Principles of Drug Addiction Treatment_Bundle

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1. Addiction affects multiple brain circuits including those involved in:

a. reward and motivation

b. learning and memory

c. inhibitory control over behavior

d. all of the above

2. Research indicates that most addicted individuals require at least _____ in treatment to significantly reduce or stop their drug use and that the best outcomes occur with longer durations of treatment.

a. one month

b. three months

c. nine months

d. twelve months

3. For individuals addicted to nicotine, _____ can be an effective component of treatment when part of a comprehensive behavioral treatment program.

a. naltrexone

b. acamprosate

c. varenicline

d. disulfiram

4. Although medically assisted detoxification can safely manage the acute physical symptoms of withdrawal, detoxification alone is rarely sufficient to help addicted individuals achieve long-term abstinence.

a. True

b. False

5. Long-term drug use results in significant changes in brain function that can persist long after the individual stops using drugs.

a. True

b. False

6. Components of comprehensive drug abuse treatment include:

a. substance use monitoring

b. case management

c. self-help/peer support groups

d. all of the above

7. Group therapy can provide social reinforcement and help enforce behavioral contingencies that promote abstinence and a non-drug-using lifestyle.

a. True

b. False

8. The relapse rate for patients in substance abuse treatment is approximately:

a. 20-30%

b. 30-40%

c. 40-60%

d. 60-80%

9. The cost of substance abuse in the United States amounts to over _____ dollars annually.

a. 500 billion

b. 600 billion

c. 700 billion

d. 800 billion

10. According to several conservative estimates, every dollar invested in addiction treatment yields a return of between _____ dollars in reduced drug-related crime, criminal justice costs, and theft.

a. 2-5

b. 3-6

c. 4-7

d. 5-8

11. Individual factors related to treatment engagement and retention include:

a. motivation to change drug-using behavior

b. degree of support from family and friends

c. pressure from the criminal justice system, child protection services, employers or family

d. all of the above

12. 21.6 million persons aged 12 or older needed treatment for an illicit drug or alcohol use problem, but only _____ received treatment at a substance abuse facility.

a. 1.3 million

b. 2.3 million

b. 3.3 million

b. 4.3 million

13. It is estimated that about _____ of State and Federal prisoners abuse or are addicted to drugs, but relatively few receive treatment while incarcerated.

a. 25%

b. 35%

c. 50%

d. 75%

14. Research has demonstrated that individuals who enter treatment under legal pressure have outcomes as favorable as those who enter treatment voluntarily.

a. True

b. False

15. Smoking during pregnancy can increase risk of:

a. infant mortality

b. sudden infant death syndrome

c. slowed fetal growth

d. all of the above

16. Buprenorphine, a medication for treating opioid addiction, has been approved by the FDA for use with adolescents.

a. True

b. False

17. An estimated _____ people met criteria for abuse of or dependence on prescription drugs, the second most common illicit drug use after marijuana.

a. 1.4 million

b. 1.9 million

c. 2.4 million

d. 2.9 million

18. Tolerance refers to:

a. the inability to stop using a drug

b. failure to meet work, social or family obligations

c. requiring more of a drug to achieve a certain effect

d. the presence of physical or psychological symptoms when drug use is abruptly discontinued

19. Methadone and buprenorphine:

a. are administered orally or sublingually

b. have gradual onsets of action

c. dampen or suppress the euphoric effects of heroin

d. all of the above

20. Injection drug users who do not enter treatment are up to _____ times more likely to become infected with HIV than those who enter and remain in treatment.

a. 2

b. 4

c. 6

d. 8

21. The _____ model focuses on the "resocialization" of the individual with planned lengths of stay between 6 and 12 months.

a. ambulatory detoxification

b. therapeutic community

c. criminal justice

d. methadone maintenance

22. _____ programs are more suitable for people with jobs or extensive social supports.

a. Long-term residential treatment

b. Therapeutic community

c. Outpatient treatment

d. Methadone maintenance

23. Individuals under legal coercion tend to stay in treatment longer and do as well as or better than those not under legal pressure.

a. True

b. False

24. Methadone is a long-acting synthetic opioid agonist medication that can _____ in opioidaddicted individuals.

a. prevent withdrawal symptoms

b. reduce craving

c. block the effects of illicit opioids

d. all of the above

25. _____, combines buprenorphine with naloxone, lessening the likelihood that the drug will be abused or diverted to others.

a. Naltrexone

b. Suboxone

c. Zyban

d. Chantix

26. Buprenorphine treatment for detoxification and/or maintenance can be provided in office based settings by qualified physicians who have received a waiver from the Drug Enforcement Administration (DEA).

a. True

b. False

27. Recently, a long-acting injectable version of naltrexone, called _____, was approved to treat opioid addiction.

a. chantix

b. suboxone

c. vivitrol

d. zyban

28. A variety of nicotine replacement therapies now exist including:

a. the transdermal nicotine patch

b. nicotine spray

c. nicotine lozenges

d. all of the above

29. _____ is the most recently FDA-approved medication for smoking cessation.

a. Chantix

b. Suboxone

c. Vivitrol

d. Disulfiram

30. _____ acts on the GABA and glutamate neurotransmitter systems and is thought to reduce symptoms of protracted withdrawal such as insomnia and restlessness in alcohol-addicted individuals.

a. Disulfiram

b. Acamprosate

c. Zyban

d. Vivitrol

31. _____ interferes with the degradation of alcohol producing very unpleasant reactions if a person drinks alcohol including flushing, nausea, and palpitations.

a. Acamprosate

b. Disulfiram

c. Naltrexone

d. Topiramate

32. A central element of _____ is anticipating likely problems and enhancing patients' self-control by helping them develop effective coping strategies.

a. contingency management interventions

b. motivational incentives

c. cognitive-behavioral therapy

d. community reinforcement approaches

33. Techniques of cognitive-behavioral therapy include:

a. exploring the positive and negative consequences of continued drug use

b. self-monitoring to identify situations that might put one at risk for use

c. developing strategies for coping with cravings

d. all of the above

34. _____ principles involve giving patients tangible rewards to reinforce positive behaviors such as abstinence.

a. Contingency management

b. Matrix model

c. Cognitive-behavioral

d. Community reinforcement

35. The Therapeutic Education System (TES), a computer-based version of _____ was found to be nearly as effective as treatment administered by a therapist in promoting abstinence from opioids and cocaine in outpatient treatment.

a. contingency management interventions

b. matrix model interventions

c. community reinforcement approaches

d. cognitive-behavioral interventions

36. _____ is a counseling approach that helps individuals resolve their ambivalence about engaging in treatment and stopping their drug use.

a. Contingency management

b. Motivational enhancement therapy

c. Community reinforcement

d. Cognitive-behavioral therapy

37. The matrix model was designed to provide a framework for engaging _____ abusers in treatment and helping them achieve abstinence.

a. heroin

b. cocaine

c. alcohol

d. marijuana

38. Matrix model treatment materials include elements of:

a. relapse prevention

b. family and group therapies

c. self-help participation

d. all of the above

39. Surrender in 12-step facilitation therapy involves:

a. giving oneself over to a higher power

b. accepting the support structure of other recovering addicted individuals

c. following the recovering activities laid out by the 12-step program

d. all of the above

40. Research has shown that treatments designed for and tested in adult populations often need to be modified to be effective in adolescents.

a. True

b. False

41. Behavioral therapies designed primarily for adolescents include:

a. multisystemic therapy

b. multidimensional family therapy

c. brief strategic family therapy

d. all of the above

42. _____ addresses the factors associated with serious antisocial behavior in children and adolescents who abuse alcohol and other drugs.

a. Multisystemic therapy

b. Multidimensional family therapy

c. Brief strategic family therapy

d. Functional family therapy

43. _____ is based on a family systems approach to treatment in which family members' behaviors are assumed to be interdependent such that the symptoms of one member are indicative, at least in part, of what else is occurring in the family system.

a. Multisystemic therapy

b. Multidimensional family therapy

c. Brief strategic family therapy

d. Functional family therapy

44. _____ is a treatment based on a family systems approach, in which an adolescent's behavior problems are seen as being created or maintained by a family's dysfunctional interaction patterns.

a. Multisystemic therapy

b. Multidimensional family therapy

c. Brief strategic family therapy

d. Functional family therapy

45. _______ is a home-based continuing-care approach to preventing relapse after an adolescent is discharged from residential, intensive outpatient or regular outpatient treatment.

a. Assertive continuing care

b. Multidimensional family therapy

c. Brief strategic family therapy

d. Functional family therapy

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Principles of Drug Addiction Treatment_Bundle

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