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A comprehensive overview of various psychoactive drugs, including opiates, depressants, and stimulants. It delves into their chemical properties, mechanisms of action, routes of administration, and associated health risks. The document also explores the effects of these drugs on the brain and body, including their impact on neurotransmitters, behavior, and overall health. It is a valuable resource for students and professionals in the field of addiction counseling, providing a detailed understanding of the substances commonly encountered in addiction treatment.
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Opiates - ANSWER - A category of psychoactive drugs that are chemically similar to morphine and have strong pain-relieving properties.
Crack (stimulants) - ANSWER - - processed from hydrochloride with ammonia or sodium bicarbonate (baking soda) and water, heated to remove the hydrochloride. Freebase is the result.
C. Butyl nitrite - ANSWER - A. Nitrous oxide Nitrous oxide is an inhalant commonly used in dental medicine. Amyl nitrite and butyl nitrite come in dosages called loppers" used mainly as enhancements to sexuality. In the context of motivating patients in substance abuse treatment, is it acceptable to offer advice? A. Yes B. No, under no circumstances C. Yes, if the patient is in recovery - ANSWER - A. Yes. Getting advice from a reasonable, informed source may be one of the main reasons the client sought treatment in the first place and can be empowering. Which of the following is not associated with the use of MDMA? A. Paranoia B. Euphoria C. Psychosis - ANSWER - C. Psychosis What kind of prescription drugs are used to treat those who are addicted to depressant and sedative-type substances? A. The class of drug is not significant B. Drugs in a different class C. Drugs in the same class - ANSWER - C. Drugs in the same class. How should a therapist handle asking non-substance abuse clients about substance use. A. The therapist should let the client bring it up. B. The therapist should ask during assessment. C. The therapist should ask periodically. - ANSWER - C. When there are potential consequences to a patient for revealing information about substance use, what is the impact? A. There is no real impact of potential consequences on a patient's honesty. B. Potential consequences for revelation make revelation more likely. C. Potential consequences for revelation inhibit revelation. - ANSWER - C. Which of the following is the most important element of effective treatment planning? A. Individuality B. Transferability C. Flexibility D. Accountability - ANSWER - A. Individuality. It is what makes it the most effective, by "meeting a client where they are" and establishing milestones that are relevant to that patient. Which type of supervision is most concerned with giving and receiving feedback about performance? A. Evaluative
"Closing one's eyes" to the existence of a threatening aspect of reality. - ANSWER - Denial (defense mechanism) Actively expressing the opposite impulse when confronted with a threatening impulse. - ANSWER - Reaction Formation (defense mechanism) Which of the following is NOT a "drug cue"? A. A prior drug use setting B. Drug use paraphernalia C. Seeing others use drugs D. Drug avoidance strategies - ANSWER - D. Drug avoidance strategies What does formication refer to? A. The creation of freebase cocaine B. Sex between two unmarried individuals C. A sensation of bugs crawling under the skin D. Extrapyramidal symptoms of agitation - ANSWER - C. A sensation of bugs crawling under the skin What is/are the organ(s) most damaged by cocaine abuse? A. The brain B. The lungs C. The kidneys D. The heart - ANSWER - D. The heart Which form of substance abuse is naltrexone used to treat? A. Alcohol dependence B. Opioid dependence C. Both A and B D. Neither A or B - ANSWER - C. Both A and B The likelihood of developing a substance abuse disorder fluctuates throughout the life course. What is the most likely period in life for a substance abuse problem to begin? A. Middle age B. Young adulthood C. Adolescence D. Childhood - ANSWER - C. Adolescence The MAST screening test is a twenty-five question instrument that is used to explore the degree and severity of a client's problem with which type of abuse? A. Cocaine abuse B. Mescaline abuse C. Methamphetamine abuse D. Alcohol abuse - ANSWER - D. Alcohol abuse
Members of the lesbian, gay, bisexual, and transgender (LGBT) community face many challenges, including issues of discrimination. Regarding substance abuse as compared with the general population, how is the LGBT community likely to act? A. Less likely to use alcohol or drugs B. About as likely to use alcohol or drugs C. More likely to use alcohol or drugs D. Insufficient data to make these comparisons - ANSWER - C. More likely to use alcohol or drugs Staff familiarity with twelve-step program facilitation important because of all of the following EXCEPT that A. Clients feel more pressure to attend twelve-step programs by these staff B. Clients are more easily motivated into twelve-step programs by these staff C. Clients' concerns are more meaningfully resolved by these staff D. Clients generally remain abstinent longer with twelve-step involvement. - ANSWER - A. Clients feel more pressure to attend twelve-step programs by these staff In 1965, Bruce Tuchman proposed a model of group development that included five phases. What is the one phrasing that is NOT part of Tuckman's model? A. Performing B. Storming C. Framing D. Norming - ANSWER - C. Framing "Referral" means: - ANSWER - Assisting a client to utilize the support systems and community resources available ___________________ are a problem associated with consuming alcohol and valium together. - ANSWER - Synergistic effects ___________________ is the belief that ones own culture is superior to others. - ANSWER - Ethnocentrism "Excessive use of alcohol is a result of personal choice and therefore should be punished." This statement is consistent with the __________________ model of addiction. - ANSWER - Moral A common problem for beginning counselors is: - ANSWER - Failing to identify an approach that is appropriate to the client A counselor wants to record a counseling session with a client so that the counselor could listen to the tape, along with her supervisor, as part of ongoing training. According to ethical best practices, the counselor's plans are: - ANSWER - Ethical, as long as the client granted permission beforehand.
groups for Vets with PTSD. The counselor then made arrangements for Jackie to be attend these groups while he is still in primary treatment for substance abuse. The counselor's actions are BEST described as: - ANSWER - Case Management Methadone maintenance programs can BEST be described as: - ANSWER - Harm reduction request Niko is a client who has ben gaining weight steadily since entering treatment. When confronted about his constant snacking and lack of activity, he told his counselor that he needed to eat this way in order to keep his mind off of his DOC. He felt that he deserved to indulge, since he was giving up the primary source of satisfaction he had used for years. The counselor would rightly conclude that the ego defense mechanism of __________ is at work here. - ANSWER - Rationalization One basic principle of documentation requires the counselor to: - ANSWER - Record material in a manner that allows a new counselor to understand the general progress of any client. Rajish is avoiding social situations which involve drinking or drugs. He is worried that others may encourage him to drink. The counselor suggests that they act-out such a situation in order to develop responses if such a situation arises. This counseling technique is: - ANSWER - Role-play Rates of opioid use are higher in __________ than in ____________. - ANSWER - Males; Females Reinforcement and punishment are associated with ________________ Therapy. - ANSWER - Behavior Some researchers have concluded that no one pattern of dysfunctional substance abuse exists. They also conclude that there more than one personality type that is more prone to addiction than some others. This multivariate focus is MOST consistent with the: - ANSWER - Biopsychosocial model Studies have linked substance abuse among African Americans to three factors: economic deprivation, stress and __________________. - ANSWER - Racism The concept of informed consent requires that before agreeing to accept treatment, clients should know ________________, their rights and obligations, fees for services and limits of confidentiality. - ANSWER - The goals of therapy The cultural philosophy of "noninterference" is associated with alcohol-related problems among: - ANSWER - Native Americans The DSM-5 includes criteria sets specific to intoxication for each substance category except for _______________. - ANSWER - Tobacco
The first step of Alcoholics Anonymous requires: - ANSWER - An admission that one's life is unmanageable The initial stage of crisis intervention involves: - ANSWER - Recognizing the crisis The primary goal of a mental status exam is to measure the client's orientation to ___________, ___________, and ______________. - ANSWER - Person; Place; Time The primary principles behind Alcoholics Anonymous are spirituality, self-improvement and _____________________. - ANSWER - Service to others Which core function of counseling is related to the term "didactic"? - ANSWER - Client education Which neurotransmitter is most closely associated with feelings of well-being, appetite and mental alertness? - ANSWER - Serotonin Which of the following is a CNS depressant? - ANSWER - Xanax Which of the following is an SSRI? - ANSWER - Prozac Which of the following is most closely associated with involuntary confinement, such as a prison setting? - ANSWER - Gestalt Therapy Which of the following is the BEST definition of a "slip"? - ANSWER - An episode of substance abuse following a period of abstinence Which of the following is the BEST definition of denial? - ANSWER - An ego defense mechanism that allows one to pretend a problem is not real Which of these is the BEST example of a substance-induced disorder? - ANSWER - Methamphetamine psychosis Which statement is TRUE regarding counselor self-exploration? - ANSWER - Counselors should not rule out therapy for their own personal issues. With the new DMS-5 nomenclature, clinicians will now specify severity of the addiction using ratings of: - ANSWER - Mild, Moderate, and Severe You are seeing a patient whom you suspect may be suicidal. Which of the following facts most suggests that the risk of suicide is high? - ANSWER - The patient's depressive symptoms have recently improved CASE STUDY: What part of the treatment process was interrupted by the client's wife? - ANSWER - Orientation