Question 1

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 identify people,places,and behaviors associated with drug use.

Accepted Answer

CBT approaches to treatment for substance use disorders often involve identifying triggers and high-risk situations for drug use, as well as developing coping skills to manage cravings and avoid relapse. This includes identifying people, places, and behaviors associated with drug use. While medication-assisted treatment may be used in conjunction with CBT, it is not the primary method of treatment. Additionally, hypnotism is not a commonly used approach in CBT for substance use disorders.

Question 2

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 approved forms include nicotine gum, lozenges, patches, inhalers, and nasal sprays.

Question 3

Because most opioid dependent 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

As most opioid dependent people prescribed naltrexone stop taking it, researchers have been testing a depot form that blocks heroin's effects for up to six weeks, in order to improve the adherence to the treatment.

Question 4

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

To evaluate the success of a drug treatment program, we need to know the goals of the program i.e. what it is trying to achieve. Without knowing the goals, we cannot measure whether the program has been successful or not. While administrative structure, training requirements, and theoretical approach are all important aspects of a drug treatment program, they are secondary to understanding the program's goals.

Question 5

Although naltrexone has been used to treat alcohol dependence,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 and there is some uncertainty as to how it works with alcohol users. However, it has been used to treat alcohol dependence. The other options are incorrect - there is research support for using naltrexone for alcohol dependence, it is available for prescription in the U.S., and while it can cause discomfort if someone drinks while taking it, it is not necessarily dangerous or deadly.

Question 6

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

Giving the user rewards for drug-free urine samples is a form of contingency management, which is a behavioral intervention technique that uses positive reinforcement to encourage desired behaviors. This technique has been shown to be effective in increasing drug abstinence and promoting treatment retention.

Question 7

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 FDA approval for smoking cessation, but not for maintenance phase of alcohol treatment. Antabuse, naltrexone, and acamprosate have all received FDA approval for use during the maintenance phase of alcohol treatment.

Question 8

Although many medications have been tested for treating cocaine dependence,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 promise in treating cocaine dependence in clinical trials. It has been found to reduce cocaine use and cravings, as well as improve mood and cognitive function. Naltrexone, buprenorphine, and acamprosate have been tested for cocaine dependence, but have not shown as much potential as modafinil.

Question 9

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

Accepted Answer

Both drug agonist (substitution) and antagonist treatments are included in the maintenance phase of treatment, which focuses on preventing relapse and supporting long-term recovery. The detoxification phase involves safely removing drugs from the body, while the relapse prevention phase focuses on identifying triggers and developing coping strategies. Punishment is not a phase of addiction treatment.

Question 10

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

Accepted Answer

Buprenorphine is a substitute medication that has been approved for maintaining opioid-dependent patients. It is a partial opioid agonist that can help reduce cravings and withdrawal symptoms without producing the same level of euphoria or respiratory depression as full opioid agonists like methadone. Antabuse is used to treat alcohol dependence, zolpidem is a sedative-hypnotic medication used to treat insomnia, and olanzapine is an antipsychotic medication used to treat schizophrenia and bipolar disorder. None of these medications are effective for maintaining opioid dependence.

Question 11

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.

Question 12

The substance that accounted for the most admissions in the Treatment Episode Data Set from 2009 was
A)cocaine.
B)alcohol.
C)heroin.
D)methamphetamine.

Accepted Answer

According to the Treatment Episode Data Set from 2009, alcohol was the substance that accounted for the most admissions.

Question 13

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 putting the user under anesthesia and administering an antagonist, which causes withdrawal symptoms to occur while they are asleep. This allows for the process to be quicker and less uncomfortable for the user.

Question 14

Is treatment for drug dependence 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 treatment for drug dependence can lead to reduced crime rates and increased employment, indicating its effectiveness.

Question 15

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 most commonly used medications for preventing and treating alcohol withdrawal symptoms. They work by calming the central nervous system and reducing agitation and anxiety, which can prevent more severe symptoms like seizures and delirium tremens. Opioids and amphetamines are not typically used for alcohol withdrawal treatment, and antabuse is a medication used to discourage alcohol use rather than treat withdrawal symptoms.

Question 16

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, meaning it binds to the nicotine receptors in the brain, reducing cravings and withdrawal symptoms associated with smoking cessation. It is not used as an antidepressant or an opioid antagonist, and does not block the metabolism of nicotine.

Question 17

The most common form of medical treatment for opioid dependence 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 dependence because it is effective in reducing opioid use and preventing relapse.

Question 18

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

Accepted Answer

The medication that has shown effectiveness in relieving cannabis withdrawal symptoms is oral THC. This medication works by activating the same cannabinoid receptors in the brain as cannabis, but in a less potent way, which can help ease withdrawal symptoms such as nausea, anxiety, and insomnia. Naltrexone is used for opiate addiction and methadone is used for opioid addiction. Cocaine is a stimulant drug and not typically used for treating cannabis dependence.

Question 19

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

Motivational enhancement therapy aims to help the user move to another stage of change by increasing their motivation and commitment to change their behavior. This is often done by exploring and resolving ambivalence towards reducing or eliminating substance use. The therapy is focused on empowering the user to make their own decisions and take action towards change, rather than forcing them to change or confront them with negative consequences.

Question 20

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 part of the detoxification process, which involves removing the drug from the body and managing the physical symptoms of withdrawal. Relapse prevention and maintenance typically come after detoxification. Punishment is not an appropriate choice as it does not relate to the management of withdrawal symptoms.

Quiz 18: Rethinking Drug Policy: What Works, Whats Possible, and Whats Feasible

CBT approaches to treatment

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

Because most opioid dependent people prescribed naltrexone stop taking it,

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

Although naltrexone has been used to treat alcohol dependence,it

Giving the user rewards for drug-free urine samples

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

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

Both drug agonist (substitution) and antagonist treatments are included in the __________ phase of treatment.

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

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

The substance that accounted for the most admissions in the Treatment Episode Data Set from 2009 was

Rapid opioid detoxification is based on

Is treatment for drug dependence effective?

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

Varenicline,approved in 2006 for smoking cessation.

The most common form of medical treatment for opioid dependence is

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

Motivational enhancement therapy has as its goal

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