Question 1

Rapid opioid detoxification is based on
A)the use of methadone to avoid withdrawal symptoms.
B)making sure that the user experiences the full discomfort of withdrawal,while providing medical support.
C)anesthetizing users and administering an antagonist,so that withdrawal occurs while they are asleep.
D)switching the user to a shorter-duration opioid.

Accepted Answer

Rapid opioid detoxification involves anesthetizing the user and administering an antagonist to induce withdrawal while they are asleep. This method is controversial and has potential risks, but it is one approach used to manage addiction. Methadone (A) is a long-acting opioid used to manage withdrawal symptoms and has a high risk of dependency. Making the user experience the full discomfort of withdrawal (B) is not recommended as it can be unbearable and potentially dangerous. Switching the user to a shorter-duration opioid (D) may not be effective in managing addiction as it does not address the underlying issue.

Question 2

Although many medications have been tested for treating cocaine use disorder,most have shown little promise and none has yet been approved.The most promising results have been found with
A)modafinil.
B)naltrexone.
C)buprenorphine.
D)acamprosate.

Accepted Answer

Modafinil has shown the most promising results in treating cocaine use disorder among the options listed, due to its ability to reduce the rewarding effects of cocaine and help with the management of cravings.

Question 3

Varenicline,approved in 2006 for smoking cessation
A)is also used as an antidepressant.
B)is an opioid antagonist.
C)is a partial nicotinic-receptor antagonist.
D)blocks the metabolism of nicotine.

Accepted Answer

Varenicline is a partial nicotinic-receptor antagonist, which means it binds to and partially blocks the effects of nicotine on the brain's reward system. This leads to a reduced craving for nicotine and helps in smoking cessation. It is not used as an antidepressant or an opioid antagonist, nor does it block the metabolism of nicotine.

Question 4

Although no medication has yet received FDA approval for treating cannabis use disorder,one has shown effectiveness in relieving cannabis withdrawal symptoms.That medication is
A)naltrexone.
B)methadone.
C)cocaine.
D)oral THC.

Accepted Answer

Oral THC (tetrahydrocannabinol) has shown effectiveness in relieving cannabis withdrawal symptoms such as anxiety, sleep disturbances, and appetite changes. However, it should be noted that using THC as a treatment can also lead to potential dependence and addiction. Additionally, more research is needed to fully understand its effectiveness in treating cannabis use disorder.

Question 5

and antagonist treatments are included in the __________ phase of treatment.
A)detoxification
B)relapse prevention
C)punishment
D)maintenance

Accepted Answer

Antagonist and maintenance treatments are included in the maintenance phase of treatment, which focuses on preventing relapse and maintaining sobriety. Detoxification is the initial phase of treatment that focuses on safely removing the substance from the body, while punishment is not a phase of addiction treatment.

Question 6

Prevention of withdrawal symptoms using medications would be considered part of the ____________ process.
A)detoxification
B)relapse prevention
C)punishment
D)maintenance

Accepted Answer

Prevention of withdrawal symptoms is typically addressed during the detoxification process, which involves gradually decreasing or completely stopping the use of a substance while managing withdrawal symptoms with medication and other interventions. Relapse prevention, maintenance, and punishment may also be part of substance abuse treatment, but they are not specifically related to managing withdrawal symptoms during detoxification.

Question 7

Although naltrexone has been used to treat alcohol use disorder,it
A)is an opioid antagonist,and it is not clear how it works with alcohol users.
B)has never received any research support for this type of use.
C)is not available for prescription in the U.S.
D)is dangerous because people become deathly ill if they drink alcohol while taking it.

Accepted Answer

Naltrexone is an opioid antagonist, but its mechanism of action in treating alcohol use disorder is not completely understood. However, it has been shown to help reduce alcohol cravings and relapse rates in some individuals.

Question 8

Motivational enhancement therapy has as its goal
A)helping the user move to another "stage of change."
B)helping the user "hit bottom."
C)confronting the user with all of the bad consequences of his or her behavior.
D)finding alternative activities to draw the user away from the substance.

Accepted Answer

The goal of motivational enhancement therapy is to help the user move to another "stage of change." This means that the therapy is designed to help individuals who may be ambivalent or resistant to change their behavior to become more motivated and ready to make positive changes. The therapy is focused on helping the individual identify and strengthen their own internal motivations for change.

Question 9

Giving the user rewards for drug-free urine samples
A)doesn't work very well.
B)is a form of contingency management.
C)is a common technique in 12-step programs.
D)is based on the "stages of change" model.

Accepted Answer

Rewarding drug-free urine samples is a form of contingency management, which is a behavioral intervention that uses positive reinforcement to change behavior. It has been shown to be effective in substance abuse treatment. The other options are not accurate - A) there is evidence to suggest that it can work well, C) this technique is not exclusive to 12-step programs, and D) it is not directly based on the stages of change model.

Question 10

The most common form of medical treatment for opioid addiction is
A)methadone maintenance.
B)rapid opioid detoxification.
C)naltrexone therapy.
D)buprenorphine.

Accepted Answer

Methadone maintenance is the most common form of medical treatment for opioid addiction, as it helps reduce withdrawal symptoms and cravings.

Question 11

Before we can evaluate the success of a drug treatment program,we have to understand the program's
A)administrative structure.
B)training requirements.
C)goals.
D)theoretical approach.

Accepted Answer

In order to evaluate the success of a drug treatment program, it is crucial to understand its goals. This includes determining what the program is trying to accomplish, such as reducing drug use or improving overall health and well-being. Without understanding the program's goals, it would be difficult to determine whether or not it has been successful. While administrative structure, training requirements, and theoretical approach are all important components of a drug treatment program, they are secondary to understanding the program's goals in evaluating its success.

Question 12

Because most heroin addicted people prescribed naltrexone stop taking it,
A)it is no longer used for this purpose.
B)they typically undergo prolonged withdrawal reactions.
C)researchers are testing a depot form that blocks heroin's effects for up to six weeks.
D)a company is developing a better tasting capsule.

Accepted Answer

Researchers have developed a depot form of naltrexone that is injected once a month and has been shown to block heroin's effects for up to six weeks. This is to address the issue of patients often not complying with the daily pill form of naltrexone. Option A is incorrect as naltrexone is still used for opioid addiction treatment. Option B is incorrect as abrupt discontinuation of naltrexone does not produce prolonged withdrawal reactions. Option D is incorrect as the taste of the medication is not the primary reason for non-compliance.

Question 13

Because of the potential danger of alcohol withdrawal symptoms,these symptoms are often prevented or treated by administering
A)opioids.
B)amphetamine.
C)antabuse.
D)benzodiazepines.

Accepted Answer

Benzodiazepines are the preferred medication for preventing or treating alcohol withdrawal symptoms due to their ability to reduce anxiety and prevent seizures. Opioids and amphetamines do not have the same efficacy for these symptoms, and Antabuse is used for preventing relapse rather than managing withdrawal.

Question 14

CBT approaches to treatment
A)have not worked as well as traditional psychotherapy.
B)rely on the use of medications to prevent withdrawal symptoms.
C)use hypnotism as the major form of treatment.
D)have the clients to identify people,places,and behaviors associated with drug use.

Accepted Answer

CBT approaches to treatment for substance abuse typically involve identifying triggers or cues that lead to drug use, such as people, places, or behaviors. The goal is to help the individual recognize and manage these triggers in order to avoid relapse. Medications may be used as part of treatment, but they are not the main focus. Hypnotism is not a typical part of CBT for substance abuse.

Question 15

Besides methadone,another substitute medication has recently been approved for maintaining opioid addicted patients.It is
A)antabuse.
B)buprenorphine.
C)zolpidem.
D)olanzepine.

Accepted Answer

Buprenorphine has recently been approved as a substitute medication for maintaining opioid addicted patients. Antabuse is used for alcohol dependence, zolpidem is a sedative used for treating insomnia, and olanzepine is an antipsychotic medication.

Question 16

Which of these has NOT received FDA approval for use during the maintenance phase of alcohol treatment?
A)naltrexone
B)bupropion (Zyban)
C)antabuse
D)acamprosate

Accepted Answer

Bupropion (Zyban) has not received FDA approval for use during the maintenance phase of alcohol treatment. Naltrexone, Antabuse, and Acamprosate have all been approved for use during this phase.

Question 17

Studies of court-ordered referrals to Alcoholics Anonymous versus other types of interventions have
A)found that none of these approaches is effective.
B)found that AA is more effective than other approaches.
C)found that other approaches are more effective than AA.
D)not found differences in effectiveness between AA and other approaches.

Accepted Answer

Studies have not found significant differences in effectiveness between court-ordered referrals to Alcoholics Anonymous and other types of interventions. However, it should be noted that effectiveness may vary depending on the individual and the specific circumstances of the referral.

Question 18

Which of these is NOT an FDA-approved form of nicotine replacement therapy?
A)nicotine water
B)nicotine lozenges
C)nicotine gum
D)nicotine nasal spray

Accepted Answer

Nicotine water is not an FDA-approved form of nicotine replacement therapy. The FDA-approved forms include nicotine gum, nicotine lozenges, nicotine patches, nicotine inhalers, and nicotine nasal sprays.

Question 19

The substance that accounted for the most admissions in the Treatment Episode Data Set from 2011 was
A)cocaine.
B)alcohol.
C)heroin.
D)methamphetamine.

Accepted Answer

Alcohol has historically been one of the leading substances for which people seek treatment, as reflected in various data sets including the Treatment Episode Data Set (TEDS).

Question 20

Is treatment for drug addiction effective?
A)Only if the user wants it to work.
B)Most studies do not show any effectiveness.
C)Statistically,treatment does reduce crime and increase employment.
D)Yes,more than half of those treated remain abstinent for more than a year.

Accepted Answer

Studies have shown that drug addiction treatment can lead to reduced criminal activity and increased employment among those who undergo treatment.

Quiz 18: Treating Substance Use Disorders

Rapid opioid detoxification is based on

Although many medications have been tested for treating cocaine use disorder,most have shown little promise and none has yet been approved.The most promising results have been found with

Varenicline,approved in 2006 for smoking cessation

Although no medication has yet received FDA approval for treating cannabis use disorder,one has shown effectiveness in relieving cannabis withdrawal symptoms.That medication is

and antagonist treatments are included in the __________ phase of treatment.

Prevention of withdrawal symptoms using medications would be considered part of the ____________ process.

Although naltrexone has been used to treat alcohol use disorder,it

Motivational enhancement therapy has as its goal

Giving the user rewards for drug-free urine samples

The most common form of medical treatment for opioid addiction is

Before we can evaluate the success of a drug treatment program,we have to understand the program's

Because most heroin addicted people prescribed naltrexone stop taking it,

Because of the potential danger of alcohol withdrawal symptoms,these symptoms are often prevented or treated by administering

CBT approaches to treatment

Besides methadone,another substitute medication has recently been approved for maintaining opioid addicted patients.It is

Which of these has NOT received FDA approval for use during the maintenance phase of alcohol treatment?

Studies of court-ordered referrals to Alcoholics Anonymous versus other types of interventions have

Which of these is NOT an FDA-approved form of nicotine replacement therapy?

The substance that accounted for the most admissions in the Treatment Episode Data Set from 2011 was

Is treatment for drug addiction effective?