Sample Chapter



Addiction Treatment 4th Edition by Katherine – Test Bank 
  1. Make the case that Twelve Step approaches and harm reduction are not polar opposites or even mutually exclusive.



  1. Discuss three major benefits of a harm reduction philosophy for society.



  1. Discuss in depth the methodology used in Project MATCH and the treatment implications of the findings.



  1. Define interactionism and show how the addicted family member’s behavior affects the family system.



  1. According to Shavelson (2001), which three words define harm reduction?


*a. ​any positive change

  1. ​recovery from pain
  2. ​a controlled life
  3. ​I’m in recovery



  1. The DSM-5 has made the following change from the previous version of the DSM:


  1. ​The term dependence will now be used instead of addiction
  2. ​Abuse and dependence are now to be dichotomized
  3. ​Specific criteria for diagnosis will no longer be provided

*d. ​The term dependence will now be used only for physiological dependence



  1. According to the DSM-5 what term or terms replace(s) the word dependence?


  1. ​a personal choice
  2. ​a bad habit
  3. ​a brain disease

*d. ​addiction



  1. Which of the following are NOT typical symptoms defined by the DSM-5 to diagnose substance use disorder:


  1. ​tolerance
  2. ​unsuccessful attempts to control or reduce consumption

*c. ​nervous facial tics

  1. ​withdrawal problems



  1. A behavior pattern of compulsive substance abuse is the definition of:


  1. ​contemporary perspective
  2. ​metacommunication
  3. ​incompatible with the biopsychosocial model

*d. ​the concept of addiction



  1. According to the text, to understand the pain connected with addictive and compulsive behavior, one must:


  1. ​focus on harm reduction

*b. ​understand the pleasure side of the activity

  1. ​emphasize character weakness
  2. ​attend an AA meeting



  1. According to the text, alcoholism is described in this book as an illness because:


*a. ​the concept recognizes alcoholism as both a medical and social problem

  1. ​the use of disease as a term is victim blaming
  2. ​to avoid the notion of alcoholism as a brain disease
  3. ​to increase the popularity of the book



  1. ​As stated in the text, addiction is an illness of the:


  1. ​body only
  2. ​mind only
  3. ​soul only

*d. ​body, mind, and soul



  1. The third leading cause of death after heart disease and cancer is


  1. ​illicit drug use
  2. ​head injuries
  3. ​asthma

*d. ​alcohol misuse



  1. According to the text, the following behaviors can become addictive except for:


  1. ​drug/alcohol use
  2. ​eating
  3. ​shopping

*d. ​studying



  1. A concept that is stressed in the text for its explanatory value is


*a. ​interactionism

  1. ​dichotomization
  2. ​abuse versus misuse
  3. ​codependency



  1. _______________ is the basic principle that cause and effect are intertwined.


*a. ​Interactionism

  1. ​Intolerance
  2. ​Pathology
  3. ​Medical model



  1. Interactionism is seen most vividly, according to the text, in


  1. ​use of robots

*b. ​family system dynamics

  1. ​creating art
  2. ​prayer



  1. According to the text, approximately ____ of mental health clients have problems stemming from their own or their family members’ addiction problems:


  1. ​20%

*b. ​50%

  1. ​80%
  2. ​90%



  1. Approximately ______________ of U.S. prison inmates meet the DSM criteria for substance misuse


  1. ​100,000
  2. ​300,000
  3. ​700,000

*d. ​1.5 million



  1. ​Which of the following treatment modalities was not highly rated in empirical research for effectiveness?


  1. ​self-control and social skills training

*b. ​use of educational tapes, lectures, and films

  1. ​motivational enhancement strategies
  2. ​cognitive therapy



  1. According to the NIAAA (National Institute of Alcohol Abuse and Alcoholism), about how many previously diagnosable alcoholics matured out of their dependence?


  1. ​none
  2. ​only a fraction

*c. ​one third

  1. ​most



  1. According to Hester and Miller’s empirical research, the highest treatment effectiveness scores were obtained for​


  1. ​harsh confrontational techniques

*b. ​motivational enhancement

  1. ​psychoanalytical treatment
  2. ​treatment that focused on the underlying cause of the drinking or drug use



  1. The following are trends in substance abuse treatment today except for


  1. ​chain smoking regarded as an addiction
  2. ​human rights seen as a practical philosophy
  3. ​counseling of clients in moderate drinking

*d. ​public opinion favoring more imprisonment of drug users



  1. The drug court movement promotes what action with individuals whose legal problems are related to their addiction?


*a. ​decarceration – treatment in the community

  1. ​incarceration – treatment in the prison system
  2. ​requirement to serve out the remainder of prison term, in case of relapse
  3. ​moving clients into “wet house”



  1. Human rights apartments for formerly homeless people in San Francisco


  1. ​are abstinence based.

*b. ​reduce costs to the cities by $1,000 per month.

  1. ​actually increase the hospitalization rates of residents
  2. ​have been shown to be cost-ineffective.



  1. Using a holistic basis for measurement, which of the following is considered a standard measurement for successful treatment outcomes?


  1. ​total abstinence as the only standard
  2. ​length of time of abstinence from all psychoactive substances

*c. ​improvement that might include moderate drug/alcohol use

  1. ​ability to secure stable housing



  1. Restorative justice


  1. ​advocates adversarial criminal justice practices.

*b. ​is the guiding philosophy of PEASE academy

  1. ​is an opposing philosophy to harm reduction.
  2. ​uses a hierarchical structure for decision making



  1. Reentry programs focus primarily on


*a. ​persons released from prison

  1. ​aftercare following treatment
  2. ​persons returning to prison after relapse
  3. ​addicted people who have insurance



  1. The DSM-5 uses the term addiction instead of dependence.


*a. True

  1. False



  1. This text examines diverse theoretical frameworks from a strengths perspective.


*a. True

  1. False



  1. The text recommends total abstinence as the best criterion by which to measure treatment success.


  1. True

*b. False



  1. Harm reduction is the approach known for its pragmatism.


*a. True

  1. False



  1. Project MATCH is criticized by researchers for its lack of a control group.


*a. True

  1. False



  1. Restorative justice has its roots in both ancient tribal and modern (Mennonite) practices.


*a. True

  1. False
  1. Discuss male/female differences in terms of the metabolization of alcohol and B.A.C.​ levels.



  1. Discuss the phenomenon of the blackout and the legal implications.



  1. Define and differentiate among tolerance, tolerance reversal and cross tolerance.



  1. Discuss Cloninger’s adoption studies and the characteristics of Type 1 and Type 2 alcoholics.



  1. Using scientific research findings, argue for a hereditary component in addiction.



  1. Which one of these is not a depressant?​


*a. ​nicotine

  1. ​alcohol
  2. ​morphine
  3. ​OxyContin



  1. Heroin is a semi-synthetic derivative of​


  1. ​OxyContin

*b. ​opium

  1. ​cocaine
  2. ​nicotine



  1. The lachrymose drunk, according to Father Martin, is the __________ drunk.​


  1. ​laughing
  2. ​singing
  3. ​fighting

*d. ​crying



  1. The highest level of alcohol use is found among:​


  1. ​19 year olds

*b. ​21 year olds

  1. ​40 year olds
  2. ​65 year olds



  1. Abuse of which of these substances is the leading risk factor for death among youths?​


  1. ​nicotine

*b. ​alcohol

  1. ​cocaine
  2. ​meth



  1. What percentage of patients treated at mental health centers have problems with alcohol and other drugs?​


  1. ​10 percent
  2. ​20 percent

*c. ​60  percent

  1. ​90 percent



  1. Which countries of the following have the highest total per capita consumption in liters of pure alcohol?​


  1. ​China and Japan
  2. ​the United States
  3. ​Germany and Austria

*d. ​Moldova and the Czech Republic



  1. According to research, the only drug that causes addiction in the majority of users is​


  1. ​heroin
  2. ​alcohol

*c. ​nicotine

  1. ​cocaine



  1. The phenomenon associated with aging in which the drinker loses his/her ability to handle alcohol is​


  1. ​tolerance

*b. tolerance reversal

  1. ​withdrawal
  2. ​cross-tolerance



  1. Advice to prevent a hangover is to do all the following except:​


  1. ​avoid darker drinks
  2. ​drink lots of liquids such as water
  3. ​reduce the quantity of alcohol

*d. ​don’t eat and drink at the same time



  1. The movie The Lost Weekend and Mark Twain’s Tom Sawyer were presented in the text to illustrate the phenomenon of​


*a. ​the blackout

  1. ​hangovers
  2. ​binge drinking
  3. ​anhedonia



  1. When a tolerance that develops for one drug generalizes to another drug in the same pharmaceutical class, this is called​


  1. ​tolerance
  2. ​tolerance reversal
  3. ​behavioral tolerance

*d. ​cross-tolerance



  1. Which of these is not an opiate?​


  1. ​heroin
  2. ​morphine

*c. ​Valium

  1. ​Demerol



  1. ___________ is used to block withdrawal symptoms and reduce cravings and is distributed in clinics/hospitals in the US and Britain.​


  1. ​heroin
  2. ​OxyContin

*c. ​methadone

  1. ​morphine



  1. Results from one NIAAA study found all except _______ to be effective in treatment for alcohol dependence.​


  1. ​naltrexone
  2. ​behavioral counseling
  3. ​medication management in cases of co-occurring disorders

*d. ​OxyContin



  1. The inability to feel pleasure is known as​


  1. ​ephedrine

*b. ​anhedonia

  1. ​“chasing the dragon”
  2. ​“speedballing”



  1. A drug used experimentally to treat trauma victims is​


  1. ​PCP
  2. ​nicotine

*c. ​Ecstasy

  1. ​marijuana



  1. This drug activates the very receptors in the brain involved in the increase of appetite:​


  1. ​PCP
  2. ​nicotine
  3. ​Ecstasy

*d. ​marijuana



  1. Of the following prescribed drugs, the one least likely to be associated with getting high is​


*a. ​Antabuse

  1. ​Prozac
  2. ​Methadone
  3. ​Luvox



  1. Ondansetron has been used effectively in treating​


*a. ​alcoholism.

  1. ​hyperactivity disorder.
  2. ​sleep apnea.
  3. ​sleep disorders.



  1. Aversion treatment derives from the ______________ school.​


*a. ​Classical conditioning/behaviorism

  1. ​Carl Rogers
  2. ​cognitive
  3. ​psychodynamic



  1. Naltrexone works by​


*a. ​blocking brain activity that produces a high

  1. ​conditioning
  2. ​producing a synthetic high
  3. ​causing nausea



  1. Confabulation is associated with Korsakoff’s psychosis.​


*a. True

  1. False
  1. Explain the Recovery Management model and why it is important in addressing issues that arise because race, ethnicity, culture, and class.



  1. Discuss why it is that although race is not a biological category, it continues to be widely used.



  1. Explain how social class affects the so-called attributes of ethnicity or culture.



  1. What does the story of Becky and Monique tell us about the path to addiction, the agent of addiction (drug used) and recovery options?



  1. Compare variations (for example immigration history) within various Asian American groups relevant to substance misuse.



  1. Which group has the highest poverty rate for families?


  1. ​Alaskan Natives
  2. ​Asian Americans
  3. ​African Americans

*d. ​Native Americans



  1. Even though Asian Americans in general have a higher educational status and higher income status than other minorities, it is misleading to describe them as a “model minority” because


  1. ​they have a higher rate of alcoholism and drug addiction
  2. ​their low treatment rate may be the result of the lack of culturally relevant services

*c. ​their addiction rates have consistently been under-reported in the prevalence studies

  1. ​they uniformly lack the enzyme aldehyde dehydrogenase



  1. Among current Native American adults who drink alcohol, the prevalence rate


*a. ​varies a great deal

  1. ​is the same as the general population
  2. ​is lower than the general population
  3. ​has never been measured



  1. Which factor is not considered a hallmark of effective treatment with Asians with substance abuse problems?


  1. ​screening with culturally sensitive instruments at community events
  2. ​culturally competent staff who speak the language of the client

*c. ​use of Narrative therapy as an intervention

  1. ​use of Motivational interviewing as an intervention



  1. Protective factors among young, low-income, Mexican American women include


  1. ​the breakdown of the family of origin and extended kinship networks
  2. ​the survival of poverty
  3. ​an attitude of fatalism

*d. ​the responsibility of providing family connection and care of the children



  1. Among Native Americans and Alaska Natives, which of the following is not a factor in varied drinking and drug use rates?


  1. ​tribe
  2. ​rural
  3. ​urban

*d. ​intelligence



  1. People who identified themselves as “Asian American” include all groups except:


  1. ​Filipinos
  2. ​Vietnamese
  3. ​Hmong

*d. ​Samoans



  1. Which factor does not account for the low rate of alcohol/drug misuse for the Asian/Pacific Islander group?


  1. ​national database surveys have ignored this group and consistently put Asian/Pacific Islanders in the category of “Other”
  2. ​the lack of culturally relevant services which reduces the treatment rate
  3. ​methodological weaknesses in the research that has resulted in an underestimation of the levels of substance misuse and dependency

*d. ​Asians are the “model minority” without many addiction problems



  1. ​The most recent median income figures (United States Census, 2015b) indicate that_________ households have the highest median income of any racial group, that is, $100,547.


  1. Latino

*b. Indian Americans

  1. African American
  2. non-Hispanic white



  1. Compared to the average national poverty rate of 15.9%, the average poverty rate for American Indians and Alaskan Natives is


*a. ​29.2%

  1. ​20.1%
  2. ​13%
  3. ​39.2%



  1. As related by Raymond Slick, an American Indian, sobriety is the traditional way. His philosophy is called


*a. ​The Red Road

  1. ​ancestor worship
  2. ​tribal essence
  3. ​spiritual recovery



  1. The term “Hispanic” or “Latino” describes a population that includes the following subgroups except


  1. ​Mexican Americans
  2. ​Cuban Americans
  3. ​Central Americans

*d. ​Jamaicans



  1. Results from the National Survey on Drug Use and Health (SAMHSA, 2014a) indicate that among persons aged 12 or older, the rate of substance abuse was highest among


*a. ​American Indians and Alaska Natives

  1. ​Asians
  2. ​Latinos
  3. ​African Americans



  1. The term “historical trauma” was originally used by


*a. ​Maria Yellow Horse Brave Heart.

  1. ​Ja and Aoki.
  2. ​van Wormer.
  3. ​Lee and Mock



  1. The use of traditional cultural and spiritual practices in Native American treatment


  1. ​is the only effective method of treatment with this population

*b. ​needs more systematic evaluation before we can assess the efficacy of this approach

  1. ​is not at all effective with this population



  1. The concept of culture


  1. ​is not difficult to define

*b. ​refers to learned values, behaviors, and beliefs that are shared by other group members

  1. ​does not impact our beliefs about the use of alcohol, drugs, and gambling
  2. ​is never a barrier to receiving professional help with addiction problems



  1. A skill that is not particularly helpful for counselors in developing culturally sensitive practice is:


  1. ​networking
  2. ​advocacy

*c. ​confrontation

  1. ​building rapport



  1. Gambling in the U.S. expanded rapidly since


  1. ​the Supreme Court ruling of 1975

*b. ​the passage of the 1988 Indian Gaming Regulatory Act

  1. ​the development of electronic Keno games
  2. ​the Great Lakes vs. Prescott case was decided



  1. The incidence of problem gambling is higher in


*a. ​people of low socioeconomic status

  1. ​whites than among racial and ethnic minorities
  2. ​rural rather than urban residents
  3. ​southern states than among northern states



  1. An intervention approach, if it is truly effective, will work well universally.


  1. True

*b. False



  1. “The myth of the ‘model minority’” is a term applied to Native Hawaiians.


  1. True

*b. False



  1. Data from school surveys indicate that drug use is higher among Asian youth than among other adolescent groups.


  1. True

*b. False



  1. The “immigrant paradox” is when foreign-born immigrant family members are found to have few problems than their U.S. born children who are moving toward acculturation.


*a. True

  1. False



  1. Most drug and alcohol treatment programs for Hispanic clients employ cultural responsiveness in their programming.


  1. True

*b. False