Ch. 8 Substance Related And Addictive Disorders Flashcards

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1
Q

The diagnosis of substance use disorder requires two or more specific symptoms occurring during the preceding one year. Which of the following is NOT an example of one of the features associated with alcohol abuse?

A. Developing tolerance or withdrawal symptoms associated with alcohol use

B. Using alcohol in a situation that poses a risk to a person’s or others safety

C. An excessive amount of time spent recovering from use

D. Experimenting with cocaine while using alcohol

A

D

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2
Q

True or false

Physical dependence on a drug is not the same thing as addiction

A

True

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3
Q

True or false

Withdrawal syndrome is a physiological not a psychological cluster of symptoms

A

False

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4
Q

True or false

Substance abuse disorders are best understood by investigating the distinctive constellation of factors that apply to each individual case

A

True

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5
Q

The pathway to drug dependence includes all but which of the following stages?

A. Experimentation

B. Routine use

C. Addiction or dependence

D. Toxic use

A

D

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6
Q

Which defense mechanism plays a major role during the routine stage of drug dependence?

A. Denial

B. Regression

C. Displacement

D. Sublimation

A

A

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7
Q

Alcohol has biochemical effects similar to those of a classic of ________

A. Antidepressants

B. Anticoagulants

C. Minor tranquilizers

D. Major tranquilizers

A

C

Similar to benzodiazepine

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8
Q

Alcohol is implicated in about one in _________ reported suicides.

A. Three

B. Five

C. Seven

D. Nine

A

A

Lowers inhibitions and is a depressant

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9
Q

True or false

In order to become psychologically dependent on a drug, you must first develop physiological dependence.

A

False

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10
Q

Risk factors for alcohol dependence are greatest among people of _________ income levels and __________ education levels.

A. Lower, lower

B. Lower, higher

C. Higher, lower

D. Higher higher

A

A

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11
Q

Alcohol appears to brighten the activity of the neurotransmitter __________

A. GABA

B. Endorphin

C. Serotonin

D. Dopamine

A

A

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12
Q

Feral alcohol syndrome has been found among children or mothers who drank was little as ________ of alcohol per week.

A. A drink and a half

B. Three drinks

C. Five drinks

D. Nine drinks

A

A

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13
Q

True or false

There is correlational evidence that might drinking in men and women can lower the risk of heart attacks and strokes.

A

True

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14
Q

True or false

Barbiturates have synergistic effects when combined with alcohol that is 10x more powerful than when either drug is used alone.

A

False: 4x more powerful

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15
Q

Barbiturates ________ create psychological dependence and __________ crest physical dependence in the form of both tolerance and development of withdrawal symptoms.

A. Do not, do not

B. Rapidly, do not

C. Do not, rapidly

D. Rapidly, rapidly

A

D

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16
Q

True or false

Europa in the brain have receptor sites into which opioids fit like a lock and key, and they mimic the action of endorphins in these same receptor sites.

A

True

17
Q

Which of the following is NOT a stimulant?

A. Ecstasy

B. Alcohol

C. Cocaine

D. Nicotine

A

B

18
Q

Smoking _______ the risk of dying before the age of 79.

A. Reduces

B. Has no effect on

C. Slightly increases

D. Doubles

A

D

19
Q

Nicotine stimulates the body by causing a discharge of _________

A. Estrogen

B. Testosterone

C. Epinephrine

D. Dopamine

A

C

20
Q

Marijuana is considered a ________.

A. Depressant

B. Deliriant

C. Hallucinogen

D. Major tranquilizer

A

C

21
Q

Twin studies have found _________ [MZ = monozygotic = identical, DZ = dizygotic = fraternal]

A. No significant correlation for rates of alcoholism in MZ or DZ twins

B. A higher concordance rate of alcoholism in MZ than for DZ twins

C. A higher concordance rate of alcoholism with DZ twins than MZ twins

D. An equal concordance rate of alcoholism for MZ and DZ twins

A

B

22
Q

True or false

Alcoholism, nicotine dependence, and opioid addiction are linked to genes that determine the structure of serotonin receptors in the brain.

A

False

Dopamine

23
Q

Once people become friends physiologically dependent on a drug, and he drug habit is maintained by

A. Positive reinforcement

B. Negative reinforcement

C. Positive punishment

D. Negative punishment

A

B

Relief from withdrawal symptoms

24
Q

Whenever Jean hangs around her “drinking buddies,” she is overwhelmed with cravings to drink alcohol. In the classical conditioning model, her cravings represent ______

A. UCS (unconditioned stimulus)

B. UCR (unconditioned response)

C. CS (conditioned stimulus)

D. CR (conditioned response)

A

D to

25
Q

Whenever Sophie hangs around her “drinking buddies,” she is overwhelmed with cravings to drink alcohol. In the CC model, her “drinking buddies” represent

A. UCR

B. UCS

C. CS

D. CR

A

C

26
Q

In the cognitive perspective, the role of expectancies in supporting drug-related problems can be seen in which of the following factors?

A. “One drink effect”

B. Self-fulfilling prophecy

C. Absolutist thinking

D. All of the above

A

D

27
Q

Each of the following is true of treating people with substance abuse and dependency problems EXCEPT ________

A. They often do jot want to stop and will seek no treatment on their own

B. Detoxification is the most important step toward staying clean

C. Problems related to relapse can be more difficult than problems involved in initial treatment

D. They often have other physiological problems in addition to their substance abuse problems

A

B

Most important: C

28
Q

Relapse prevention training, developed by cognitive behavioral therapists, help substance abusers recognize high risk durations such as which of the following

A. Negative mood states

B. Interpersonal conflict

C. Socially conducive situations

D. All of the above

A

D

29
Q

Each of the following has been recommended as a way of improving the success rate of alcohol treatment plans among ethnic minorities EXCEPT

A. Improve the level of technology that is brought to bear during treatment

B. Incorporate indigenous forms of healing into the treatment process

C. Use counselors from client’s own ethnic group

D. Address all facts of the human being, including racial and cultural identity

A

A

30
Q

True or false

Approximately half of all drug abusers relapse within a year of detoxification.

A

True

31
Q

True or false

Continuing support and structured therapy, such as behavioral counseling, plus possible use of therapeutic drugs, increase the chances of long-term success regarding quitting drug use.

A

True

32
Q

Which of the following is an example of behavioral marital therapy, which seeks to improve marital communication and problem solving skills with the goal of relieving marital stresses that can trigger abuse.

A. Contingency management

B. Aversive conditioning

C. Written behavioral contracts

D. Not socializing with others with substance abuse problems

A

C

33
Q

All of the following characteristics are associated with compulsive gambling EXCEPT

A. Emotional instability

B. Low tolerance for frustration

C. High need for achievement

D. Manipulativeness

A

C

34
Q

True or false

In a sad but ironic twist, people who become dependent on drugs may continue to use them solely because of the relief from withdrawal symptoms and craving they may encounter when they go without the drug.

A

True