Question 1

A pilot study demonstrated that clozapine may be effective in reducing symptoms of alcohol use disorders and _____________ in dually diagnosed patients.

Accepted Answer

A)  Anxiety
B)  Depression
C)  Schizophrenia
D)  Anti-social disorder C

Question 2

What is the main difference in the primary goals of clinical practitioners who conduct psychotherapy with alcohol and other drug abusers and research oriented evaluators of treatment outcomes?

Accepted Answer

A)  Therapists may be convinced that an effective program does not need scientific evaluation.
B)  Researchers want objective evidence about treatment effectiveness.
C)  Psychotherapists rely on clinical experience and expertise and attribute any improvement to be due to treatment.
D)  All of the above D

Question 3

Which of the following is true about motivational enhancement training (MET):

Accepted Answer

A)  Emphasizes the use of confrontational techniques to help alcohol abusers develop their own motivation for reducing their drinking.
B)  Emphasizes the use of nonconfrontational techniques to help alcohol abusers develop their own motivation for reducing their drinking.
C)  Emphasizes the use of nonconfrontational techniques to help alcohol abusers develop their own motivation for increasing their drinking.
D)  Emphasizes the use of nonconfrontational techniques to help alcohol abusers develop an educational treatment plan for reducing their drinking. B

Question 4

According to a study by Petry (2000), which of the following was found to be true?

Accepted Answer

A)  A greater percentage of alcoholic veterans receiving standard treatment plus contingency management (CM)  stayed abstinent
B)  Both standard treatment and contingency management (CM)  proved to be equally effective in keeping veterans abstinent long after the program
C)  The attrition rate was smaller for the standard treatment compared to the standard treatment plus contingency management (CM) 
D)  Standard treatment alone succeeded in achieving abstinence for treated veterans

Question 5

Which of these statements is true regarding what studies have found on the effects of SSRI's?

Accepted Answer

A)  Effective in decreasing alcohol use and depressive symptoms in patients with comorbid alcoholism and depression.
B)  May only be effective in decreasing certain subtypes of depressed alcoholics
C)  Not effective in decreasing alcohol use and depressive symptoms in patients with comorbid alcoholism and depression.
D)  a & b only

Question 6

What is the goal of motivational enhancement training (MET)?

Accepted Answer

A)  To require change in the client
B)  To directly teach clients techniques for change
C)  To have the client assume responsibility for wanting to change
D)  To have the clients form a buddy system to help motivate each other to stay sober

Question 7

What can be said about brief intervention therapy?

Accepted Answer

A)  Conventional treatment was more effective than a single session of advice and counseling
B)  Advice and counseling was more effective than conventional treatment
C)  Conventional treatment was no more effective than a single session of advice and counseling
D)  A single session of advice and counseling was found to be ineffective

Question 8

Examples of treatments for patients with mental illnesses and substance use disorders are:

Accepted Answer

A)  Integrative assertive community treatment
B)  Dual recovery therapy
C)  Money management therapy
D)  All of the above

Question 9

In the case of alcoholism, which family member is assumed to be the most overly anxious about the problem?

Accepted Answer

A)  All family members become overly anxious
B)  The mother if the father is the alcoholic
C)  Family member with the least dependence on the alcoholic
D)  Family member with the most dependence on the alcoholic

Question 10

Which of the following holds a view of the learner as an active participant in behavior change?

Accepted Answer

A)  Operant conditioning
B)  Behavioral conditioning
C)  Stimulus conditioning
D)  Aversive conditioning

Question 11

What were the overall concluding findings of the COMBINE study?

Accepted Answer

A)  Patients had better drinking outcomes if they received medical management with naltrexone only.
B)  Patients had better drinking outcomes if they received medical management with naltrexone, CBI, or both .
C)  Patients had better drinking outcomes if they received medical management with CBI only.
D)  Patients had better drinking outcomes if they received naltrexone, and CBI only.

Question 12

Methadone has been effective in reducing use of heroin, cutting down criminal activities related to heroin use and improving health. However methadone maintenance has raised criticism because patients are still taking a_________________ drug.

Accepted Answer

A)  Hallucinogenic
B)  Retroactive
C)  Psychoactive
D)  Hyperactive

Question 13

Based on Social Learning Theory, by ________________ other people who have successfully reduced drinking, alcoholics acquire self-efficacy, feeling they can control drinking.

Accepted Answer

A)  Listening to
B)  Observing
C)  Imitating
D)  Talking to

Question 14

In determining how effective therapies work, evidence to support the view that specific aspects of a therapy contribute to the reduced drinking involves ______________ analysis.

Accepted Answer

A)  Regressional
B)  Moderational
C)  Mediational
D)  both b & c

Question 15

The degree of _______________ and ______________ of alcoholics has been ignored in drawing conclusions when evaluating the validity of therapy for alcoholism due to poor methodology that have relied on single cases and no controls.

Accepted Answer

A)  severity, homogeneity
B)  complexity, homogeneity
C)  severity, heterogeneity
D)  complexity, heterogeneity

Question 16

The DATOS study found which of the following outcomes?

Accepted Answer

A)  All treatment programs were successful to some degree at a 1-year follow-up.
B)  Length of treatment played a significant role in treatment outcome.
C)  Length of treatment played an insignificant role in treatment outcome.
D)  a & b only.

Question 17

Aversive conditioning is where a (n) ____________stimulus is repeatedly paired with the target stimulus (e.g. alcohol) so that eventually the target stimulus alone will elicit _____________ reactions.

Accepted Answer

A)  Pleasant, positive
B)  Unpleasant, negative
C)  Neutral, positive
D)  Neutral, negative

Question 18

Which of the following is a 10-item screening test that takes 2 minutes to complete developed by the World Health Organization to screen for alcohol dependence?

Accepted Answer

A)  MAST
B)  AUDIT
C)  AST
D)  EDS

Question 19

Instead of denial or a failure to realize they had a drinking problem, a survey of a sample of respondents with a lifetime DSM-IV alcohol use disorder indicated which of the following as reasons for failure to seek treatment?

Accepted Answer

A)  Ambivalence
B)  Fear or embarrassment
C)  Denial
D)  a and b only

Question 20

Alcohol abuse can mimic psychiatric disorders by producing symptoms similar to all of the following disorders except:

Accepted Answer

A)  Antisocial behavior
B)  Psychosis
C)  Anxiety
D)  Personality

Exam 14: Treatment of Alcohol and Other Drug Dependencies