent in most people. ANSWER: b POINTS: 1 REFERENCES: Willpower QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.01 - Identify the commonly encountered problems in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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8. Surprisingly, it is not the stress itself that triggers a relapse but a. fear of the unknown. b. preoccupation with id-based memories and urges. c. “command” hallucinations or thought insertion. d. demoralization and depression in the face of stress. ANSWER: d POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 9. Those individuals who are least likely to break down in a stressful situation are those a. who are able to withdraw into a fantasy land or dream world. b. who retreat from the stressor as much as possible. c. with higher self-efficacy regarding their ability to cope. d. who are able to prioritize the stressors into those that do, and do not, affect the “self.” ANSWER: c POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.9b - Client self-determination. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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10. A rarely discussed relapse trigger is the individual’s a. sense of balance (loss of balance while intoxicated being equated with further substance use). b. sense of touch (feel of what it is like to touch the desired substance just one more time). c. sense of smell (memories associated with particular scents). d. spousal permission or “enabling” to go and abuse chemicals. ANSWER: c POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 11. A popular misconception about urine toxicology testing is that it a. identifies people who are impaired by the substances identified. b. will identify all drugs of abuse. c. does not involve the risk of cross-reactions between various compounds possibly in the person’s body. d. does not require that the person report over-the-counter medications taken when the urine sample was collected.

ANSWER: a POINTS: 1 REFERENCES: Toxicology Testing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.07 - Understand the use of toxicology testing in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.7F - Basic concepts of standardized and nonstandardized testing, norm-referenced and criterion United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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12. Research has suggested that the “false-positive” rate for some “on-site” urine toxicology testing kits is as high as ________%. a. 30–35

b. 25–30 c. 45–50 d. 15–20 ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False NATIONAL STANDARDS: United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 13. Alcohol can be detected in a urine sample for about a. 8 hours after the person’s last drink. b. 4 hours after the person’s last drink. c. 2 hours after the person’s last drink. d. as long as the person would test positive on breath analysis. ANSWER: d POINTS: 1 REFERENCES: Toxicology Testing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.07 - Understand the use of toxicology testing in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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14. Under normal conditions, cocaine can be detected on urine toxicology tests for a. up to 12 hours after the person’s last use of this compound. b. 72–96 hours after the person’s last use of this compound. c. 1–4 weeks after the person’s last use of this compound. d. about 8 hours after the person’s last use of this compound. ANSWER: b POINTS: 1 REFERENCES: Toxicology Testing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.07 - Understand the use of toxicology testing in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.7F - Basic concepts of standardized and nonstandardized testing, norm-referenced and criterion United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 15. The rare social user of marijuana will have detectable traces of THC on a standard urine test for a. up to 4 weeks. b. 7–9 days. c. 20–45 days. d. 3–5 days. ANSWER: d POINTS: 1 REFERENCES: Toxicology Testing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.07 - Understand the use of toxicology testing in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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16. Even in cases where hair samples test “positive” for substances of abuse, a. the hair sample does not accurately indicate when the substance was used. b. they also identify persons who were only exposed to a chemical, not just those who used it. c. you must wait 4–6 weeks for the hair to grow long enough to determine whether a person used a compound in the past 24 hours.

d. the rate of hair growth is not variable, but is 1 cm per month. ANSWER: a POINTS: 1 REFERENCES: Toxicology Testing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.07 - Understand the use of toxicology testing in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.7g - statistical concepts, including scales of measurement, measures of central tendency, indices of variability, shapes and types of distributions, and correlations United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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17. Patients with acute injury and have a history of substance abuse a. are more likely to have inadequate pain control than nonabusers. b. are more likely to be left in pain until the physician orders medications to treat the pain from their injuries. c. may experience inadequate treatment for very real pain symptoms. d. are easier to treat following a painful injury because their substance use helps with their need for analgesia. ANSWER: c POINTS: 1 REFERENCES: Pain QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.05 - Consider the impact of pain on those struggling with SUDs NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 18. Research suggests that ____% of persons on methadone maintenance programs present with a severe chronic pain syndrome. a. 17

b. 6 c. 37 d. 11 ANSWER: c POINTS: 1 REFERENCES: Pain QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.05 - Consider the impact of pain on those struggling with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM Copyright Cengage Learning. Powered by Cognero.

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19. Which part of the brain is particularly active during a REM dream? a. The amygdala b. The hippocampus c. The striate nucleus d. The substantia nigra ANSWER: a POINTS: 1 REFERENCES: The "Using" Dream QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 20. Urine toxicology testing can fail to detect many misused drugs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Toxicology Testing QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.07 - Understand the use of toxicology testing in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.7F - Basic concepts of standardized and nonstandardized testing, norm-referenced and criterion United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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21. It has been estimated that 70% of clients with a substance use disorder who successfully complete treatment develop a progressive form of the disorder that might prove fatal.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 22. The recovery success rate from a substance use disorder is about three times the rate seen in lung cancer treatment. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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23. Patients who have a substance use disorder and a chronic pain disorder might not respond to prescribed medications because of partial tolerance that has developed due to the medications being prescribed.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Pain QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.05 - Consider the impact of pain on those struggling with SUDs NATIONAL STANDARDS: United States - CACREP.3A - Human Growth and Development – Theories of individual and family development across the lifespan United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 24. Clients’ attempts to manipulate a urine toxicology test so that it does not identify actual substance abuse are actually very uncommon.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Toxicology Testing QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.07 - Understand the use of toxicology testing in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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25. Discuss the idea of treatment noncompliance and some of the reasons for it. ANSWER: No answer provided. POINTS: 1 REFERENCES: Treatment Noncompliance QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.02 - Review the concerns related to treatment noncompliance NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 26. Discuss some of the factors that might contribute to, or protect against, a relapse back to active chemical abuse. ANSWER: No answer provided. POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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27. Discuss some of the most common causes of relapse. ANSWER: No answer provided. POINTS: 1 REFERENCES: Lapse and Relapse QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.03 - Define and describe concerns with lapse and relapse NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM 28. Evaluate the strengths and weaknesses of the notion of controlled drinking as it applies to the person with an alcohol use disorder, including a discussion of the literature and research relevant to this issue.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Pain QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.34.05 - Consider the impact of pain on those struggling with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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29. Describe some of the ways clients may attempt to deceive urine toxicology testing. ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 Toxicology Testing Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.34.07 - Understand the use of toxicology testing in treating individuals with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 3:11 AM DATE MODIFIED: 3/29/2018 3:14 AM

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1. For many years, Alcoholics Anonymous (AA) had been described as having a. a near-exclusive dominance in the addictions field. b. virtually no detractors in the general, medical, or mental health care populations. c. absolutely no use other than the illusion of recovery. d. the most research support of any treatment approach. ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.5C - Counseling and Helping Relationships – Theories, models, and strategies for understanding and practicing consultation. United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 2. McPherson et al. (2009) have described Alcoholics Anonymous as a. being over-rated in its effectiveness and without any supportive empirical data. b. an essential element in recovery. c. a program that causes many people to reject it because of the length of time it would take to work through all 12 steps.

d. a form of mind control that is tantamount to cult-like groups. ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.5A - Counseling and Helping Relationships – Theories and models of counseling United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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3. Which of the following statements is true in regard to the first 3 years of AA’s founding? a. There were so many success stories from members that the movement exploded onto the therapeutic scene. b. It was widely embraced by therapists, but success stories could not be made public because of the emphasis on anonymity.

c. There were only a few success stories. d. Physicians rushed to refer their alcohol-dependent patients to the new movement. ANSWER: c POINTS: 1 REFERENCES: The History of Alcoholics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 4. The Alcoholics Anonymous program is based on the premise that a. spiritual growth is an important part of substance misuse recovery. b. once the person is abstinent, it is necessary to identify the cause of the person’s alcoholism. c. alcoholics as a group tend to be focused on pleasing others too much. d. it is a time-limited program, and the individual should expect to outgrow the need to attend the group meetings. ANSWER: a POINTS: 1 REFERENCES: The Relationship Between Alcoholics Anonymous and Religion QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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5. A significant premise of Alcoholics Anonymous is that a. there is only one “Higher Power.” b. once you have finished step 5, you no longer have to examine your personal failings. c. for the person with an alcohol use disorder, alcohol has become his or her “Higher Power.” d. the stress of modern living contributes to feelings of inadequacy on the part of the individual, who then turns to alcohol.

ANSWER: c POINTS: 1 REFERENCES: The Relationship Between Alcoholics Anonymous and Religion QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.2g - the impact of spiritual beliefs on clients’ and counselors’ worldviews United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 6. At the “open” meeting, a. the individual is encouraged to discuss his or her progress in the 12-step program. b. one or two volunteers will speak about the program, and visitors are encouraged to ask questions. c. each group member is expected to stand up and confess his or her shortcomings. d. a designated topic is discussed in detail, with members joining the discussion as they desire. ANSWER: b POINTS: 1 REFERENCES: Elements of AA QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.04 - Review the 12 steps of AA NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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7. One factor that seems to predict a successful outcome from participation in Alcoholics Anonymous is a. the group leader taking responsibility for identifying group members who require special assistance when they are in danger of relapsing.

b. maintaining an exclusive focus on material in the Big Book and not discussing personal problems. c. the open discussion of group meetings with coworkers, etc. d. active participation in meetings. ANSWER: d POINTS: 1 REFERENCES: The Primary Purpose of Alcoholics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.05 - Consider the effectiveness and challenges of 12-step and other support groups NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 8. The financial contribution of each member of Alcoholics Anonymous a. cannot exceed $1,000 per year. b. is established on the basis of his or her annual income. c. is small compared with the contributions from local businesses. d. should be zero, as AA is and always has been entirely grant-funded. ANSWER: a POINTS: 1 REFERENCES: Alcoholics Anonymous and Outside Organizations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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9. The research pool addressing Alcoholics Anonymous and its success a. consistently supports the claim that it is effective. b. is rather limited. c. is based on mandatory participation in research studies. d. suggests that those ordered to attend by the courts tend to take longer to benefit from the group than voluntary members.

ANSWER: b POINTS: 1 REFERENCES: Outcome Studies: The Effectiveness of Alcoholics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.05 - Consider the effectiveness and challenges of 12-step and other support groups NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 10. Kaskutas and colleagues (2005) found that in the first year of participation in AA, a. there was an inverse relationship between the number of meetings attended and the length of abstinence. b. there was no relationship between the number of meetings attended and the length of the person’s abstinence. c. those who attended more meetings were more likely to abstain. d. there was a positive correlation between financial contributions and abstinence. ANSWER: c POINTS: 1 REFERENCES: Outcome Studies: The Effectiveness of Alcoholics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.05 - Consider the effectiveness and challenges of 12-step and other support groups NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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11. One core belief of Alcoholics Anonymous is that a. the individual is hopelessly addicted to alcohol. b. the person is powerless over alcohol. c. the person’s perception of his or her substance use is more accurate than others’. d. members do not make attending meetings an important goal in their first year of recovery. ANSWER: b POINTS: 1 REFERENCES: Elements of AA QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.04 - Review the 12 steps of AA NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 12. Narcotics Anonymous a. provides exactly the same program as Alcoholics Anonymous. b. differs from Alcoholics Anonymous only with regard to its use of the all-inclusive term, “addict.” c. is a subgroup of Alcoholics Anonymous that reports to the same home office. d. does not place the same message on “carrying the message” to those who still are addicted as does Alcoholics Anonymous.

ANSWER: b POINTS: 1 REFERENCES: Narcotics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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13. The Rational Recovery movement a. draws heavily on psychoanalytic theory in its attempt to assist the person. b. draws heavily on family systems theory in its attempt to assist the member. c. draws heavily upon the cognitive-behavioral schools of therapy. d. works toward helping the individual learn to control his or her drinking. ANSWER: c POINTS: 1 REFERENCES: Support Groups Other Than 12-Step Groups QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 14. The Secular Organization for Sobriety holds that each of the following is true, EXCEPT that a. it is possible for many people to learn to be social drinkers again. b. the physiological need for a chemical is brought about by tolerance. c. chemical use is a learned coping habit. d. SUDs rest on the denial of use as a learned habit and tolerance causing cravings. ANSWER: a POINTS: 1 REFERENCES: Support Groups Other Than 12-Step Groups QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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15. Which of the following is true of Shirley Kishline, the person who founded Moderation Management? a. She killed two people in an alcohol-related accident prior to starting MM. b. She killed two people in an alcohol-related accident after founding MM. c. She now advocates a computer-based treatment process. d. She suggested that involvement in Alcoholics Anonymous was useless. ANSWER: b POINTS: 1 REFERENCES: Support Groups Other Than 12-Step Groups QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 16. One of the challenges to the traditional 12-step program holds that a. these programs place too much emphasis on the individual’s psychosocial growth. b. the Big Book repeatedly references people who have “recovered” from alcohol dependence, in spite of what group members often say.

c. making a lifelong commitment to 12-step involvement is appropriate for all recovering persons. d. its emphasis on anonymity is appropriate but too strongly enforced. ANSWER: b POINTS: 1 REFERENCES: Challenges to the Traditional 12-Step Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM Copyright Cengage Learning. Powered by Cognero.

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17. The court system in various states has ruled that a. there is no violation of the person’s religious freedom since 12-step groups do not mention a God by name. b. one cannot be compelled to attend AA without also being given a secular option as well. c. the ends justify the means, and if there is a violation of the individual’s rights, they are outweighed by the benefits to the individual and society by the person’s recovery from alcohol and drugs.

d. as long as there is appropriate emphasis on anonymity, there is no problem. ANSWER: b POINTS: 1 REFERENCES: Challenges to the Traditional 12-Step Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.1E - Advocacy processes needed to address institutional and social barriers that impede access, equity, and success for clients United States - CSHSE.1c - Historical and current legislation affecting services delivery. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 18. What percentage of those who join AA will abstain from alcohol for the rest of their lives? a. 20% b. 5% c. 75% d. 50% ANSWER: a POINTS: 1 REFERENCES: Challenges to the Traditional 12-Step Movement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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19. Which program rejects the 12-step style, instead maintaining there are multiple paths to recovery? a. AA b. LifeRing c. Faith-based recovery d. Women for Sobriety (WFS) ANSWER: b POINTS: 1 REFERENCES: Support Groups Other Than 12-Step Groups QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.6A - Group Counseling and Group Work – Theoretical foundations of group counseling and group work. United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 20. What percent of substance abuse rehabilitation programs utilize some kind of 12-step group model similar to AA? a. Around 95% b. Less than 50% c. About 10% d. 33% ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.6C - Group Counseling and Social Work – Therapeutic factors and how they contribute to group effectiveness United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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21. AA members are limited to donating no more than $500 to the organization annually. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Alcoholics Anonymous and Outside Organizations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.6A - Group Counseling and Group Work – Theoretical foundations of group counseling and group work. United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 22. One of the three factors that have been found to determine the success of AA is the frequency with which the individual attends meetings.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: The Primary Purpose of Alcoholics Anonymous QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.6D - Group Counseling and Group Work – Characteristics and functions of effective group leaders United States - CSHSE.5a - Analysis and assessment of the needs of clients or client groups. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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23. It has been estimated that 20 million people in the United States alone attend a self-help group because of alcohol or drug-use disorders at least once each year.

a. True b. False ANSWER: POINTS: REFERENCES:

False 1 The History of Alcoholics Anonymous

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 24. Steps 4–9 of the AA 12-step program have been identified as a series of change-oriented procedures. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Elements of AA QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.04 - Review the 12 steps of AA NATIONAL STANDARDS: United States - CACREP.6A - Group Counseling and Group Work – Theoretical foundations of group counseling and group work. United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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25. Despite its status as an “Anonymous” organization, Alcoholics Anonymous has a board of directors, a national president who speaks for the organization, and is established as a “501.(c) (3) Not-for-Profit” organization in the United States.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: One "A" Is for Anonymous QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.6A - Group Counseling and Group Work – Theoretical foundations of group counseling and group work. United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 26. Discuss some of the criticisms and challenges to the traditional 12-step movement. ANSWER: No answer provided. POINTS: 1 REFERENCES: Challenges to the Traditional 12-Step Movement QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.6C - Group Counseling and Social Work – Therapeutic factors and how they contribute to group effectiveness United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

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27. What are the four central goals for adults with SUDs according to the Self-Management and Recovery Training (SMART) program?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Support Groups Other Than 12-Step Groups QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.6A - Group Counseling and Group Work – Theoretical foundations of group counseling and group work. United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM 28. List and describe three support groups that are not 12-step groups and discuss their primary difference from the 12step model.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Support Groups Other Than 12-Step Groups QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.03 - Understand the purpose of the various support groups identified NATIONAL STANDARDS: United States - CACREP.6F - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings. United States - CSHSE.3a - The range and characteristics of human services delivery systems and organizations. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED:

3/29/2018 2:06 PM

Page 14

29. Discuss some of the outcomes of studies evaluating the effectiveness of Alcoholics Anonymous. ANSWER: No answer provided. POINTS: 1 REFERENCES: Outcome Studies: The Effectiveness of Alcoholics Anonymous QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.05 - Consider the effectiveness and challenges of 12-step and other support groups NATIONAL STANDARDS: United States - CACREP.8B - Identification of evidence-based counseling practices United States - CSHSE.7d - Developing and sustaining behaviors that are congruent with the values and ethics of the profession. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED:

3/29/2018 2:06 PM

30. Describe the relationship between Alcoholics Anonymous and religion. ANSWER: No answer provided. POINTS: 1 REFERENCES: The Relationship Between Alcoholics Anonymous and Religion QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.35.01 - Understand the history of support groups for recovery NATIONAL STANDARDS: United States - CACREP.6F - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings. United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:03 PM DATE MODIFIED: 3/29/2018 2:06 PM

Page 15

1. As a group, individuals with substance use disorders _________ hospital stays. a. usually have longer b. usually do not require very long c. are 16 times as likely to require d. are 9 times as likely to require ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.01 - Understand why infectious disease is a concern for those with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 2. Intravenous drug abusers a. rarely follow sterile injection procedures. b. usually do not share needles with others. c. rarely have a viral infection in their blood. d. have different types of bacteria on their skin than nonaddicts. ANSWER: a POINTS: 1 REFERENCES: Why Is Infectious Disease Such a Common Complication for People with an SUD? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.01 - Understand why infectious disease is a concern for those with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 1

3. If an intravenous drug abuser should attempt to clean the “rig” by rinsing it out with tap water, a. this can result in bacterial contamination of the needle since tap water can contain microorganisms. b. this will move the bacterial contaminants to the tip of the needle, making the next user of that needle more likely to become infected.

c. this will cause the most vulnerable bacteria to die by exposing them to the chlorine in the tap water, leaving the more virulent strains behind to infect the next user.

d. the water itself will encourage the growth of microorganisms. ANSWER: a POINTS: 1 REFERENCES: Why Is Infectious Disease Such a Common Complication for People with an SUD? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.01 - Understand why infectious disease is a concern for those with SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 4. In the general population, about ________ develop infectious endocarditis. a. 3 in 5,000 b. 9 in 6,000 c. 12 in 20,000 d. 15 in 100,000 ANSWER: d POINTS: 1 REFERENCES: Assorted Bacterial Infections Seen in Individuals Using Intravenous Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.02 - Identify the bacterial infections that may be encountered in those who use intravenous drugs NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 2

5. The most common cause of community-acquired pneumonia (CAP), Streptococcus pneumoniae, is spreadby a. the body’s weakened immune system. b. aspiration or inhalation of droplets that form when a person coughs. c. a failure to wash one’s hands after shaking hands with a person who has been infected. d. cigarette smoking by the patient who contracts the infection. ANSWER: b POINTS: 1 REFERENCES: The Pneumonias QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.03 - Review the pneumonias that may be seen in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 6. Available evidence suggests that the virus that causes AIDS, the HIV-1 virus, a. was introduced into the population of homosexual males in the 1980s. b. is a virus that “jumped” from nonhuman primates to humans. c. was a genetic mutation that resulted from germ warfare experiments. d. is a single strain of virus. ANSWER: b POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 3

7. Of the approximately 36 million people infected with the AIDS virus globally, a. about half are unaware of their infection. b. two-thirds die within 3 months of infection. c. two-thirds are homosexual males. d. more than 95% are intravenous drug users. ANSWER: a POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 8. In the United States, around ________ people have been infected with HIV, and only around 13% realize that they have the virus. a. 750,000

b. 1.2 million c. 2.4 million d. 16 million ANSWER: b POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 4:13 PM

Page 4

9. The “AIDS latency period” has been found a. to be an illusion because early HIV blood tests did not immediately reveal the infection. b. to last longer in those who do not abuse intravenous drugs. c. to last longer in those who acquired the infection from a sexual partner who was infected, since intravenous drug injection was not involved.

d. to be a gender-specific phenomenon. ANSWER: a POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 10. In the United States, _________% of new HIV infections for men result from homosexual relations. a. 17 b. 36 c. 52 d. 67 ANSWER: d POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3b - theories of learning United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 5

11. In the United States, what percentage of women who become infected with HIV contracted the virus from heterosexual relations with an infected partner? a. 22%

b. 85% c. 55% d. 75% ANSWER: d POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 12. The person infected with HIV will a. live a normal life span if he or she adheres to prescribed antiviral medications. b. lose about 15 years of potential life because of the infection, even with existing antiviral medications. c. lose about 5 years of potential life because of the infection, even with existing antiviral medications. d. have to take at least 80–90% of the prescribed antiviral drugs to achieve optimal viral suppression. ANSWER: d POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 6

13. Each person infected with TB will pass the infection on to an additional ________ other people. a. 1–5 b. 5–10 c. 10–15 d. 15–20 ANSWER: c POINTS: 1 REFERENCES: Tuberculosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.04 - Review the concerns with tuberculosis in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 14. It has been estimated that nearly _______ of the world’s population is currently infected with tuberculosis. a. 10% b. 33% c. 5% d. 40% ANSWER: b POINTS: 1 REFERENCES: Tuberculosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.04 - Review the concerns with tuberculosis in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 7

15. In the infected person, tuberculosis is found a. in the lungs. b. in oxygen-poor tissues since oxygen is a poison to bacteria. c. most often in the lungs, but can be found virtually anywhere in the body. d. in the central nervous system. ANSWER: c POINTS: 1 REFERENCES: Tuberculosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.04 - Review the concerns with tuberculosis in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 16. It has been estimated that about 9% of new cases of tuberculosis a. are the result of intravenous drug use. b. are resistant to at least one antibiotic used to treat this disease. c. are resistant to all antibiotics used to treat this disease. d. are found in persons with circulatory problems. ANSWER: b POINTS: 1 REFERENCES: Tuberculosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.04 - Review the concerns with tuberculosis in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 8

17. Which of the following is true of hepatitis type A? a. It is never transmitted by sharing intravenous needles. b. Exposure to blood or other body fluids from an infected person is not a danger. c. It is most often transmitted through oral-fecal contact. d. It can only infect the victim if he or she is also simultaneously exposed to the hepatitis type D virus. ANSWER: c POINTS: 1 REFERENCES: Viral Hepatitis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.06 - Identify the hepatitis infections that may be encountered in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 18. One potential consequence of HAV infection is a. death in rare cases. b. acute liver failure in about 25% of cases. c. relapsing hepatitis in about 25% of cases. d. hepatitis-related dementia in rare cases. ANSWER: a POINTS: 1 REFERENCES: Viral Hepatitis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.06 - Identify the hepatitis infections that may be encountered in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 9

19. HVB is a a. chronic, remitting disease that bothers the person for 6–8 months before it clears. b. blood-borne disease. c. virus that can infect the mother, but never the fetus as placental barriers exist to block the virus from reaching the fetus.

d. virus known to cross the blood–brain barrier and in extreme cases induce dementia. ANSWER: b POINTS: 1 REFERENCES: Viral Hepatitis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.06 - Identify the hepatitis infections that may be encountered in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 20. The virus that causes hepatitis type “C” is thought to be a. as infectious as the virus that causes AIDS. b. one-tenth as infectious as the virus that causes AIDS. c. 10 times as infectious as the virus that causes AIDS. d. 10 times as infectious as the virus that causes hepatitis type “B” infection. ANSWER: c POINTS: 1 REFERENCES: Viral Hepatitis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.06 - Identify the hepatitis infections that may be encountered in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 10

21. The virus that causes HBV is a blood-borne but not sexually transmitted pathogen. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Viral Hepatitis QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.06 - Identify the hepatitis infections that may be encountered in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 22. HIV infection results in an estimated $40,000 reduction in yearly earning potential. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 11

23. In the past 500,000 years, tuberculosis is thought to have caused one billion deaths. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Tuberculosis QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.04 - Review the concerns with tuberculosis in those with SUDs NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 24. Researchers have found that taking supplements of selenium can help to suppress viral replication of HIV, the virus responsible for AIDS.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

Page 12

25. AIDS is technically not a disease in its own right. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 26. Why is infectious disease such a common complication for people with an SUD? ANSWER: No answer provided. POINTS: 1 REFERENCES: Why Is Infectious Disease Such a Common Complication for People with an SUD? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.01 - Understand why infectious disease is a concern for those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: DATE MODIFIED:

3/29/2018 2:12 PM 3/29/2018 2:19 PM

Page 13

27. Discuss the history of tuberculosis in terms of the rates of infection and number of deaths it has caused. How does tuberculosis impact modern global populations?

ANSWER: No answer provided. POINTS: 1 REFERENCES: Tuberculosis QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.04 - Review the concerns with tuberculosis in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM 28. Discuss the six stages of a typical HIV infection. ANSWER: No answer provided. POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED:

3/29/2018 2:19 PM

Page 14

29. Discuss the relation between AIDS and neurocognitive dysfunction, including the classification system based upon the range of deficit.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Acquired Immune Deficiency Syndrome (AIDS) QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.05 - Review the history related to HIV and the impact in relation to SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED:

3/29/2018 2:19 PM

30. Discuss some of the forms of viral hepatitis commonly encountered in the treatment of people with an SUD. ANSWER: No answer provided. POINTS: 1 REFERENCES: Viral Hepatitis QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.36.06 - Identify the hepatitis infections that may be encountered in those with SUDs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.2a - Theories of human development. DATE CREATED: 3/29/2018 2:12 PM DATE MODIFIED: 3/29/2018 2:19 PM

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1. Globally, an estimated _________ million farmers are economically dependent on the production of illegal substances on a full-time basis. a. 1

b. 10 c. 4 d. 17 ANSWER: c POINTS: 1 REFERENCES: Criminal Activity and Drug Misuse: Partners in a Dance, but Who Is Leading? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.02 - Consider the pathways between criminal activity and SUDs NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.1e - Differences between systems of governance and economics. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 2. Juvenile delinquency, which has long been thought to be a result of illicit drug use, usually a. develops at the same age that illicit drug use does. b. typically precedes the development of illicit drug use. c. does not appear to be related to illicit drug use at all. d. develops after the initiation of illicit drug use. ANSWER: b POINTS: 1 REFERENCES: Criminal Activity and Drug Misuse: Partners in a Dance, but Who Is Leading? QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.02 - Consider the pathways between criminal activity and SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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3. Elliott (1992) suggested that both criminal behavior and chemical use a. decline in the power of cultural restraints. b. are a reaction to the strict enforcement of social restraints. c. are a way to assert independence in the face of strict social constraints. d. reflect a common genetic predisposition. ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

a 1 Criminal Activity and Drug Misuse: Partners in a Dance, but Who Is Leading? Multiple Choice False

LEARNING OBJECTIVES: DOWE.COCD.19.37.02 - Consider the pathways between criminal activity and SUDs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 4. The person who is perhaps most responsible for shaping drug control policy in the United States was a. Ronald Reagan b. Harry Anslinger c. Dorothea Dix d. Margaret Floy Washburn ANSWER: b POINTS: 1 REFERENCES: Harry Anslinger QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.01 - Understand the history of prohibition and the impact on the world today NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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5. Pharmacological violence is a. inhibited by the drugs of abuse. b. drug-induced violent behavior. c. an example of how drugs are blamed for the individual’s behavior. d. a criminal activity committed to support the cost of one’s addiction. ANSWER: b POINTS: 1 REFERENCES: Drug Use and Violence: The Unseen Connection QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.03 - Review the connection between drug use and violence NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 6. Approximately ______% of sexual assaults are carried out by men who have ingested alcohol prior to the assault. a. 20 b. 30 c. 50 d. 70 ANSWER: c POINTS: 1 REFERENCES: Drug Use and Violence: The Unseen Connection QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.03 - Review the connection between drug use and violence NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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7. Adulterants are added to illicit drugs to a. lower costs for the producer. b. increase profits for the distributor. c. maintain constant drug purity levels. d. make the adulterated drugs less attractive to rival drug dealers who might attempt to steal them. ANSWER: b POINTS: 1 REFERENCES: Adulterants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.04 - Describe the impact of adulterants in relation to drugs NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 8. The coca leaves needed to produce a kilogram of cocaine, which can sell for as much as __________ in the United States when packaged for sale to individual users, can cost as little as $300. a. $10,000

b. $500,000 c. $100,000 d. $250,000 ANSWER: c POINTS: 1 REFERENCES: Adulterants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.04 - Describe the impact of adulterants in relation to drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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9. Your text suggests that approximately __________ of any cocaine samples tested in the United States contained an adulterant that can cause a disease called agranulocytosis. a. one-half

b. one-quarter c. one-third d. two-thirds ANSWER: c POINTS: 1 REFERENCES: Adulterants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.04 - Describe the impact of adulterants in relation to drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 10. As a result of the process of adulteration that takes place at each step in the production process, the $90 paid to the farmer for a kilogram of raw opium is multiplied by a factor of ____ by the time the narcotic produced from that opium is marketed on the street. a. 500

b. 1,000 c. 1,600 d. 10 ANSWER: c POINTS: 1 REFERENCES: Adulterants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.04 - Describe the impact of adulterants in relation to drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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11. All it takes to make a “new” drug from an existing compound is the removal or addition of a. a single molecule. b. a hydroxyl chain. c. an adulterant. d. carbon atoms to the core structure. ANSWER: a POINTS: 1 REFERENCES: "Designer" Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.6a - Theory and knowledge bases of prevention, intervention, and maintenance strategies to achieve maximum autonomy and functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 12. Before a compound can be classified as illegal, a. the Food and Drug Administration must consider its medicinal value. b. chemists must tease out the exact chemical structure of that compound to allow the exact compound to be outlawed.

c. it must have caused at least one death, either from overdose or from its toxic effects. d. the distribution network must be identified as involving at least one group that is not made up of licensed pharmacologists or chemists.

ANSWER: b POINTS: 1 REFERENCES: "Designer" Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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13. The addition of one or more molecules to the molecular chain of an existing drug produces a. a toxin. b. a new compound that is less potent than the original drug. c. a compound that binds at different receptor sites than the original drug. d. an analog of the original compound. ANSWER: d POINTS: 1 REFERENCES: "Designer" Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 14. One known analog of the amphetamine molecule is ________, of which there are over 180 additional analogs! a. PCP b. MDMA c. ketamine (special K) d. K-2 ANSWER: b POINTS: 1 REFERENCES: Some Existing Drug Analogs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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15. According to your text, there are __________ known analogs of the MDMA molecule. a. 650 b. 375 c. 184 d. 78 ANSWER: c POINTS: 1 REFERENCES: Some Existing Drug Analogs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 16. The ketamine sold by illicit drug dealers a. is usually manufactured in small “mom-and-pop” laboratories. b. is usually manufactured by large cartels in Superlabs. c. is usually diverted from legal veterinary supply companies. d. usually has a slightly different chemical structure than the pharmaceutical form of the same compound. ANSWER: c POINTS: 1 REFERENCES: Some Existing Drug Analogs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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17. GHB will cause seizures when used concurrently with a. alcohol. b. methamphetamine. c. marijuana. d. protease inhibitors. ANSWER: b POINTS: 1 REFERENCES: Some Existing Drug Analogs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 18. There are an estimated ____ members of the phenethylamine family of compounds. a. 250 b. 400 c. 180 d. 610 ANSWER: a POINTS: 1 REFERENCES: Some Existing Drug Analogs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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19. There are at least 200 compounds in the tryptamine family of drugs, which have a chemical structure similar to the neurotransmitter a. gamma-aminobutyric acid.

b. acetylcholine. c. dopamine. d. serotonin. ANSWER: d POINTS: 1 REFERENCES: Some Existing Drug Analogs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 20. The compound known as “fry” is a. a mixture of amphetamines and cocaine for smoking. b. a mixture of amphetamine and marijuana, which counteracts the harsh side effects of the amphetamine. c. phencyclidine sprinkled onto a regular cigarette for smoking. d. marijuana soaked in formaldehyde, then laced with PCP for smoking. ANSWER: d POINTS: 1 REFERENCES: Some Existing Drug Analogs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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21. There are over 250 over-the-counter cough and cold remedies that contain dextromethorphan. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Designer Narcotics QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 22. At dosage levels above 1,000 mg, the effects of dextromethorphan are very similar to those of PCP. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Designer Narcotics QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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23. Abuse of cocaine and the amphetamine compounds can lead to behaviors that are excellent examples of systemic violence.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: Drug Use and Violence: The Unseen Connection QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.03 - Review the connection between drug use and violence NATIONAL STANDARDS: United States - CACREP.3E - Biological, neurological, and physiological factors that affect human development, functioning, and behavior United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 24. The least likely scenario in the world of illicit drugs is that of finding drugs that have been adulterated in some way. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Adulterants QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.04 - Describe the impact of adulterants in relation to drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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25. The efforts to interdict supplies of illicit drugs around the world in the last part of the 20th century have resulted in an increase in the availability of illicit drugs in the past decade.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Criminal Activity and Drug Misuse: Partners in a Dance, but Who Is Leading? QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.02 - Consider the pathways between criminal activity and SUDs NATIONAL STANDARDS: United States - CACREP.3F - Systemic and environmental factors that affect human development, functioning, and behavior United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 26. Discuss how the national prohibition against certain compounds has resulted in the manufacture of criminals. ANSWER: No answer provided. POINTS: 1 REFERENCES: Criminal Activity and Drug Misuse: Partners in a Dance, but Who Is Leading? QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.01 - Understand the history of prohibition and the impact on the world today NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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27. Name and describe the three categories of substance-related violence. ANSWER: No answer provided. POINTS: 1 REFERENCES: Drug Use and Violence: The Unseen Connection QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.03 - Review the connection between drug use and violence NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM 28. Describe how the development of “designer” drugs can allow illegal drug producers to stay ahead of current drug laws.

ANSWER: No answer provided. POINTS: 1 REFERENCES: "Designer" Drugs QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.05 - Review what is currently known related to designer drugs and drug analogs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.4c - Compiling, synthesizing, and categorizing information. DATE CREATED: DATE MODIFIED:

3/29/2018 2:24 PM 3/29/2018 3:03 PM

29. Discuss the connection between SUDs and partner-associated violence. ANSWER: No answer provided. POINTS: 1 REFERENCES: Drug Use and Violence: The Unseen Connection QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.37.03 - Review the connection between drug use and violence NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM Copyright Cengage Learning. Powered by Cognero.

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30. Discuss how common the practice of drug adulteration is and how it is done with various drugs of abuse. ANSWER: POINTS: REFERENCES: QUESTION TYPE: HAS VARIABLES:

No answer provided.

1 Adulterants Essay False

LEARNING OBJECTIVES: DOWE.COCD.19.37.04 - Describe the impact of adulterants in relation to drugs NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3c - The major models used to conceptualize and integrate prevention, maintenance, intervention, rehabilitation, and healthy functioning. DATE CREATED: 3/29/2018 2:24 PM DATE MODIFIED: 3/29/2018 3:03 PM

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1. The substance use disorders are a. the only medical conditions for which there are legal sanctions. b. a barometer by which a politician’s commitment to the “war on crime” might be measured. c. a manifestation of criminal activity, not a medical condition. d. limited to a small segment of society; thus, suspension of this group’s legal rights is justified. ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.01 - Understand both sides of the debate related to legalization NATIONAL STANDARDS: United States - CACREP.2B - Social and Cultural Diversity – Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy United States - CSHSE.1c - Historical and current legislation affecting services delivery. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 2. If you, as a politician, change the existing legal sanctions addressing illicit substance use or alcohol abuse, you may be accused of a. being irrational.

b. having a hidden substance use disorder of your own. c. being soft on crime. d. being out of touch with the realities of modern life. ANSWER: c POINTS: 1 REFERENCES: Statement of the Problem QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.01 - Understand both sides of the debate related to legalization NATIONAL STANDARDS: United States - CACREP.2e - the effects of power and privilege for counselors and clients United States - CSHSE.1c - Historical and current legislation affecting services delivery. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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3. President Richard M. Nixon believed a. people above the age of 25 had little experience with marijuana and were uninterested in it. b. people consumed alcohol because they thought it was fun, not because of its intoxicating effects. c. the apparent statistical correlation between those who abused marijuana and those who were protesting against the conflict in Vietnam was a coincidence and not worth considering.

d. marijuana use disorders should be addressed through the medical system. ANSWER: b POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1d - How public and private attitudes influence legislation and the interpretation of policies related to human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 4. The first leg of the four-legged response to the substance use disorders is the a. destruction of transportation routes used to bring drugs into the United States. b. elimination of raw materials used to manufacture such chemicals. c. application of legal sanctions against those who engage in the sale or use of illegal compounds. d. referral of persons with substance use disorders to rehabilitation facilities. ANSWER: b POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.1g - Skills to analyze and interpret historical data for application in advocacy and social change. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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5. At its height, the sale and distribution of illegal alcohol during prohibition a. employed about 18,000 people in an era when jobs were hard to come by. b. produced jobs mainly in the southeast where the manufacture of “shine” (moonshine) was common. c. made up 5% of the gross national product of the United States. d. inhibited the growth of organized crime because there were so many amateur bootleggers and distributors at work.

ANSWER: c POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 6. Successful efforts at interdiction a. reduce drug availability and lower the potency of the product sold. b. cause distributors to increase the potency of their product to retain customers and encourage others to sell drugs.

c. encourage abusers to seek out that supplier; they reason that if he was arrested, he must have been selling a potent product.

d. discourage others from attempting to sell alcohol or drugs in that location. ANSWER: b POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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7. With the increased success of the interdiction of methamphetamine, a. “mom and pop” laboratories began to appear across the country. b. “mom and pop” laboratories began to shut down as abusers switched to other drugs of abuse and demand dropped.

c. “mom and pop” laboratories began to be replaced by “super-labs” in other countries that produced huge amounts of very pure methamphetamine, which was then smuggled into this country.

d. the demand for methamphetamine increased as casual users wanted to experiment with it. ANSWER: c POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 8. Interdiction efforts a. intercept the majority of the illicit drugs sent to this country. b. intercept only a small percentage of the illicit drugs sent to this country. c. result in a small number of low-level dealers being arrested while higher-level dealers escape. d. produce widespread shortages of the targeted product. ANSWER: b POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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9. Drug dealers, it has been claimed, are only interested in selling their product without consideration for the harm it does. To combat this trend, a. the Drug Enforcement Administration has become just as cold and indifferent to the suffering forced on the drug dealers.

b. stiff legal sanctions are only applied to middle- to upper-level drug dealers. c. casual abusers are not charged with drug possession by the Drug Enforcement Administration if it is their first offense.

d. constitutional rights are more strongly respected to avoid having arrestees escape charges because their rights were violated.

ANSWER: a POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.2e - the effects of power and privilege for counselors and clients United States - CSHSE.1f - Exposure to a spectrum of political ideologies. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 10. The Boggs Act was passed on the assumption that a. we are winning the “war on drugs.” b. virtually all people believe we should execute convicted drug dealers. c. it is possible to punish unacceptable behaviors out of existence. d. most people want to enlist the resources of the military to help win the “war on drugs.” ANSWER: c POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1f - Exposure to a spectrum of political ideologies. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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11. The “zero tolerance” laws of the 1980s allowed law enforcement officials to seize property a. after it was proven drug profits had been used to purchase it. b. if there was strong evidence to suggest it was somehow involved in the marketing or distribution of illicit drugs. c. if the person who owned it was proven to be a drug dealer. d. on the mere suspicion that drug profits were used to buy it. ANSWER: d POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1f - Exposure to a spectrum of political ideologies. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 12. As a result of abuses of zero tolerance statutes, a. some police departments have been known to rely on money and property seized under the forfeiture laws for part of their operating budget each year.

b. independent audits have shown that these laws are virtually always used appropriately and never abused. c. fewer drug dealers are using drug profits to buy property in the United States. d. illicit drug use in the United States has declined by 35%. ANSWER: a POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.2B - Social and Cultural Diversity – Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy United States - CSHSE.1d - How public and private attitudes influence legislation and the interpretation of policies related to human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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13. Research has shown that _______% of the money seized by federal authorities under the forfeiture laws comes from people who were never indicted for a drug-related offense. a. 10

b. 25 c. 50 d. 80 ANSWER: d POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.2B - Social and Cultural Diversity – Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy United States - CSHSE.1d - How public and private attitudes influence legislation and the interpretation of policies related to human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 14. In spite of advocates’ claims that “treatment works,” a. the addiction rehabilitation industry has failed to reduce recidivism by more than 10%. b. the addiction rehabilitation industry has failed to meet expectations for helping people achieve long-term abstinence.

c. the addiction rehabilitation industry has been found to cost more than it would to incarcerate rather than treat individuals.

d. only those programs that include a 12-step component have been found effective. ANSWER: b POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1B - Professional Counseling Orientation and Ethical Practice – The multiple professional roles and functions of counselors across specialty areas, and their relationships with human service and integrated behavioral health care systems, including interagency and interorganizational collaboration and consultation United States - CSHSE.1f - Exposure to a spectrum of political ideologies. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM Copyright Cengage Learning. Powered by Cognero.

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15. The “war on drugs” has been shown to be a dismal failure, though your text claims a. there is still a strong belief it will work. b. that many continue to believe that the “war” is winnable. c. for a few billion dollars more, we can win the war on drugs. d. marijuana abuse by high school seniors is only 80% of what it was a decade ago. ANSWER: b POINTS: 1 REFERENCES: The Reality of the War on Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.03 - Consider the impact of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1B - Professional Counseling Orientation and Ethical Practice – The multiple professional roles and functions of counselors across specialty areas, and their relationships with human service and integrated behavioral health care systems, including interagency and interorganizational collaboration and consultation United States - CSHSE.1f - Exposure to a spectrum of political ideologies. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 16. The most dangerous compound sold in the United States is/are a. heroin and morphine. b. cocaine and “molly.” c. methamphetamine and marijuana. d. cigarettes and alcohol. ANSWER: d POINTS: 1 REFERENCES: The Reality of the War on Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.03 - Consider the impact of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive behaviors United States - CSHSE.3b - The range of populations served and needs addressed by human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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17. Another unintended consequence of the “war on drugs” is that a. law enforcement agencies have become financially dependent on state and federal subsidies, provided each year to help them in the “war on drugs.”

b. many states are now forced to spend almost as much money on new prison construction as they do on college classroom construction/renovations.

c. communities fight against the possibility of having a new prison built there, which is a reflection of the “Not In My Back Yard” phenomenon.

d. communities have found the concentration of drugs in the hands of a few dealers has drawn large numbers of drug abusers to those communities as they seek easy access to suppliers.

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18. In 2001, Portugal revised the legal sanctions against illicit drug use so the consequences were in proportion to the crimes. Since then, they found a. the number of illicit drug users has remained about the same, and demand on the health care system has stopped growing each year.

b. the quality of illicit drugs has dropped, since drug dealers no longer had to worry about customer loyalty in an era when the consequences for use were lower.

c. there has been a reduced consumption of drugs overall in the past 15 years. d. the number of illicit drugs being smuggled into the country appears to be about the same each year, although interdiction is now easier.

ANSWER: c POINTS: 1 REFERENCES: The Reality of the War on Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.03 - Consider the impact of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1E - Advocacy processes needed to address institutional and social barriers that impede access, equity, and success for clients United States - CSHSE.1g - Skills to analyze and interpret historical data for application in advocacy and social change. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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19. Your text argues that the “war on drugs” can also be viewed as a. an attempt to control the mass public through the media’s portrayal of illicit drug abusers. b. a “war” on those who wish to alter their consciousness in ways deemed inappropriate by certain segments of society.

c. a conflict between those who want all drugs legalized and those who wish to suppress the use of illicit compounds.

d. a way to reduce the demand on the health care system. ANSWER: b POINTS: 1 REFERENCES: The Reality of the War on Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.03 - Consider the impact of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1D - Professional Counseling Orientation and Ethical Practice – The role and process of the professional counselor advocating on behalf of the profession United States - CSHSE.1d - How public and private attitudes influence legislation and the interpretation of policies related to human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 20. In the minds of many, the medicalization of marijuana is a. justified since medical research supports the use of marijuana. b. the same as the legalization of marijuana. c. appropriate for the reasons approved by the federal government. d. an excuse to make all illicit drug use legal. ANSWER: b POINTS: 1 REFERENCES: The Debate over "Medical Marijuana" QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.04 - Review the debate over medical marijuana NATIONAL STANDARDS: United States - CACREP.1D - Professional Counseling Orientation and Ethical Practice – The role and process of the professional counselor advocating on behalf of the profession United States - CSHSE.1d - How public and private attitudes influence legislation and the interpretation of policies related to human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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21. One theory is that if marijuana were to be legalized, it would lose its appeal as a drug of abuse since it would no longer be forbidden and thus no longer a form of rebellion.

a. True b. False ANSWER: True POINTS: 1 REFERENCES: Legalization of Marijuana QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.05 - Understand the status of recreational marijuana NATIONAL STANDARDS: United States - CACREP.1E - Advocacy processes needed to address institutional and social barriers that impede access, equity, and success for clients United States - CSHSE.1f - Exposure to a spectrum of political ideologies. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 22. Globally the illicit drug market has been estimated to be a $500 million per year industry. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Statement of the Problem QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.01 - Understand both sides of the debate related to legalization NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.1g - Skills to analyze and interpret historical data for application in advocacy and social change. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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23. The United States consumes about 90% of the world’s illicit drugs. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Statement of the Problem QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.01 - Understand both sides of the debate related to legalization NATIONAL STANDARDS: United States - CACREP.2A - Social and Cultural Diversity – Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - CSHSE.3f - International and global influences on services delivery. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM 24. Following the start of prohibition, non-homicide crime increased by about 24%. a. True b. False ANSWER: True POINTS: 1 QUESTION TYPE: True / False HAS VARIABLES: False NATIONAL STANDARDS: United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:13 PM

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25. Statutes allowing for criminal prosecutions for any amount of an illegal substance are known as mandatory sentencing statutes.

a. True b. False ANSWER: False POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1E - Advocacy processes needed to address institutional and social barriers that impede access, equity, and success for clients United States - CSHSE.1d - How public and private attitudes influence legislation and the interpretation of policies related to human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:14 PM 26. Discuss some of the unintended consequences of the historical period known as “Prohibition.” ANSWER: No answer provided. POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.1A - Career Development – Theories and models of career development, counseling, and decision making United States - CSHSE.1a - The historical roots of human services. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED:

3/29/2018 3:14 PM

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27. Discuss some of the unintended consequences of today’s “war on drugs.” ANSWER: No answer provided. POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP. - Group Counseling and Group Work – Types of groups and other considerations that affect conducting groups in varied settings DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:14 PM 28. Discuss the consequences of mandatory sentencing laws. ANSWER: No answer provided. POINTS: 1 REFERENCES: The "War" on Drugs: An Ongoing National Disaster QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.02 - Review the history of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.1c - Historical and current legislation affecting services delivery. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:14 PM

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29. Discuss how the “war on drugs” might be considered a failure, even in how some of its “successes” may unintentionally exacerbate the problem.

ANSWER: No answer provided. POINTS: 1 REFERENCES: The Reality of the War on Drugs QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.03 - Consider the impact of the "war on drugs" NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.1c - Historical and current legislation affecting services delivery. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:14 PM 30. Discuss whether you think that the legalization of marijuana is or is not a good step forward for the United States. A complete answer will present both sides of the issue, and emphasize why one is stronger than the other.

ANSWER: No answer provided. POINTS: 1 REFERENCES: Legalization of Marijuana QUESTION TYPE: Essay HAS VARIABLES: False LEARNING OBJECTIVES: DOWE.COCD.19.38.05 - Understand the status of recreational marijuana NATIONAL STANDARDS: United States - CACREP.2H - Social and cultural diversity—Strategies for identifying and eliminating barriers, prejudices, and processes of intentional and unintentional oppression and discrimination United States - CSHSE.1c - Historical and current legislation affecting services delivery. DATE CREATED: 3/29/2018 3:09 PM DATE MODIFIED: 3/29/2018 3:14 PM

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