Substance Use Disorder Test Bank Flashcards

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1
Q

Approximately __________ percent of Americans report using alcohol at least once per month.

a) 25
b) 50
c) 75
d) 90

A

b) 50

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2
Q

The DSM-5 refers to the pathological use of substances as

a) substance abuse
b) substance dependence
c) substance use disorder
d) none of the above

A

c) substance use disorder

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3
Q

The DSM-5 has added __________ to the criteria for pathological substance abuse.

a) craving for substance
b) desire for high feelings
c) risky behavior
d) none of the above

A

a) craving for substance

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4
Q

The criteria for substance use disorder in the DSM-5 include all of the following EXCEPT

a) failure to meet obligations.
b) repeated legal problems having to do with substance use.
c) repeated sales of illegal substances
d) tolerance

A

c) repeated sales of illegal substances

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5
Q

Catherine has been unable to obtain or use crack for several weeks because she has had no money. She went through withdrawal symptoms when she was unable to take her usual dose. She craves the drug all the time and is constantly searching for ways to get some. Her efforts to obtain crack have seriously interfered with her ability to work and take care of her children. Which of the following DSM-5 diagnoses would best fit Catherine’s symptoms?

a) substance abuse
b) substance use disorder
c) substance dependence
d) Catherine does not qualify for a diagnosis since she has not used the drug for the past month

A

b) substance use disorder

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6
Q

Wanda drinks frequently and requires more alcohol now than she did six months ago to achieve the same effect. She reports that she can out-drink most people. Wanda is probably

a) genetically predisposed to alcoholism.
b) developing a physiological dependence on alcohol.
c) acquiring behavioral skills in modulating her drinking.
d) deluding herself. This is not physically possible.

A

b) developing a physiological dependence on alcohol.

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7
Q

Carlos suddenly stopped taking amphetamines after prolonged abuse of the drug. He became very ill and died. His death is an example of severe

a) substance dependence.
b) substance abuse.
c) withdrawal symptoms.
d) synergistic effects.

A

c) withdrawal symptoms.

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8
Q

Delirium tremens refers to

a) a symptom of conversion disorder.
b) the symptoms that accompany an overdose of heroin.
c) the symptoms that may accompany withdrawal from alcohol.
d) the hallucinations common in schizophrenia.

A

c) the symptoms that may accompany withdrawal from alcohol.

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9
Q

Delirium tremens may result from

a) a sudden drop in alcohol levels in a chronic heavy drinker.
b) high doses of alcohol in a person who has not previously drunk heavily.
c) high doses of alcohol in a chronic heavy drinker.
d) All of the above can cause the symptoms of delirium tremens

A

a) a sudden drop in alcohol levels in a chronic heavy drinker.

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10
Q

Which neurotransmitter has been implicated in alcohol tolerance?

a) serotonin
b) dopamine
c) norepinephrine
d) GABA

A

d) GABA

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11
Q

Among college students, binge drinking is more common in

a) men.
b) women.
c) the prevalence of binge drinking is equal in men and women.
d) state schools versus private schools.

A

a) men.

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12
Q

Alcohol dependence is particularly high among which of the following groups?

a) Hispanics and Asian Americans
b) African Americans and Whites
c) Native Americans and Hispanics
d) Asian Americans and African Americans

A

c) Native Americans and Hispanics

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13
Q

Alcohol goes from the stomach into the __________ and is absorbed into the blood, after which it is metabolized by the __________.

a) small intestine; kidneys
b) small intestine; liver
c) gall bladder; liver
d) pancreas; kidneys

A

b) small intestine; liver

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14
Q

Which of the following persons will be most affected by two ounces of alcohol?

a) A 195-pound woman who just ate a Big Mac.
b) A 150-pound man who has an empty stomach.
c) A 125-pound woman who has an empty stomach.
d) All the above people will be similarly affected by two ounces of alcohol.

A

c) A 125-pound woman who has an empty stomach.

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15
Q

The initial effect of alcohol is

a) depressive.
b) sedating.
c) anxiety producing.
d) pleasurable feeling

A

d) pleasurable feeling

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16
Q

Cirrhosis of the liver due to alcohol abuse is characterized by

a) liver cells becoming engorged with fat and protein.
b) an increased efficiency of alcohol absorption with a corresponding decrease in blood-cell reproduction.
c) a decreased efficiency in absorption due to liver atrophy.
d) None of the above.

A

a) liver cells becoming engorged with fat and protein.

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17
Q

Heavy drinkers

a) suffer malnutrition from reduced food intake.
b) suffer malnutrition by alcohol blocking proper absorption of nutrients.
c) experience vitamin deficiencies.
d) All of the above.

A

d) All of the above.

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18
Q

Pregnant women have been encouraged by the National Institute on Alcohol Abuse and Alcoholism to

a) totally abstain from drinking.
b) not alter their drinking habits.
c) drink now and again, but only during the third trimester of pregnancy.
d) reduce their drinking to no more than several drinks a day.

A

a) totally abstain from drinking.

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19
Q

Which of the following statements is true?

a) All fetuses exposed to alcohol will have cognitive problems later in life.
b) The National Institute on Alcohol Abuse and Alcoholism counsels total abstention from alcohol consumption during pregnancy as the safest course.
c) Research indicates that moderate drinking has no effect on the fetus.
d) The National Institute on Alcohol Abuse and Alcoholism has concluded that mild drinking is harmless for pregnant women.

A

b) The National Institute on Alcohol Abuse and Alcoholism counsels total abstention from alcohol consumption during pregnancy as the safest course

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20
Q

Research has found that mild levels of alcohol consumption

a) could lead to alcohol dependence in women who have experienced a stressful event.
b) could lead to cirrhosis.
c) is correlated to better dietary habits and therefore longer lifespan.
d) is correlated to decreased risk for coronary heart disease.

A

d) is correlated to decreased risk for coronary heart disease.

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21
Q

Nicotine is the addicting agent in

a) marijuana.
b) hashish.
c) tobacco.
d) cocaine.

A

c) tobacco.

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22
Q

Nicotine ultimately stimulates __________, which are implicated in the reinforcing effects of smoking.

a) muscarinic receptors
b) dopamine receptors
c) GABA receptors
d) serotonin receptors

A

b) dopamine receptors

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23
Q

Which of the following are medical problems associated with long-term cigarette smoking?

a) emphysema
b) cancer of the esophagus
c) cancer of the larynx
d) all of the above

A

d) all of the above

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24
Q

Cigarette smoking is most prevalent among which of the following groups?

a) Caucasian adolescents
b) African American adolescents
c) Asian American adolescents
d) None of the above − smoking is equally prevalent among these groups

A

a) Caucasian adolescents

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25
Q

Exposure of a nonsmoker to secondhand smoke

a) is less harmful than smoking because of the lower levels of nicotine and tar in secondhand smoke.
b) has been shown to have far fewer negative effects than the media suggest.
c) can lead to lung damage.
d) has negative effects on the fetuses of pregnant nonsmokers but not on the women themselves.

A

c) can lead to lung damage

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26
Q

Hashish is

a) derived from resin after smoking marijuana.
b) derived from resin from cannabis plants.
c) based upon a mixture of marijuana and heroin.
d) milder than marijuana.

A

b) derived from resin from cannabis plants.

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27
Q

Marijuana comes from the __________ plant.

a) cannabis sativa
b) cannabis marija
c) marija cannabis
d) cannabis hempa

A

a) cannabis sativa

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28
Q

Epidemiology data have shown that marijuana use is nearly twice as common

a) in women than men.
b) among Asian Americans than among Caucasians.
c) now than it was in 1997.
d) in men than women.

A

d) in men than women.

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29
Q

Which of the following statements about the “stepping-stone” theory of drug use is most accurate?

a) Most people who use “soft” drugs will move on to try “harder” drugs.
b) Most people who use “hard” drugs started out on “softer” drugs.
c) There is no difference between “hard” and “soft” drugs.
d) There is no relationship between the use of “hard” and “soft” drugs.

A

b) Most people who use “hard” drugs started out on “softer” drugs.

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30
Q

The “stepping-stone” theory of drug use is also called the

a) correlational theory.
b) multi-determined theory.
c) social facilitation theory.
d) gateway theory.

A

d) gateway theory.

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31
Q

Which of the following is mentioned in the text as a complicating factor in interpreting findings from studies of the effects of marijuana?

a) Marijuana contains many compounds.
b) Many users are polydrug abusers.
c) Effects vary widely with potency and dose.
d) Its problems were recognized only recently

A

c) Effects vary widely with potency and dose.

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32
Q

Long-term marijuana use may result in __________, even long after one stops using.

a) visual processing difficulties
b) short-term memory impairment
c) decreased attention span
d) increased agitation

A

b) short-term memory impairment

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33
Q

Recent research regarding marijuana suggests

a) that it is not at all addictive.
b) it may be addictive; tolerance and withdrawal symptoms are found in some cases.
c) there are clearly withdrawal symptoms.
d) it is not as dangerous as previously believed

A

b) it may be addictive; tolerance and withdrawal symptoms are found in some cases.

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34
Q

Smoking marijuana has been shown to

a) seriously impair lung structure and function.
b) cause fatal heart attacks in healthy young men.
c) lead to stroke.
d) have no significant physically deleterious effects.

A

a) seriously impair lung structure and function.

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35
Q

The benefit of marijuana when used for chronic illnesses is primarily to

a) reduce nausea for patients undergoing chemotherapy.
b) increase immune function.
c) improve attention and maintain medication adherence.
d) prevent additional infection

A

a) reduce nausea for patients undergoing chemotherapy.

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36
Q

Heroin is broadly classified as a

a) hallucinogen.
b) pain killer.
c) stimulant.
d) barbiturate.

A

b) pain killer.

37
Q

Which of the following best describes the change in the prevalence of heroin use in recent years?

a) The prevalence of heroin use has stayed the same.
b) The prevalence of heroin use has increased significantly in the past 5 years among men and women, usually after using prescription pain medicines.
c) The prevalence of heroin use has decreased in women.
d) The prevalence of heroin use has decreased dramatically across most groups.

A

b) The prevalence of heroin use has increased significantly in the past 5 years among men and women, usually after using prescription pain medicines.

38
Q

Mark is experiencing the following symptoms after taking a drug: he feels an initial rush of ecstasy, has great self-confidence and has lost all his worries and fears. At the same time, he is feeling drowsy and relaxed. Which of the following drugs is Mark most likely to have taken?

a) heroin
b) alcohol
c) marijuana
d) cocaine

A

a) heroin

39
Q

After the effects of heroin wear off, the user typically

a) feels drowsy.
b) becomes extremely hungry.
c) experiences a letdown, often almost a stupor.
d) a heightened sense of awareness.

A

c) experiences a letdown, often almost a stupor.

40
Q

Heroin addiction and crime are thought to be highly correlated because

a) the drug causes loss of a moral sense, and sociopathy develops.
b) criminals are more likely to become drug addicts than non-criminals because of their association with people in the “black-market” drug trade.
c) addicts commit crimes in order to raise money to buy drugs.
d) addicts do not actually commit more crimes but are arrested more often because their behavior while on the drug is disruptive.

A

c) addicts commit crimes in order to raise money to buy drugs.

41
Q

Cocaine is classified as a(n)

a) opiate.
b) stimulant.
c) barbiturate.
d) hallucinogen.

A

b) stimulant.

42
Q

Tim works at a law firm where he is expected to bring in a large number of cases each week. He has been working at this job for five years, typically putting in 70 hours a week. He has begun to experience irritability and has begun to drink alcohol in the evening in order to get to sleep. Based on this information, if he were taking any other drug, it would most likely be

a) sedatives.
b) amphetamines.
c) hallucinogens.
d) pain killers.

A

b) amphetamines.

43
Q

Jolynn took a drug that caused the following symptoms: she felt wide-awake and friendly, and had no interest in lunch despite not having eaten since the night before. After taking a second dose of the drug, she became nervous and confused and developed a severe headache. Which of the following drugs did Jolynn probably take?

a) alcohol
b) marijuana
c) barbiturates
d) amphetamines

A

d) amphetamines

44
Q

Which of the following are withdrawal symptoms from caffeine?

a) headaches
b) anxiety
c) fatigue
d) all of the above

A

d) all of the above

45
Q

Chronic use of methamphetamine

a) was condoned by Freud.
b) is rarely correlated with use of other drugs.
c) actually enhances cognitive abilities.
d) may result in smaller hippocampal volume.

A

d) may result in smaller hippocampal volume.

46
Q

One of the difficulties in conducting studies of the specific effects of methamphetamine is that

a) its use is very rare.
b) many users have also used other substances.
c) individuals who use it are particularly likely to also use crack.
d) most users live in rural areas.

A

b) many users have also used other substances.

47
Q

In the 1980s a new form of cocaine in rock-crystal form was introduced and called

a) amphetamine.
b) methamphetamine.
c) crack.
d) freebase.

A

c) crack.

48
Q

A recent study indicated that there were four times more hospital ER visits for __________ than for prescription painkillers.

a) heroin
b) amphetamine
c) marijuana
d) cocaine

A

d) cocaine

49
Q

LSD is a(n)

a) amphetamine.
b) methamphetamine.
c) stimulant.
d) hallucinogen.

A

d) hallucinogen.

50
Q

The drug Ecstasy is classified as a

a) stimulant.
b) barbiturate.
c) hallucinogen.
d) marijuana.

A

c) hallucinogen.

51
Q

After taking a certain drug, Hal began feeling that time was passing very slowly, and he began having profound thoughts about the nature of time and the universe. While this first experience was at first deeply moving, leading to feelings of elation, the next time Hal tried this drug, he felt anxious and depressed. What drug did Hal probably take?

a) marijuana
b) ecstasy
c) heroin
d) cocaine

A

b) ecstasy

52
Q

PCP is also known as

a) ecstasy.
b) meth.
c) weed.
d) angel dust.

A

d) angel dust.

53
Q

A colorless gas that produces lightheadedness and a state of euphoria is known as:

a) nitrous oxide.
b) laughing gas.
c) oxygen nitride.
d) both a and b.

A

d) both a and b.

54
Q

Research on the genetic contribution of drug abuse has shown that

a) genetic risk factors are stronger for “hard” drugs, such as stimulants and hallucinogens.
b) genetic risk factors appear to be the same, no matter what the drug.
c) genetic risk is strongest for alcohol.
d) only marijuana use has been shown to be unrelated to genetic risk.

A

b) genetic risk factors appear to be the same, no matter what the drug.

55
Q

Recent research suggests that the tendency to smoke may be controlled in part by

a) baseline levels of serotonin.
b) a gene that regulates the reuptake of dopamine.
c) a deficiency in dopamine.
d) a brain area that regulates both serotonin and dopamine

A

b) a gene that regulates the reuptake of dopamine.

56
Q

Nearly all drugs, including alcohol, stimulate

a) sensation-seeking pathways.
b) GABA pathways.
c) serotonin systems in the brain.
d) dopamine systems in the brain.

A

d) dopamine systems in the brain.

57
Q

The incentive-sensitization theory of substance dependence considers

a) cravings for the substance and the pleasure that comes with taking the substance.
b) the extremes a person will go to obtain the substance.
c) the age of a person when they first use the substance.
d) how much a person likes the substance.

A

a) cravings for the substance and the pleasure that comes with taking the substance.

58
Q

If a drug is used largely because it decreases negative mood, then the psychological effect of that drug is considered

a) negatively reinforcing.
b) positively reinforcing.
c) non-addictive.
d) a mood stabilizer.

A

a) negatively reinforcing.

59
Q

Recent research has found that alcohol

a) increases negative emotions and lessens positive emotions in response to anxiety provoking situations.
b) increases positive emotions in response to anxiety provoking situations.
c) lessens negative emotions and lessens positive emotions in response to anxiety provoking situations.
d) increases negative and positive emotions

A

c) lessens negative emotions and lessens positive emotions in response to anxiety provoking situations

60
Q

Although it has been shown that alcohol does not have a consistent effect upon stress, people continue to drink as a means to alleviate stress because

a) they expect it to help.
b) others suggest drinking to unwind.
c) drinking is more socially acceptable than consuming other drugs.
d) they are unaware of the severity of life stress they are experiencing.

A

a) they expect it to help.

61
Q

What has been shown to be related to the changes in marijuana consumption among high school students?

a) Social factors that foster marijuana use, such as joblessness or economic factors.
b) Media images supporting cigarette smoking.
c) Lowered purity of marijuana available in the market.
d) Beliefs that the risks associated with marijuana smoking are low.

A

d) Beliefs that the risks associated with marijuana smoking are low.

62
Q

In regard to personality factors that may influence substance abuse, one study involved rating kindergarten children on several personality traits and following up with them several years later. In this study __________ in kindergarten predicted the onset of getting drunk, using drugs, and smoking at follow-up.

a) depression and novelty seeking
b) anxiety and extraversion
c) depression and introversion
d) anxiety and novelty seeking

A

d) anxiety and novelty seeking

63
Q

Research has suggested that in cultures or social contexts where heavy drinking is considered normal,

a) there are lower consumption rates.
b) there are higher consumption rates.
c) women are less likely to become alcoholics than women in cultures where drinking is discouraged.
d) men in the lower social classes are more likely to become alcoholics.

A

b) there are higher consumption rates.

64
Q

An important sociocultural variable that has been cited in the increased use of cigarettes has been

a) the role of the family in providing implicit messages regarding smoking.
b) rebound effects from the end of ‘just say no’ campaigns.
c) the media and advertising.
d) the restriction of places where one may smoke.

A

c) the media and advertising.

65
Q

A major goal of inpatient hospital-based treatment for alcohol abuse is

a) to focus upon sobriety as a major criteria for discharge.
b) helping the individual admit there is a problem.
c) increasing nutrition and creating a behavior that inhibits alcohol consumption.
d) detoxification.

A

d) detoxification.

66
Q

Alcoholics Anonymous programs are run by

a) psychiatrists or psychologists.
b) the participants themselves.
c) mental health professionals who are themselves recovering alcoholics.
d) trained paraprofessionals

A

b) the participants themselves.

67
Q

The treatment goal of Alcoholics Anonymous is

a) to help people cope with their spouse’s or parent’s drinking.
b) to change public perceptions of alcohol and alcoholism.
c) to learn to drink socially without becoming drunk.
d) to achieve abstinence from drinking.

A

d) to achieve abstinence from drinking.

68
Q

Belief in the spiritual aspects of Alcoholics Anonymous has been found to

a) be important for success in remaining abstinent.
b) lead to a fatalism that actually interferes with combating alcohol dependence.
c) play an insignificant role in the success of the program.
d) no research has been done on this aspect of the program.

A

a) be important for success in remaining abstinent.

69
Q

The first step of AA is

a) We admitted we were powerless over alcohol − that our lives had become unmanageable.
b) We came to believe that a power greater than ourselves could restore us to sanity.
c) We made a searching and fearless moral inventory of ourselves.
d) We admitted our addiction to ourselves and others in order to get help.

A

a) We admitted we were powerless over alcohol − that our lives had become unmanageable.

70
Q

Contingency management is a treatment for alcohol dependency that involves

a) teaching people and those close to them to reinforce behaviors inconsistent with drinking.
b) teaching families of alcoholics to express their love only when the alcoholic is not drinking.
c) providing tokens when the alcoholic abstains from drinking for a certain amount of time.
d) going through a 12-step alcohol abstinence program.

A

a) teaching people and those close to them to reinforce behaviors inconsistent with drinking.

71
Q

Jared is receiving guided self-change therapy for his alcohol abuse. Accordingly, he is also learning strategies for controlling his behaviors associated with drinking, as well as actual drinking. In such a program, which of the following would NOT be a factor?

a) The encouragement of minor behavioral changes (e.g., not driving past bars)
b) Calculating the amount of money spent on alcohol per year
c) Achieving recognition that he has become completely powerless over alcohol
d) Utilizing an empathic, supportive approach

A

c) Achieving recognition that he has become completely powerless over alcohol

72
Q

Antabuse is a medication for those with alcoholism which

a) reduces anxiety during the detoxification period.
b) helps replace the nutrients lost through malnutrition.
c) mimics the physiological effects of alcohol without creating the same psychological effects.
d) causes violent vomiting when alcohol is ingested.

A

d) causes violent vomiting when alcohol is ingested.

73
Q

Which of the following is a risk of administering drugs to alcoholics as a means of treating their symptoms?

a) The person is simply seeking a chemical cure when the cause may be psychological
b) Making the person believe that taking a substance is necessary to solve the problem
c) Many of the recommended medications also have unpleasant side effects that are compounded by the withdrawal from alcohol
d) All of the above

A

d) All of the above

74
Q

One treatment that works for many smokers who want to quit is:

a) quitting cold turkey.
b) the help of hypnosis.
c) scheduled smoking.
d) methadone treatment.

A

c) scheduled smoking.

75
Q

The goal of scheduled smoking is

a) gradual reduction in nicotine intake.
b) controlled smoking, in which smoking continues but much more moderately.
c) to help smokers quit abruptly by scheduling a ‘stop smoking’ day in advance.
d) identification of triggers associated with smoking.

A

a) gradual reduction in nicotine intake.

76
Q

A risk associated with nicotine gum is

a) that the flavor prevents many people from completing a program of use designed to quit smoking.
b) that it can increase blood pressure, leading to health risks for those with cardiovascular diseases.
c) negative interactions with other prescription drugs.
d) its resemblance to other candies, making it appealing to children

A

b) that it can increase blood pressure, leading to health risks for those with cardiovascular diseases.

77
Q

How effective are nicotine gum and patches in helping smokers quit?

a) highly effective as a primary treatment
b) largely ineffective even as a supplement to other programs
c) moderately effective, as side-effects cause many to discontinue their use
d) moderately effective when combined with psychological treatment

A

d) moderately effective when combined with psychological treatment

78
Q

Which of the following have been used in treatment for smoking cessation?

a) antidepressants
b) anxiolytics
c) stimulants
d) acetaminophen

A

a) antidepressants

79
Q

A first step for treating people dependent on drugs is

a) helping them identify why they began to use drugs.
b) detoxification.
c) helping them understand why the drug is not good for them.
d) committing to abstinence.

A

b) detoxification.

80
Q

Studies of contingency management for cocaine abuse find that it is

a) largely ineffective.
b) less effective than pharmacological interventions.
c) associated with a greater likelihood of abstinence and a better quality of life for people receiving the treatment.
d) none of the above – this treatment has not been used for cocaine abuse.

A

c) associated with a greater likelihood of abstinence and a better quality of life for people receiving the treatment.

81
Q

A difficulty in studying residential treatment programs for drug abuse is that

a) most residences are secretive and unwilling to allow research activity.
b) addicts at such settings are not severely addicted.
c) patients are at these settings voluntarily, and therefore these addicts represent a minority of the actual addict population.
d) the number of patients entering such settings changes slowly, making it difficult to obtain an adequate number of participants.

A

c) patients are at these settings voluntarily, and therefore these addicts represent a minority of the actual addict population.

82
Q

Treatment for heroin addiction often involves

a) ibuprofen.
b) antidepressants.
c) methadone.
d) immediate abstinence.

A

c) methadone.

83
Q

Why do some believe that the new prescription drug Suboxone is a superior treatment for heroin dependence?

a) It is only mildly addictive
b) The effects last longer than methadone
c) Individuals do not have to visit a clinic to receive this medication
d) All of the above

A

d) All of the above

84
Q

Changing beliefs about the prevalence of smoking in young people

a) appears to be an effective strategy in delaying the onset of smoking.
b) has shown little promise in delaying the onset of smoking.
c) actually increases smoking in young people.
d) is less effective than resistance training, such as DARE.

A

a) appears to be an effective strategy in delaying the onset of smoking.

85
Q

A new disorder in the Substance Use and Addictive Disorders DSM-5 chapter is

a) Gambling disorder
b) Substance Abuse with Psychological Dependence
c) Sex Addiction
d) Internet Gaming Disorder

A

a) Gambling disorder

86
Q

Which of the following statements is FALSE concerning electronic cigarettes?

a) They are less harmful than smoking because of the lower levels of nicotine and tar in secondhand smoke.
b) They are battery operated.
c) They are made of plastic or metal and are filled with liquid nicotine that is mixed with other chemicals and often with flavors.
d) . All these statements are true.

A

a) They are less harmful than smoking because of the lower levels of nicotine and tar in secondhand smoke.

87
Q

Which disorder in the DSM-5 includes marijuana?

a) Cannabis use disorder
b) Alcohol use disorder
c) Stimulant use disorder
d) Hallucinogen use disorder

A

a) Cannabis use disorder

88
Q

Which of the following strategies has been used to “prevent” drug use by children and adolescents?

a) Peer-pressure resistance training.
b) Correction of beliefs and expectations.
c) Inoculation against mass media messages..
d) All of these are preventive strategies

A

d) All of these are preventive strategies