Substance Abuse
1)

Principles of Effective Treatment include the following, except:
 
Addresses all of the patient’s needs, not just his or her drug use Staying in treatment long enough Must be reviewed often and modified to fit the patient’s changing needs Medications are not an important part of treatment, especially when using behavioral therapies
 
2)

Medications…
 
can be used to manage withdrawal symptoms, prevent relapse, and treat co-occurring conditions can be used to manage withdrawal symptoms but should not be used to prevent relapse can be used to help re-establish normal brain function and decrease cravings both a. and c.
 
3)

The following medications are used to treat opioid addiction, except:
 
Disulfiram Methadone Buprenorphine Naltrexone
 
4)

Behavioral therapies help patients in the following ways, except:
 
Modify their attitudes and behaviors related to drug use Cause changes in brain chemistry that can quickly reverse symptoms (ECT) Increase healthy life skills Persist with other forms of treatment, such as medication
 
5)

 A common pattern for misusing steroids is taking multiple doses for a period of time, stopping for a time, and then restarting is called:
 
stacking cycling pyramiding plateauing
 
6)

When a person tries to quit smoking tobacco, he or she may experience the typical withdrawal symptoms including the following, except:
 
irritability decreased appetite powerful cravings for tobacco problems paying attention
 
7)

This drug is a powerfully addictive stimulant made from the leaves of a plant native to South America; is snorted through the nose, rubbed on the gums, or dissolved and injected; currently has no government-approved medicines to treat this addiction:
 
Molly/Ecstasy Heroin Cocaine Fentanyl
 
8)

This drug is a powerful synthetic opioid that is similar to morphine but is 50 to 100 times more potent; is a preblockedion drug that is also made and used illegally; is commonly involved in drug overdose deaths.
 
Cocaine Fentanyl Molly/Ecstasy Kratom
 
9)

This medicine can be used to reverse a fentanyl overdose.  Multiple doses might be necessary because of fentanyl’s potency.
 
Naloxone Chantix Zyban Antabuse
 
10)

A diverse group of drugs that alter a person’s awareness of their surroundings as well as their own thoughts and feelings, commonly split into two categories, classic and dissociative.  They can be either natural or synthetic.
 
Stimulants Inhalants Hallucinogens Depressants
 
11)

An opioid drug made from morphine, can be a white or brown powder or a black sticky substance; can be injected, sniffed, snorted or smoked; taken from the seed pods of various plants grown in Southeast and Southwest Asia, Mexico and Colombia.
 
Cocaine Molly/Ecstasy Ketamine Heroin
 
12)
This class of substances are mostly used by young kids and teens and are the only class of substances used more by younger than by older teens.
 
Stimulants Depressants Inhalants Steroids
 
13)
A tropical tree native to southeast Asia with leaves that can have psychotropic effects, not currently illegal and easy to access on the internet, has opioid and stimulant effects.
 
Kratom Molly/Ecstasy Ketamine Acid
 
14)

Most commonly used psychotropic drug in the United States, after alcohol; widely used among young people; people use by smoking, eating, drinking or inhaling it;  the amount of THC in it has been increasing steadily in recent decades.
 
Cocaine Crack Molly/Ectasy Marijuana
 
15)

Medical marijuana is all of the following, except:
 
recognized and approved by the FDA refers to treating symptoms of illness and other conditions with the whole, unprocessed marijuana plant or its basic extracts. legal is some states but not in others currently being tested for medical treatment
 
16)

A synthetic drug that alters mood and perception; producing feelings of increased energy, pleasure, emotional warmth; initially popular in the nightclub scene and at all-night dance parties; usually taken as a capsule or tablet.
 
Kratom MDMA (Ecstasy/Molly) Ketamine Special K
 
17)

 A powerful, highly addictive stimulant that affects the central nervous system; may look like glass fragments or shiny, bluish-white rocks; people use by smoking, swallowing, snorting or injecting powder that has been dissolved.  
 
Cocaine Anabolic Steroids Methamphetamine Preblockedion CNS Stimulants
 
18)

The following statements are all true about Methamphetamine, except:
 
The most effective treatments for methamphetamine addiction so far are behavioral therapies. There are currently no government-approved medications to treat methamphetamine addiction. Methamphetamine can be highly addictive. Methamphetamine decreases the amount of dopamine in the brain.
 
19)

 Over-the-counter medicine that can be sold directly to the public without a preblockedion that has the potential for misuse:
 
Benzonatate (TXS), a cough suppressant Dextomethorphan (DXM), a cough suppressant Guaifenesin (GSG), a cough suppressant Phenylephrine (PSX), a cough suppressant
 
20)

The following statements are true about Preblockedion CNS depressants, except:
 
They aremedicines that can slow brain activity to treat anxiety and sleep disorders. They act on the brain by increasing activity of GABA, a chemical that slows brain activity. They usually make people feel sleepy and uncoordinated at first. They can not lead to substance use disorder if prescribed by a doctor.
 
21)

 The following statements are true about Preblockedion Opioids, except:
 
They are used mostly to treat moderate to severe pain, though some can be used to treat coughing and diarrhea. People misuse by taking the medicine in a way other than prescribed, taking someone else’s preblockedion, or taking the medicine to get high. Even when used as prescribed by a doctor can lead to a substance use disorder, which takes the form of addiction in severe cases. A large fraction, almost 2/3’s, of people who misuse opioid pain relievers switch to heroin.
 
22)

The following statements are true about Preblockedion Stimulants, except:
 
Preblockedion stimulants are medicines used to treat ADHD and narcolepsy. Most preblockedion stimulants come in tablet, capsule, or liquid form. Preblockedion stimulants decrease the activity of the brain chemicals dopamine and norepinephrine. Preblockedion stimulant misuse can lead to a substance us disorder, which takes the form of addiction in severe cases, even when used as prescribed by a doctor.
 
23)

The following statements are true about Synthetic Cannabinoids, except:
 
They are human-made mind-altering chemicals that are sprayed on dried, shredded plant material or sold as liquids to be vaporized and inhaled. They are a safe, legal alternative to marijuana, synthetically created without the harmful chemicals in other marijuana products. They are sold in colorful foil packages and plastic bottles to attract consumers. Recurrent legal problems from substance abuse
 
24)

The following statements are true about Vaping, except:
 
Vaping is popular among teens. Vaping is less harmful than combustible cigarettes when people who regularly smoke switch to them as complete replacement. Vaping does not lead to nicotine addiction. Vaping exposes the lungs to a variety of chemicals, including those added to e-liquids, and other chemicals produced during the heating/vaporizing process.
 
25)

The following statements are true about comorbidity, except:
 
Comorbidity describes two or more disorders or illnesses occurring in the same person. About half of people who experience a mental illness will also experience a substance use disorder sometime in their lives and vice versa. Comorbidity does not describe two or more disorders occurring one after the other. Comorbidity also implies interactions between illnesses that can worsen the course of both.
 
26)

True or False?  Treatment for comorbid illnesses should focus on both mental illness and substance use disorders together, rather than one or the other.
 
True False
 
27)

True or False?  Being infected with HIV automatically means that it will progress to AIDS?
 
True False
 
28)

People can reduce their risk of getting or passing on viral infection by all of the following, except:
 
not using drugs, taking PREP if they are at high risk for infection getting the ceftriaxone vaccine, getting the flu shot if they’ve been exposed to HIV getting PEP if they’ve been exposed to HIV, getting tested for HIV and HCV consistently practicing safer sex, getting the HBV vaccine
 
29)

Relapse…
 
is the return to drug use after an attempt to stop. Indicates the need for more or different treatment. is more likely when you have a daily schedule. is less likely if you are surrounded by other people who engage in addictive behaviors. is a sign of ultimate failure, of both the client and the therapist.
 
30)

Prevention programs should do the following, except:
 
reverse or reduce risk factors address all forms of drug abuse, underage use of legal drugs, use of illegal drugs, inappropriate use of legally obtained substances, preblockedion medications or over-the-counter drugs. be tailored to address risks specific to population or audience characteristics, such as age, gender, and ethnicity. be designed to intervene as early as Kindergarten to address risk factors
 
31)

True or False?  The National Academy of Sciences recently issued a scientific report stating that medications for opioid use disorder are effective, save lives and have better long-term outcomes than treatment that does not include medications. 
 
True False
 
32)

Addiction treatment must help the person do the following, except:
 
stop using drugs stay drug-free be productive in the family, at work, and in society become physically fit
 
33)

Successful treatment…
 
has several steps: detoxification, behavioral counseling, medication (for opioid, tobacco, or alcohol addiction), evaluation and treatment for co-occurring mental health issues such as depression and anxiety, long-term follow-up to prevent relapse deals with one mental health issue at a time so that the patient does not feel overwhelmed does not use medications and/or devices to manage things the patient can do on their own is easily available to people in the criminal justice system because access to harmful or addicting drugs is limited in institutions where they are housed
 
34)

 Maintenance treatment.. 
 
Gives the client time to change the people, places and things connected with their drug use and to do so more safely. Minimizes cravings and withdrawal symptoms. Is an approach with the understanding that the best results occur when a patient receives medication for as long as it provides a benefit. All of the above
 
35)

Distinguishing OUD From Physical Dependence on Opioid Medications.  According to DSM-5 OUD falls under the general category of SUDs and is marked by all of the following except:
 
Compulsion and craving Loss of control and withdrawal when use stops Intolerance Continued opioid use despite adverse consequences
 
36)

Case management helps establish the stability necessary for SUD remission.  It helps some people in SUD treatment get or sustain access to services and necessities, such as the following except:
 
Food and shelter Income support and legal aid Cable and internet services Transportation and vocational services
 
37)

 Recovery occurs via 
 
getting the client off of being physically dependent on any drug(s) using medicines only at the beginning of treatment waiting until after the client has been tapered off all OUD medication many pathways. OUD medication may play a role in the beginning, middle, or entire continuum of care.
 
38)

 Which of the following supports clients in making their own informed decisions about treatment…
 
Counselors don’t need to agree with client’s decisions but must respect them. Counselors have the education and knowledge to know what is best for the client. Counselors and clients need to be ‘on the same page’ regarding the benefits of longer-term medication Counselors need to remind clients that addiction is not a chronic disease but a matter of choice
 
39)

Providers provide person-centered care by doing the following except:
 
Clients control the amount, duration, and scope of services they receive. Selecting the professionals clients will work with. Providing care that is holistic; it respects and responds to clients’ cultural, linguistic, and socioenvironmental-mental needs. Implement services that recognize patients as equal partners in planning, developing, and monitoring care to ensure that it meets each patient’s unique needs.
 
40)

Which of the following is not a tenet of providing trauma-informed care:
 
Understanding how trauma can affect clients, families, and communities Applying knowledge of trauma extensively and consistently in both practice and policy Knowing ways to promote recovery from trauma Interventions that may retraumatize or harm clients or staff